Sergio Gomes

CRITICAL CARE PARAMEDIC. Proud husband. Father to a stubborn Frenchie and angel Border Collie. Lover of critical care and emergency medicine. Views are my own.

[armyemdoc @armyemdoc]

Does first-pass success matter as an intubation outcome metric?

This study by April et al says yes.

Summary: When compared to FPS, every additional intubation attempt confers increased odds of a major adverse event.
2 attempts = aOR 4.3
3 attempts = aOR 7.4
4 attempts = aOR 13.9
5+ attempts = aOR 9.3

-Major events defined as esophageal intubation, bradycardia, cardiac arrest, hypotension, hypoxia, laryngospasm, pneumothorax, tachydysrhythmia
-15,079 patients analyzed
-89% FPS, 8% 2nd attempt, 2% 3rd attempt, <1% 4th attempt, <1% 5th attempt

https://t.co/YAeAMe1Fey

@DhimitriNikolla @JonathanCaseyMD
@AditGinde
@long_brit

#emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #trauma #airway #medx #medtwitter #medx #medairway #airwaytwitter

[Dr. Roig @doctor_roig]

1/ Today's 🧵 is about the #Sgarbossa Criteria and #Concordance vs #Discordance in simple words.

The objective of this post is to clarify any doubts in a simple, graphic and didactic way. #CardioTwitter @ekgdx

[Sergio Gomes @Poramedic]

@DrSuneth @FatamboGary @AmesCraike

[Sergio Gomes @Poramedic]

@AmesCraike @GregPage_Yellow @RACGPPresident, @DFTBubbles, @PemCourses @PaediatricFOAM

[Amy Gomes (Craike) @AmesCraike]

Excited to announce the pre-order of my kid’s book about #Paramedics.
- Educational, incl practice 000 audio;
- Linked book reading with @GregPage_Yellow and Auslan component;
- Raising money for Heart of the Nation;
- AED/CPR awareness.
https://t.co/V94hvkNcTe

[Paramedic Education Australia (PEA) @ParaEdAus]

Geoff Murphy from “Master Your Medics” will be speaking at the upcoming Para Ed Aus Student Conference 2021!

Secure your seat to watch brave student tackle Ferno Sim up close.

https://t.co/cFIwaQqTT6

[Paramedic Education Australia (PEA) @ParaEdAus]

🚨EARLY BIRD TICKETS CLOSE TOMORROW (17/06/21)🚨

Don’t lose out on your chance to snap up an early bird ticket to PEA’s 2021 Student Conference. Secure your spot and get a close up view on FernoSim.

https://t.co/8j8RgP07gJ

[Paramedic Education Australia (PEA) @ParaEdAus]

Dr Stephen Bartlett @UniStephen discussing with #PARAPEM21 attendees the difficult topic of NAIs and maltreatment in children. #paramedic #paramediceducation

[Gary Berkowitz @FatamboGary]

Hospital handover - hugely important part of the care we provide. Lucky to have Peadiatric Emergency Nurse / Paramedic Geordie Amos and Critical Care Paramedic @AmesCraike. #parapem21 @PemCourses

[Gary Berkowitz @FatamboGary]

The amazing @ClareHambridge talking about shock in kids. Clare explaining how useful the CREDD tool can be. @PemCourses #parapem21

https://t.co/EOor6bTRmM

[Gary Berkowitz @FatamboGary]

CNC Amanda Harley giving an expert presentation on sepsis in kids. #parapem21 #couldthisbesepsis @PemCourses

[Paramedic Education Australia (PEA) @ParaEdAus]

PEA Student Paramedic Research Poster Competition 🚑🔬

Winners will be announced at the PEA Student Conference on the 8th July and posters will be published.

Tickets still available at https://t.co/8j8RgP07gJ

#Paramedic #paramedicstudent #paramedicresearch #research #ems

[Paramedic Education Australia (PEA) @ParaEdAus]

Para Ed Aus Student Conference 2021!
🚨🚑 Tickets are officially open! 🚑🚨

This event includes the new and unique Ferno Sim Express! For full details of speakers, follow the event link page!

https://t.co/Xuztmyaoq5

University of Southern Queensland on July 8th!

[Sergio Gomes @Poramedic]

@BillLord2 @DrDavidNLong @AmesCraike

[Paramedic Education Australia (PEA) @ParaEdAus]

PEA’s Gary Berkowitz @FatamboGary presented at #SMACCForce, where he discussed nuanced care in paramedicine, featuring @craigwylie from @bad__EM. Thanks to @codachange.

#codapodcast #PEA #badEM

https://t.co/NV7tFdTQCx

[Coda Change @codachange]

What does paramedicine beyond 2020 look like?
@FatamboGary talks to us about the Queensland Ambulance Services High Acuity Response Unit (HARU) and what makes it successful 👉https://t.co/l0pOQqKCoH #SMACC2019 #CodaPodcast

[Amy Gomes (Craike) @AmesCraike]

What do these two have in common? @FatamboGary highlights that both have a similar blood volume. Be very aware of that. Small amount of blood can be a lot for a paed. Bring soaked dressings to hospital for weighing. #PARAPEM20

[Amy Gomes (Craike) @AmesCraike]

Dr @alaanibrahim (#PEM Director of Training) opened #PARAPEM20 this morning and is now finishing off by explaining paediatric rash recognition. Teaching #paramedics about skin rash classifications; what is a dangerous rash?

[Amy Gomes (Craike) @AmesCraike]

Dr Dan Bodnar reminds us, “cool the burn, warm the patient”.
Large study showed cooling burn for over 20 mins under cold water reduces:
- rates of skin grafts,
- thickness of burn,
- hospital admissions and
- operating room interventions.
#PARAPEM20