David Barton

Now accepting Neuro-EM K12 Scholar Applications and Pipeline Program Nominations! #AWAEM #SAEM #WomeninEM #WomeninMedicine

We’re thrilled to announce #PittMed’s #12 spot in CEOWORLD Magazine’s global rankings for 2025. This recognition reflects the unwavering commitment of our talented faculty and staff who advance our mission every day. Thank you for all you do.

A new policy from the US National Institutes of Health (NIH) will end billions of dollars of funding to laboratories and hospitals outside the United States, imperiling thousands of projects on topics such as emerging infectious diseases and cancer. go.nature.com/3Yu1Ddw

We are excited to announce an opening for a full-time paid MPH summer internship at @SinaiTBI! More information on the position is included below. Please share with your network!

Time is brain!   So you don’t have time to struggle w/that stroke alert head CT.   Here’s are the FIVE main the CT findings in acute stroke.   --Hyperdense artery sign Occurs when you see the thrombus in the artery. Thrombus appears hyperdense bc clot is denser than normal flowing blood—& CT is just a measure of density.   --Blurred basal ganglia/lentiform nucleus. Usually this region is a triangle of low density white matter surrounding the high density lentiform nucleus In an acute infarct, this triangle becomes blurred, bc the lentiform nucleus becomes edematous & similar in density to white matter.   --Hypodense regions of brain When O2 & ATP run out, Na/K pump stops working Osmotic gradient causes Na & H20 rush into the cell. More water in the cell = lower density.  For every 1% increase in H20 there is a 2.5 HU decrease in density Means damage is irreversible   --Insular ribbon Insula is an internal MCA watershed between the lenticulostriates & M2 sylvian branches Infarcts relatively early with low blood supply & becomes a low density ribbon   --Sulcal effacement Normally, brain has sulci that look like ice cracks/crevasses along its surface. As water accumulates in dead cells, swelling occurs, & the crevasses are effaced by the swollen brain   So now you know the 5 main signs of acute infarct on CT—remember, if you see these five, soon that brain won’t be alive!

On this day in 1952, Dr. Paul Zoll reported in NEJM the first description of two patients whose hearts were resuscitated using electric charges. Today, automatic external defibrillators (AEDs) are used everywhere to save lives. Learn more: nej.md/GUw39W

We had a great time and strong representation at #SAEM24! Our upcoming chief residents attended to train in leadership, faculty attended to lecture, and our med stud. presented a research poster leaving us all energized for the upcoming year! #SAEM @SAEMonline

New study looking at mild tICHs (GCS 14-15) on Xa's and reversing (w/ 4PCC) vs not. No difference in hemorrhage progression or neuro outcomes btwn groups (some baseline diff in ISS) I'll be discussing prior lit @EMPRx24 on this controversial topic bit.ly/3U3BH5n

Happy Match Day!

We are incredibly excited to welcome our new Pitt EM class of 2027! Congratulations! #MATCHDAY

🙌🏽Exciting Opportunity @upmcem! Summer Research/Clinical Immersion Program 6/3/24-7/26/24 Engage in hands-on research, EM skills workshops, and clinical shadowing. Open to undergrads & med students, including UiM folks Apply by April 1 🔗 emergencymedicine.pitt.edu/students/resea… @raindancers12

That's a wrap! The DEEP (Dsuvia Early Evaluation of Pain) study completed enrollment on 01/21/24. Thanks to everyone who facilitated this work, especially @Jjasonsperrymd, @Guyettef, @David_Barton, @macky_neal, @joshua_b_brown, and @PittCCM. 150 patients in less than 18 months!

Exciting News! Registration and Abstract Submission for #NNS2024 are Now Open! Secure your spot at the forefront of neurotrauma research and innovation. Mark your calendars and act fast! 👉 Register at neurotrauma-symposium.org/k6mz 👉 Submit your abstract at neurotrauma-symposium.org/iksj Don't miss the chance to connect with experts, explore groundbreaking research, and be part of the conversation shaping the future of neurotrauma. #NeurotraumaSymposium

Nice article in Neurology Today about the history of concussion management. journals.lww.com/neurotodayonli…

Head injury in older adults presenting to the ambulance service: who do we convey to the emergency department, and what clinical variables are associated with an intracranial bleed? A retrospective case–control study sjtrem.biomedcentral.com/articles/10.11…

Our awesome PGY-3 resident Dr. Annabelle Croskey recently published this great case report! Ocular injury from saltwater coral palytoxin: A case report. American Journal of Emergency Medicine sciencedirect.com/science/articl… @David_Barton @WillTrautman @joshua_shulman @KatieRatay

PIPERACILLIN-TAZOBACTAM IS NOT NEPHROTOXIC: exploring the arc of a myth over time this was clearly a myth in 2016: emcrit.org/pulmcrit/piper… blog from 2022 exploring the evolution of this myth: emcrit.org/pulmcrit/myth-… fresh RCT to finally settle this: jamanetwork.com/journals/jama/…

Having spent my career researching and teaching about this, these rates of failire to use seatbelts by EMS clinicians in thr patient compartment and failure to properly restrain patients with shoulder straps are sad. Be safe out there! @NAEMSP @NAEMT_ @NASEMSO @amerambassoc

Hear @McDonaldStu_ @MonashTrauma talk with Patricia Karvelas @RadioNational re a new biomarkers study for diagnosis in #concussion in acute stages in the ED @Monash_FMNHS @AlfredHealth @Biswadev_M #emergencymedicine #emergencytest #biomarker #braininjury abc.net.au/listen/program…

@JaneenPeretin @TheEMFoundation @upmcem @callaway3 @Rehabilomics4U @AshokPanigrahy6 @PittTweet Thanks!

@David_Barton @TheEMFoundation @upmcem @callaway3 @Rehabilomics4U @AshokPanigrahy6 @PittTweet Congratulations! 🎉

Many thanks to @TheEMFoundation for supporting our work and mission to improve care of patients with traumatic brain injury @upmcem @callaway3 @Rehabilomics4U @AshokPanigrahy6 @PittTweet