Will Johnston
@seewillj.bsky.social
Tactical Paramedic & MSc Health Sciences Education | Interested in team performance, selection & assessment, and tactical paramedicine | Fellow McNally Project
“Packing of wounds with haemoststic gauze… and application of direct pressure remains the mainstay of treatment”
Even as we get new, fancy, and fun tools, rapid temporizing with direct pressure and packing stays king.
But.. never pack the neck 🙃
sjtrem.biomedcentral.com/counter/pdf/...
Even as we get new, fancy, and fun tools, rapid temporizing with direct pressure and packing stays king.
But.. never pack the neck 🙃
sjtrem.biomedcentral.com/counter/pdf/...
sjtrem.biomedcentral.com
December 11, 2024 at 3:55 PM
“Packing of wounds with haemoststic gauze… and application of direct pressure remains the mainstay of treatment”
Even as we get new, fancy, and fun tools, rapid temporizing with direct pressure and packing stays king.
But.. never pack the neck 🙃
sjtrem.biomedcentral.com/counter/pdf/...
Even as we get new, fancy, and fun tools, rapid temporizing with direct pressure and packing stays king.
But.. never pack the neck 🙃
sjtrem.biomedcentral.com/counter/pdf/...
Reposted by Will Johnston
BRASH syndrome ECG:
- subtle peaked T-waves from hyperkalemia
- bradycardia is *disproportionately* severe, as compared to the extent of hyperkalemia-induced morphology changes
(more on BRASH: emcrit.org/ibcc/brash/)
(ECG credit: ecg.bidmc.harvard.edu/maven/dispca...) #ECGsky
- subtle peaked T-waves from hyperkalemia
- bradycardia is *disproportionately* severe, as compared to the extent of hyperkalemia-induced morphology changes
(more on BRASH: emcrit.org/ibcc/brash/)
(ECG credit: ecg.bidmc.harvard.edu/maven/dispca...) #ECGsky
November 28, 2024 at 11:32 PM
BRASH syndrome ECG:
- subtle peaked T-waves from hyperkalemia
- bradycardia is *disproportionately* severe, as compared to the extent of hyperkalemia-induced morphology changes
(more on BRASH: emcrit.org/ibcc/brash/)
(ECG credit: ecg.bidmc.harvard.edu/maven/dispca...) #ECGsky
- subtle peaked T-waves from hyperkalemia
- bradycardia is *disproportionately* severe, as compared to the extent of hyperkalemia-induced morphology changes
(more on BRASH: emcrit.org/ibcc/brash/)
(ECG credit: ecg.bidmc.harvard.edu/maven/dispca...) #ECGsky
Reposted by Will Johnston
Great thread with lessons that apply to preceptorship for new paramedics as well. #EMSsky
Especially love #1, don’t expect a novice to perform like an expert on their first day.
Target and work in their zone of proximal development!
Especially love #1, don’t expect a novice to perform like an expert on their first day.
Target and work in their zone of proximal development!
Lets chat about teaching EM residents to be efficient...
I think there are 5 rules that are helpful
1.) Don't have unreasonable expectations
2.) Be strategic with how you interrupt
3.) Work on micro skills
4.) Let them know what you’re thinking
5.) Residents attend the huddle
#EMedSky
I think there are 5 rules that are helpful
1.) Don't have unreasonable expectations
2.) Be strategic with how you interrupt
3.) Work on micro skills
4.) Let them know what you’re thinking
5.) Residents attend the huddle
#EMedSky
a cartoon character says beep beep in a desert
ALT: a cartoon character says beep beep in a desert
media.tenor.com
November 24, 2024 at 4:11 PM
Great thread with lessons that apply to preceptorship for new paramedics as well. #EMSsky
Especially love #1, don’t expect a novice to perform like an expert on their first day.
Target and work in their zone of proximal development!
Especially love #1, don’t expect a novice to perform like an expert on their first day.
Target and work in their zone of proximal development!
Reposted by Will Johnston
Check out the @stemlyns.bsky.social podcast September round up - Patient Experience in the ED, Dirty Adrenaline, and More!
Link here or wherever you get your podcasts: www.stemlynsblog.org/podcast-sept... #FOAMed #MedSky #EMedsky
Link here or wherever you get your podcasts: www.stemlynsblog.org/podcast-sept... #FOAMed #MedSky #EMedsky
September 2024 Round-Up - Patient Experience in the ED, Dirty Adrenaline, and More!
Join us for the August 2024 episode of our emergency medicine podcast. Discover the 'Goldilocks moment' in critical care interventions.
www.stemlynsblog.org
November 21, 2024 at 7:18 PM
Check out the @stemlyns.bsky.social podcast September round up - Patient Experience in the ED, Dirty Adrenaline, and More!
Link here or wherever you get your podcasts: www.stemlynsblog.org/podcast-sept... #FOAMed #MedSky #EMedsky
Link here or wherever you get your podcasts: www.stemlynsblog.org/podcast-sept... #FOAMed #MedSky #EMedsky
Great listen with some excellent hockey analogies for us Canadians 🙂
Our selection processes often look to find top performers, but that’s only one piece of the puzzle.
How do we find the top performer who wants the puck on their stick to take that final shot?
Our selection processes often look to find top performers, but that’s only one piece of the puzzle.
How do we find the top performer who wants the puck on their stick to take that final shot?
Podcast - Learning through Failure - Kevin Cyr at Tactical Trauma 2024
Learn from the experience of a SWAT-like unit commander on how to face failure, transform teams, and thrive in high-pressure situations.
www.stemlynsblog.org/learning-thr...
Learn from the experience of a SWAT-like unit commander on how to face failure, transform teams, and thrive in high-pressure situations.
www.stemlynsblog.org/learning-thr...
Podcast - Learning through Failure - Kevin Cyr at Tactical Trauma 2024
Learn from the experience of a SWAT-like unit commander on how to face failure, transform teams, and thrive in high-pressure situations.
www.stemlynsblog.org
November 23, 2024 at 3:48 AM
Great listen with some excellent hockey analogies for us Canadians 🙂
Our selection processes often look to find top performers, but that’s only one piece of the puzzle.
How do we find the top performer who wants the puck on their stick to take that final shot?
Our selection processes often look to find top performers, but that’s only one piece of the puzzle.
How do we find the top performer who wants the puck on their stick to take that final shot?
Great episode!
What may be a routine job for us is a life changing event for the patient. Don’t forget the emotional and social support in extrication!
What may be a routine job for us is a life changing event for the patient. Don’t forget the emotional and social support in extrication!
Extrication following a Motor Vehicle Collision
New consensus statement from the FPHC out today!
Really relevant both to prehospital clinicians and to those receiving patients in hospital
https://itunes.apple.com/gb/podcast/the-resus-room/id1090433226?mt=2
TheResusRoom.co.uk #FOAMed
New consensus statement from the FPHC out today!
Really relevant both to prehospital clinicians and to those receiving patients in hospital
https://itunes.apple.com/gb/podcast/the-resus-room/id1090433226?mt=2
TheResusRoom.co.uk #FOAMed
November 17, 2024 at 10:27 AM
Great episode!
What may be a routine job for us is a life changing event for the patient. Don’t forget the emotional and social support in extrication!
What may be a routine job for us is a life changing event for the patient. Don’t forget the emotional and social support in extrication!
Fantastic listen with many pearls!
“Aim for flow acceleration and moving patients to definitive care even under suboptimal conditions”
“Focus on bridging interventions to temporise without delaying evacuation”
“Aim for flow acceleration and moving patients to definitive care even under suboptimal conditions”
“Focus on bridging interventions to temporise without delaying evacuation”
The latest from St Emlyns: Claire Park at #TacticalTrauma on Care in the Hot Zone
#FOAMed #MedSky #EMSky #EMedSky
www.stemlynsblog.org/podcast-care...
#FOAMed #MedSky #EMSky #EMedSky
www.stemlynsblog.org/podcast-care...
Podcast - Care in the Hot Zone with Claire Park at Tactical Trauma 2024
In this podcast, discover the complex decision making caring for patients in a 'Hot Zone' during a terrorist incident.
www.stemlynsblog.org
November 15, 2024 at 5:35 PM
Fantastic listen with many pearls!
“Aim for flow acceleration and moving patients to definitive care even under suboptimal conditions”
“Focus on bridging interventions to temporise without delaying evacuation”
“Aim for flow acceleration and moving patients to definitive care even under suboptimal conditions”
“Focus on bridging interventions to temporise without delaying evacuation”