mike defilippo

EMS Doc @WUSTL_EM @WUSTL_EMS | EMS Fellowship @nmemsfellowship | EM @NYEmergency | Medical Director @OverrunEMS Research, Resus, and EMS 🏳️‍🌈

[Marc Probst, MD @probstMD]

Very pleased to share our publication validating the FAINT and Canadian Syncope Scores for ED patients with unexplained syncope in @JAMANetworkOpen

Both showed excellent discrimination.
The FAINT score outperformed physician gestalt w/r/t sensitivity.

https://t.co/PSMSjJ8jSL

[mike defilippo @MDtheDO]

STEMI is one ECG expression of the disease. OMI is the disease. Why EMS needs a high-risk ECG pathway: https://t.co/Af7dnOBJ14

#EMS #CriticalCareTransport #Cardiology #emergencymedicine #paramedic #emt

[Joshua @reverendofdoubt]

It’s almost like we went into medicine to help people… and then medicine made all these malignant personalities as a result, or we need to do a job screening better for medical school

[mike defilippo @MDtheDO]

@reverendofdoubt We have a humanity and kindness crisis in the house of medicine; it's amazing how refreshing it is to have an interaction with someone that treats me like a person physician-to-physician - I always thank them for it. It's great at my current place, fwiw. But it's obvious on X.

[Joshua @reverendofdoubt]

Medicine needs to screen out malignant personalities better at the entrance to medical school phase

[Joshua @reverendofdoubt]

Medicine needs to screen out malignant personalities better at the entrance to medical school phase

[N-35 @PsychotronicCty]

Balto didn't run his ass through 53 miles of bullshit Alaskan blizzard and get turned into a stuffed animal for y'all to be anti-vaxx.

[Disabled Trash Witch♿ @StinkRatsCharms]

My doctor responded with Yikes to my lab results. Im fucking howlinggg right now. This is not great news, but I canNOT stop laughing💀

[Ryan Rosenblatt, Back to Back World Series Champ @RyanRosenblatt]

THEY SENT FOUR HUMAN BEINGS 252,756 MILES AWAY, WENT FULLY AROUND THE MOON AND BROUGHT THEM BACK TO LAND IN THE PRECISE LOCATION THEY WANTED

EVERYONE WHO WORKED ON THIS IS THE COOLEST PERSON ON EARTH

[Robert Herman, MD, PhD @RobertHermanMD]

Two key limitations:

1/ No “call-offs” included, despite being major workflow disruptions. AI has been shown to reduce ~90% of these.

2/ Did not include the index ECG, just the “diagnostic ECG”, often the last ECG after symptom-driven activation.

[Phoenix𝕏 @Xaraphim]

what makes this AC so good specifically

this thing has a 100 percent chance of putting me into a coma

[mike defilippo @MDtheDO]

Check out our review article: Beyond Lactate: Real-Time Resuscitation Targets for Septic Shock During Critical Care Transport

Lactate is useful but lags: what targets can EMS use in real time?

https://t.co/uVurNd6mUC

#EMS #CriticalCare #FlightMedicine
@AaronLacyMD @JamesLi_17

[Waffle House @WaffleHouse]

nobody's been this far from a Waffle House before

[OSINTdefender @sentdefender]

New photo taken by the crew aboard Artemis ll and published by NASA, capture a partially shrouded Earth from the far side of the Moon.

[mike defilippo @MDtheDO]

If you're dispatched for a seizure and the patient is still actively seizing on your arrival, treat it as status epilepticus. By the time emergency care reaches them, the clock has likely run out - even when you're close by!

#EMS #Paramedic #EMT

[mike defilippo @MDtheDO]

Looking forward to your feedback. This is a passion project; if something can be improved, I want to know! I hope you enjoy and find this educational!

https://t.co/9TJNVHrOXI

[mike defilippo @MDtheDO]

Prehospital Case Review - Case 2: Stroke with Hemiplegia and Aphasia.

65yo male. Gaze deviation. Aphasia. 78 min to reperfusion. NIHSS 0 at discharge.

Full case breakdown from the field to thrombectomy. Link below.

#EMS #Paramedic #EmergencyMedicine #Neurology #Stroke #FOAMEd

[PECARNteam @PECARNteam]

🚨New in @AcademicEmerMed: Community acceptance of pediatric prehospital emergency research is measurable — and essential.

This #PECARN study evaluates public support for Exception From Informed Consent (EFIC) in EMS trials involving children.

Ethics + evidence must go together.

Read more here: https://t.co/SVeBWDAQaO

#CHaMP #PediatricEmergencyMedicine #EmergencyMedicine #Pediatric #EMS #Prehospital #AcademicEmerMed #EFIC #CommunityResearch

[mike defilippo @MDtheDO]

@NotoriousS1Q3T3 Welcome to the family dude! EM is the best specialty in the house of medicine (and EMS on top of that is even better)! Congratulations on your hard work! Glad to have you in the BAFERD club 😎💪🏼