Tom Cassidy

@rbarbosa91 I enjoyed this

🧵regarding Lord of the Rings - related traumatic injuries, and whether access to modern Level 1 trauma centers could have decreased morbidity and mortality within the Fellowship. Here we will take a more evidence-based approach to some of the injuries in Middle Earth (1/ )

@msenussiMD @broomedocs

Pericardiocentesis - often one of the most hemodynamically gratifying procedures. Here's a way to do it under dynamic ultrasound guidance from the parasternal approach ....which may be better than more traditional approaches. youtu.be/TnPddxOCG5o?si…

@ElizabethAF @SenatorThorpe The owner of my local bar just had a news story written about him re: publican.

My timeliness is awash with posts about the reunification of Ireland, the US election and the heckling of King Charles by @SenatorThorpe, meaning every tweet mentioning "Republican" could have any one of three meanings.

@MoAImam radiopaedia.org/articles/weber… Respectfully disagree. All the lines of force/fracture go through the joint line. My understanding is the same as that demonstrated by the above website.

Weber classification of ankle fractures

@broomedocs @sandnsurf @ALiEMteam @LITFLblog Does this post then make you the SCAPEGOAT

Dosing your GtN right by @Firs10EM Go big or not? youtu.be/Pwc-08NNf38?si… #foamed @tgpcassidy @sandnsurf @ALiEMteam @LITFLblog

1/ Today's 🧵is about "VT" versus "SVT with aberrancy". The aim of this thread is to provide basic tips on how to apply some of the most used criteria that might be helpful in diagnosing VT. #CardioTwitter Note that the following features are suggestive of VT, but their absence does not exclude VT. @ekgdx

@ElizabethAF Cinderella is an odd name for a bloke

Mills and Boon has an entire medical series!

@sineadtaylor #accidentalrenaissance

@Aidan_Baron litfl.com/henry-silveste… Not pneumothoraces but self administered subcutaneous emphysema.

Would having a pneumothorax help keep a person afloat in water ? And to what extent ?

@ecgandrhythmRoe Tachycardia… for him I imagine.

44 year old endurance athlete. For the last 3 days he has been experiencing a slight stabbing pain in the left thoracic region, which usually only lasts for a few seconds. Does the ECG look suspicious or rather normal?

Top one-third (23) blogs in emergency medicine and critical care, based on the 2022 Digital Impact Factor with a maximum score of 10. Source: Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in EM & Crit Care annemergmed.com/article/S0196-… #FOAMEd #MedEd

Ward: I don’t know lads discharging someone at 17:01 on a Friday sounds a bit risky let’s just keep them over the weekend to be safe ED: if we put pillows in the urinals we could bed at least four more people in this toilet

Latest special edition of the Broomedocs podcast is out now with ⁦@First10EM⁩ and guest nerds ⁦@theSonoCave⁩ ⁦@Eleytherius⁩ ⁦@tgpcassidy⁩ #foamed #evidence #airways #resus broomedocs.com/2023/10/first1…

@ElizabethAF @IM_Crit_ Weirdly the point of care D-dimer machines (more prevalent rurally) just spit out a random relatively normal number and are falsely reassuring.

@IM_Crit_ Highest D-Dimers I've seen have been in patients with VICC from snakebites here in Aus. It's often higher than the detection level of the assay, with undetectable fibrinogen and a PT/INR also above the limits of detection.

Sometimes, D-dimer can be a bit high... Fun fact: patient has no DVT...

@FLTDOC1 @sandnsurf; wearing jeans and a T-shirt, smoking a cigarette and avoiding eye contact…

The Rules of Accident Bystanders: 1 Any bystander who offers you help will give you none. 2 Always assume that any physician found at the scene of an emergency is a opthomologist or pathologist, until proven otherwise. 3. If there is an Emergency Physician at the accident –he is the guy in a T-shirt, jeans smoking a cigarette-standing waaaay in the back avoiding all eye contact 4. Treat any rookie EMT as you would a bystander. (See The First Rule of Bystanders, above)

@emergmedottawa @HashimKareemi @CIHR_IRSC @vaillancourt_c @EMO_Daddy @AKHallMD @TeamVenk @KrishanYadavMD @kane_guthrie

Congratulations to @HashimKareemi for receiving @CIHR_IRSC Canadian Graduate Scholarship - Master’s providing $17,500 over 12 months to support his project on the use of #artificalintelligence and machine learning tech for automated triage ordering protocols cc:@vaillancourt_c

Unlike upstairs, there are *no limits* on staffing ratios for ER nurses. On the medical floor, a single nurse can have only 4-5 patients. In the ICU, only 2 patients. In the ER, a single nurse can have 10 patients or more, some critically ill who are “admitted” to the ICU.

@cjosephy Are they head down? If so re-check with head up 30.

@kane_guthrie No. Maybe this harks back to when people made up potassium bags and pumps were t as reliable? Needs an update.

Common hospital policy for no more 10mmol potassium per hour for ward patients. Has any seen any adverse outcomes in ward patients receiving potassium infusion greater then 10mmol when clinically indicated? Excluding pain/extravasation. #dogma

okay but this is literally how every diagnostic scoring system works