Andreas Demant

Simulation und Training in der Notfallmedizin, ITS der AHA

[J M @javimen_f]

Few days ago we knew the ECMO team ( ECAT) @LDNairamb. Here Ben Singer explained something about it. @TBS_Zermatt

Advanced Prehospital Care | Ben Singer | TBS25 Zermatt https://t.co/TvkEyUkXpv vía @YouTube

[Qasem Ahmed @QAlmulihi]

Compared lidocaine vs amiodarone for pulseless VT/VF
Reviewed ROC-ALPS trial (>3,000 OHCA cases)

Results
⚡ Lidocaine → better ROSC (P=0.01)
❌ No survival difference between drugs
⏱️ Lidocaine → faster effect; amiodarone → delayed

Conclusion
✅ Lidocaine favored in early use
👍 Better for ROSC, fewer side effects
Consider as first-line in prehospital settings

[Ahmed Ata @Ahmedata7777]

Mechanism of AVNRT

https://t.co/NJr9K9RddS

[Qasem Ahmed @QAlmulihi]

Deadly ECG Patterns

1️⃣ Third Degree AV Block ⚠️
•Complete AV dissociation.
•Risk: Cardiac arrest.

2️⃣ Pericardial Effusion 💧
•Low voltage QRS, electrical alternans.
•Risk: Cardiac tamponade.

3️⃣ STEMI ❤️
•ST elevation in 2 contiguous leads.
•Risk: Myocardial infarction.

4️⃣ Peaked T Waves 🔺
•Causes: Hyperkalemia, ischemia.
•Risk: Cardiac arrest.

5️⃣ Wide QRS Interval ⚡
•Causes: Hyperkalemia, conduction disease.
•Risk: Ventricular arrhythmias.

6️⃣ Brugada Syndrome 💔
•STE in V1–V3.
•Risk: Sudden death.

7️⃣ Inverted T Waves ↔️
•Leads: aVR, V1.
•Risk: Acute ischemia, PE.

8️⃣ HCM (Hypertrophic Cardiomyopathy) 🏋️
•LVH, dagger Q waves, deep T inversions.
•Risk: VT/VF arrest.

9️⃣ ST Depression 🔽
•Leads: Anterior (posterior MI), lateral (LVH, ischemia).
•Risk: ACS.

🔟 ARVD (Arrhythmogenic Right Ventricular Dysplasia) 🌀
- Epsilon wave, QRS abnormalities.
- Risk: Sudden death.

1️⃣1️⃣ WPW (Wolff-Parkinson-White) 🕒
- Delta wave, short PR, wide QRS.
- Risk: Arrhythmias.

1️⃣2️⃣ QTc Prolongation ⏳
- QTc > 500 ms.
- Risk: Torsades, sudden death.

[Cliff Reid @cliffreid]

Want to improve your Basic Bag-Valve-Mask Ventilation skills? Here's a VERY short course I made that's free and will only take 5-10 minutes.

https://t.co/fqs8w8dA9M

[Top Biomedical Science @imedverse]

ABCDE steps to Chest X-RAY Interpretation

#pulmonary #pulmtwitter #pulmonology #respiratory #internalmedicine #TipsForNewDocs #MedEd #MedTwitter #medicine #medical #medicare #health #healthcare #FOAMed #ClinicalPearl #clinicaltips #MedStudents #xray #Radiology

[Qasem Ahmed @QAlmulihi]

ST Elevation - Not Always AMI

Mnemonic for Causes of ST Elevation: “ELEVATION”
•E: ⚡ Electrolytes (e.g., hyperkalemia)
•L: ➡️ Left bundle branch block
•E: 🔄 Early repolarization (Benign)
•V: ❤️ Ventricular hypertrophy
•A: ��� Arrhythmias (Brugada, VT), Aneurysm of LV, Aortic dissection
•T: 🌪️ Takotsubo disease, 🧠 Traumatic brain injury (ICH)
•I: 💔 Infarct (MI), Injury (contusion), 🔥 Inflammation (myo/peri-carditis)
•O: 🌡️ Osborn (J) waves (Hypothermia, Hypercalcemia)
•N: 🌀 Non-atherosclerotic vasospasm (Prinzmetal’s angina)

[dasFOAM @_dasFOAM]

CPR ist vor allem Drücken, Pusten & Schocken — richtig. Aber ist das wirklich der vollumfängliche Anspruch? Hoffentlich nicht. Für Profis haben wir ein Ass im Ärmel: Die dasFOAM Pocketcards zu Rea & ROSC, die „beyond the algorithm“ gehen. #FOAMed https://t.co/3mMWxflVw2

[Eddy J. Gutierrez, MD @eddyjoemd]

Cardiogenic shock management has been evolving with mechanical circulatory support strategies covered in this paper. The biomarkers and hemodynamic monitoring of these patients has not. Let’s nail down the fundamentals.🎩 tip to the authors.

https://t.co/4Ise540F2X

[Keith Couper @KeithCouper]

The critical problem is that we give drugs too late.

The effect of drugs is much bigger when they are given early.

Modelling data from P-2, a 1-minute delay in time to adrenaline decreases survival by about 0.7%.

https://t.co/EBwh9mLNkH

(3/n)

[Paulo San Pedro, MD @Paulo_SanPedro]

For optimal effectiveness, a large-bore rigid suction is preferred when performing #SALAD. If unavailable, an endotracheal tube (ETT) can serve as a substitute for suctioning.

[Dr. AK 🇮🇳 @docakx]

🌟 KILLER ECG PATTERNS

[Andreas Demant @DemantAndreas]

@ZoiNetou @FrederikBaron Dann zu uns Traumakurs im Mai.

[Andreas Demant @DemantAndreas]

Bester Kurs bei RescueSim. Bis bald

#traumamanagement #rescuesim #notfallmedizin

[Cliff Reid @cliffreid]

SHARKillers to watch out for in the physiologically challenging airway

[Cliff Reid @cliffreid]

Surviving as a team leader in emergency medicine. Here are 10 learning objectives & strategies I recommend:

1. Develop a resuscitation mindset, taking responsibility for the critically ill patients under your care

- ownership is key

[Dr. AK 🇮🇳 @docakx]

💥AMIODARONE is a class III antiarrhythmic drug which is widely used in ER for treating arrhythmias.

A 🧵 on situations where blind use of amiodarone in emergency can be counterproductive ⚠️⚠️⚠️

With alternate therapeutic options

Read on...👇
#MedTwitter #MedEd #MedX

[Peter Antevy @HandtevyMD]

Our Cardiac Arrest protocol for VF at @PBCFR does not follow standard AHA guidelines.

Here's what we do:
1. HP-CPR
2. Early defibrillation
3. No Epinephrine
4. DSED for rVF
5. Esmolol for rVF

YTD Arrests Worked: 524

Overall Survival to D/C:
- PBCFR: 13.2%
- National: 7.5%

Utstein Survival YTD via @CARESRegistry:
- PBCFR: 41.7%
- National: 23.9%

Utstein Bystander Survival YTD:
- PBCFR: 38.5%
- National: 27.2%

#Epinephrine could (and should) be #removed from the shockable rhythm protocol.

[Ross Prager @ross_prager]

Cardiac tamponade is life threatening, but isn't as black and white as we might think.

Here are my top considerations when diagnosing and managing cardiac tamponade 👇

A 🧵

#medtwitter #foamed #foamcc