Rob Flint
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robflint97.bsky.social
Rob Flint
@robflint97.bsky.social

Emergency physician/educator/mentor. UMD Emergency Medicine. Academic: Trauma, ED ops., EMS, Geriatrics, bus. of med. Interest: family, travel, reading, Ravens, NYY, Terps, Rochester Yellowjackets
#Multimodal pain control. YES
IV #paracetamol. YES
Rapid onset opiate agonist/antagonist. YES
This study offers many options for #prehospital traumatic #pain control.
#emedsky #medsky
November 2, 2025 at 1:04 PM
This @umemergencymed.bsky.social pearl reminds us that norepinephrine may have a place in #ACLS in the future.
#medsky #emedsky #ccsky #emsky
November 2, 2025 at 1:00 PM
Further evidence we should be testing for,and encouraging vaccination against, RSV.
#medsky #emsky #emedsky #idsky
@umemergencymed.bsky.social
October 19, 2025 at 2:44 PM
Today’s @umemergencymed.bsky.social #pearl looks at aggressive lowering of blood pressure in post thrombolysis #CVA pts. More data to sat it doesn’t provide a benefit.

#medsky #emedsky #emsky

em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine
August 30, 2025 at 3:47 PM
When does a #traumatic #pneumothorax require tube thoracotomy? Answer here em.umaryland.edu/educational_...
#trauma #medsky #emedsky
August 17, 2025 at 1:27 PM
Surviving a firearm injury can lead to chronic ongoing issues such as PTSD, pain, nerve injuries and increased risk of reinjury.

#trauma #medsky #emedsky
#pearl
August 10, 2025 at 5:16 AM
Rewarm your hypothermic #trauma patients to improve #mortality.
#emedsky #medsky #emsky
August 3, 2025 at 1:31 PM
Anxiety in older patients can lead to worse health outcomes and poorer quality of life. There are certain risk factors for anxiety to be aware of.
#gerisky #medsky #emedsky

em.umaryland.edu/educational_...
August 2, 2025 at 1:24 PM
Have you ever wondered about #antibiotics for abdominal #gunshot #wounds with associated #fractures? Here you go!
#trauma #emedsky #medsky #emsky @umemergencymed.bsky.social
July 31, 2025 at 8:26 PM
Undertriage of geriatric trauma patients is common due to perceived less severe mechanism, different physiologic normals, lack of using frailty in trusted decision algorithms. Systolic blood pressure <110 should be used instead of <90.
#gerisky #medsky #emsky #emedsky
July 30, 2025 at 8:44 AM
#emedsky #emsky #medsky Blunt Cerebral Vascular Injury and inpatient stroke risk:
July 28, 2025 at 4:31 AM
This @umemergencymed.bsky.social #pearl is a reminder of the targets for physiologic homeostasis in #traumatic #brain #injury. Early intervention to achieve these goals along with seizure prophylaxis lead to better outcomes.
#medsky #emedsky #emsky
July 20, 2025 at 12:33 PM
Info on the US CMS health measure looking at Age Friendly Healthcare.
#gerisky #medsky #emsky

em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine
July 6, 2025 at 2:52 PM
Shock index can be used in compensated shock #trauma pts. to predict blood transfusion need within one hour of arrival at a trauma center.
#medsky #emedsky #emsky
em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine
July 5, 2025 at 6:01 PM
Today, we continue the conversation about facial fractures and who needs to be transferred to a higher level of care. #medsky #trauma #emedsky #emsky

em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine
July 2, 2025 at 7:59 PM
Brain Injury Guidlines for kids? A small start to answering yes. BIG is used in adults to get patients the correct level of care after head injury. Without unnecessary transfers or consultation. Now we are getting closer for kids too
#emedsky #trauma #pedsky #medsky #emsky
June 23, 2025 at 5:15 PM
Brain abscess patients do better with drainage according to this study.
#medsky #idsky #emedsky #emsky #neurosurgery
June 22, 2025 at 1:56 PM
A NY health system is restructuring due to financial pressures created by federal cuts including moving from a level 2 to 3 #trauma center. I believe we will see more of this as #Medicaid payments are cut. Trauma leaders need to evaluate referral patterns, EMS protocols, etc in this new environment.
June 19, 2025 at 12:54 PM
I would argue it’s not the location, it’s injury severity, resuscitation progress and underlying disease state that predicts in hospital mortality for intubated trauma patients.
#medsky #trauma #emedsky #emsky

@umemergencymed.bsky.social
June 15, 2025 at 11:37 AM
Today’s pearl looks at the mechanics of performing a resuscitative hysterotomy. It also includes data from a recent @emajournal.bsky.social article.

em.umaryland.edu/educational_...
#medsky #emedsky #trauma
June 8, 2025 at 1:11 PM
What’s the data on resuscitative hysterotomy?

#medsky #trauma #gyn #ob #emedsky
@umemergencymed.bsky.social
June 7, 2025 at 4:57 PM
June 6, 2025 at 5:43 AM
Today’s #pearl from @umemergencymed.bsky.social tells us antibiotics alone or surgical debridement did no better than no intervention for nail gun injuries in a retrospective study.
#medsky #emedsky #emsky #trauma
June 1, 2025 at 1:22 PM
Today’s #pearl from @umemergencymed.bsky.social looking at ketamine along with midazolam for pediatric seizure cessation.
#emedsky #Medsky
May 31, 2025 at 3:38 PM
This study says there is no advantage to whole body Ct scan vs selective CT scan in geriatric trauma pts. I feel like we need more robust literature in this area. In general, my bias is toward selective scanning but I would like more data. thoughts?
#gerisky #trauma #emedsky #medsky #emsky #radsky
May 30, 2025 at 2:42 AM