Allan Lai

Co-bro @ResusTonight. Urgent & primary care. Lord of the typos & bad grammar. Likes #POCUS. Hype man. Fortunate human.

[Allan Lai @RespRate16]

Still one of the best pod episodes I've ever listened to!!!!

[Allan Lai @RespRate16]

One of the best podcasts I've ever listened to; @thecurbsiders
With @MKIttlesonMD

https://t.co/QIQrNcovLy

Love the emphasis on patient centres outcomes! #NurseTwitter

[Allan Lai @RespRate16]

One of the best podcasts I've ever listened to; @thecurbsiders
With @MKIttlesonMD

https://t.co/QIQrNcovLy

Love the emphasis on patient centres outcomes! #NurseTwitter

[Haney Mallemat @CriticalCareNow]

Let's stop boring medical education

[Ross Prager @ross_prager]

JAMA, you tried so hard and almost nailed it!

The reason why the evidence gap is >14 years in clinical medicine is you are publishing breaking reviews on techniques and approaches that were all the rage… 14 years ago.

B-lines - incredibly valuable.

IVC collapsibility or IJ ultrasound alone are not the right approach. We are assessing complex physiology, not checking oil levels of cars!!

[Allan Lai @RespRate16]

@CoryRohlfsen Inception level 5!

[Allan Lai @RespRate16]

@ross_prager @AnilMakam I guess if I wanted to get lost in the weeds... test characteristics and subsequent LR are derived on the population studied, which may not represent the patient one is applying the test to. I reckon how it translates to practice is we think in OR or predictive values?

[Anil Makam @AnilMakam]

What is evidence-based diagnosis?

AKA Bayesian clinical reasoning

Watch my 2 minute pitch for why doctors should care

[Allan Lai @RespRate16]

@AnilMakam Tremendous. Would you happen to have your full lecture to share? Totally understand if not possible; just appreciate hearing you speak on the topic.

[Ross Prager @ross_prager]

How can a 99% accurate medical test give you a 9% chance of having the disease if it comes back positive? 🤔

If you are in medicine this is the SINGLE most important diagnostic testing concept to know.

Welcome to the difference between specificity and positive predictive value.

Sensitivity & specificity are fixed test properties.

These do not factor how common a disease is (prevalence)

Positive Predictive Value (probability a positive test reflects having a disease) factors in prevalence and is actually more important to clinicians than sens/spec.

It is harder to figure out though because we need to have a gestault for how prevalent a disease is for the EXACT patient we are seeing.

If you have very low prevalence, even with a great test, most positives are false positives.

This is why screening low-risk patients can result in many false positives and harm

To master this, just play with the calculator yourself and you will see!!!!👇

[Allan Lai @RespRate16]

@ross_prager @NTFabiano This is the way. We're very similar in this regard!

What's your workflow with AI like in practice, taking into account EMR/policy/blah blah?

Also hi Ross

[Allan Lai @RespRate16]

@nickmmark Quite clever! How does the moderator facilitate the questions that relate to the card? For example, the blood pressure is 180/100. The learner will inevitably ask if they have symptoms. Or is it more of the learner just asks questions about what they would want to know & why?

[Ross Prager @ross_prager]

Mentorship has been crucial for my own development. I realize not all trainees find mentors they connect with.

I want to help.

I am not sure if this will work... but I am starting a virtual mentor group for trainees (medical students or residents) from anywhere in the world.

To join, complete this form! https://t.co/dsb3zYJ1B5

Please retweet this so all trainees see and have the chance to join! 🙏

I won't be able to accommodate everyone in this first group but I will try my best.

I might also find other mentors who are interested in leading a group if the demand is high enough.

As always, my DMs are open!

[Allan Lai @RespRate16]

@cliffreid thought you should know the @zeropointsurvey features prominently in an interprofessional resuscitation course myself, @robpaquinRN et al. we're spreading the gospel in Canada!

[Allan Lai @RespRate16]

@CoryRohlfsen is like @taylorswift13- puts out hit after hit.

This tweet is another #1

[Cory Rohlfsen @CoryRohlfsen]

#MedTwitter

An expert is threatened by an idea that challenges their domain of knowledge. Their identity is at risk.

A practitioner is eager to pursue the bounds of their knowledge. Their identity is in the pursuit.

Be a practitioner. Don’t be an expert.

Medicine is humbling

[Katie Wiskar @katiewiskar]

Soapbox rant of the day 😤

There is more to an Echo report than EF ‼️

I see far too many patients labelled as "HFpEF" when their reported EF is normal, despite a HOST of other more significant cardiac pathology that is driving their presentation and physiology 🤦‍♀️

🧵

[Allan Lai @RespRate16]

@katiewiskar @msiuba Moar KW soapbox

[Allan Lai @RespRate16]

@CoryRohlfsen this tweet is tremendous

[Allan Lai @RespRate16]

@katiewiskar Don't leave us hanging without the answer Katie

[Allan Lai @RespRate16]

@emcrit @katiewiskar @ross_prager @ross_prager is a beauty, and #10 is so damn right

[the EMCrit Crew @emcrit]

EMCrit Wee - @Ross_Prager on 10 Heuristics for the New ICU Attending. We took an amazing tweetorial and made it into a podcast. Fantastic tips for Resus and Crit Care [#FOAMed]
https://t.co/Pj0bUjeHSL