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gettylenol.bsky.social
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@gettylenol.bsky.social
Avid Liverpool FC fans. Interested in Global EM and health informatics. EM KP, IM WCMC. All tweets are mine. bluesky social http://gettylenol.bsky.social
14/14 The 2025 @ILCOR_org CoSTR emphasizes continued research and global collaboration to refine resuscitation practices. These updates aim to enhance survival rates and neurological outcomes worldwide.
March 30, 2025 at 12:26 PM
13/14 #FirstAid continued: For amputated body parts: wrap in moist cloth, seal in bag, cool without freezing to improve replantation success. Simple but critical knowledge!
March 30, 2025 at 12:26 PM
12/14 #FirstAid updates: For choking, back slaps first, then abdominal thrusts if ineffective. For postpartum hemorrhage, manual uterine massage is suggested as a first aid measure.
March 30, 2025 at 12:26 PM
11/14 #EIT continued: Post-resuscitation debriefing is suggested to improve team performance. Prehospital critical care teams are recommended in EMS systems with sufficient resources.
March 30, 2025 at 12:26 PM
10/14 #EIT updates: CPR feedback devices during training are strongly recommended. In situ simulation improves skills and organizational processes. Gamified learning shows promise!
March 30, 2025 at 12:26 PM
9/14 #NLS continued: Preterm infants should start with FiO2 ≥0.30; term infants with 0.21. Supraglottic airways are suggested as alternatives to face masks or intubation during neonatal resuscitation. #NRP
March 30, 2025 at 12:26 PM
8/14 #NLS updates: Defer cord clamping ≥60sec for all vigorous newborns. For non-vigorous infants ≥28wks, cord milking is suggested.
March 30, 2025 at 12:26 PM
7/14 #PLS continued: Multimodal neurological prognostication is emphasized after pediatric cardiac arrest, combining clinical exams, biomarkers, imaging, and EEG to predict outcomes.
March 30, 2025 at 12:26 PM
6/14 #PLS updates: Specific diastolic BP targets during pediatric CPR: ≥25mmHg for infants (<1yr) and ≥30mmHg for children (1-18yrs). Both compression-first and ventilation-first CPR approaches are reasonable.
March 30, 2025 at 12:26 PM
5/14 #ALS continued: Mechanical CPR devices aren't routinely recommended but are useful in specific scenarios. For hyperkalemia-induced arrest, insulin+glucose is recommended, but calcium use lacks sufficient evidence.
March 30, 2025 at 12:26 PM
4/14 #ALS updates: Post-cardiac arrest care should target normothermia (≤37.5°C). For refractory VF, consider double sequential defibrillation or vector change defibrillation.
March 30, 2025 at 12:26 PM
3/14 #BLS continued: Head-Up CPR isn't recommended outside research settings due to inconsistent evidence. For women, train proper pad placement around breast tissue, repositioning bras instead of removing them when possible. #AEDs #Defibrillation
March 30, 2025 at 12:26 PM
2/14 #BLS updates: No special CPR modifications needed for obese patients. Dispatchers should help callers retrieve AEDs, and AED cabinets shouldn't be locked unless clear unlocking instructions are available. #SuddenCardiacArrest
March 30, 2025 at 12:26 PM
10/ That's emergency medicine - where being a good sieve means catching everything that could be dangerous, even if most turn out fine. Because missing one critical case is one too many. 🎭/end
#EmergencyMedicine #MedSky #Healthcare
January 26, 2025 at 12:50 PM
9/ We're the gatekeepers of hospital care, the first line of defense, the ultimate safety net. And sometimes, being "overcautious" is exactly what saves a life.
January 26, 2025 at 12:50 PM
8/ Bottom line: Emergency medicine isn't about being right 100% of the time. It's about never being wrong when it matters most. 💯
January 26, 2025 at 12:50 PM
7/ Time is our diagnostic tool. Will they:
Pass out again?
Develop chest pain?
Show worsening labs?
Don't know. Don't need to know. We watch and wait.
January 26, 2025 at 12:50 PM
6/ Don't care if other specialty isn't impressed. Not here to impress. Here to save lives. Sometimes that means watching 100 patients to catch the 1 who needs us. 🎯
January 26, 2025 at 12:50 PM
5/ Here's the key: We're built for sensitivity, not specificity. When that troponin comes back elevated in a low-risk case? That's it. Decision made. Patient stays. 🛏️
January 26, 2025 at 12:50 PM
4/ Third Sieve: The Daily Grind 📊
Chest pains
Belly aches
Fainting spells
Running labs, reading EKGs, analyzing scans. This is where most of our work happens.
January 26, 2025 at 12:50 PM
3/ Second Sieve: The HALO Hunt 🔍
(High-risk, Low-probability cases)
Like finding a needle in a haystack:
That one aortic dissection among chest pains
The rare brain bleed hiding in "just another headache"
This is peak emergency medicine.
January 26, 2025 at 12:50 PM
2/ First Sieve: The Critical Sort 🚨
Pure survival mode. Find the sick, save lives, mobilize resources. This is why we chose emergency medicine - to be that crucial first line of defense.
January 26, 2025 at 12:50 PM