Andrew Schmidt

EM doc, Lifeguard, Drowning Scientist. #DrowningLit #FOAMed

[Andrew Schmidt @904schmidt]

For any #EMRap listeners with kids who like podcasts, I have started a new #MedEd podcast "In & Out & Round & Round", focused on young listeners. Check it out and share, Ep 1 launched. https://t.co/nyo2MKDrnH

@MelHerbert @mizuhomorrison @HippoEducation

[Andrew Schmidt @904schmidt]

@USCGSoutheast @MyFWC @JSOPIO @THEJFRD @CBPAMO @USNavy Tim and his brothers volunteered for years with us as ocean lifeguards in Jax Beach, performing numerous rescues of bathers in distress. We can’t thank you all enough for all of your efforts to find and bring home a fellow waterman and lifesaver.

[Andrew Schmidt @904schmidt]

@HandtevyMD @ashfordmom Agreed. the danger zone of ketamine is undosing resulting in partial dissociation leading to increased agitation/confusion which can quickly worsen a situation like this. To cognitively unload, I do across the board 100 IV (followed by 100 redose) or 500 IM in adults.

[LifeguardsWO Borders @LifeguardsWB]

What is a Water Safety Action Plan & Why Does the US Need one? New article by Dr Justin Sempsrott
@WaterSafetyUSA @WildMedSociety #WildMedMag #FOAMed https://t.co/WZuMutpqRY

[Andrew Schmidt @904schmidt]

@Foley_Kate__ @UFHealthJax @UFMedicineJax @FSUCoM When you come to your senses, come hang with us in the @UFHealthJax ED. Done in 3 years, and a lot less standing.

[Andrew Schmidt @904schmidt]

@EMHighAK Iatrogenic hypothermia is no joke. Had a 108F patient the other day. Cooled with fan and surface misting + ice. Ceased measures at 101 and soon he was 95F. Intimated with Rocc so no shivering. Had to apply blankets.

[Andrew Schmidt @904schmidt]

@PolicyActivist1 Thanks for sharing. Hit on many important community pieces often overlooked. In drowning, I would go as far as to say there exists a “golden minute”. The most amount of good is done in first few minutes to reverse hypoxemia. Huge role for basic community responders. Good luck!

[Andrew Schmidt @904schmidt]

@DuvalSchools Is there a confirmed protocol for schools if a child has a fever or there is a confirmed case, in terms of quarantining classmates and how instruction will continue or will it be case/school by case/school basis?

[Andrew Schmidt @904schmidt]

@jaxdotcom Fantastic. Never knew about this local organization. If anyone involved is on here, please PM me.

[Andrew Schmidt @904schmidt]

@EMtgDO @benabo @LifeguardsWB Ha! I for the most stopped doing fun titles because I was spending so much time on them

[Andrew Schmidt @904schmidt]

@SafeSUP @uslifesaving @the_ISLAsurf @ILSMedical @LifeguardsWB @ac_queiroga @stevebeerman @w_a_koon @ripcurrentsafeT Ideally “drowning secondary to cardiac arrest”, but likely an autopsy diagnosis. Will often get reported as drowning, but do your due diligence and use your best judgement. Will depend on depth of your reporting system. Good reason for detailed case debriefing with crew.

[Andrew Schmidt @904schmidt]

@GoodishIntent @GomerBlog It’s not even a word...

[Andrew Schmidt @904schmidt]

@amalmattu @CheyenneFalatMD @WildMedSociety @hawkvox @LifeguardsWB Anyone who would like free access to the article, this link from @ElsevierConnect will be active until Feb 1:

https://t.co/iycIOQ2UTF

[Andrew Schmidt @904schmidt]

Huge thanks to @amalmattu and @CheyenneFalatMD for a rockstar review of our recent @WildMedSociety Practice Guidelines for drowning. Concise, spot on, and accurate (which is rare when it comes to the subject).

https://t.co/c5ALk22Njk

@hawkvox @LifeguardsWB

[Andrew Schmidt @904schmidt]

@ProfMikeTipton Can you provide any references for the “time to drown” number? Comes up a lot in legal cases. Just based on data from hypoxic arrests in general?

[Andrew Schmidt @904schmidt]

@adam_brayne @LDN_TC @ProfMikeTipton Primarily based on large Brazilian data set with some smaller case series. No symptoms and appears well —> home. Symptoms (SOB, AMS) or prolonged abnormal vital signs —> hospital. Vast majority will be fine, but better to be safe.

[Andrew Schmidt @904schmidt]

@w_a_koon @aquasafenz @EmergencyMedBMJ Agree with above. Don’t know the specifics of the data set, but “causes for admission” very different than injuries associated with drowning. Can’t ignore C-spine, but I think you’d agree vast majority of folks pulled out of water is due to exhaustion, not trauma. Resus > Cspine

[Andrew Schmidt @904schmidt]

Systematic review confirms what we know: C-spine injury in drowning is rare. Efforts to immobilize impede resuscitation.
https://t.co/iA26dSB0tD

@EmergencyMedBMJ: 2 articles in Nov issue with out-dated term "near drowning".
Please see: https://t.co/VhclVhdkcw

#drowninglit

[London Trauma Conference @LDN_TC]

One thousand people drown every day worldwide and it’s a disease of the young. @ProfMikeTipton presenting the physiological pathways to drowning. #LCAS2019

[Andrew Schmidt @904schmidt]

Such a good review

[TheResusRoom @TheResusRoom]

ICYMI

Drowning Roadside to Resus podcast

https://t.co/JllNsEB79d

https://t.co/RNpmm817fz

https://t.co/srCl02VJlJ

#FOAMed