Discover and read the best of Twitter Threads about #EMs
Most recents (24)
Trauma, Rettungsdienst und Prävention - ein langer persönlicher Thread…:
Ich bin seit 1985 im Rettungsdienst. Landrettung in Bayern, viele Verkehrsunfälle. Freitag/Samstag Nacht war das die Regel. Die Ursache war fast immer auch der Alkohol. 1/x
Ich bin seit 1985 im Rettungsdienst. Landrettung in Bayern, viele Verkehrsunfälle. Freitag/Samstag Nacht war das die Regel. Die Ursache war fast immer auch der Alkohol. 1/x
Die Diskussion über die Gurtpflicht (Gurte ab 1974 in Neuwagen vorne, seit 1976 Anschnallpflicht vorne, Rückbank später) war von großen Widerständen geprägt. Wie später bei anderen Themen wie Rauchen oder Impfen wurde „Freiheit“ als wesentliches Argument angeführt. 2/x
Viele schnallten sich nicht an. Viele Tote, schwerste Verletzungen durch Rausschleudern, SHT, schwerste Gesichtstraumata. Dazu keine Ausbildung (ich hatte 60 h Sanitätsausbildung und Beifahrer, die Notärzt:innen glaube ich überhaupt keinen Kurs. ÄiW im 150 Betten-Krankenhaus. 3/x
Day 2⃣ of the #JointFinalConference has begun! Don't forget if you're not in Brussels 🇧🇪, you can watch the livestream on youtube🌐: We'll also be live tweeting the event, stay tuned to this thread!
2⃣nd day of the #JointFinalConference began with synergies between EU funded projects on🤝 #CBRNe🧪☣️☢️⚛️💣 : @peers_eu, @H2020Including, @resist_project, @VERTIgO_EDIDP #MELODY, @COVINFORM_EU, @FIREINProject, #EUBULLSEYE
#JATERROR, @NGTriageEU, @HoloZcan, @NOFEAR_EU.
#JATERROR, @NGTriageEU, @HoloZcan, @NOFEAR_EU.
@peers_eu @H2020Including @resist_project @VERTIgO_EDIDP @COVINFORM_EU @FIREINProject @NGTriageEU @HoloZcan @NOFEAR_EU @OlgaVybornova We are honored to be actively involved in the influential #CSTAC cluster, driving significant advancements in #CBRN & #standardisation projects, which was presented by @JonHall999 from @resilience247 & @CMINE_EU
10 years ago today, I experienced a bomb scene. I discovered every first aid & disaster course is incomplete. I am committed to amplifying the most-overlooked, most-important interval that could improve patient care. It is time to optimize improvised care in the #disastergap.
Also called #caregap, the care within is initiated by #spontaneousresponders. Whether trained or untrained, spontaneous responders step up from within a scene itself, doing the best they can, with whatever they have available, to care for others, while experiencing scene hazards.
#SpontaneousResponders are not #firstresponders. They will not be invited to a debriefing. They also are not bystanders and may go home with scene trauma or blood on their clothes. The most overlooked group of rescuers in the most overlooked disaster interval, the #caregap.
DALL-E created this image of a paramedic and nurse wearing VINO OPTICS Vein Finder Glasses.
These people don’t exist, but our tech most certainly does.
These people don’t exist, but our tech most certainly does.
Available at vinOOptics.com
What ideas related to research are important for paramedics to understand but are generally not well understood? Related: what ideas do paramedic students struggle with when introduced to research?
(asking for my own interest and possibly for a future podcast).
#EMS #paramedic
(asking for my own interest and possibly for a future podcast).
#EMS #paramedic
@k_bowles @Shanno5shannon @BillLord2 @ben_meadley @Aidan_Baron @DCollingsHughes @EricJaegerTNG @heli_med_james @paramedickiwi
Thinking about this more from the perspective of paramedics interpreting research with reference to their own practice as opposed to becoming a researcher.
🚨Portland EMS 911: -scanner
10:25AM -12:33PM (Under 2 hrs)
Stroke
Chest pain / Cardiac
Possible death
Chest pain / Cardiac
Seizure
Unconscious
Chest pain / Cardiac
Death
Cardiac arrest
Overdose
10:25AM -12:33PM (Under 2 hrs)
Stroke
Chest pain / Cardiac
Possible death
Chest pain / Cardiac
Seizure
Unconscious
Chest pain / Cardiac
Death
Cardiac arrest
Overdose
🚨Portland 911: -scanner
8:00PM - 8:59PM
Cardiac arrest
Fainting/ Collapsed
Chest pain
Unconscious
Chest pain
Cardiac arrest
Cardiac problem
CPR
The new normal #Cardiacarrest #heartattack #EMS #911
8:00PM - 8:59PM
Cardiac arrest
Fainting/ Collapsed
Chest pain
Unconscious
Chest pain
Cardiac arrest
Cardiac problem
CPR
The new normal #Cardiacarrest #heartattack #EMS #911
Portland 911: 3 reported #Siezures in under 30 minutes. The new normal. #cardiacarrest #heartattack #stroke #seizure #diedsuddenly
#Syrma #Kaynes #Dixon #PGEL
#EMS market is set to grow at +30% CAGR for at least next 5 years from ₹1,469Bn to ₹6,000Bn by FY27.
🧵 on some spl. business insights from Q3FY23 concall & other sources
@soicfinance @ishmohit1
1 can't miss this decadal opp.
Retweet♻️ & Like👍
#EMS market is set to grow at +30% CAGR for at least next 5 years from ₹1,469Bn to ₹6,000Bn by FY27.
🧵 on some spl. business insights from Q3FY23 concall & other sources
@soicfinance @ishmohit1
1 can't miss this decadal opp.
Retweet♻️ & Like👍
There are 2 models that business generally follow:
1. Low Value High Mix (LVHM) - eg. consumer
2. High Value Low Mix (HVLM) - eg. Industrial
This data suggests both type of businesses are set for long-term high growth.
1. Low Value High Mix (LVHM) - eg. consumer
2. High Value Low Mix (HVLM) - eg. Industrial
This data suggests both type of businesses are set for long-term high growth.
This is a crowded space with Indian and large MNC players. However, the industry as a whole is set to grow exponentially and established players who can achieve scale & offer wider capabilities stand to win bigger + mgt. are saying they are just scratching the surface ryt now.
Die Notmaßnahmen zur #Corona #Pandemie enden. Das kann man machen, aber wichtig ist, nun die learnings umzusetzen. Ich führe hier ein paar Themen an, um die man sich nun kümmern muss. Thread
1) Die Pandemie hat uns gelehrt, dass wir Infketionskrankheiten zu rasch abgetan haben. Herzpatienten saßen im Winter neben Influenzakranken im Wartezimmer. Es war normal, krank ins Büro zu gehen. Das alles kostet Lebensqualität und Geld.
2) Dasselbe gilt für Kinder. Sie sitzen in Schulen und KiGas vielfach in fürs Lernen kontraproduktiv schlechter Luft. Schlechte Lüftung sorgt auch für viele Infektionen, die nicht sein müssten und den Eintrag in Familen, was wieder auch der Wirtschaft schadet.
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
🧵1/11
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
🧵1/11
- 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
🧵2/11
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
🧵2/11
- 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
🧵3/11
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
🧵3/11
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.🙄
Almanca olan derginin bu sayısında tehdit altında olan #RefahSeviyesi yer alıyor. Kapak resminde her şeyin yarısı gitmiş durumda.🙄
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:
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.
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
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
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).
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
🙏 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: umms.org/coronavirus/co…
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)
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
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 🧵
1/7
1/7
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.
2/7
2/7
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.
3/7
3/7
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? 🧵
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? 🧵
2/
We attempt to do so in this paper published in @JTraumAcuteSurg
Link here: journals.lww.com/jtrauma/Abstra…
Thanks to lead author @AhmerIrfanMBChB and coauthors at @uabmedicine for their hard work
We attempt to do so in this paper published in @JTraumAcuteSurg
Link here: journals.lww.com/jtrauma/Abstra…
Thanks to lead author @AhmerIrfanMBChB and coauthors at @uabmedicine for their hard work
3/
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
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
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
-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
▪️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
Aujourd'hui
▪️Priorité 1:
- 65 et+
- femmes enceintes avec critère vulnérabilité
▪️Priorité2:
- 45 et+
- collaborateurs (prof de santé)
- personnes avec critère de vulnérabilité qq soit âge
Aujourd'hui
▪️Priorité 1:
- 65 et+
- femmes enceintes avec critère vulnérabilité
▪️Priorité2:
- 45 et+
- collaborateurs (prof de santé)
- personnes avec critère de vulnérabilité qq soit âge
Thread!
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
/1
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
/1
#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
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
-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
S&P Global Ratings provides an odyssey length bullet point journey through the global credit landscape here: spglobal.com/ratings/en/res… #CorporateCredit #Macro #Risks A few takeaways...1/4
