TheSharpEndCrew

Andrew Brainard is a Kiwi-American ED doc livin-large in Auckland

[Safe Airway Society @SafeAirway]

New updated version of @SafeAirway #COVID2019 #airwaymanagement and #intubation consensus statement on @theMJA website.
https://t.co/Wbs0Klot8m
Also updated infographics and checklist available FOR PDF DOWNLOAD at https://t.co/yxrk04sTX3

[Emergency Medicine Ultrasound Groups @EMUGs_]

Dr Andy Brainard speaking now:

Best approach for the EMUGs network to facilitate high quality multi-centre POCUS research in the ED

#AKLCLM #POCUS #FOAMed #FOAMus

[Emergency Medicine Ultrasound Groups @EMUGs_]

Being a researcher improves your life, patients' lives, the department ...

But it's hard work, frustrating, and not always well compensated.

Dr Andy Brainard #AKLCLM #FOAMus #FOAMed #POCUS

[Emergency Medicine Ultrasound Groups @EMUGs_]

Types of EM POCUS Research

Dr Andy Brainard #AKLCLM #FOAMed #FOAMus #Ultrasound #Research

[Emergency Medicine Ultrasound Groups @EMUGs_]

Not every #POCUS study needs to show mortality benefit.

There are a wide variety of valid outcomes e.g. length of stay, patient satisfaction, provider satisfaction etc.

Dr Andy Brainard #AKLCLM #FOAMus #FOAMed #POCUS

[Emergency Medicine Ultrasound Groups @EMUGs_]

A major untouched frontier of ultrasound research:

Blending #POCUS with clinical decision rules.

Dr Andy Brainard #AKLCLM #FOAMus #FOAMed #POCUS

[Emergency Medicine Ultrasound Groups @EMUGs_]

Some potential #POCUS educational research questions:

"What does it take to become an expert? What separates a mediocre ED user from a whizzkid? What educational interventions could alter this?"

Dr Andy Brainard #AKLCLM #FOAMus #FOAMed #POCUS

[Emergency Medicine Ultrasound Groups @EMUGs_]

Modern SIM-ultrasound integration is usually currently just handing the learner a printout of a #POCUS image.

Would incorporating it more immersively in the SIM experience improve the education experience?

Why not study it?

Dr Andy Brainard #AKLCLM #FOAMus #FOAMed

[Jocelyne Basseal @JocelyneBasseal]

Very true @EMUGs_ but #research is so rewarding when the outcomes support #patientsafety & contribute to evidence based policy.

[Emergency Medicine Ultrasound Groups @EMUGs_]

It's tough to study ED #POCUS if many of your staff aren't saving their images, or aren't documenting either on the machine or in the chart.

Dr Andy Brainard #AKLCLM #FOAMus #FOAMed #POCUS

[Emergency Medicine Ultrasound Groups @EMUGs_]

Consider undertaking inter-specialty research.

Imagine the power of a renal colic #POCUS study, with collaboration between ED, radiology and urology.

Dr Andy Brainard #AKLCLM #FOAMus #FOAMed

[UC EM Residency @TamingtheSRU]

When should you get an ABG instead of VBG?

1) Need to assess pO2
2) Extreme hypercarbia
3) Methemoglobinemia
4) Need exact measurement of acid-base status
5) they already have an a-line

#EMConf

[AirwayMan @JohnCSakles]

First shift in the ED after SAEM. Resident wanted to use a bougie for intubation. Threw this paper in my face. I had to acquiesce.

[TheSharpEndCrew @TheSharpEndCrew]

@PreetBharara any comments: https://t.co/DRClG3uP5J

[Rob Bryant @RobJBryant13]

Knowledge, experience, and the ability to learn from someone else’s mistakes now available in bite sized chunks : thx @medicalaxioms

[TheSharpEndCrew @TheSharpEndCrew]

@4JSwan @UCTAnaesthesia @SurferKirst @rosshofmeyr It was made in “R”. We got the idea from https://t.co/vgRNehZvva there are actually a few improvements that we were planing on making with the color-coding, but we never got around to it. Oops.

[Judith Swan 🇳🇿 @4JSwan]

@UCTAnaesthesia @SurferKirst @TheSharpEndCrew @rosshofmeyr Fig 3 - great graphic! Which programme did you use to create it? What type of graph in that programme?

[UCT Anaesthesia @UCTAnaesthesia]

Introducing UCT Anaesthesia & Perioperative Medicine #litbits, where we try & tell you about research in <120s! First up: Comparison of 4 methods of ETT passage #airway #foamed #foamgas https://t.co/hiZsqNVqhH @SurferKirst @TheSharpEndCrew @rosshofmeyr

[TheSharpEndCrew @TheSharpEndCrew]

@rosshofmeyr @SurferKirst @UCTAnaesthesia @WileyGlobal Open access and everything. Take home #1- use a stylet or bougie. Take home #2- have a question? do research to test your hypotheses. Take home #3- research is hard, but rewarding. Nice work @SurferKirst and team.