Andrew Worster

#BEEM #EBM #CME #FOAMed

Professor, McMaster University

[Andrew Worster @ProfBEEM]

#COVID-19
https://t.co/bUpDcTfj5W
A great review on Diagnosing COVID‐19 in the Emergency Department. @EddyLang1 @shawnkdowling @First10EM @TChanMD @DrShawnQI @patockaem @BlairBigham @Brent_Thoma

[Andrew Worster @ProfBEEM]

Looking forward to #FVBEEM19 for #CME @BlairBigham @TChanMD @Brent_Thoma @TheSGEM

[Best Evidence in EM @BEEMcme]

Countdown to #FVBEEM19! Join us for #EBM #CME! @First10EM @kerstindewit @EMCases @SuneelUpadhye @NiagaraEMS @UBuffalo @MacEmerg @anxiousmedic @WelsfordM
https://t.co/W6kJoUUuuQ

[Andrew Worster @ProfBEEM]

Always a fun learning experience!

[Best Evidence in EM @BEEMcme]

#FVBEEM19 early bird deadline quickly approaching! Hurry and book by June 30 to claim your $100 CND discount!
https://t.co/W6kJoUCTDi …

#EBM @SuneelUpadhye @First10EM @WesternUEmerg @TheSGEM @EMO_Daddy @USaskEM @UMEmergencyMed @UtahEmergency @ALiEMteam @361Joules @CVarnerEmerg

[Best Evidence in EM @BEEMcme]

#FVBEEM19 early bird deadline quickly approaching! Hurry and book by June 30 to claim your $100 CND discount!
https://t.co/W6kJoUCTDi …

#EBM @SuneelUpadhye @First10EM @WesternUEmerg @TheSGEM @EMO_Daddy @USaskEM @UMEmergencyMed @UtahEmergency @ALiEMteam @361Joules @CVarnerEmerg

[Andrew Worster @ProfBEEM]

@TheSGEM @SAEMEBM @First10EM @reverendofdoubt @KirstyChallen @EMO_Daddy Impact factor is a measure of journal branding and promotion, not of quality. Just because something is talked about, it doesn't mean it's great. E.g. Donald Trump.

[Andrew Worster @ProfBEEM]

@ThurgurTox @emergmedottawa Congratulations Lisa! @thurgurtox @emergnedottawa

[Lisa Thurgur @ThurgurTox]

It is a huge honour to be recognized by such an outstanding group of residents. In all honesty - THEY deserve an award. I am so grateful to be part of the most supportive program and department in all of emergency medicine @emergmedottawa

[Andrew Worster @ProfBEEM]

That’s a lot of color!

[Eddy Lang @EddyLang1]

My retinae are still recovering...

[Andrew Worster @ProfBEEM]

Indeed.

[Ken Milne MD @TheSGEM]

@ProfBEEM @BEEMcme @EddyLang1 @DrShawnQI @SMcLeod_SREMI @BlairBigham @SAEMEBM Looking at COIs can feel like the movie Inception.
So complicated and many layers to consider.

[Andrew Worster @ProfBEEM]

Yes, this is concerning and, as healthcare providers and consumers of the medical literature, we must pressure editors to address these issues. @SAEMEBM @TheSGEM @First10EM @SAEMEBM

[Andrew Worster @ProfBEEM]

Ah, but who are the authors of those studies? Industry employees or independent medical researchers? There is likely a subgroup difference. @BEEMcme @EddyLang1 @DrShawnQI @SMcLeod_SREMI @BlairBigham @SAEMEBM

[Ken Milne MD @TheSGEM]

@ProfBEEM @SAEMEBM @EddyLang1 @shawnkdowling @TChanMD @BlairBigham Industry sponsored studies are not necessarily wrong but it does make me more skeptical of the results.
"strong and consistent evidence shows that industry-sponsored research tends to draw pro-industry conclusions”. https://t.co/7YfQF9g1Y1
@JeanneLenzer1

[Andrew Worster @ProfBEEM]

The top medical researchers in the world often advise industry on studies that benefit patients. This does not make them corrupt or in the pockets of industry. COI always required. @SAEMEBM @EddyLang1 @shawnkdowling @TChanMD @BlairBigham

[Ken Milne MD @TheSGEM]

@EddyLang1 @First10EM @DanLane911 @EMNerd_ @srrezaie @Rick_Pescatore @ProfBEEM @BEEMcme @SAEMEBM @EMSwami @NICEcomms @CAEP_Docs @EmergencyDocs @acemonline They are looking at the same evidence and come up with a different interpretation (just like us). I agree with my #EBM mentor to look beyond the authors' conclusions. The extensive COI from Emberson make me more skeptical of their "spin" @JeanneLenzer1 @reverendofdoubt

[Andrew Worster @ProfBEEM]

This is what academic debate is all about: progress.

[Ken Milne MD @TheSGEM]

@EddyLang1 @First10EM @DanLane911 @EMNerd_ @srrezaie @Rick_Pescatore @ProfBEEM @BEEMcme @SAEMEBM @EMSwami @NICEcomms @CAEP_Docs @EmergencyDocs @acemonline @JeanneLenzer1 @reverendofdoubt @accpchest @QuICR_Stroke @GRADE_WG I think we made some progress with our twitter discussion. Thank you Eddy for being part of the conversation. @NightShiftMD

[Andrew Worster @ProfBEEM]

The idea of an independent research body that designs and executes trials using industry funds has been around for awhile but never taken off.

[Justin Morgenstern @First10EM]

@EddyLang1 @TheSGEM @DanLane911 @EMNerd_ @srrezaie @Rick_Pescatore @ProfBEEM @BEEMcme @SAEMEBM @EMSwami @NICEcomms @CAEP_Docs @EmergencyDocs @acemonline @JeanneLenzer1 @reverendofdoubt @accpchest @QuICR_Stroke @GRADE_WG The real long term answer is to completely remove financial COI from medical research
Companies shouldn't be testing their own drugs or products

[Andrew Worster @ProfBEEM]

Wise words. Be an informed consumer of the medical literature: #BEEM

[Ken Milne MD @TheSGEM]

@EddyLang1 @First10EM @EMNerd_ @srrezaie @Rick_Pescatore @ProfBEEM @BEEMcme I hope the message can be: read the primary literature, learn to do critical appraisal, be skeptical, reflect on the clinical application, consider your our experience and ask the patients’ what they value #EBM @SAEMEBM @EMSwami #batdoc

[Andrew Worster @ProfBEEM]

"it all depends" The interventions between the administration of plasma and the 30-day follow-up likely impacted on the outcome. @acemonline @BlairBigham @SAEMEBM @anxiousmedic @Brent_Thoma @WelsfordM

[Best Evidence in EM @BEEMcme]

Last day at #SunBEEM19! Dr. Justin Yan asks: Does the prehospital administration of thawed plasma reduce mortality in trauma patients at risk for hemorrhagic shock?

@ProfBEEM @shawnkdowling @DrShawnQI @TChanMD @InnovaEM @SAEMEBM @EddyLang1 @Brent_Thoma

[Andrew Worster @ProfBEEM]

And nor should babies have these problems. #BEEM @acemonline @SAEMEBM @TChanMD @BEEMcme @drsaminaali @shawnkdowling @NPoonai @WeAreCanadiEM @CMA_Docs @emresidents @CAEP_Docs

[Corrie Chumpitazi MD MS FAAP FACEP @Pedisedationdoc]

Thought for the day:

[Andrew Worster @ProfBEEM]

Communication is key to successful patient care! #BEEM @NightShiftMD @MDaware @Rick_Pescatore @First10EM @TChanMD @Brent_Thoma @emresidents @BlairBigham @anxiousmedic @ChooseWiselyCA

[iDeAs @iDeAs_tool]

Shared Decision Making: A Model for Clinical Practice
#DecisionAids #SharedDeciosionMaking
https://t.co/DAoSN76RKo

[Andrew Worster @ProfBEEM]

Another challenge to practicing modern medicine. More about these #EBM issues from #BEEM
@BEEMcme @marcel_mond @acemonline @shawnkdowling @DrShawnQI @TChanMD @WelsfordM @M_Lin @JulianOwenEM_CC @First10EM @Brent_Thoma @FAdamakos @SMcLeod_SREMI @SAEMEBM

[CDA-AMC @CDA_AMC]

“30% of tests, procedures & treatments associated with eight common medical tests are potentially unnecessary. The study confirms what Campbell and other doctors involved in the @ChooseWiselyCA campaign... have been saying for years.” https://t.co/hWoZ6qfJ8t

[Andrew Worster @ProfBEEM]

This is confirmation of an article in the @BEEMcme Journal by @JestinCarlson https://t.co/rj8wRXBg15 @acemonline @FAdamakos @ALiEMteam @marcel_mond @JSAudette @TChanMD @JulianOwenEM @EMResUBC @DrShawnQI @EMCases @EBmedicine @M_Lin @AudreyATB @SAEMEBM

[Shawn Dowling @shawnkdowling]

#SkiBeem19 followers. A rationale clinical exam paper on the upper lip bite test that was covered last week. Way to go @BEEMcme @HeatherM211 @patockaem @ProfBEEM @EddyLang1 @SuneelUpadhye