anthony iacolucci

@gscollay @zachcantor @criticalevels Huge thanks to @zachcantor for his excellence as a dialogue ninja - asks the right questions to insure the speaker’s message gets out in a way that is meaningful for paramedics. 🚑

Sick neonates are rare in the paramedic world. The feeling “panicked until proven otherwise” is understandable. @anthony__RRT does a great job breaking down common neonatal illness categories - NEO-SECRETS with @zachcantor on @criticalevels. podcasts.apple.com/ca/podcast/cri…

@ThatJonLee @PAC_Paramedic @PAC_Expo Great session with so many amazing and engaged Paramedics - Canada’s neonates are in good hands !

Full room for @anthony__RRT talking about prehospital neonatal emergencies in Halifax for @PAC_Paramedic national conference @PAC_Expo #pace2024

Are you an 'everybody gets salbutamol' paramedic? I wrote a talk just for you at @PAC_Expo in Halifax next month. I get to present with my favourite people including @IanR_Drennan @anthony__RRT @georgette_eaton @st3v3turn3r Register: pac-expo.ca

Almost half (47%) of all children that die in the first 5 years of life do so in the neonatal period - I’ve got a mnemonic to share that identifies 10 common Neonatal Emergencies. Hear more at @PAC_Expo Sept. ‘24. Excited to join @IanR_Drennan @ThatJonLee and others!

@vicgoddard That is very disheartening to hear. It reminds me of the saying that goes something like Judges make rulings, Surgeons make operations and Engineers make bridges …. but Teachers made all of them. Thank your sister for her dedication - from this complete stranger.

My sister retired from teaching today after 38 years in the classroom in one school. No one from SLT spoke to her. No staff gathering organised at all. A card - that’s it. She dedicated herself to her craft. Turned down promotions. Wanted to be a great history teacher. 1/2

@AndreaVerdiMD @armyemdoc @SCCM I think we agree on the seizure instance. Who gets RSI and the benefits of spontaneous breathing while intubated is too big to cover in X. To each their own.

@AndreaVerdiMD @armyemdoc @SCCM @AditGinde Sux when short duration of action is good - ie to not obscure seizures OR when pt’s spontaneous breathing is desired post intubation ie. (asthma / obstructive pathos) or to avoid start of ICU myopathy from paralytics / steroids.

The @SCCM guidelines for rapid sequence intubation were just released. Here's the summary: -Use the semi-Fowler postion -Use HFNO or NIPPV to preoxygenate, especially if severe hypoxemia present -NGT decompress only if at high-risk for aspiration of gastric contents (eg bad UGIB) -Vasopressors or IVF to reduce risk of further hypotension if already hypotense... dealer's choice -Use paralytic and sedative-hypnotics -If you use etomidate, consider concomitant corticosteroids -Use sux or roc These were pretty much all based on low or moderate quality data or expert consensus, so I wouldn't die on any of these hills. journals.lww.com/ccmjournal/ful… #emergency #emergencymedicine #foam #foamed #foamcc #army #armymedicine #armyemdoc #meded #icu #criticalcare #airway #medairway #medairwaytwitter #medx #medtwitter #sccm #sccm2024

Honoured to have Dan Pesek present at SickKids ACTS team rounds today on 35 Years in Critical Care Transport. Experience is the one thing for which there is no shortcut ! Happy to say that I have worked with and learned from many in this photo.

@gscollay @cityofhamilton @ThatJonLee @CPER_HHS Proud to share the “Paediatric Podium “ at a great CME with @ThatJonLee - me neonates / him paediatrics - and 100 very motivated Paramedics ! thanks for welcoming an @YorkParamedics Medic /SickKids RT.

Unfortunately I can’t be in @cityofhamilton to hear @ThatJonLee discuss “A Tale of two wheezers”. @CPER_HHS has assembled a great cast of speakers for today’s MedTalk session. Including one of my favorite topics - neonates with @anthony__RRT

@drkeithsiau @davideyoungmd In newborns it can be congenital or from drugs (like the list shown) - think inappropriate use of topical anaesthetic creams on circumcisions or teething gels on newborns for crying - as example of cases i’ve seen. Love all your posts btw !

@davideyoungmd Some drug induced causes of methemoglobinaemia here 💡 researchgate.net/publication/27…

Patient with blue blood. What’s the likely diagnosis?

@CPER_HHS Thank You CPER for promoting Neonatal Emergency Care ! I’m looking forward to speaking to an always motivated and engaged Paramedic audience. 🚑🐣

2023 MEDTalk Presenters and Topics Announced!  Don’t miss your chance to attend – register now!

@TOMedics_Chawla @TorontoMedics Wow Dan ! Congratulations. You have had a remarkable and deserving career in a field that will miss your incredible experience. Always loved comparing Critical Care Transport cases and teaching with you.

Yesterday, we gathered to honour Critical Care Paramedic Dan Pesek, who is retiring after 35 yrs. Throughout his career, Dan has been a trusted colleague, mentor and champion for @TorontoMedics’ critical care program. Congrats on an amazing career and a much-deserved retirement!

@pcampbell247 @TraumaSoapBoxes and (at least in my parts) designed to be compatible with almost all brands of monitor/ defib. 🤏Did you hear that ALine / CVP / ICP transducer / BP cuff / IV tubing set / Chest tube suction .. lol.

@TraumaSoapBoxes It was a lifesaver for me on the helicopter, transporting patients on the vent at night. You can’t hear alarms and don’t always see an alarm light. But disconnect, patient waking up, kinked tube, just to name a few. Super helpful.

@DaveLBywater @AmboFOAM @expensivecare Agree- most times adult BVM vol. is overkill (esp in a “closed” system - cuffed ETT) but in an “open” system - uncuff trach & poor compliance, diff. mask ventilation, chest tube with ++ leak - here the extra bag vol. allows you to have a leak and have some vol. left just in case

@AmboFOAM @expensivecare Any literature to support this Robert / David. Would seem a reasonable idea and both environmentally friendly & cost effective

Hey #paramedic, #prehospital, & #EMS friends of #MedTwitter: who has got rid of adult bag masks & are just using child & pediatric? I don't see the need for a 1600ml bag when I can have a 700-800ml bag. Limit the damage we can do with volume & reduce space/weight required

@MedicMatt17512 Freedom House- didn’t know there was a book - thks for the suggestion.

My to-read pile had gotten ahead of me, but w/ NCLEX done & time on my hands, I get to finally start in on “American Sirens”

@Prof_Parker @SickKidsCCM Wise words from a PICU trailblazer. He was also partial to West’s Resp. Physiology from what I recall from the many teaching rounds I attended.

Nothing like sitting in the #PedsICU on a Sunday night talking physiology with the residents. Decided to pull out this gem passed along to me while a fellow by the infamous Peter Cox. @SickKidsCCM

@gueromedico @TrentWray @emcrit @PulmCrit Agree -Cook catheter is purpose made for ETT exchange / has cm markings / oxygen adapter etc. Bougie is not. Using the right tool for the job is one way to add safety to this procedure. Vice versa is also true Cook catheter not going to help you with ETT placement in DL / VL.

@TrentWray @emcrit @PulmCrit Have you ever felt the regular Bougie isn’t long enough? I’ve read cook catheter or aintree is better because you have more control during the exchange with the extra length.

Beware of the risk of ETT exchange! Fresh blog by @PulmCrit with commentary by Weingart. emcrit.org/pulmcrit/ett-e…

@ThatJonLee @jason_buick @LavergneNatalie @teganafletcher @JonTheMedic @brodie_nolan @BBaumber @WDLifeflight1 @Meg1523 @cnuhackett I wouldn’t either ! Not that simple in my experience. Fluids / pressers / ventilation strategy / post ETT sedation and means of induction all play a role in troubleshooting “CV collapse”.

@jason_buick @LavergneNatalie @teganafletcher @JonTheMedic @brodie_nolan @BBaumber @WDLifeflight1 @Meg1523 @cnuhackett I would not withhold fluid prior to induction in a patient who is hypovolemic, hypotensive or under resuscitated based solely on this study finding

A 500cc fluid bolus does not reduce the incidence of cardiovascular collapse after in-hospital intubation. But it's still common (~20% of patients had CV collapse after intubation) Take Home Point = Have your vasopressors ready! jamanetwork.com/journals/jama/… #FOAMems #FOAMcc

@AndrewMcCallum2 Yes St.Mikes - New Year’s Eve 1999.

I believe it was St. Michael’s.

@EduMattersCA @BrebeufCollege @BrebeufSTEAM Wow .. brings back memories of from over 30 years ago with Mr. Krevs / Kosior / McSherry. Dress code looks a bit more relaxed than I recall. lol.