Roberto Cosentini, MD
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rob-cosentini.bsky.social
Roberto Cosentini, MD
@rob-cosentini.bsky.social
ED physician, innate passion for learning #bedsidepearls, #FOAMed.
Urban biker, dreaming climbing and sailing

Milan
easclubbergamo.wordpress.com
Drainage Course at #EASClub with dr Allegri

Chest Drainage #bedsidepearls

🚫 Never close the drainage tube during pt transport

🩸Haemothorax ➡️ 28-32 Fr tube
April 18, 2025 at 1:34 PM
#bedsidepearls in Chest trauma

🩻 Severity of chest wall injuries ➡️ RivScore

🫁 Severity of pulmonary contusion ⬆️ significantly when contusions are >20%
April 15, 2025 at 10:03 AM
April 14, 2025 at 11:40 AM
Brnchodilation during #NIV

At 2nd NIV EUSEM Certification Course, Lisbon April, 10-11
April 11, 2025 at 7:08 AM
#NIV Indications at 2nd NIV Certification Eusem Course in Lisbon

@Paolo Groff
@Rodolfo Ferrari
@Patrick Plaisance
April 10, 2025 at 9:41 AM
NIV Certification Eusem Course in Lisbon, April 10-11

⏱️ The golden hour of NIV influence prognosis

via @Patrick Plaisance
April 10, 2025 at 8:53 AM
Flying to Lisbon for our 2nd NIV Certification #EUSEM Course, April 10-11

Interactive Case scenarios to boost your competence on ARF patients to treat with

HFNC

CPAP

Bi-Level
April 9, 2025 at 10:00 AM
Chest Trauma #bedsidepearls

1️⃣ Identify fatal lesions
ATOM-FC

2️⃣ Evaluate Severity
TTS & RibScore

3️⃣ Treat accordingly
🩸MTP
💉 Chest Tube
🔪 Emergency Thoracotomy
April 5, 2025 at 8:54 PM
Violence pathway at our #EASClubBergamo via Antonella Mangili & Renata Colombi

⚡️ Rising tension

🧠 Deliberate violence

💧 Loving contrition

🔁 Ripetitive

#bedsidepearls
April 2, 2025 at 1:33 PM
☠️ Methylene blue in methemoglobinemia
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
March 31, 2025 at 7:14 PM
My barbers shop in front of Colonne di San Lorenzo, downtown Milano

If this isn’t nice, what is?
March 30, 2025 at 3:45 PM
Bi-monthly Simulation at #EAS Club Bergamo

☠️ Organophosphate intoxication of patient, paramedic and Team leader

🏁 Great challenge for our EM residents

🏥 Look at our group activities —> easclubbergamo.wordpress.com/attivita/
March 26, 2025 at 6:26 PM
My two teaching mantras:

“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
March 26, 2025 at 9:13 AM
Dyspnea #bedsidepearls

3️⃣ signs of respiratory distress:

# 1 tracheal tub, inspiratory

# 2 jugular retraction, inspiratory

# 3 supraclavicular retraction, inspiratory
March 24, 2025 at 9:35 PM
Day 1 of AI Master in Clinical Medicine at University of Torino via Prof. Gaetano de Ferrari

📊 Data is the most valuable resource

🤖 ChatGPT spreading is supersonic

🫀AI proved effective in cardiology
March 23, 2025 at 9:57 PM
2nd day of AI Master in Clinical Medicine at University of Torino via Prof. Gaetano de Ferrari

AI Anatomy

AI application in clinical medicine

AI and images

AI may outperform clinicians at interpretation of images (see picture 3)
March 22, 2025 at 6:04 PM
#bedsidepearls at #EASClubBergamo

Fever & sore throat:

🦻 Listen to voice & sounds

🥔 Hot potato voice or noisy inspiratory breathing ➡️ upper airway obstruction
March 20, 2025 at 10:42 PM
Massive Transfusion at #EASClubBergamo via PGY5 Alberto Comi & Dr Eugenia Belotti

🩸 Balanced Transfusion 1:1:1 (Italy 4:1:1)

➡️ Shock Index >1

➡️ No SBP & HR > 120
March 19, 2025 at 9:51 PM
#bedsidepearls via our Residents at #EASBergamo

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
March 17, 2025 at 4:32 PM
#bedsidepearls at EAS Bergamo via our EM residents

Inspired by Amal Mattu and his weekly #whiteboard
March 17, 2025 at 12:33 PM
‘The Great Presenter’ 2nd ed. via @marcogarrone.bsky.social & me at EAS Club Bergamo

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
March 13, 2025 at 2:48 PM
#TheGreatPresenter

How to change your audience via @marcogarrone.bsky.social Garrone at EAS Club Bergamo easclubbergamo.wordpress.com
March 11, 2025 at 8:36 AM
Acute dyspnea workshop at 1st EAS Conference Bergamo

Patient trajectory and early support with Stella Ingrassia

@davidcarr333.bsky.social
February 13, 2025 at 1:38 PM
🗓️ 4 days to our 1st EAS Conference in Bergamo

Thrilled to host @davidcarr333.bsky.social in person, Tim Harris online and other brilliant colleagues from Italy

Ready to learn with fun
February 10, 2025 at 6:49 AM
INDUCTION 2nd edition EAS Club Bergamo_t.ly/71SPb

🔎 NIV in Neuromuscular D via Dr Valentina Rosti

🫧 Beware secretions (pseudobulbar —> worse prognosis)

⚠️ Don’t wait for ⬆️ pCO2

⏱️ Prepare Early Staff & Equipment
December 12, 2024 at 12:12 PM