Jason West MD

Emergency Medicine clinician, educator, and researcher for the South Bronx. Jacobi-made. @LincolnEM faculty. Tweets = my own.

[Jason West MD @JWestEM]

Amazing to see @NYCHealthSystem @LincolnEM work end up in @JAMA_current

[Greg Martin @gsmartinmd]

Use of bougie or stylet led to similar success with first attempt intubation and similar risk of complications

Outstanding pragmatic trial to answer an important question, by @JonathanCaseyMD @toddrice_ICU @PCCRG

https://t.co/dMs7j9kLV6 via @JAMA_current part of @JAMANetwork

[Jason West MD @JWestEM]

Today’s EM shift teaching points were on mechanism of ankle fractures https://t.co/44zuO57QxG

and whether subsegmental PEs w/o DVT require AC.

https://t.co/jVPdl94ty8

#FOAMed #MedEd

[Jason West MD @JWestEM]

Last night’s best evidence-based teaching moments were on 1). Risk stratification for PE BEYOND decision rules (family Hx of VTE, esp) and 2). Working up PE during pregnancy (we can now use a YEARS algorithm-based approach to reduce imaging by nearly 1/2)!
Reference PMIDs on card

[Jason West MD @JWestEM]

This study by @NYCHealthSystem at @LincolnEM with @NickMD1980 and I, emphasizes that prolonged apnea during ED RSI could lead to cardiovascular collapse or cardiac arrest in patients with a low pH prior to RSI: https://t.co/2srJTVM85K
#MedEd #FOAMed

[Jason West MD @JWestEM]

Teaching card from last night's shift.

-The rate of propofol needs to be high (100-200mcg/min) to increase the seizure threshold for stat ep.
- Increasing ETCO2 post-intubation could be from cuff deflation.
-After 60 sec of apnea during RSI, the pH will drop by 0.15 or more.

[Jason West MD @JWestEM]

Some of the teaching points today were on Benzos and hepatic failure, alcohol withdrawal syndrome (AWS), thiamine for encephalopathic AWS, and prophylaxis against encephalopathy in AWS.

#MedEd #FOAMed #MedTwitter

[Jason West MD @JWestEM]

Today’s teaching points were on predictors of orbital wall fractures, ED/ICU rates of post-intubation cardiovascular collapse and cardiac arrest, and relationship between lactates and time to false increase when left out at room temp.

#ACEPTF #FOAMed #MedEd

[Jason West MD @JWestEM]

Today’s on-shift teaching points were on the effectiveness of olanzapine vs haloperidol vs droperidol for acute agitated delirium and aromatherapy for nausea.

Of course, they were given in #postitpearls format on a “K” card - @EMIMeducator’s idea from #ACEPTF

#MedEd #FOAMed

[Jason West MD @JWestEM]

Teaching points from last shift (@LincolnEM) given in #postitpearls format …but via take-home, individualized “knowledge cards.”

I’m working on the handwriting.

#MedEd #FOAMed

[Jason West MD @JWestEM]

& PrePARE
https://t.co/amFNwV4ozn

I've been using BMV more often during ED RSI if I feel it's safe. Apneic oxygenation has no risk, but BMV after induction likely gives your patient better oxygenation.

[Jason West MD @JWestEM]

Secondary analysis of patients assigned to bag-mask ventilation (BMV) and apneic oxygenation from 2 RCTs suggests that BMV is associated with higher oxygen saturation during intubation compared to apneic oxygenation.

https://t.co/La2AwzQ4gr

[Jason West MD @JWestEM]

Trials by @PCCRG

PreVent
https://t.co/oxrDsF81Q6

[Critical Care Reviews @CritCareReviews]

The edited videos from the #BOUGIE trial results livestream are now available
https://t.co/8n2rryPEja

Livestream supported by @MyIntensiveCare
@VUMCLung @PCCRG @SheilaMyatra @RussottoVin
@JBLascarrou @drstrent @brian_driver @JonathanCaseyMD @JohnCSakles @AirwayMxAcademy

[Jason West MD @JWestEM]

Late night teaching with a resident named after @soniarykiel on sticky notes at @LincolnEM #MedEd

[Aileen Newmyer @AdrenAileen]

Getting excited to bring new technology and ideas to grand rounds. #ACEPTF @alvarezzzy

[Jason West MD @JWestEM]

At my first ACEP|CORD Teaching Fellowship

Social media lecture by @alvarezzzy

#ACEPTF

[Jason West MD @JWestEM]

First pass success (FPS) is a common intubation study outcome.

Our new study in @TSACO_AAST promotes the composite outcome, FPS & absence of hypoxemia, in trauma patients.

I think the patient safety outcome we should be using in the future is FPS without adverse events.

[Trauma Surgery & Acute Care Open (TSACO) @TSACO_AAST]

New to @TSACO_AAST: Predictors of first pass success without hypoxemia in trauma patients requiring emergent rapid sequence intubation by @JWestEM

https://t.co/fdvSroKMYG

[Nicholas Caputo, MD, MSc @NickMD1980]

Try this for your “Happy Hypoxemics” if resource strapped...Proning at triage...EMS brought this guy in...SpO2 72% tachy 140s...was on 4 L NC...we asked patient to turn over...now 90-91%, tachycardia resolved. Can help buy time and decrease provider tensions over hypoxia.

[Mitch Katz, MD @DrKatzNYCHH]

.@NYCHealthSystem is preparing to care for NYers w/ severe #coronavirus symptoms. If you are mildly ill, stay home, call your doctor & monitor symptoms. Avoid ER to prevent spread to other patients & health care workers. If you don’t improve, call @nyc311: https://t.co/BvePyNQgA1