Emergency Medicine Physician @IHS. Interests in global health, medical education and healthcare systems strengthening. Outdoor enthusiast. Views my own.
Thought-provoking and practice-changing talk on cultural safety in healthcare and historical trauma-informed care by Jennifer Nanez, LMSW at emRIC 22 (https://t.co/3MOvZ4x9jN)
Amazing to learn of Dr. Asha Atwell’s work establishing a street medicine program on the Navajo Nation at this year’s Emergency Medicine for Rural and Indigenous Communities Conference!
I’m so very excited for this year’s Emergency Medicine for Rural and Indigenous Communities conference, coming up September 15-17. Truly an inspiring group of speakers and colleagues who will be there. Please consider joining us in-person or virtually!
Had a blast leading the first journal club for Guatemala’s recently formed EM residency. Thanks to all the residents and our international faculty joining via Skype for a great discussion! @A_G_M_E@UWashEM
El mismo jueves otro hito en la #MedEmergGuatemala: primer Journal Club! Gran trabajo de @EBartlettMD moderando la discusión! Super entretenido poder participar por Skype 🤓
So excited to be spending an elective month abroad working with a new EM residency in Guatemala! We just kicked off the program’s first international case conference, with faculty joining the discussions by teleconference from both N. and S. America! #AGME#EMresidenSEA
También el jueves un tremendo hito! Primera reunión de #CasoClínico en #MedEmergGuatemala, con el maestro AJ Dean y esta humilde servidora comentando por Skype. Gran presentación de @EBartlettMD, un caso difícil! Y grande
@GuisselaJs por lograr que todo funcionara! 🙌🏽🤩
The effect size on 28-day mortality was large: 34.9% in the cap refill group vs. 43.4% in the lactate clearance group, but the p value was 0.06. Making a dichotomous “yes or no” outcome on the basis of an arbitrary p value doesn’t make sense. #Bayesian https://t.co/oS1R2L4LKm
Proud to have worked with @NickJohnsonMD & @Kyl_Dan on this. Our pragmatic TTM data mirrors the HYPERION trial. #ReSS19#UWashEMS
TL;DR - Cool everyone post OHCA to 33. Full details will be published soon.
Excited to see our review of intravascular vs surface cooling methods for TTM after OHCA published in Resuscitation today! Thanks to @grahamnichol and our team of collaborators for making this possible. https://t.co/W76oYftJ36
Great panel discussion on PE response teams. Institutional data are showing improved outcomes with this approach. Key takeaway: this isn’t a protocol, it’s a process. The right actions may vary depending on resources available at your institution @acepccmsection#ACEP19
Interesting low-cost vent device as seen at the International Section session at #ACEP19. Potentially useful for critical care services in low-resource settings. Major limitation: can’t deliver high pressures, so not the right choice for ARDS etc
Sachita Shah global EM pearls
-double check software calculations if using non FDA approved machines (or don’t use them)
-check local laws before teaching- eg gender identification on OBUS is illegal in India
High impact interventions in ED care that save lives: ABx for variceal GI bleed (NNT 22), TXA for severe trauma (NNT 67), aspirin for AMI (NNT 42). Does your healthcare system routinely do all of these? #ACEP19
Loved nerding out on number needed to treat with Dr. Jeffrey Tabas. Important takeaways: benefit increases with diagnostic certainty; risk of harm does not go down if a lower risk group is treated. Interventions with little benefit distract from other important tasks. #ACEP19
Prelim data showed that implementation of the WHO emergency care systems toolkit in Uganda cut in-hospital mortality due to emergency conditions IN HALF. Read about it in the WHO Bulletin and keep an eye out for the formal journal article. https://t.co/wwpWyiCUq0