Ryan Mitchell

Reminder that your elderly patient with flank pain does not have a kidney stone

Okay, say it with me: Crystalloids..."Crystalloids"... Suck..."Suck"... In hemorrhage..."in hemorrhage." That is all. Class dismissed. Prehospital Blood Product and Crystalloid Resuscitation in... : Annals of Surgery journals.lww.com/annalsofsurger…

The mRNA vaccines (Pfizer and Moderna) are kind of brilliant at a science level. I’ve had a few people in my real non-Twitter life ask me to explain how it works so I’m going to try my best here in this thread while I’m waiting for a patient to show.

An ICU nurse came up with this latest chart-topping hit entitled, “VAP”, sung to the tune of “WAP”. Ya’ll, I am DYING 😂. Hats off to Natalie D... you are one solid, lyrical genius and thanks for the laughs!!

"But the pt was only tachy at triage." Encounter this q shift. Normalization of VS doesn't reduce prob of PE.

Today’s lesson in why you must always always always know where the guide wire is. ijccm.org/doi/IJCCM/pdf/… (via obscure case report watcher @KnottCameron)

If someone writes an article you disagree with, here is an option that a lot of you seem to have forgotten: read it, then have some thoughts about it. Then have some thoughts about your thoughts. Critically assess your intuitive reaction. Then see if there's any elements of the

When I was a resident, Dr. Goldfrank would ask us the same question on every patient we saw: "What is the lesion in the healthcare system that brought this patient to us today?" It was a challenge to look deeper into the root cause of emergencies

We should all be grateful to Twitter for censoring harmful words and opinions. This enables us to have healthy and inoffensive conversations like this...

Looks like @Forbes are stealing my ideas again...

For the first time in 20+ years, after a night on call for Poison Control I feel an obligation to say this: Drinking bleach does not boost your immune system.

When you graduate Dalhousie EM your parting gift is a surgical airway kit. Congratulations Luke and James. Excellent physicians. Nova Scotia is lucky to have you both. @JamesGould_MD @kovacsgj

So I was hoping to avoid a COVID heme #tweetorial but with >50% of the votes on my survey, the people have spoken. (but hold on, this is going to be a long one) Coagulopathy in patients with COVID-19 is increasingly described. Some argue that it is akin to DIC... 1/n

Also just realized that twitter made the wave audio sound like a slow-mo fight between Transformers and the Terminator.

Hearing the concussive force of the waves striking the bedrock at this spot is peaceful. Standing transfixed for long periods of time.

Grateful that these waves are only steps away from my front door. The best kind of isolation.

Fascinating study on the harms of misinformation: "We document that greater viewership of Hannity relative to Tucker Carlson Tonight is strongly associated with a greater number of COVID-19 cases and deaths in the early stages of the pandemic." bfi.uchicago.edu/wp-content/upl…

Great work by @DitchDoc14 et al. with data suggesting 400 mcg nitroglycerin slow IV safely and rapidly improves BP and O2 saturation in patients with SCAPE in the prehospital setting.

@reesewaters @TheMichaelMoran Sure, I can get you all out of the country... For a price.

WHO FLEW WITH CRABS?!