Andrew Schmidt

247 posts

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Andrew Schmidt

Andrew Schmidt

@904schmidt

EM doc, Lifeguard, Drowning Scientist. #DrowningLit #FOAMed

Jacksonville, FL เข้าร่วม Ekim 2017
91 กำลังติดตาม243 ผู้ติดตาม
Andrew Schmidt
Andrew Schmidt@904schmidt·
@USCGSoutheast @MyFWC @JSOPIO @THEJFRD @CBPAMO @USNavy Tim and his brothers volunteered for years with us as ocean lifeguards in Jax Beach, performing numerous rescues of bathers in distress. We can’t thank you all enough for all of your efforts to find and bring home a fellow waterman and lifesaver.
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Andrew Schmidt
Andrew Schmidt@904schmidt·
@HandtevyMD @ashfordmom Agreed. the danger zone of ketamine is undosing resulting in partial dissociation leading to increased agitation/confusion which can quickly worsen a situation like this. To cognitively unload, I do across the board 100 IV (followed by 100 redose) or 500 IM in adults.
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Peter Antevy
Peter Antevy@HandtevyMD·
94% of people die after being shocked by a defibrillator. We shouldn’t blame the defibrillator for their death. #KetamineIsNotTheProblem
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Kate Foley, MD MPH
Kate Foley, MD MPH@Foley_Kate__·
Thank you @UFHealthJax @UFMedicineJax for welcoming me so warmly on my first day of my General Surgery sub-internship!! Thanks for getting me scrubbed in on day 1 and for not giving me a hard time for being from @FSUCoM 🐊🍢 😂looking forward to the next 4 weeks!
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Andrew Schmidt
Andrew Schmidt@904schmidt·
@EMHighAK Iatrogenic hypothermia is no joke. Had a 108F patient the other day. Cooled with fan and surface misting + ice. Ceased measures at 101 and soon he was 95F. Intimated with Rocc so no shivering. Had to apply blankets.
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Andrew Schmidt
Andrew Schmidt@904schmidt·
@PolicyActivist1 Thanks for sharing. Hit on many important community pieces often overlooked. In drowning, I would go as far as to say there exists a “golden minute”. The most amount of good is done in first few minutes to reverse hypoxemia. Huge role for basic community responders. Good luck!
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Andrew Schmidt
Andrew Schmidt@904schmidt·
@DuvalSchools Is there a confirmed protocol for schools if a child has a fever or there is a confirmed case, in terms of quarantining classmates and how instruction will continue or will it be case/school by case/school basis?
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DCPS
DCPS@DuvalSchools·
Questions about what to expect as students return to school? This Team Up For Health video explores he steps we are following for the health and safety of our #TeamDuval students and staff. ow.ly/xfDi50B1pkv
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Andrew Schmidt
Andrew Schmidt@904schmidt·
@jaxdotcom Fantastic. Never knew about this local organization. If anyone involved is on here, please PM me.
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Ben Abo
Ben Abo@benabo·
Off to mold young (and old) minds and give grand rounds at my hospital in a topic Incare about and fly the flag of @LifeguardsWB and @904schmidt “Drowning Resuscitation Update: Water You Doing”
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Andrew Schmidt
Andrew Schmidt@904schmidt·
@ProfMikeTipton Can you provide any references for the “time to drown” number? Comes up a lot in legal cases. Just based on data from hypoxic arrests in general?
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Mike Tipton
Mike Tipton@ProfMikeTipton·
Thanks!
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Andrew Schmidt
Andrew Schmidt@904schmidt·
@adam_brayne @LDN_TC @ProfMikeTipton Primarily based on large Brazilian data set with some smaller case series. No symptoms and appears well —> home. Symptoms (SOB, AMS) or prolonged abnormal vital signs —> hospital. Vast majority will be fine, but better to be safe.
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adam brayne
adam brayne@adamgammadex·
@LDN_TC @ProfMikeTipton What is this based on? Conveyance rates in asymptomatic near drownings is very low in my experience and often difficult to persuade EMS/ED of need to do so.
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London Trauma Conference
Virtually all patients who have been under the water should be conveyed to hospital for further assessment. Can develop inflammatory response in lungs. Minimum 6 hours observation. @ProfMikeTipton #LCAS2019
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Andrew Schmidt
Andrew Schmidt@904schmidt·
@w_a_koon @aquasafenz @EmergencyMedBMJ Agree with above. Don’t know the specifics of the data set, but “causes for admission” very different than injuries associated with drowning. Can’t ignore C-spine, but I think you’d agree vast majority of folks pulled out of water is due to exhaustion, not trauma. Resus > Cspine
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w@w_a_koon·
@aquasafenz @904schmidt @EmergencyMedBMJ Super interesting. My thought process was moving in a similar direction (de-emphasizing C-spine for surf LGs), until I started digging into the ED data. SCI was a leading cause of beach related hospital admission in a large, beach community ED in California.
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Andrew Schmidt รีทวีตแล้ว
London Trauma Conference
One thousand people drown every day worldwide and it’s a disease of the young. @ProfMikeTipton presenting the physiological pathways to drowning. #LCAS2019
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