Dirk Chisholm

Emergency Medicine PGY2| MD @ualberta_FOMD | Primary Care Paramedic | prehospital care, resus, injury prevention, running | @cantf2 medical member

[Dirk Chisholm @DirkChis]

So stoked to join the amazing team @CalgaryEMres back home to train to be an Emerg doc for the next 5 years!!!

[Dirk Chisholm @DirkChis]

#CaRMSTips : Find a program with truely the best admin! (and aPD)! @CalgaryEMres

[Calgary EM Residents @CalgaryEMres]

So proud that both our Program Admin (Madhavi, aka Mom) and our Assistant PD Dr Pandya are receiving University of Calgary PGME awards this year. Thank you both for all that you do for us!

[Dirk Chisholm @DirkChis]

Whoever said you can’t have epiglottitis and lay flat was, well, very wrong (n=2)

[Katie Lin MD MPH 🇨🇦 @lilninjadoc]

Phenomenal work on @UCalgaryEM Grand Rounds today @DirkChis 👏

Blunt cerebrovascular injury (BCVI):
-BCVI incidence 3-7% of major trauma cases
-Stroke risk post-BCVI 5-10% with tx, 40% without tx
-Early antithrombotics reduce risk of morbidity (OR 0.2) & mortality (OR 0.17)

[Dirk Chisholm @DirkChis]

Most shade I've ever seen thrown in a journal article: “The higher rate of inappropriate manual shocks
... with physicians as team leaders than for paramedics out-of-hospital could be due to the fact that the physicians were internal medicine residents.” Circulation, 2007

[Dirk Chisholm @DirkChis]

Excellent, Canadian, prehospital OHCA research! 🇨🇦

[Alex Warren @alexfwarren]

Here's a trial that should change your practice if you treat patients in cardiac arrest.

In a cluster-randomised trial from 🇨🇦, double sequential defibrillation was associated with a 16% ⬆️ chance of SR, 20% ⬆️ chance of ROSC and 17% ⬆️ of surviving to hospital discharge.

1/3

[Dirk Chisholm @DirkChis]

Aptly timed in this province ….

[Caroline @caro-icu.bsky.social @Caro_Dew_]

An ICU nurses’ response to this h.scum piece.

I bring you:

The 77 things I hated about what COVID did to the human body.

📷 Heather Paterson Photography

[Dirk Chisholm @DirkChis]

No better family to help you through a 72h weekend of plastics call @CalgaryEMres

[Dirk Chisholm @DirkChis]

What are you trying to tell me, Amazon?

[Dirk Chisholm @DirkChis]

Congrats @pheliason @CarolynAEmery @aacademic @BHagel4 ! Nice to see some familiar names on the cover article of CMAJ !

[Dirk Chisholm @DirkChis]

@iceTyyc @CalgaryEMres Thanks, chief!

[Dirk Chisholm @DirkChis]

So stoked to join the amazing team @CalgaryEMres back home to train to be an Emerg doc for the next 5 years!!!

[Dirk Chisholm @DirkChis]

Time to quit medicine and start the world’s second contrast manufacturer?

[Dirk Chisholm @DirkChis]

Off service post call musings:
Medicine (healthcare, even) is way too tribalistic; everyone is doing their best in a system at its breaking point; try to be kind to each other and remember we’re all in this together, trying to help our patients.

[Dirk Chisholm @DirkChis]

Sooooo stoked to welcome you all to the family!

[Calgary EM Residents @CalgaryEMres]

Welcome to our newest residents!! Allen Vorobeichik (Calgary), Julia Cirone (Western), Tess Loch (Calgary), and Kala Draney (UBC). We are already counting down the days till you join us in July 🥰

[Dirk Chisholm @DirkChis]

If accidentally putting R1 after my signature on my receipt at the grocery store on vacation isn’t a sign I needed time off, not sure what is…

[Dirk Chisholm @DirkChis]

Medicine’s most toxic trait is saying “See the excellent notes above” knowing no one will.

[Dirk Chisholm @DirkChis]

Can I claim the eponym for post call encephalopathy if not already taken ?

[Dirk Chisholm @DirkChis]

Find yourself an emerg program where your staff and seniors find you for 2 CVCs and an intubation in one night while you’re off service on call #carms2022 @CalgaryEMres

[Dirk Chisholm @DirkChis]

Does anyone else have a moment of sheer panic each time the rapid test buffer moves up the cartridge, not sure if that first line is going to stay or keep moving up?

[Dirk Chisholm @DirkChis]

So. Much. COVID. Croup.

[Dr. Mizuho M. Morrison @mizuhomorrison]

Baby 👶🏻 with
✔️ Stridor 🗣
✔️ Barky Cough 🫁
✔️ Increased work of breathing
✔️ Congestion 👃🏼

DX: Parainfluenza croup? Nope!
✅ COVID CROUP!

TX: is the same
🌀Rac Epi
🌀Dexamethasone
🌀 Nasal suction

#covidhasnolimits #medtwitter #pem #meded #emergencymedicine

[Dirk Chisholm @DirkChis]

Today’s AB COVID numbers may have been 30% + but these good pups brought 100% positivity to the ED