Bruno Minotti

[Bruno Minotti @MinottiBruno]

What ist the aim of assessing pain in the Emergency Department? Providing analgesia to those patients who need it. Are multidimensional pain scales better than unidimensional pain scales to assess analgesic requirements in the ED? @replynickel #teamUSB

https://t.co/zSDFHa6enh

[Bruno Minotti @MinottiBruno]

@wolfhautz Mit oder ohne Esmolol ☺️ ?

[Bruno Minotti @MinottiBruno]

@EcgsOnly Interesting and not really sure what it is. But I am sure electricity will do the job 😉😁

[Bruno Minotti @MinottiBruno]

@tabakovic_senad @anaesthemergmed @replynickel @FreundYonathan Ja, nein. #facharztnotfallmedizinjetzt

[Bruno Minotti @MinottiBruno]

@Luca_Uenlue @JensSchloer @JGruber_EM Wow! Die Choreographie ist erstaunlich 😊 ! Ist der "packing simulator" etwas auf den Markt oder ist es homemade?

[Bruno Minotti @MinottiBruno]

@nachkontrolle @replynickel @sgnor_ssmus @YoungDGINA @Luca_Uenlue @tabakovic_senad @EuropSocEM Would love to know them. @YoungDGINA ist the example to follow. #facharztnotfallmedizinjetzt

[Christian H. Nickel @replynickel]

Tag @sgnor_ssmus - still a painful reality.

[Bruno Minotti @MinottiBruno]

@tabakovic_senad Agree. Of course the base of the lung is also scanned for the search for hemothorax, and at the same time for basal sign of pneumothorax. The question is: does visualization of the lung point exclude tension pneumothorax?

[Christian H. Nickel @replynickel]

Congratulations Netherlands!
We will try to follow in 🇨🇭 tag @sgnor_ssmus @tabakovic_senad @MinottiBruno @EDbingi @jolandaoberle @Shnettii #statusquobias #KlinischeNotfallmedizinjetzt

[Bruno Minotti @MinottiBruno]

@PhilippeLeConte Would do the same as @tabakovic_senad. Anamnesis (start, characteristics, and irradiation of the pain, risk factors) and clinic (peripheral pulses, jugular veins) could probably further help. So, despite mainstem EKG would guess for aortic dissection (aortic syndrome)

[Bruno Minotti @MinottiBruno]

@EDbingi @regine_sauter @NZZ @sgnor_ssmus @UniSpitalBasel @replynickel @GDK_CDS Kann nur zustimmen. Als Notfallmediziner was meine Belastung erleichtert sind (fachliche) Anerkennung (aka Facharzt Notfallmedizin) und gute Arbeitsbedingungen (sind 50 Stunden pro Woche im Notfalldienst, Tag und Nacht, safe? Zeit um nachzudenken...). U.a. ich liebe mein Job!

[Roland Bingisser @EDbingi]

@regine_sauter @NZZ Interessant! Leider ist das Hauptproblem die schwer Kranken, die auf ein Bett warten (und nicht Lappalien!). Professionalisierung ist dringend nötig. Facharzt Notfallmedizin jetzt! @NZZ @regine_sauter @sgnor_ssmus @UniSpitalBasel @replynickel @GDK_CDS

[Bruno Minotti @MinottiBruno]

@tabakovic_senad Yes. The important differential diagnosis here is retinal detachment, but as you pointed out, the membrane would not cross the intersection of the optic nerve sheath. CAVE: no visualization of the nerve here, see great video examples by #emrap -> https://t.co/Fyzx3tMCvk

[Bruno Minotti @MinottiBruno]

@vncntwbr Ich unterstütze insbesondere diesen Punkt: Schmerzen unklaren Aetiologie sind so zu rapportieren. D.h. z.b. "Unspezifischen Abdominalschmerzen" (statt "Koprostase", "Meteorismus", usw). Hier wird dann ggf. der Verlauf dann sagen was es war (oder vielleicht auch nicht) @wolfhautz

[Bruno Minotti @MinottiBruno]

@tabakovic_senad At least by PSP size does not really matter: conservative management is mostly possible, as long as the patient is not symptomatic (i.e. dyspneic, and of course hemodinamic stable) -> https://t.co/dWx3dkewno progression after 3d has low probability, so US diagnosis should be ok.

[Bruno Minotti @MinottiBruno]

@tabakovic_senad @nachkontrolle I think unstable patients which are transient responder benefit from CT scan, not sure if US in these patients really plays a role.

[Bruno Minotti @MinottiBruno]

@tabakovic_senad @nachkontrolle I don't think so. (e)FAST remain a standard by unstable trauma patients, BUT we need new US protocols for stable trauma patients (i.a. use of CEUS).

[Bruno Minotti @MinottiBruno]

@tabakovic_senad @PhilippeLeConte @jiconnoly @casualtysrus @NephroP No experience also. Diagnostic (and eventually therapeutic) corporal blood aspiration is fast and easy, but #pocus could eventually help management afterward, especially in the case of a fistula (https://t.co/sMCTYN9edH, https://t.co/wEen1CEhaB).