David Weiss

Flight Nurse, ED Nurse, Advanced EMT, Urban Search & Rescue, EMS Educator, Ice-cream lover.

[Nick Mark MD @nickmmark]

I often see a false dichotomy between physical examination & POCUS.

Do you draw a distinction between the cardiac exam & auscultation because it involves a stethoscope? Between the neurological exam & reflexes because it uses a hammer?

In 2026, physical exam requires POCUS.

[armyemdoc @armyemdoc]

Question: What's long, slender, and takes more time to insert than we like to tell ourselves?

Answer: REBOA in prospective studies.

In the REBOARREST trial of prehospital REBOA for cardiac arrest, it took a median time of 14 minutes (IQR 11-16) from randomization to occlusion. If there is one thing we keep learning in these prospective REBOA studies is that this device takes longer to insert and is more complicated than we like to tell ourselves.

https://t.co/vaWjWLr8nf

#emergency #emergencymedicine #prehospital #ems #ambulance

[VA-TF1 / USA-01 - Urban Search and Rescue @VATF1]

Working through the night and into today, members of USA-01 conducted rescue operations at two separate collapsed structures, bringing three more survivors to safety.

@StateDept @usembassyve @ffxfirerescue

[David Weiss @DavidWeiss914]

@tasha032218 Gonna have to go ahead and disagree on that one. They’re the best. You can land on a ROOF. It’s insanely cool.

[David Weiss @DavidWeiss914]

Life recently: Critical Care in the air and a little high angle repelling with a (simulated) patient

[Mario Nawfal @MarioNawfal]

🇬🇧 Britain parachuted a medical team onto one of the most remote islands on earth to treat someone for hantavirus

A British national who disembarked from the MV Hondius returned home to Tristan da Cunha, a South Atlantic island with no airstrip, only accessible by boat, with a suspected infection.

So the UK flew an RAF A400M nearly 10,000km from Brize Norton, mid-air refuelled over the Atlantic, and dropped 6 paratroopers, an RAF consultant, an Army nurse, oxygen supplies, and medical equipment directly onto the island.

They confirmed it was the first time medical personnel had ever been parachuted in for humanitarian support.

Source: The Sun

[David Weiss @DavidWeiss914]

10mg/kg/min of Propofol is NOT adequate sedation post-intubation. Bump up those numbers and don’t be afraid to hang norepi for soft pressures! Also - don’t forget adequate analgesia! Otherwise you are just using the patient’s pain as a vasopressor!

[Sergio Nieto @SergioNieto___]

In the ED, making decisions means finding the right balance between System 1 and System 2 thinking.
Fast, intuitive judgments vs. slow, analytical reasoning—both are essential under pressure.
Mastering that balance is key to better care.
@davidcarr333 @IncrEMentuMconf

[Barack Obama @BarackObama]

Bob Mueller was one of the finest directors in the history of the FBI, transforming the bureau after 9/11 and saving countless lives. But it was his relentless commitment to the rule of law and his unwavering belief in our bedrock values that made him one of the most respected public servants of our time. Michelle and I send our condolences to Bob’s family, and everyone who knew and admired him.

[ESPN @espn]

For Johnny ❤️

[Ken Milne MD @TheSGEM]

How stats nerds say Happy Valentine's Day.
@EpiEllie @KirstyChallen @DennisRenMD

[Josh Farkas MD 💊 @PulmCrit]

“there’s a young patient in the ED with intensly painful cellulitis and rising pressor requirements”

me:

[David Weiss @DavidWeiss914]

Of all the places I get to transport patients to in the Northeast, the MS-ISU and Cardiac ICU at Boston Children’s Hospital are the only ones where my crew have to make sure I actually get back in the truck or helicopter. So much to learn from the incredible care teams there!!

[no context the west wing @LemonLymancom]

"H. Con-172" aired 24 years ago today.

[Mike Abernethy 🇺🇸 @FLTDOC1]

Engine failure in a twin engine EC-135. Run on landing with power. Everyone walks away.

Recent (Oct 6) engine failure in single engine EC130 - autorotation with hard impact. 1 killed 2 injured

There is a reason why no civilian air ambulances in the developed world use single engine helicopters- except the US

https://t.co/hOvFVLsWwi

[David Weiss @DavidWeiss914]

Hope to see everyone at the National Urban Search and Rescue Conference in Orlando!
https://t.co/zsMebWpUdb

[Lexie Mannix, MD @ALMannixMD]

The ED is where policy meets reality:

No access to primary care → med refills in the ED
No mental health funding → crises in the ED
No addiction services → overdoses in the ED

We don’t just see patients. We see policy failures.

[Nick Mark MD @nickmmark]

The danger of announcing a *bogus* association between Tylenol & autism is that more women will take NSAIDs during pregnancy, which is *actually* associated with fetal harm.

Unfortunately we may see an increase in oligohydramnios, premature closure of the ductus arteriosus, etc