Andrew Schmidt

For any #EMRap listeners with kids who like podcasts, I have started a new #MedEd podcast "In & Out & Round & Round", focused on young listeners. Check it out and share, Ep 1 launched. anchor.fm/inoutround @MelHerbert @mizuhomorrison @HippoEducation

@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.

Coast Guard, partner agencies suspend search for missing diver off Mayport, Florida. @MyFWC | @JSOPIO | @THEJFRD | @CBPAMO | @USNavy content.govdelivery.com/accounts/USDHS…

@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.

@ashfordmom His death is unlikely dose related, as ketamine, even at 10 fold overdoses has been found not to be lethal. Elijah McClain died because of the chokehold he was put in. google.com/amp/s/www.merc…

94% of people die after being shocked by a defibrillator. We shouldn’t blame the defibrillator for their death. #KetamineIsNotTheProblem

What is a Water Safety Action Plan & Why Does the US Need one? New article by Dr Justin Sempsrott @WaterSafetyUSA @WildMedSociety #WildMedMag #FOAMed wms.org/magazine/1271/…

@Foley_Kate__ @UFHealthJax @UFMedicineJax @FSUCoM When you come to your senses, come hang with us in the @UFHealthJax ED. Done in 3 years, and a lot less standing.

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!

@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.

EM@3AM: Heat Stroke emdocs.net/em3am-heat-str… #foamed #foamcc #medtwitter #MedStudentTwitter

@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!

Managing ‘Golden Hour’ of Drowning - my article published in The Daily Sund today... daily-sun.com/printversion/d…

@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?

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

@jaxdotcom Fantastic. Never knew about this local organization. If anyone involved is on here, please PM me.

A Black surfing initiative is aiming to bring fresh diversity to the sport while introducing a new generation to fun on the waves. jacksonville.com/story/sports/r…

@EMtgDO @benabo @LifeguardsWB Ha! I for the most stopped doing fun titles because I was spending so much time on them

@benabo @LifeguardsWB @904schmidt Do you ever come up with a great title and then decide you need to build a talk around it?

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”

@SafeSUP @uslifesaving @the_ISLAsurf @ILSMedical @LifeguardsWB @ac_queiroga @stevebeerman @w_a_koon @ripcurrentsafeT Ideally “drowning secondary to cardiac arrest”, but likely an autopsy diagnosis. Will often get reported as drowning, but do your due diligence and use your best judgement. Will depend on depth of your reporting system. Good reason for detailed case debriefing with crew.

@GoodishIntent @GomerBlog It’s not even a word...

@amalmattu @CheyenneFalatMD @WildMedSociety @hawkvox @LifeguardsWB Anyone who would like free access to the article, this link from @ElsevierConnect will be active until Feb 1: authors.elsevier.com/a/1aDuG3risB1v…

Huge thanks to @amalmattu and @CheyenneFalatMD for a rockstar review of our recent @WildMedSociety Practice Guidelines for drowning. Concise, spot on, and accurate (which is rare when it comes to the subject). buzzsprout.com/593305/2213129… @hawkvox @LifeguardsWB

@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?

Thanks!

@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.

@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.

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

@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

@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.

Systematic review confirms what we know: C-spine injury in drowning is rare. Efforts to immobilize impede resuscitation. bit.ly/2qEguFx @EmergencyMedBMJ: 2 articles in Nov issue with out-dated term "near drowning". Please see: bit.ly/2PtsRMZ #drowninglit

One thousand people drown every day worldwide and it’s a disease of the young. @ProfMikeTipton presenting the physiological pathways to drowning. #LCAS2019

Such a good review