Dr Anand Senthi

Specialist Emergency Physician & Medical Educator.
#EBM2 & #FOAMed supporter.
Opinions=my own & likes/RT do not=endorsement. For non doctor stream=@Senthi.

[Ken Milne MD @TheSGEM]

Please vote and then consider watching our live episode of the SGEM recorded in beautiful Broome, Australia. https://t.co/AH186JgKP5

[Dr Anand Senthi @DrSenthi]

⁦@TheSGEM⁩ #SGEM-JC podcast recording live from Spring Seminar in Emergency Medicine conference in Broome,Western Australia talking thrombolysis in stroke #FOAMed

[Dr Anand Senthi @DrSenthi]

Is it time to use ketamine to treat status epilepticus?

This article breaks down the new Ket-Mid study with suggestions for exactly when to consider using it within the treatment algorithm and the optimal dosing strategy.

https://t.co/E8gM9VMbkz

#FOAMed #FOAMcc #epilepsy

[Dr Anand Senthi @DrSenthi]

Is it time to use ketamine to treat status epilepticus?

This article breaks down the new Ket-Mid study with suggestions for exactly when to consider using it within the treatment algorithm and the optimal dosing strategy.

https://t.co/E8gM9VMbkz

#FOAMed #FOAMcc #epilepsy

[Dr Anand Senthi @DrSenthi]

my conclusion ends up somewhat in between the esteemed views of @First10EM and @emcrit

[Dr Anand Senthi @DrSenthi]

Should we be using NIV for preoxygenation before emergency intubation? If so, in all patients or only certain groups?
A review of the recent practice changing paper addressing this topic:
https://t.co/fgDta3bjpl
#FOAMed #FOAMcc #intubation #preoxygenation

[Dr Anand Senthi @DrSenthi]

The HINTS+ Exam Masterclass

https://t.co/NizQp1ygEy
Explanation of the pathophysiology underlying spontaneous nystagmus & Head Impulse testing, to improve testing technique; tips & tricks with discussion of pitfalls & how to avoid them. Includes handy videos #FOAMed #FOAMcc

[Dr Anand Senthi @DrSenthi]

The optimal Approach to Dizziness & Vertigo patients, based on the GRACE 3 Guidelines with focus on 3 distinct Vestibular Syndromes (AVS, t-EVS & s-EVS).
Exclude obvious neuro, r/o medical causes & focus on timing, triggers & assoc s(x)

https://t.co/WYXadP5P9o

#FOAMed

[Casey Parker @broomedocs]

A deep dive into the ethics around the involuntary detention & restraint of patients in the Emergency context ⁦@TheSGEM⁩ ⁦@stemlyns⁩ ⁦@sandnsurf⁩ ⁦@ACRRM⁩ ⁦@acemonline⁩ ⁦@DrSenthi⁩ https://t.co/nknDTZVJZD

[Dr Anand Senthi @DrSenthi]

@First10EM @theSonoCave @broomedocs @IanMeducator extraordinary!

[Dr Anand Senthi @DrSenthi]

American College of Cardiology recognises "STEMI Equivalents" - perhaps an important step towards changing nomenclature & paradigm from STEMI/NSTEMI to the OMI/NOMI suggested by Smith, Myers & colleagues.
https://t.co/23I4NT4cu1
#FOAMed #FOAMcc #ECG #EKG #cardiology

[Dr Anand Senthi @DrSenthi]

@_NMay great to meet, and thanks again for sharing your experience.

[alan drummond @alandrummond2]

"Here's Why your ER doctors are Leaving"
https://t.co/QeTHPh41kM
Beautifully written and an absolute must read!

[Dr Anand Senthi @DrSenthi]

@kane_guthrie @WAHealth Thanks Kane. You might also find this article useful. Goes into more detail regarding WA specific legislation in this area with useful links to resources. https://t.co/Zcj9RKo94N

[Dr Anand Senthi @DrSenthi]

An article I have co-authored, just published in the @EMAJournal.
Discusses the law and medical duty of care regarding the detention and restraint of patients against their will. Important for docs to understand patient rights. #medicolegal #FOAMed
https://t.co/rVLc0YAOle

[Dr Anand Senthi @DrSenthi]

@EdlowJonathan @SAEMonline no problems. It's a great guideline!

[Dr Anand Senthi @DrSenthi]

📷
@SAEMonline there seems to be a recurrent "typo" in this excellent guideline you produced
https://t.co/F2Qg9D53bS
After defining the 3rd syndrome as "triggered" EVS, at several points in doc, the word "triggered" has been replaced with "transient" in t-EVS (e.g. end of p448)

[Dr Anand Senthi @DrSenthi]

includes some handy tables and flowcharts

[Dr Anand Senthi @DrSenthi]

This new GRACE-3 Guideline from @SAEMonline on Acute Dizziness & Vertigo in ED is the best educational document I've seen on this topic. Definitely worth a read. #FOAMed
https://t.co/F2Qg9D5B1q

[Dr Anand Senthi @DrSenthi]

@drjeremygoldin @broomedocs We have a tendency in critical care to reject non-evidence based dogma.
Also U misunderstood my bar joke. Not about my skills. The maths=10 attempts/2 =5 per Resp Phys junior doc. It was a joke.
Now please find someone else to annoy. Have final say if U want then stop. [4/x]

[Dr Anand Senthi @DrSenthi]

@drjeremygoldin @broomedocs The evidence you search for is a study of patient outcomes modern critical care practice (mostly VBGs with occas ABGs) versus your 90’s practice of exclusive ABGs. There is no evidence the latter will do anything other than hurt patients unnecessarily. [3/x]