Jeff Nusbaum

EM/EMS Physician, UMEM, Medical Director BCoFD, Ast. Med Director BCFD & Maryland ExpressCare, Former UPMC EMS, Sinai Residency, GUSoM

[Hilary Gates @gateshil]

Save the date! #EMSWeek2024 5/22 1:30 pm panel discussion at the Smithsonian @amhistorymuseum w/ John Moon, Freedom House medic; Dr. Robert Holman Medical Director, @dcfireems; Dr. Jon Krohmer, former Office of EMS Director, @NHTSAgov & Mary Beth Michos, @IAFC. @ACEPNow @NAEMT_

[Tanner Smida @TannerSmida]

Successful upper extremity #intraosseous access was associated w/ increased odds of ROSC in comparison to successful lower extremity IO access (aOR: 1.11 [1.08, 1.15]). Association consistent across multiple subgroups. @nerdymedic @rpcrowe @DrJeffJarvis

https://t.co/I0wHMYseuz

[Ray Barishansky @rbarishansky]

If you care about the present and future of EMS, it is your responsibility to assure that every elected official read this article. #EMS #ambulance https://t.co/mqKdwdbNxX

[Catherine R. Counts @CatherineCounts]

Dr. Palatinus shares the @slcfire experience deploying IM epinephrine in OHCA. #ReSS23

Decreased time to first Epi by 3 minutes, saw no change in hospital admission, but an increase in survival to discharge / good neuro outcomes.

[T.J. Smith @TJSmithSocial]

This just broke my heart again. 🙏🏽
Since January of 2022, the @BaltimoreFire has lost 6 members in the line of duty:
Kelsey Sadler and Kenneth Lacayo, Lieutenant Paul Butrim, Captain Anthony Workman, Rodney Pitts, III, and now Lt. Dillon Rinaldo.

This is heartbreaking.

[Jeff Jarvis @DrJeffJarvis]

I have some thoughts on the recently retracted Head Up CPR “position statement” from
NFPA.

https://t.co/dRlIXCJ2pD

[Sam Ghali, M.D. @EM_RESUS]

Watch this mind-blowing dynamic MRI and look what happens to the airway with various head and neck positions

This is why basic airway maneuvers save lives!

#FOAMed

[Dr. Glaucomflecken @DGlaucomflecken]

An AED in every gym on earth that’s all I ask

[Peter Antevy @HandtevyMD]

Did you miss #EaglesGather23?

@leeturpen4 took notes on all 100 lectures (as he’s done for many years) and posted it on his blog (below).

Thank you Lee!

Eagles XXIV: Notes from the 2023 EMS State of The Sciences Meeting

https://t.co/EQyiI1YzWB

@hp_ems @ProdigyEMS @EaglesGather @UKROBL1 @gateshil @BMorshediMD @GoodSamApp @drjeffgoodloe @ColwellMD @SATXFire @PBCFR @drmackey1 @marcgmd @DavieFireRescue @DrJeffJarvis @ACEPNow @NAEMSP @Handtevy @FL_NAEMSP @ElegardSystem @LifeFlowInfuser @ImprovEric @1stThere1stCare @DaleLoberger @PEMEMS @EMSWorldOFCL @ReelEmergency @cabanasmd

[Brandon Morshedi, MD, DPT, FACEP, FAEMS @BMorshediMD]

.@CoreySlovis is starting off #EaglesGather23 with the 5 top #EMS papers from the last year that impact our practice.

1) How does a single dose of epinephrine compare to q3-5 min dosing in adult cardiac arrest?

https://t.co/HN8EwhzEnX

[Tommaso Scquizzato, MD @tscquizzato]

Did you know that @waze crash alerts occur a mean of 2 minutes 41 seconds before an emergency call?

EMS take a mean of 7-14 min to arrive on the scene, and Waze traffic data might help to decrease that time by 20-60% and improve trauma care

🔗https://t.co/bf3iQNSddM #FOAMems

[Simon Taxel MPH NRP @Simon_Taxel]

Just struggled to convince a parent to allow me to medicate their child with severe scald burns. The damage caused by #Fentanyl misinformation is substantial!

[Jeff Nusbaum @JDNusbaum]

There's been a lot of shocking things in healthcare these last few years, but this never ceases to shock me despite the daily disaster we work in. EMS has been using EtCO2 for a longgggg time

[Jace Mullen @_JaceMullen]

It blows my mind how ICUs (you know the place with all the intubated patients) sort sorta don’t use? ETCO2?

Like some patients seem to have to sometimes but by-and-large it’s not used.

Babes, it’s almost 2023. We’re living in the future.

[Josh Farkas MD 💊 @PulmCrit]

@LWestafer @reverendofdoubt thanks Lauren !! I've updated it with the addition of YEARS, current working version below:

[Mark Ramzy, DO, EMT-P @MRamzyDO]

No time to read the recent Double Defib article?!

No problem, heres an infographic summarizing the @NEJM paper by @DrCheskes @IanR_Drennan @SMcLeod_SREMI @damon_scales @emergmatt @Rescudoc @vaillancourt_c

https://t.co/q2gSIRlzmZ

#FOAMed @CAEP_Docs @Ilcor_org @srrezaie @EMSwami

[Peter Antevy @HandtevyMD]

Head-up CPR increases odds of patient surviving neurologically intact. Via @EMS1 https://t.co/Gcae7fHDeU

[AnnalsofEM @AnnalsofEM]

Hot off the Press: The Chronicity of Emergency Department Crowding and Rethinking the Temporal Boundaries of Disaster Medicine https://t.co/QibHMeE3rd @bp_mcneilly

[Rep. Jamie Raskin @RepRaskin]

Tomorrow, after years of advocacy by Americans working to improve our mental health system, 988 will become our new nationwide number for suicide prevention, mental health and substance use crises. Call or text 988 for a trained counselor who can provide support. #988Lifeline

[Resuscitation @ResusJournal]

This study found that integrating drone-delivered AEDs at police stations, fire stations, paramedic stations, or unrestricted locations all resulted in improved response time metrics when compared to historical 911-to-arrival intervals

🔗 https://t.co/0Vd1PhCOTg

#ResusTwitter

[Jeff Nusbaum @JDNusbaum]

@HandtevyMD @reverendofdoubt How much of that is due to better sedation with ketamine vs the effect of the drug itself? Perhaps etomidate is so short acting that pain is getting used as an inappropriate vasopressor? Just a thought.