Urban biker, dreaming climbing and sailing
Milan
easclubbergamo.wordpress.com
Chest Drainage #bedsidepearls
🚫 Never close the drainage tube during pt transport
🩸Haemothorax ➡️ 28-32 Fr tube
Chest Drainage #bedsidepearls
🚫 Never close the drainage tube during pt transport
🩸Haemothorax ➡️ 28-32 Fr tube
🩻 Severity of chest wall injuries ➡️ RivScore
🫁 Severity of pulmonary contusion ⬆️ significantly when contusions are >20%
🩻 Severity of chest wall injuries ➡️ RivScore
🫁 Severity of pulmonary contusion ⬆️ significantly when contusions are >20%
⏱️ The golden hour of NIV influence prognosis
via @Patrick Plaisance
⏱️ The golden hour of NIV influence prognosis
via @Patrick Plaisance
Interactive Case scenarios to boost your competence on ARF patients to treat with
HFNC
CPAP
Bi-Level
Interactive Case scenarios to boost your competence on ARF patients to treat with
HFNC
CPAP
Bi-Level
1️⃣ Identify fatal lesions
ATOM-FC
2️⃣ Evaluate Severity
TTS & RibScore
3️⃣ Treat accordingly
🩸MTP
💉 Chest Tube
🔪 Emergency Thoracotomy
1️⃣ Identify fatal lesions
ATOM-FC
2️⃣ Evaluate Severity
TTS & RibScore
3️⃣ Treat accordingly
🩸MTP
💉 Chest Tube
🔪 Emergency Thoracotomy
⚡️ Rising tension
🧠 Deliberate violence
💧 Loving contrition
🔁 Ripetitive
#bedsidepearls
⚡️ Rising tension
🧠 Deliberate violence
💧 Loving contrition
🔁 Ripetitive
#bedsidepearls
From clinical pharmacologist Pharmacy Joe —> pharmacyjoe.com/episode1009/
💉 1–2 mg/kg IV over 5 minutes of methylene blue immediately if levels indicate administration
⏱️ After treatment, MetHb levels on blood gas (ABG) are no longer reliable
#bedsidepearls
From clinical pharmacologist Pharmacy Joe —> pharmacyjoe.com/episode1009/
💉 1–2 mg/kg IV over 5 minutes of methylene blue immediately if levels indicate administration
⏱️ After treatment, MetHb levels on blood gas (ABG) are no longer reliable
#bedsidepearls
If this isn’t nice, what is?
If this isn’t nice, what is?
☠️ Organophosphate intoxication of patient, paramedic and Team leader
🏁 Great challenge for our EM residents
🏥 Look at our group activities —> easclubbergamo.wordpress.com/attivita/
☠️ Organophosphate intoxication of patient, paramedic and Team leader
🏁 Great challenge for our EM residents
🏥 Look at our group activities —> easclubbergamo.wordpress.com/attivita/
“You were not made to live like brutes, but to follow virtue and knowledge.”
Dante Alighieri, XIV century
“One should not teach thoughts, but teach how to think.”
Immanuel Kant, XVIII century
“You were not made to live like brutes, but to follow virtue and knowledge.”
Dante Alighieri, XIV century
“One should not teach thoughts, but teach how to think.”
Immanuel Kant, XVIII century
3️⃣ signs of respiratory distress:
# 1 tracheal tub, inspiratory
# 2 jugular retraction, inspiratory
# 3 supraclavicular retraction, inspiratory
3️⃣ signs of respiratory distress:
# 1 tracheal tub, inspiratory
# 2 jugular retraction, inspiratory
# 3 supraclavicular retraction, inspiratory
📊 Data is the most valuable resource
🤖 ChatGPT spreading is supersonic
🫀AI proved effective in cardiology
📊 Data is the most valuable resource
🤖 ChatGPT spreading is supersonic
🫀AI proved effective in cardiology
AI Anatomy
AI application in clinical medicine
AI and images
AI may outperform clinicians at interpretation of images (see picture 3)
AI Anatomy
AI application in clinical medicine
AI and images
AI may outperform clinicians at interpretation of images (see picture 3)
Fever & sore throat:
🦻 Listen to voice & sounds
🥔 Hot potato voice or noisy inspiratory breathing ➡️ upper airway obstruction
Fever & sore throat:
🦻 Listen to voice & sounds
🥔 Hot potato voice or noisy inspiratory breathing ➡️ upper airway obstruction
🩸 Balanced Transfusion 1:1:1 (Italy 4:1:1)
➡️ Shock Index >1
➡️ No SBP & HR > 120
🩸 Balanced Transfusion 1:1:1 (Italy 4:1:1)
➡️ Shock Index >1
➡️ No SBP & HR > 120
Inspired by Amal Mattu’s #whiteboard
1/2
🥾 Mountain hiking + hypotension + nausea and vomiting
➡️ If symptoms persist, consider
snake bite or anaphylaxis
💊 Obtain cultures before first dose of antibiotics
Inspired by Amal Mattu’s #whiteboard
1/2
🥾 Mountain hiking + hypotension + nausea and vomiting
➡️ If symptoms persist, consider
snake bite or anaphylaxis
💊 Obtain cultures before first dose of antibiotics
How to be an unforgettable presenter
8️⃣0️⃣%
Know your audience
Focus on 1 key message
Transform the audience
2️⃣0️⃣%
Slide shaping
Privileged to grow with Marco & the super enthusiastic group of participants
How to be an unforgettable presenter
8️⃣0️⃣%
Know your audience
Focus on 1 key message
Transform the audience
2️⃣0️⃣%
Slide shaping
Privileged to grow with Marco & the super enthusiastic group of participants
How to change your audience via @marcogarrone.bsky.social Garrone at EAS Club Bergamo easclubbergamo.wordpress.com
How to change your audience via @marcogarrone.bsky.social Garrone at EAS Club Bergamo easclubbergamo.wordpress.com
Patient trajectory and early support with Stella Ingrassia
@davidcarr333.bsky.social
Patient trajectory and early support with Stella Ingrassia
@davidcarr333.bsky.social
Thrilled to host @davidcarr333.bsky.social in person, Tim Harris online and other brilliant colleagues from Italy
Ready to learn with fun
Thrilled to host @davidcarr333.bsky.social in person, Tim Harris online and other brilliant colleagues from Italy
Ready to learn with fun
🔎 NIV in Neuromuscular D via Dr Valentina Rosti
🫧 Beware secretions (pseudobulbar —> worse prognosis)
⚠️ Don’t wait for ⬆️ pCO2
⏱️ Prepare Early Staff & Equipment
🔎 NIV in Neuromuscular D via Dr Valentina Rosti
🫧 Beware secretions (pseudobulbar —> worse prognosis)
⚠️ Don’t wait for ⬆️ pCO2
⏱️ Prepare Early Staff & Equipment