@SacchettiAlfred profile picture
Alfred Sacchetti @SacchettiAlfred

Practicing Emergency Physician, Teacher, Researcher. Areas of interest include: Pediatric EM, CHF, Arrhythmias, Sedation and Analgesia, Pain Management.

Joined December 2014
  • Tweets 138
  • Following 34
  • Followers 895
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“A scientific truth does not triumph by convincing its opponents and making them see the light, but rather because its opponents eventually die and a new generation grows up that is familiar with it.” Max Planck Those opposed to COVID-19 vaccines just accelerate this process.
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Does anyone have policy regarding CPR and known COVID patients? Or is it case by case?
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I’m 66 and people keep asking if I want them to see the respiratory distress patients. Very kind. No help on single coverage. One nurse with Lupus brought me some of her Plaquenil to have in case. Thank you forever.
Amal Mattu
@amalmattu
27 Mar 2020
Just curious, do any of your EDs or hospitals have policies that state that medical personnel > a certain age are not allowed to care for COVID or high-risk for COVID patients? If yes, what age do you use? #COVID19 #FOAMed
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#FOAMed @EMSwami Use High Flow Nasal Cannula to treat COVID-19/Flu patients. Don’t abandon therapy that reverses hypoxia and avoids intubation for theoretical risk of aerosolizing particles.  Just put the cannula under the surgical mask the patient is already wearing.
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If you have chest pain, you need a diagnostic test because we have a treatment for a STEMI. If you have respiratory infection, we don’t have a viral specific treatment, COVID, RSV, Adeno, etc. Once you know it is in your community no need for testing, manage symptomatically.
Brian Schatz
@brianschatz
6 Mar 2020
Just a reminder that lots of other countries have been able to deploy and operationalize tests weeks ago. It’s not like freaking out about a lack of a vaccine - some stuff takes time and that’s understandable. But the tests - this is simply inexcusable.
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#FOAMed, @EMSwami Stop whining about testing kits, treat COVID-19 like RSV. Only need to test a few patients to know virus is in your community, after that symptomatic care. Mild infections home treatment and self quarantine. Severe illness, hospitalize. Staff resp precautions
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Must read
Emergency Physicians@EmergencyDocs
4 Mar 2020
As an ER Doctor, I Need You to Know These Things About Coronavirus vice.com/en_us/article/884d3… via @vice
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Don’t be too quick to discount the high flow nasal cannula, child desaturated every time was removed from it. Took 3 days before could be weaned off from it.
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#FOAMed @EMSwami Try this tweet again with the video this time. Pediatric Respiratory Distress and High Velocity Nasal Cannula. A match made in heaven.
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#FOAMed @EMSwami Pediatric Respiratory Distress and High Velocity Nasal Cannula. A match made in heaven.
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Help fight back, by getting involved and make a difference in the fight against cancer. main.acsevents.org/site/TR/C…
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At present Geriatric BRUE is of no value other than to prevent misfitting patients into wrong diagnoses. Once defined with diagnostic study recommendations and evidence supported disposition criteria it will be very valuable, like the pedi BRUE.
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Wife brings in 80 yo husband. 45 second spell, slumped in chair, starring, not responding to voice or tactile stimuli. Spontaneous recovery, now at baseline. TIA?, Syncope?, Seizure? None really fit. Why not Geriatric BRUE.
Alfred Sacchetti@SacchettiAlfred
21 Mar 2019
Despite my best efforts there are many elder patients that I just can’t diagnose. Yes, BRUE means I don’t know, but better than faking it and calling them a TIA or Syncope.
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Despite my best efforts there are many elder patients that I just can’t diagnose. Yes, BRUE means I don’t know, but better than faking it and calling them a TIA or Syncope.
ACEP Geriatric Sect@GeriatricEDNews
20 Mar 2019
#GeriED colleagues - just to be controversial @SacchettiAlfred suggests an older adult Brief Resolved Unexplained Event (BRUE) descriptor be derived as in peds #FOAMed authors.elsevier.com/a/1YlXb… in @AnnalsofEM Thoughts? @AmerGeriatrics @POBanerjee @GERED_DOC @MDTea_podcast @geri_EM
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Number one cause of SIDS in our shop.
Daniel Runde, MD, MME (he/his)@Runde_MC
16 Sep 2018
Replying to @EMtogether @HandtevyMD @Rick_Pescatore @SBMPediatrics @Dr_ScottK @SacchettiAlfred @Lmellick
Amen.
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Way to go Jan, very well deserved.
Mel Herbert@MelHerbert
6 Sep 2018
FYI!! Our very own Jan Shoenberger is this years California ACEP educator of the year! Incredibly well deserved...she is a star at the bedside, in front of a ballroom speaking to a 1000 people and in life! Lucky to have her on the team at EM:RAP!
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Alfred Sacchetti retweeted
World Health Organization (WHO)
@WHO
27 Mar 2018
Vaccine-preventable diseases include: Cervical cancer Cholera Diphtheria Hep B Influenza Japanese encephalitis Measles Mumps Pertussis Pneumonia Polio Rabies Rotavirus Rubella Tetanus Typhoid Varicella Yellow Fever #VaccinesWork! Here are 5 facts on vaccines you need to know
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#FOAMed Isn’t this Child Abuse? Just what part of professional journalism requires interviewing children after their high school friends were shot, then airing it on all media outlets.
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Alfred Sacchetti retweeted
Mel Herbert@MelHerbert
11 Feb 2018
This year we remake EM education and CME. Hyperbolic. Yes. But also true. Hang on!!! We are going nuclear :)
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