art director turned NYC paramedic. currently attempting to medic at higher altitudes in CA. airway nerd. first pass success is hot. 0pINiOnS mY OwN 🤡
I'm a blue-collar mayor, and our administration is proud to support the blue-collar workers who keep our city running.
We settled contracts with 100% of our city's uniformed workforce to make sure public servants get the pay and benefits they deserve this May Day and every day.
Even if no obvious clinical or procedural gaps exist, dig into:
🔍 Clinical reasoning nuance
🎠Communication with patients/families
🤝 Team dynamics
đź§ Efficiency, prioritization, resilience
These are advanced skills that benefit from coaching.
So by all means, push the next big breakthrough. But don’t forget the places that won’t see it for years. Because no algorithm is coming to intubate at 3 AM. No AI is staffing the fluorescent hallways. People are.
Protected Airway Course 2025 is all about innovation & teamwork - proud to be faculty doing Stress Lab 2.0 with a fantastic group of multidisciplinary clinicians. High-stakes airway management meets stress inoculation!
Had a blast helping out with the Protected Airway Collaborative this past weekend. DL, VL, FONA, SALAD, BEEF SALAD, and more! Learning with expert educators on innovative sims and cadaveric models was a great way to spend the weekend. And hanging with airway nerds!
#medtwitter#medictomd doomscrolling distraction activity:
Any recommendations for MCAT prep books etc? Preferably on the thorough side vs. refresher material #artschool for undergrad lol
figured I’d start getting familiar w the content as I’m chipping away at my post bacc🤓
Now that I’m at a job where “safety naps” are encouraged Im realizing how silly&unsafe it was for my prev EMS gig to write u up/threaten to fire u if u got caught napping b/w calls. I know, it’s a PR thing, but maybe posting on a street corner for 16 hrs is the issue, not naps?🫶
Perhaps a dangerous question to ask, but… any Philadelphia based paramedics out there that can facilitate a ride along next week for me, as I’m attending and presenting at the American Society of Anesthesiology next week in Philadelphia? If I’m going to be of further assistance to Paramedicine I need to see what you’re up against.
for patients who are legit trying to die from bradycardia, I advocate using epinephrine 1st
epinephrine is more reliably effective & honestly just a better anti-death medication
I've seen patients arrest while folks were messing around w/ atropine
more:
emcrit.org/pulmcrit/epinephr…
Bradycardia
Anyone with symptomatic bradycardia gets atropine as the "best initial step". This means mainly hypotension, syncope or altered mental status. If symptoms of hypo-perfusion persist, then the answer is "pacemaker."
I for one am looking forwards to improvising volume resuscitation with a continually rotating bevy of weird fluids.
what do we have today? plasmalyte? one third normal saline with phos? 5% albumin? hetastarch? gelofusine? 23% saline drizzled over D5W? LFG
Never fully grasped the phrase
“if you’ve seen one ems system you’ve seen ONE ems system”
until moving NYC->CA & having to get accredited in 5 counties in order to work out of ONE hems base location
I get the diff needs for rural vs urban but wow are we a disjointed bunch 🤡
EMTs txp-ing us from LZ to ER just told me they don’t carry AEDs or glucometers…but hey, at least they have activated charcoal???🤡
I’ve come to terms w. the fact that EMS scope in SoCal is basically medical malpractice but this is a new lvl of WTF…
Why is it SO bad here? :(