Discover and read the best of Twitter Threads about #EMs

Most recents (24)

Today's pearl is about Salicylate☠️!

Toxicity is most often seen with acetylsalicylic acid (Aspirin), but also methyl salicylate (Oil of Wintergreen- 5 mL = 22 aspirin), bismuth subsalicylate (Pepto-Bismol), teething gels, & headache preparations (BC Powder) ingestion
- Mechanism of Action:
Uncouples oxidative phosphorylation & ↑Renal NaHCO3 excretion➡️AG Metabolic Acidosis
Stimulates medullary 🫁 drive ➡️ 1° respiratory alkalosis

- Clinical: Tinnitus, N/V, Tachypnea/Hyperpnea, AMS & Hyperthermia (late)➡️⚠️RAPID DECOMPENSATION
- Labs: Order at minimum BMP, HFP, VBG, Salicylate /APAP lvl, EOTH, UA,EKG
Salicylate Lvls:
Acute Tox:
15 - 30 mg/dl = therapeutic range
>30 mg/dl = symptoms begin
> 90-100 mg/dl = severe toxicity
Chronic Tox:
40-60 mg/dl = severe toxicity
Read 12 tweets
1) Yakından takip ettiğim ve aylık olarak yayımlanan @capitalMagazin dergisinin #Haziran sayısına ilişkin notlarım için kısa bir akış hazırladım.✍️🏻

Almanca olan derginin bu sayısında tehdit altında olan #RefahSeviyesi yer alıyor. Kapak resminde her şeyin yarısı gitmiş durumda.🙄 Image
2) Bunun dışında; #GelişmekteOlanÜlkeler (#EMs), küresel #petrol piyasası, değerli isimlerle röportajlar ve #StartUp konusu aklımda kalan başlıklar oldu. Elbette #WarrenBuffett ve 2022 yılı etkinliği de okumaya değer konular.

Bunlardan bazılarına değineyim:
3) Covid-19'da yaşamın değeri birçok kişi için ciddi bir hatırlatma olmuştu. #Enflasyon, düşen alım gücü, #enerji krizi ve son gelişmeler bu kez "Mal canın yongasıdır" düşüncesini gündeme getirdi. Özellikle sabit gelirli kesimin hayat pahalılığı karşısında durumu zor. Image
Read 14 tweets
I'm doing some research on supporting Manager of Managers, hence forwards on #MoM Currently split into two different themes - 1) Similar, but moar (sic)! and 2) Very different
Let's talk about #MoM theme 1. Firstly, context switching. If you move from IC -> EM, you inevitably have more meetings. As you move from EM -> #MoM, this amplifies. You're now having meetings across different teams (often working on different topics), but to mention inter-dept
If you don't like context switching, you're going to hate being a #MoM
Read 31 tweets
Reported shooting victim on the platform at the Georgia Avenue-Petworth Metro Station. @dcfireems @DCPoliceDept @MetroTransitPD on scene. @popville @RealTimeNews10 #police #firefighters #EMS #wmata
Here's a little more video of @dcfireems @DCPoliceDept & @MetroTransitPD responding a short time ago for the shooting victim on the platform at the Georgia Avenue-Petworth Metro Station. @popville #police #EMS #firefighters
UPDATE: DC government source says initial report is the person found shot at the Georgia Avenue-Petwork Metro Station is believed to be 17-years-old. Sent to a trauma center with what appears to be a gunshot wound to the chest. #wmata @PoPville
Read 3 tweets
Live tweeting todays EMS presser?

Sounds good!

#abpoli #ableg #cdnpoli #EMS
Copping - EMS is busy yo. No people, no trucks, call volume is up.

References the 4 Airdrie calls that saw CFD transport a child because there were no ambulances available…


#abpoli #ableg #cdnpoli #EMS
Copping - We increased paramedics and the EMS budget, but that wasn’t enough.

So we’re running an EMS advisory committee that’s run by MLA’s Allard and Sigurdson.

#abpoli #ableg #cdnpoli #EMS
Read 36 tweets
Why is there so much talk about ambulance offload delays? A look into the process, challenges, and solutions (a 🧵).
While not a new problem, there has been increased conversation on ambulance offload delays as we weather this latest COVID surge. Systems all over the world are struggling to get ambulances back in service in a timely manner after transporting pts to the hospital.
@NEMSISTAC nationwide data shows offload times (elapsed time from the arrival of an ambulance with a pt to the ED until the ambulance is back in service) have increased and spiked at various times in 2020 & 2021 (red + purple lines) compared to 2018 & 2019 (blue + green lines).
Read 18 tweets
This is horrifying. I expected this to happen at some point in Jan or Feb with #Omicron. I didn't expect it happen on January 1. 💔

🙏 to all of of the volunteer #firefighters & #EMS. Friends, please go donate to your local depts to honor their service. #MedTwitter #Maryland
Listen, important. Most adults in #Maryland are #vaccinated. Fewer kids are. MANY haven't yet gotten a #boostershot (only 70M in entire US pop of 331M #boosted). A booster will ⬇️ risk of hospitalization by 88% & starts protecting you in 7d with major protection in 14d. GO DO IT!
If you're #boosted, THANK YOU. Your job is to call 3 people age 16+ NOW who are #vaccinated but not yet #boosted & tell them to #GetBoosted ASAP. This is time-critical, esp w/ #schools to reopen in 36 hrs. #Baltimore #Maryland, appts here as soon as 1/4:…
Read 4 tweets
1. How bad is the current MD hospital situation? One @PGFDNews ambulance has been at Capital Region Medical Center for more than 7 hours this afternoon & evening (more) #COVID19 #firefighters #EMS #Hospitals @RealTimeNews10 @RamirezReports @SegravesNBC4
2. Another @PGFDNews ambulance has been at Doctors for more than 4 hours. (more)
3. In Charles County one ambulance at Charles Regional Medical Center has been there for more than 5 hrs. (more)
Read 4 tweets
A 🧵 1) This morning a long time friend and paramedic went into cardiac arrest while at Airdrie UCC. UCC calls 911 for EMS support for these events. #ableg #abhealth #ahs #ems #ahsems
2) There were no available ambulances in Airdrie to respond to our brother. The responding units came from Calgary. UCC calls us for these events because we are more familiar with running cardiac arrests. That’s why they have paramedics like him working there during the nights
3) It has finally happened. A colleague, a mentor, and a brother has fallen and there wasn’t one of his own close enough to help. We have been sounding the alarm about the EMS system for years, and now its inadequacies may have prevented us from saving our own
Read 5 tweets
Las Encuestas Económicas Nacionales #EEN del @INEGI_INFORMA captan información sobre el personal ocupado en 4 sectores económicos: manufactura, construcción, comercio y servicios privados no financieros. En ellas se apreciar un patrón atribuible a la #ReformaLaboral. Abro 🧵
Todos los sectores exhiben una disminución importante en el personal ocupado que es suministrado por otra razón social a la de la unidad económica. En casi todos, esto es correspondido por un aumento, de distinta magnitud, en el personal ocupado de la misma razón social.
En la construcción, la #ENEC reporta una caída anual del personal suministrado por otra razón social de (-)44.8% a/a en septiembre 2021, y un aumento de 15% en el personal ocupado de la misma razón social.
Read 7 tweets
Let's focus again on potentially preventable death from torso #hemorrhage.

Our paper in @ShockJournal highlighted the need to refocus our efforts on the prehospital setting (🧵here: )

But can we ID those patients successfully who might need ARC? 🧵
We attempt to do so in this paper published in @JTraumAcuteSurg

Link here:…

Thanks to lead author @AhmerIrfanMBChB and coauthors at @uabmedicine for their hard work Image
To recap: Advances of in-hospital care have been profound over the last >3 decades-those reaching alive & not in irreversible shock has a v reasonable survival chance.

A subset of patients (as high as 45% in some series) die in the field or w/i 1 hour of hospital arrival
Read 19 tweets
1. Point Sanitaire 23/04 #Genève

-Quasi que du #variant #britannique
-Quelques variants #brésiliens / #sudafricains
dont contamination intra-communautaire (pas que retours de voyage). #Enquêtes d'#entourage précise et + intense pour ces variants
-Pas variant #indien pr l'instant
2. Vaccination #Genève
▪️74 et +: Bcp de vaccinés doses 1+2
▪️65-74: bcp de 1ères doses, pas encore de 2ème (ça ne fait pas 4 sem. que vaccination ouverte)
▪️45-64: bcp de #vaccinosenthousiastes ds cette tranche d'âge. Vaccination a commencé. #Palexpo
3. Vaccination #Genève


▪️Priorité 1:
- 65 et+
- femmes enceintes avec critère vulnérabilité

- 45 et+
- collaborateurs (prof de santé)
- personnes avec critère de vulnérabilité qq soit âge
Read 18 tweets

A couple of days ago we retweeted this tweet from the Alberta Paramedic Association.

To recap, this is the private, members only advocacy group that recently platformed Shandro by hosting a town hall with him...

#abpoli #ableg #cdnpoli #ems

We received a lot of DM’s from people expressing concerns with not only the town hall, but the organization itself.

Of particular concern by the people who sent the DM’s was how the APA is funded and who exactly they’re advocating for...


#abpoli #ableg #cdnpoli #ems
When we saw them post this tweet, we figured that this was likely the end of it.

As it turns out it’s not.

Yesterday, we were able to have a conversation with their executive director.


#abpoli #ableg #cdnpoli #ems
Read 7 tweets
#EMS has been activated

EMSR481: Tropical Cyclone ETA in #Honduras

Event Time (UTC): 2020-11-06 10:00
Event Time (LOC): 2020-11-06 16:00
Event Type: Storm
(Tropical cyclone, hurricane, typhoon)
Activation Time (UTC): 
2020-11-11 12:14

Activation Status: Open
Affected Countries/Territories:
-Republic of Honduras

Authorised User:
EC Services|DG ECHO

Activation Reason:

"Hurricane Eta began impacting Nicaragua and Honduras on 04 November, triggering floods. In the lower basin of the Ulua river, 1/3
floods have been unprecedented since 1998. The National Permanent Contingencies Commission of Honduras (COPECO) and the National Coordination Centre for Natural Prevention Centre (CEPREDENAC) are elevating this request for activation due to the very large floods. 2/3
Read 5 tweets
S&P Global Ratings provides an odyssey length bullet point journey through the global credit landscape here:… #CorporateCredit #Macro #Risks A few takeaways...1/4
2/4 Economic/Financial conditions & #credit outlooks...#US outlook, #Europe outlook...#Macro #Risks ImageImageImageImage
3/4 #EMs outlook...#Auto industry outlook...#Germany corporates outlook...2020 global corporate #defaults jump above total 2019 levels in 5 months led by the #US...#Macro #Risks ImageImageImageImage
Read 4 tweets
Want a feel for how extensive, entrenched and structured the hatred in America is for our tens of millions of drug users? Take this #ThoughtExperiment with me....

#Stigma #PWUD #PWID #DrugUse #HumanRights #PublicHealth
#HarmReduction #NormalizeHR #SafeSupply #SCS #SIF

IMAGINE for a moment that you woke up tomorrow to the news that the entire retail #alcohol supply in the #US was randomly contaminated with deadly levels of #fentanyl. A one ounce shot could put you into respiratory arrest in 120 seconds, quickly followed by cardiac arrest.

The proper administration of #NARCAN within minutes or #RescueBreathing is your only hope for survival; #911 and #EMS can’t get there that fast.

Now IMAGINE for a moment what the governmental and civil society response would be to this news...

Read 12 tweets
The BIS CGFS Paper; '#USD funding: an international perspective' holds some interesting insights on global #CapitalFlows, holders of USD-denom assets & risky areas of the 'plumbing' - Some takeaways...1/4 USD #perspectives... ImageImageImage
2/4 Overview of the characteristics of #USD funding markets...#Europe has pulled back from #USD cross-border flows since GFC, #UK, #Japan, #Canada & #OFCs remain dominant...#GlobalTrends #CapitalFlows ImageImageImageImage
3/4 #GlobalTrends - Market-based finance's big role in #US corporate funding, #CorporateCredit, #LeveragedLending, #CLO trends & the increased footprint of #Japan, #SouthKorea & #Taiwan in this space...Overview of recent #SwapLine trends... #Macro #Risks ImageImageImageImage
Read 4 tweets
*Thread on #FirstResponders for OHCA*

In the last decade, numerous systems like @pulsepoint @GoodSamApp @SAUVLife @HartslagNu were developed to alert laypersons.

In this review, we provide an overview of published technologies and analyze their impact on pts outcomes.

#FOAMed Image
How does a citizens first responder system work?

Citizens willing to help in case of OHCA can voluntarily register in a first responder network.

When an OHCA occurs, the nearest ones are alerted simultaneously with #EMS dispatch to increase CPR rates before ambulance arrival. ImageImage
Our systematic review found 12 different systems (7 apps, 5 text message systems).

Activation radius varied from 150 m to 5 km. Also activation criteria, training required, technology used, and active time varied between systems and are summarized below 👇 Image
Read 12 tweets
0700 hours - Arrival at work
Happy EMS Week! Ready today. Preparing for tomorrow. The theme for this year’s #EMSWeek is perhaps the most appropriate ever. #EMSstrong It's a great day to recognize all the hard work all of our team members do for our community! Image
0715 hours - Health Screening
Part of the new normal - a Fit for Duty health screening on our way into work - either in person or on our @VivifyHealth app. Every employee, for every shift does a screening to make sure they can safely provide care to the community. Image
0830 hours - Executive Briefing
Today’s executive briefing on @zoom_us (another part of the new normal) included some #COVID19 updates, but focused on recognizing our field providers and administrative staff during EMS Week! Image
Read 17 tweets
#Thread to share and spread what i find most concerning from the Submission to the #UK #APPG on #HongKong for its inquiry into violations of #HR and humanitarian principles by the #HKPF. Published by @HK_CRO, est. 2014 they work to protect and promote civil and political rights/2
in #HongKong, with a focus on #Police abuse of powers. The 4 pillars of their work are: #humanrights education, police power monitoring, policy advocacy, and emergency #hr support. #StandWithHongKong 🇩🇪❤️🇭🇰 /3
The Submission is based on the testimonies of providers of humanitarian aid gathered from individual interviews conducted by #CRO as well as media reports. All the 10 incidents there happened in or after June 2019 in #HongKong. /4
Read 45 tweets
If I ran an #EMS Agency during #COVID19 I would:
1/x Talk to the staff, ask what their questions are and disseminate updates frequently.
The info is very dynamic, and there can be huge gaps between what’s disseminated to inhospital staff and prehospital staff.
2/x Ensure staff understand when to utilize PPE and how to don/doff it safely. We get in and out of the vehicle, from the pt compartment to the cab to drive and back again to bring the pt into the hospital. Do dry runs, this is clunky and exposure risk is highest during doffing.
3/x. Review and revise all protocols involving NIPPV, Nebs and BVMs.
Ensure that staff have the equipment to do those interventions safely or they know not to do them at all.
Read 10 tweets
Some takeaways from the @merics_eu 'Managing economic cooperation & competition with #China'… #GlobalTrends #EU #Technology #Trade China's trade profile has been shifting to #EMs for a while...(1/6) Image
2/6 Overview of the value of completed #China-#EU #FDI transactions (2000-2018) A significant shift has taken place as China has gone from the recipient to the provider...#GlobalTrends Image
3/6 Overview of #China's targets for self-reliance and global market share in core emerging technologies..#Tech #GlobalTrends Image
Read 6 tweets
Some hindsight from a HEMS/Retrieval and EMS coordinator physician from northern Italy that I hope will be useful: ICU management of COVID-19 gets a lot of attention but the disease will swamp EMS and EDs first.
#Covid_19 #EMS @cliffreid @DrHowieMell @karelhabig
Once EMS is swamped you run the risk of fatalities secondary to system failures (no ambulances available for cardiac arrests ecc).
Get your EMS crews to familiarize with PPE early! Get your ambulances stocked with lots of PPE. Ensure you have an easy protocol for when to don PPE
Read 16 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!