Steve Carroll DO MEd

25.3K posts

Steve Carroll DO MEd banner
Steve Carroll DO MEd

Steve Carroll DO MEd

@embasic

EM/EMS physician, EM at @christianaEMed, EMS w/ @GFACEMS, Creator EM Basic podcast-Airway Nerd, Olympic weightlifting, proud supporter of PPP @pppforpatients

Philadelphia, PA Katılım Aralık 2011
911 Takip Edilen15.5K Takipçiler
Steve Carroll DO MEd
Steve Carroll DO MEd@embasic·
An anonymous helicopter pilot spoke up and brought this to everyone’s attention and sparked positive change Their account went dark and the post was deleted- I hope they did not suffer any career consequences for speaking up and advocating for sick children
KIRO 7@KIRO7Seattle

Laurelhurst community agrees to ‘fully support’ Seattle Children’s helicopter landing efforts #Echobox=1778369552" target="_blank" rel="nofollow noopener">kiro7.com/news/local/lau…

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Steve Carroll DO MEd
Steve Carroll DO MEd@embasic·
@PulmCrit Same with CMP rather than a BMP being your default initial order for checking “electrolytes”
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𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊@PulmCrit·
Proposal: for complex patients (eg ICU) we should *always* get CBC w/ differential (not plain CBC) - Same amount of blood - Run by the same machine (it usually CHECKS the differential & just dumps the data!) - Trivial cost difference - Can be helpful (eg Eos 2/2 drug, NLR)
GIF
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Dave Rogers
Dave Rogers@iahphx·
@GaltMD I would think there's a trend of decreasing non-emergency emergency room visits. Two factors: 1) urgent care centers are increasing; 2) many insurance plans highly discourage ER visits. I think mine charges like 10x an urgent care visit.
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Julian Galt, MD
Julian Galt, MD@GaltMD·
I diagnose non emergencies when I can but my primary job is to diagnose or rule out emergencies. The vast majority of people coming to the ER not only have no emergency but don’t even think they are having one. They come entirely because nobody else is willing or available.
Francis Deng, MD@francisdeng

The stated goal of emergency physicians is to rule out bad stuff over actually making a diagnosis. This perspective is the root of tension with other types of physicians, including radiologists (regarding lower yield practice patterns), whose mindset centers around diagnosis.

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Amine Ben Lakhal
Amine Ben Lakhal@AmineBenLakhal0·
@francisdeng Emergency medicine shouldn’t exist. We were better off with GPs at the ER.
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Tyler Olson, EA
Tyler Olson, EA@olsonplanner·
One time, I had a client insist on getting out of the market because he "knew" the market was going to go down further. Turns out, he was right. He got out in November 2008. The market didn't bottom out until March 2009. It felt like a smart move. Except now there was a new problem. He now "knew" the other shoe had yet to drop. So even as the market rose in late 2009 and onward, he wasn't convinced. It wasn't until July 2015 that he finally jumped back in. He missed out on SO much investment growth because the one time he "timed the market" convinced him he could do it again. With investing, we gotta stay out of our own way and just keep on investing consistently.
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Mark
Mark@Markallen0729·
This is so misleading, it’s more than three flights a week sometimes it’s multiple flights a day. Laurelhurst has been there a lot longer than the hospital, some of those homes are generational. The host has been in continuous expansion mode for years, construction noise trucks beeping cranes etc.. So much more to this story than this post.
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Steve White
Steve White@SHW0001234·
@SethAbramson - North Dakota - South Dakota - New Mexico - Pennsylvania - Delaware - District of Columbia - ???? (couldn't find number 7) Took me 3 minutes. I didn't look at a map. I'm Canadian. I'm visually impaired. You should feel shame!
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Seth Abramson
Seth Abramson@SethAbramson·
If it's possible to feel embarrassment while one is alone, that's how I felt staring at this map for several minutes and trying to find all seven missing contiguous American states Crikey that was painful
Seth Abramson tweet media
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Sarah Axelrath MD
Sarah Axelrath MD@DrSarahAxelrath·
I can’t tell if this guy is trolling or insane, or maybe I’m insane, because none of this makes any sense to me and I desperately want to look away and stop reading but I can’t, because he says things like “top 1% of all vaginas,” which is just too funny to ignore.
Bryan Johnson@bryan_johnson

This is her vaginal microbiome report. 100/100 score. Top 1% of all vaginas. Her sample is dominated by the single most protective bacterial species a vagina can host (Lactobacillus crispatus). Only about 25-30% of reproductive age women globally are L. crispatus-dominant, and “dominant” usually means above 50%. Kate is at 98.7%. The lab found nothing bad to report. (no gardnerella, Candida, STIs, opportunistic pathogens, aerobic vaginitis markers, etc.) This is linked to lower risk of BV, UTIs, yeast infections, HPV persistence, HSV-2 and HIV acquisition, preterm birth, and improved IVF outcomes. A vaginal microbiome is downstream of everything: sleep, glucose control, stress, gut health, sexual health, immune function, what you eat, and what you put in it.

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Steve Carroll DO MEd
Steve Carroll DO MEd@embasic·
@northwoods1980 @Lost_Idealism I have seen patients with “do not hospitalize” orders still be sent to the ED One time a family got super mad at the facility and was super apologetic to us for the patient being sent in- I was speechless
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RJ@northwoods1980·
Excellent point. Is that something you can put in the medical directive? Because once you get to the hospital, all common sense is lost. You're worked up just like you were 22-year-old trauma patient. Doesn't matter if you have severe Alzheimer dementia, etc. Floodgates have been opened.
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RJ@northwoods1980·
Elderly pt often from memory care falls. Per center priv equity legal documentation requirements ship immediately to ED w ambulance ride Per ER protocol: CTA head/neck, CT panscan plus radiographs thrown in-current state of ER and most rad depts 24/7-shit show
RJ tweet media
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Steve Carroll DO MEd
Steve Carroll DO MEd@embasic·
@Lost_Idealism @northwoods1980 “Individual fall plans”??? Tell me more about these amazing unicorns!!! I admit as an EM doc I only ever see the ones that come to my door- you are telling me there are reasonable people with reasonable families who don’t send every trivial fall to the ER???
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LostIdealism
LostIdealism@Lost_Idealism·
@northwoods1980 This is why I really appreciate the facilities/doctors/families that have individual fall plans, prioritizing independence and awareness of risk. It’s too rare that people can advocate and war game out all the things they won’t be doing.
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Steve Carroll DO MEd
Steve Carroll DO MEd@embasic·
@northwoods1980 Uhhh- not sure that an intubated patient is the right image to Use to make this argument (that I don’t necessarily disagree with, either)
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Steve Carroll DO MEd
Steve Carroll DO MEd@embasic·
@jtrebach I mean this in the most positive way imaginable Only a toxicologist would be able to dream this up 😂😂😂
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Josh Trebach, MD
Josh Trebach, MD@jtrebach·
I hope this thread helps yall study and do amazing on your tests!!! Feel free to retweet/share this with others and share any tips you have below. Good luck!!!! ❤️📚✏️✅
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Josh Trebach, MD
Josh Trebach, MD@jtrebach·
After taking tons of tests over the years, I have honed a study technique that works well for me. And hopefully, it works for you too! A thread on the study technique that got me through med school, residency, fellowship, and one of the hardest board exams I’ve ever taken:🧵📚
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Steve Carroll DO MEd
Steve Carroll DO MEd@embasic·
@cps_sacredheart It’s a not very informed take to think that doctors are the 3rd leading cause of death-that “study” was garbage The reason we don’t like them is because we see the devastating strokes caused by cervical manipulation and the insidious harms by spreading vaccine misinformation
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Ms. Informed PharmD
Ms. Informed PharmD@cps_sacredheart·
Why do physicians hate chiropractors so much? It’s super weird. Don’t they both have the same goal of healing people? Physicians claim chiropractors are dangerous, but Chiropractors have fewer lawsuits than physicians and aren’t the third leading cause of death in the US.
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Ken Milne MD
Ken Milne MD@TheSGEM·
@AndrewZywiecMD Shouting (all caps) doesn’t make a claim true. Please share the objective, verifiable evidence that supports your assertion.
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Clement Lee, MD, MSc
Clement Lee, MD, MSc@ClementLeeMD·
me reading the faxed outside records and it’s just 150 pages of nursing notes:
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Steve Carroll DO MEd
Steve Carroll DO MEd@embasic·
@DrSiyabMD @DrCasteelEM Man I wish it were that simple! Pt with systolic BP of literally 120/80 HR of 80- pain free syncopal episode who basically tripped and fell into a CT scanner because he was a trauma alert- stem to stern dissection Physical exam lol
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Steve Carroll DO MEd
Steve Carroll DO MEd@embasic·
@HEMS_Tool @aribindi Honestly curious- who makes the decision on where you land? What are the consequences if someone disagrees with that decision later?
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Dr. Christian Casteel
Dr. Christian Casteel@DrCasteelEM·
People who want fully AI doctors are gunna be pretty upset when they realize that AI will order far LESS testing than human doctors. US docs orders far more labs, imaging than most other countries (often not indicated or for fear of malpractice). And you won’t be able to talk an AI doc into getting a test to ease your concerns like you could a human.
Dr.Haitham Hamoud | د.هيثم@hemo_shk

Hit me with a harsh medical fact.!

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Dr Danish
Dr Danish@operationdanish·
I’m gonna say it… The Pitt over glorifies ER docs. It’s like Matt Damon and Good Will Hunting, but for ER docs. 99% of them wouldn’t be able to do half the 💩 they pretend to do on that show. I love you guys, but you know I’m right.
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Dr. Pew Pew
Dr. Pew Pew@Dr_PewPew_65·
@embasic @operationdanish I'll help you: I work high-acuity rural. Single coverage to some ACP backup, w/ 20k annual. I've done 2 resuscitative hysterotomy. Both were a nightmare. 1 worked. Also, I ALMOST did a subdural IO. Talking gun in hand. Surg called back and revoked their endorsement. 🫠
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Keşfet

@PulmCrit @iahphx @GaltMD @AmineBenLakhal0 @francisdeng @olsonplanner @Markallen0729 @iky_fwjett