Jacob Miller NP CNS NRP

Paramedic 🚑| #EMS Nurse Practitioner & Clinical Nurse Specialist 🚁| #FOAMed | Opinions not employers' | Retweets not endorsements | Coffee not optional ☕

[Jacob Miller NP CNS NRP @JacobMillerACNP]

As they say... new year, new social platform?

Catch me on #Bluesky:
https://t.co/VSiVOQVRRi

#BlueskySocial

[Jacob Miller NP CNS NRP @JacobMillerACNP]

Thank you to the @FlightBridgeED team for the opportunity to speak at #FAST24 today! An amazing conference packed with top-notch speakers and cutting-edge topics!

Looking forward to #FAST25!

[FlightBridgeED @FlightBridgeED]

Thanks, Jacob, for an excellent and educational talk this morning! The right ventricle has unique challenges that must be considered in patients with RV pathology; what's right for the left might be wrong for the right! #FAST24 #FlightBridgeED
📸: Mark Mennie

[Jacob Miller NP CNS NRP @JacobMillerACNP]

Trauma arrest ≠ medical arrest.

Chest compressions won't fix hemorrhage, tension PTx, or tamponade. Fix those FIRST, then *maybe* compressions.

ACLS meds probably unhelpful too, but DO consider vasopressin +/- calcium.

@ResusOne #FAST24 @FlightBridgeED

[Kevin Collopy, MHL, FP-C, FAEMS @ktcollopy]

We know that in medical cardiac arrest, chest compressions are the cornerstone of care b/c the pump is failing. In traumatic arrest, the problem is most likely hemorrhage or obstruction. Compressions won’t fix those! -Dr. Zaffer Qasim #FAST24

[Jacob Miller NP CNS NRP @JacobMillerACNP]

THIS is a great message from @REsusurrus - while we might get in to the business to save lives, more importantly, what we more commonly do is relieve suffering, enhance dignity, and provide comfort & warmth to our patients. Never forget that. #FAST24 @FlightBridgeED

[Kevin Collopy, MHL, FP-C, FAEMS @ktcollopy]

Relentlessly pursue excellence. Seek out opportunities to improve every case, every patient encounter. Seek out new knowledge & skills. Push yourself to grow every day as a clinician- @REsusurrus #FAST24

[Jacob Miller NP CNS NRP @JacobMillerACNP]

Premeditatio malorum: (a good) premeditation with failure; Seek not to simply succeed, but to predict and avoid failure. @REsusurrus @FlightBridgeED #FAST24

[Jacob Miller NP CNS NRP @JacobMillerACNP]

Representing @SCCMohio on the @uc_health Mobile Intensive Care Unit during Blue ICU day to recognize #CritCareMonth!
@SCCMohio @SCCM_Nursing @SCCM_EM @AACNme @ASTNA2 #SCCMSoMe

[Jacob Miller NP CNS NRP @JacobMillerACNP]

.@MiscSusan dispelling the myths of "too sick to transport" at @CCTMC1 #CCTMC24

[Jacob Miller NP CNS NRP @JacobMillerACNP]

Discussing #hemorrhage (and other #obstetric emergencies) in early #pregnancy at @AAENP2 #EmergNP24

Great resources available from @cmqcc https://t.co/OcSnmnCzAb (in addition, of course, to @acog @ACOGPregnancy https://t.co/s6HtNacCtV)

#FOAMed

[Jacob Miller NP CNS NRP @JacobMillerACNP]

Hypertensive #emergencies in #pregnancy:
SBP ≥160
**or**
DBP ≥110

Management per @acog @ACOGPregnancy guidelines: https://t.co/VFLUduW9oA

@AAENP2 #EmergNP24

[Jacob Miller NP CNS NRP @JacobMillerACNP]

>25% maternal deaths 2° CV disease

Consider ACS, Aortic Synd, Heart Failure in DDx, although mom may look otherwise "young & healthy," and CV sx may be attributed to "normal pregnancy sx"

Resources from @acog @ACOGPregnancy:
https://t.co/VFLUduW9oA

@AAENP2 #EmergNP24

[Jacob Miller NP CNS NRP @JacobMillerACNP]

US maternal death rate higher than gun violence or traffic accidents!

Anat/phys changes can last up to 1 YEAR post-partum; 65% of maternal deaths are post-partum.

Ask: "Are you pregnant now or have you been in past 12 months?"

https://t.co/rjnLfqIbGL

@AAENP2 @acog #EmergNP24

[Jacob Miller NP CNS NRP @JacobMillerACNP]

#Coffee still flowing at 4pm at #EmergNP24

This should be standard of care for all medical and nursing conferences

Kudos to @AAENP2 ☕

[Jacob Miller NP CNS NRP @JacobMillerACNP]

.@michaelsharmapa on ECGs:

In addition to Sgarbossa's criteria for LBBB (and other #OMI equivalents), don't sleep on concordant STE in RBBB either!

@AAENP2 #EmergNP24

[Jacob Miller NP CNS NRP @JacobMillerACNP]

@Aidan_Baron @HandtevyMD

[Jacob Miller NP CNS NRP @JacobMillerACNP]

Patient teaching points:

→ keep epi available, always
→ when in doubt, JUST. TAKE. THE. EPI. as first-line

@AAENP2 #EmergNP24

[Jacob Miller NP CNS NRP @JacobMillerACNP]

Anaphylaxis, at @AAENP2 #EmergNP24 conference:

* 2 or more systems (derm, CV, resp, GI) after known or suspected allergen exposure = anaphylaxis

*More deaths in males & adults

* Maybe anaphylaxis? Not sure?
→ JUST. GIVE. THE. EPI!
→ IM (not SQ)
→ May need re-dosing

[Jacob Miller NP CNS NRP @JacobMillerACNP]

Learning Jedi mind tricks to optimize team dynamics during high-stress situations from @kmconnel78 at @uc_health Air Care conference

[Jacob Miller NP CNS NRP @JacobMillerACNP]

Happy #CriticalCareTransportNursesDay!

Check out the new @ASTNA2 podcast, Runways & Roadways - just dropped today! Bringing awesome #FOAMed from the world of air & surface transport to your favorite #podcast platform at least once a month. Details in the linked post.

[ASTNA @ASTNA2]

🎙️ASTNA #PODCAST LAUNCH!

ASTNA is announcing the launch of our brand-new Runways & Roadways Podcast! Tune in to hear cohosts Jason Herman & Ryan Roberts discuss all things transport with expert guests:
@Spotify: https://t.co/jQNETdfOUR
@ApplePodcasts: https://t.co/SmndoEJ3Bu

[Vahé Ender🇨🇭 @calldaburd]

Kudos to @mr_astvad and the @scanfoam team for broadcasting a world class conference for free. This team dedicates weeks of prep to provide high quality broadcasts of @TBS_Zermatt because of their commitment to sharing knowledge regardless of
ability to pay.