Ryan Mitchell

BScN RN. Emergency/Trauma. Guitar player, bad cook, and neuroscience nerd w/ interests in physiology, pain management & research.

[Andrew Merelman @amerelman]

Reminder that your elderly patient with flank pain does not have a kidney stone

[Bryan Cotton @bryanacotton1]

Okay, say it with me:
Crystalloids..."Crystalloids"...
Suck..."Suck"...
In hemorrhage..."in hemorrhage."

That is all. Class dismissed.

Prehospital Blood Product and Crystalloid Resuscitation in... : Annals of Surgery https://t.co/o9vdy5V5A4

[WheatNOil @WheatNOil]

The mRNA vaccines (Pfizer and Moderna) are kind of brilliant at a science level. I’ve had a few people in my real non-Twitter life ask me to explain how it works so I’m going to try my best here in this thread while I’m waiting for a patient to show.

[Jamie Coleman, MD FACS @JJcolemanMD]

An ICU nurse came up with this latest chart-topping hit entitled, “VAP”, sung to the tune of “WAP”.

Ya’ll, I am DYING 😂.

Hats off to Natalie D... you are one solid, lyrical genius and thanks for the laughs!!

[Matt Klein @MKleinMD]

"But the pt was only tachy at triage." Encounter this q shift. Normalization of VS doesn't reduce prob of PE.

[Alex Psirides @psirides]

Today’s lesson in why you must always always always know where the guide wire is.
https://t.co/HDuM3kI0JP
(via obscure case report watcher @KnottCameron)

[Tim Minchin @timminchin]

If someone writes an article you disagree with, here is an option that a lot of you seem to have forgotten: read it, then have some thoughts about it. Then have some thoughts about your thoughts. Critically assess your intuitive reaction. Then see if there's any elements of the

[Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 @EMSwami]

When I was a resident, Dr. Goldfrank would ask us the same question on every patient we saw:

"What is the lesion in the healthcare system that brought this patient to us today?"

It was a challenge to look deeper into the root cause of emergencies

[Titania McGrath @TitaniaMcGrath]

We should all be grateful to Twitter for censoring harmful words and opinions.

This enables us to have healthy and inoffensive conversations like this...

[Titania McGrath @TitaniaMcGrath]

Looks like @Forbes are stealing my ideas again...

[David Juurlink @DavidJuurlink]

For the first time in 20+ years, after a night on call for Poison Control I feel an obligation to say this:

Drinking bleach does not boost your immune system.

[Nick Sowers @SowersMD]

When you graduate Dalhousie EM your parting gift is a surgical airway kit. Congratulations Luke and James. Excellent physicians. Nova Scotia is lucky to have you both. @JamesGould_MD @kovacsgj

[Shematologist, MD @acweyand]

So I was hoping to avoid a COVID heme #tweetorial but with >50% of the votes on my survey, the people have spoken.

(but hold on, this is going to be a long one)

Coagulopathy in patients with COVID-19 is increasingly described. Some argue that it is akin to DIC...
1/n

[Ryan Mitchell @VasospasticRN]

Also just realized that twitter made the wave audio sound like a slow-mo fight between Transformers and the Terminator.

[Ryan Mitchell @VasospasticRN]

Hearing the concussive force of the waves striking the bedrock at this spot is peaceful. Standing transfixed for long periods of time.

[Ryan Mitchell @VasospasticRN]

Grateful that these waves are only steps away from my front door.

The best kind of isolation.

[David Juurlink @DavidJuurlink]

Fascinating study on the harms of misinformation:

"We document that greater viewership of Hannity relative to Tucker Carlson Tonight is strongly associated with a greater number of COVID-19 cases and deaths in the early stages of the pandemic."

https://t.co/SsHc8C7M7k

[Andrew Merelman @amerelman]

Great work by @DitchDoc14 et al. with data suggesting 400 mcg nitroglycerin slow IV safely and rapidly improves BP and O2 saturation in patients with SCAPE in the prehospital setting.

[Tom Cullen @TomCullen]

@reesewaters @TheMichaelMoran Sure, I can get you all out of the country...

For a price.

[Reese Waters @reesewaters]

WHO FLEW WITH CRABS?!