Josh Ring

It is hard resuscitating patients on the ward 🏥 You don't have the same resources, personnel, or familiarity with the physical space. This can lead to slow and clunky resuscitations. 🦥 Here are 10 tips for smooth resuscitations on the ward that I learned as a paramedic (and now ICU doctor) 🚑 #medtwitter #foamed #foamcc

1/Hate it when one radiologist called the stenosis mild, the next one said moderate--but it was unchanged?! How do you grade it? Do you estimate? Measure? Guess??? Let this thread take the load off your back w/a lumbar grading system that’s easy, reproducible & evidence-based!

1/Asking “How old are you?” can be dicey—both in real life & on MRI! Do you know how to tell the age of blood on MRI? Here’s a thread on how to date blood on MRI! Read this so next time you see a hemorrhage, your guess on when it happened will always be in the right vein!

Traumatic cardiac arrests ! To CPR or not? Epi, yay or nay? To continue or cease resuscitation? Dr. Nandalal talked to our @OttawaTrauma friends to come up with some answers: emottawablog.com/2023/09/trauma…

A simple, pragmatic, reality-based protocol to determine the timing of specialty intervention on weekends and holidays:

Updated mnemonic #Bradycardia: “ATROPINES” Anterior MI Thyroid, Adrenal disorders Rhythm disorder Overdose- BBB, CCB, digoxin, a2 cholinergics Pressure- increased ICP Inferior MI Nippy- hypothermia, tick bites (lyme) Electrolytes- K Ca Mg Shock- neurogenic

The anatomy of a research paper - Use this chart to structure your article. Credit: Burrows Tylor

We've all heard this story. A person goes for a stress test to ‘check their heart’ and is told they ‘passed with flying colours’. The following week they have a heart attack. How is this possible? Here's how. 🧵👇 /1

Should I tweet about this in-flight emergency? To avoid being excessively cringe, please use this simple algorithm:

Dual antiplt therapy non-inferior to alteplase in minor stroke: The ARAMIS Trial: bit.ly/44ivdDo @JAMA_current Echos findings from PRISMS bit.ly/2DFwev4 Based on costs + risks, this should be enough to move away from lytics in minor strokes

🧵regarding the 'figure-of eight' suture and also the 'pursestring' suture. We'll go over what they are for, some technical pointers, and errors that can be made while doing them. (1/ )

Spondylosis, spondylolisthesis, spondyloarthritis... 🤔What do they all mean? Follow 🧵 for more

🧠Neurology Tweetorial🧠I'm often asked about localization/diagnosis in the challenging clinical presentation MULTIPLE CRANIAL NEUROPATHIES. Here is my approach, what is yours #MedTwitter #neurotwitter @NMatch2023 @rabihmgeha @DxRxEdu @caseyalbin @AvrahamCooperMD @a_charidimou?

External ventricular drains (EVDs) are one of the most common procedures in neurosurgery… And having to troubleshoot said EVDs that stop working (usually in the middle of the night) is ALSO common, though not always intuitive 📟🫠 How to troubleshoot an EVD - a thread 🧵 /1

1/Is your ability to remember temporal lobe anatomy seem, well, temporary? Here’s a #tweetorial to help you remember the structures of the temporal lobe! #medtwitter #meded #neurotwitter #radtwitter #radres #neurorad #FOAMed #neurosurgery #medstudenttwitter #neurology

1/15 🤔Why do antibiotics reduce the risk of rebleeding after acute variceal hemorrhage? I understand why antibiotics reduce infections, but the mechanism by which they reduce rebleeding is not immediately apparent. Let's have a look.

20 radiology videos now posted on @YouTube. New video drops tomorrow - one slide from each video with five questions. The result a 100 question practice anatomy test. Great way to find out the gaps in your knowledge before your part 1 exam #radres #radiology

If you are a #medicine resident you will be called by your colleague to consult on this topic 👇🏻 **𝐇𝐞𝐩𝐚𝐫𝐢𝐧 𝐈𝐧𝐝𝐮𝐜𝐞𝐝 𝐓𝐡𝐫𝐨𝐦𝐛𝐨𝐜𝐲𝐭𝐨𝐩𝐞𝐧𝐢𝐚** If you wanna revise, read this thread 👇🏻 #MedTwitter 1/18

Impressing 𝘾𝙤𝙣𝙨𝙪𝙡𝙩𝙖𝙣𝙩 𝙤𝙣 𝙍𝙤𝙪𝙣𝙙 ❓ Residents use the fancy diagnosis and terms like 𝐇𝐋𝐇 - Hemophagocytic lymphohistiocytosis A 🧵 on what is 𝐇𝐋𝐇 and how to diagnose it #MedTwitter #HLH #MedEd #usmle

A case everyone needs to know: A man admitted for CHF exacerbation is normoxic on ambient air. POCUS shows bilateral pleural effusions. He develops Afib w/ RVR (HR 150s). A med is given. Suddenly he develops hypoxemia (SpO2 84% on NC, 94% on NRB). What med & what happened? 1/