Ryan Gerecht

Husband and Daddy. Board Certified EMS and Emergency Medicine Physician. Tweets are my personal opinion.

[National Registry of EMTs @NREMT]

State requirements for EMS Medical Directors vary in the US! Dr. Sharkey's research reveals most states mandate a licensed physician, but not all of them do! Emergency medicine board certification isn't commonly required. Learn more: https://t.co/7MUJbQPCYg

#EMS #EMT #Research

[Peter Antevy @HandtevyMD]

Here's some basic cardiac arrest survival math.

Use this to get the best guess of how many survivors to expect each year in your community.

A city of 100K people with a 6.3% neuro-intact survivor rate (2023 national average) will save 3 people per year.

Improve the system and get to 14% neuro-intact survival and you can expect 7 survivors. This is doable, but it does require work and persistence.

Here are the slides from today's webinar. Feel free to reach out for assistance.
https://t.co/C7oR4yCKRq
Webinar Link: https://t.co/WOZECXpczB
@CARESRegistry | @DavieFireRescue | @CoralSpringsFD | @PBCFR |

[Dr Linda Dykes has moved to Bluesky @DrLindaDykes]

CPR is not a treatment for #ordinarydying. Every instance of futile CPR - which is what will happen if nobody has sorted out the protection of a DNACPR for someone whose life is coming to an end - is a tragedy. Please, doctors, nurses, patients, families - #havetheconversation.

[Peter Sherren @PBSherren]

Standard LUCAS position versus ~5cm lower and slightly off centre, ETCO2 increased 2kPa. Are we even getting the essentials right every time during cardiac arrest? Increasing need for precision rather than algorithmic medicine

[Joelle Borhart @joelleborhart]

Emergency medicine is still cool! https://t.co/pX1amFXxo9
@GtownEM @ERDocJV

[Sam Ghali, M.D. @EM_RESUS]

Hi, ER Doc here.

RT if you’ve ever done CPR on someone and they survived.

Trying to prove something.

[ResuscitationAcademy @ResuscAcademy]

We lost a Great today: Dr. Leonard Cobb (1926-2023). Dr. Cobb helped create the RAF and spent 40yrs leading Seattle Medic One. His advice is timeless: there are no magic bullets; stick to quality CPR, and always measure/improve
your system. @SeattleFire @UWMedicine @global_RA

[Eddy J. Gutierrez, MD @eddyjoemd]

Some vent strategies for cardiac arrest patients that can also be applicable elsewhere. 🎩 tip to the authors.

https://t.co/wtiQFg24wl

[Eric Jaeger, JD, NRP, EMS IC (He/Him) @EricJaegerTNG]

Unrecognized esophageal intubation.

A never event.

The new international consensus guidelines for the prevention of esophageal intubation
are mandatory reading for all who manage the airway.

[Gabe Gan, MPH, NRP @Gabe_Gan]

The only way to break the habit is to remove the boards from the ambulance completely. Having an obscure flowchart deep in a protocol book doesn't result in the change we need.

[Gabe Gan, MPH, NRP @Gabe_Gan]

We have an open position at @dcfireems! If improving the quality of emergency medical care in the Nation's Capital sounds interesting and you have requisite data collection, evaluation, and analysis experience, visit https://t.co/gXOfO2yVzQ for more info. #EMS #qualityimprovement

[NEJM @NEJM]

Shock-refractory ventricular fibrillation is common during out-of-hospital cardiac arrest. Alternative defibrillation techniques might improve outcomes in these patients. New research findings are summarized in a short video. https://t.co/cWr7AhayfW

[Emergency Physicians @EmergencyDocs]

This morning, we sounded the alarm on the patient boarding crisis that has brought ERs across our country to a breaking point. In our joint letter to @POTUS, we shared real-life stories showing the threat to our health care safety net. [1/4]

Full letter: https://t.co/p1kydtphUJ

[DC Fire and EMS Department @dcfireems]

We can't let THIS day pass without sharing a very special afternoon #DCsBravest spent with our most senior Retired Firefighter on his birthday. Harry Kelly of NW DC turned 104 years old today! A WWII veteran and committed public servant, Mr. Kelly is a true legend. #HappyBirthday

[Demetris Yannopoulos @DYannopoulos]

This why another randomized trial without ecpr comparing to controls is unethical!!The question now is what is the optimal system to deploy ecpr for refractory arrest. Not if it works!

[Ryan Gerecht @RGerecht]

@DaveWilliamsATX So fortunate to have @medic_marsh and @Gabe_Gan leading, teaching, and applying Quality Improvement science in our everyday work.

[Tacoma Fire @TacomaFire]

The Call We Carry - Official Trailer https://t.co/bV8DoB95ed via @YouTube

[Douglas Kupas, MD, FAEMS, FACEP @DrDougKupas]

Just attended a spectacular presentation at #EMSWorld2022 by @DrLindaDykes on Frailty and end-of-life care by EMS. "Death should be peaceful when it is not a surprise."

[Matt Sztajnkrycer @NoobieMatt]

The transport officer - not just for MCIs anymore.

Perhaps not for every system, but a nice paper in @NAEMSP PEC. Because overloading an overwhelmed ED system doesn't improve patient outcomes.

#FOAMed #FOAMems

[Journal of Brown Hospital Medicine @BrownJHM]

Must know meds @SarahFoohey #MedEd #Medtwitter #FOAMed