Andrea

Emergency Physician, HEMS physician with a passion for education

[Andrea @andreaduca00]

🏥📉 Fewer ER visits, more home care.
The Integrated Medical Center (CMI) telemedicine model managed 71.9% of selected EMS calls without hospital visits.
🔹 8,680 calls/year
🔹 9/10 patient satisfaction

📄 https://t.co/1PxgvnSBcl

#Telemedicine #EmergencyCare #PrehospitalCare

[Andrea @andreaduca00]

🧠💨 Can Helmet CPAP reduce cerebral perfusion?

Our study suggests that Helmet CPAP significantly decreases carotid flow compared to an oronasal mask

📖 Read more: https://t.co/CfzVUqXTF1

#CPAP #HelmetCPAP #CerebralPerfusion #MedicalResearch #CriticalCare

[Andrea @andreaduca00]

🚑 Emergency departments in Lombardy after COVID-19: more patients, longer waits, and growing challenges. Our study in Epidemiologia analyzes 15 million visits from 2019 to 2023.
📖 Read the full study: https://t.co/iUVbq7AQQ7
#Healthcare #EmergencyMedicine #COVID19 #PublicHealth

[Stephen W. Smith @smithECGBlog]

Don't forget the Webinar on Monday Feb 12 at 11 AM U.S. Central time.

"Subtle Acute Coronary Occlusion Myocardial Infarction and Its Mimics: A Case-Based Analysis," a critical webinar led by Dr. Stephen Smith and Dr. Pendell Meyers, we address the urgent need to improve the diagnosis of Occlusion Myocardial Infarction and to differentiate it from its mimics.

Register here:
https://t.co/qbp5cyV2Ci

https://t.co/4n2tXDveko

[Andrea @andreaduca00]

@rob_cosentini This would free up 25% of doctor time in our ED..it could be the easiest/fastest solution to ED staff shortage. But we need to rethink emergency medicine in Italy: do we still want to be able to staff wards as EM physicians or are we ready to dedicate ouserlves to the ED/EM only?

[Andrea @andreaduca00]

@drmarcogarrone @rob_cosentini Maybe we should stop calling them “observation area” and start to call them “boarding area waiting for appropriate staff” pushing the people upstairs to take care of their patients

[Andrea @andreaduca00]

@rob_cosentini What happened during adenosine push? Was it nothing at all or it just failed to cardiovert to sinus rhythm but showing an underline atrial activity ( i.e. atrial flutter)?

[Andrea @andreaduca00]

@JBLascarrou @rob_cosentini @ketaminh I think that in this very sick cohort of pts niv’s main utility was using it as a bridge to intubation/ICU care. Mortality within pts treated with IMV is still very high.

[Roberto Cosentini @rob_cosentini]

Helmet CPAP in ARDS during #COVID19 surge: treatment/bridge to ICU in a limited resources setting
First 10 days of our huge surge (20 ARDS/d): 23% of Helmet CPAP survived (P/F with PEEP≥5 =128) https://t.co/N6yW5x8tUY
Later, during first month, survival with helmet CPAP was 52%

[Roberto Cosentini @rob_cosentini]

Italian #Covid_19 experience according to the first hospitals involved: Lodi (Stefano Paglia), Piacenza (Andrea Magnacavallo) and Bergamo @SIMEU_EM https://t.co/KxCw3yCGog (10 Do's & 10 Don'ts, 10 red flags etc.)

[Andrea @andreaduca00]

@AlfonsMaterna Sorry for the late answer..starmed are the best

[Roberto Cosentini @rob_cosentini]

Lessons from our initial experience in northern Ita
1 prepare massive hospital beds (ideally, pre-empy the hospital)
2 reorganise ER in intensity levels with 20% beds for NIV and the rest for O2
3 mind logistics and supply_O2, venturimeters, helmets, monitors etc
great challenge

[Andrea @andreaduca00]

https://t.co/OYx2ckYslE