@ED_StephenFahy Excellent points Dr. Fahy. Very important to have a mental model on how to troubleshoot a deteriorating intubated patient.
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William See
156 posts
William See
@DrWillSee
Emergency Physician. Fitness Fanatic. Marine Fishkeeping Enthusiast. #FOAMed Explorer.
Brisbane, Queensland Katılım Nisan 2009
111 Takip Edilen123 Takipçiler
Reflections from my last clinical shift
The first & most important step in good advanced airway management in the ED:
Good basic airway management
Watch the chest and neck to assess ventilation, proper positioning, ETCO2 on your BVM +/- adjuncts
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Devastated to come home to an empty backyard. Our beautiful boy went to puppy heaven on Monday after a short battle with cancer. ❤️
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@rulesrule1 @WRAPEMtweet Is this for consultant rosters? I'm hitting all the targets for our junior doctor's roster except the 10 weekend per year 😅
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@rulesrule1 Networking to me is a two way process. A collaboration.. how can I help you, help me? Also, can we be friends?
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Twitter network. I am running a session on effective networking and I am interested to know what “networking” means to you. How do you do your best networking? Also interested if this differs between generations. Go....
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Posterior Stroke: A Simple Approach via @TheBreachEM the-breach.com/posterior-stro… #FOAMed #HINTS
NIHSS weighted towards anterior circ – pts can have posterior strokes with an NIHSS of zero
HINTS is Better (Only use in pts with active sxs):
Head Impulse
Nystagmus
Test of Skew
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An important reminder of why we got into medicine to begin with. Thoughts from my favourite Irish guy.
Stephen Fahy@ED_StephenFahy
Reflections from my last clinical shift: The ED is always busy. Sometimes that leads us to focus more on disposition. Our goal should always be good assessment and management. This sometimes get lost in the need to keep patients moving through the department.
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Congrats to @symon_ben and the STORK team. The attention to detail is inspiring!
Ben Symon@symon_ben
Hey #SimCongress19 Looking for open access, expert reviewed paediatric simulations? Check out our new packages at dontforgetthebubbles.com/practice-made-… by @LankyTwig @caroelearning @paedsem & me! #FOAMed #FOAMSim #SimCongress19
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Reflections from my last shift:
Patient with syncope, ECG is sinus rhythm.
My cardiogenic causes vary with age
Young patients:
WPW
Brugada
HOCM
Toxicology
Older patients:
Ischaemia
Aortic stenosis
All ages:
Electrolytes
PE!!!
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Thinking about my last clinical shift and trying to take some learning points from it...
A 3 year old child with a vomit and then altered level of consciousness.
Diagnosis?
Intussusception
Keep it on your differential for ALOC in a child.
What’s your learning points?
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One that was tough to read but people are indeed kind and the waiting was most difficult.. what's hard is that you'll live your life wondering if it'll ever come back. What's harder is when the patient is your daughter. #Love
wrapem@WRAPEMtweet
new WRaP EM blogpost! “A Cancer story” - by Adele Cubitt Cohen - a patient perspective - wrapem.org/2019/08/13/a-c…
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William See retweetledi
@char_durand This is our pet wall at work. The health professionals here like our pets so much we made this wall to share the joy!
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William See retweetledi
@acemonline @JudkinsSimon @ama_qld “The situation in (insert name of public hospital here) is at critical point.... ”. Capacity and resources is an issue in almost every public hospital. Thanks @acemonline and @JudkinsSimon for giving these issues the media exposure they deserve.
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Will be adding a lot of this to my mental model for pericardiocentesis..
GIF
Riaan Nieuwoudt@nieuwoudtrp
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Taking DKA management a little further. Early basal insulin helps streamline discontinuation of Insulin infusion. Premature cessation of Insulin infusion can lead to rebound hyperglycaemia and acidosis recurrence. Timing is everything! #FOAMed
the EMCrit Crew@emcrit
Early basal insulin in DKA - by @PulmCrit emcrit.org/pulmcrit/early…
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William See retweetledi
It’s a virus until it’s not... looking after children in the ED by thinking about #sepsis risk and reasoning with @paed_ed
Also his great @DFTBubbles talk can be found here dontforgetthebubbles.com/arjun-rao-seps…
#healthcare #foamed #FOAMped #FOAMpem
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William See retweetledi
Learn the art of presentation at #MedEd EvolvED | Sept 25th, 2019 | Philadelphia, PA | PowerPlant Productions with @CriticalCareNow @EMSwami & me
“Design is about making communication as easy and clear for the viewer as possible.” Garr Reynolds
mededevolved.com
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William See retweetledi
Opening Keynote at Rebellion in EM 2019: The Impact We Have on Patients & The Impact They Have on Us rebelem.com/rebellion-in-e… #FOAMed #rebellion19 @GSEP_EM
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