Brian Clemency

Father of 4, Emergency Medicine Researcher, EMS Physician

[Josh Farkas MD 💊 @PulmCrit]

how it how it's
started going

[Brian Clemency @DocClemency]

Fever and/or loss of taste or smell are key for predicting which Health Care Workers will test #COVID19 +

https://t.co/8S221qcolm

[Brian Clemency @DocClemency]

@maiadorsett telling us we should tweet more at the @NYNAEMSP meeting #NAEMSP2020

[Brian Clemency @DocClemency]

@mkeccp Independent of the the question of efficacy... how many patient take their own nitro each year at home for chest pain without IV access or a screening 12-lead to Rule out inferior MI first.

[Joseph Zalkin #🟦 🇮🇱 @jzalkin]

Adding to my crew resource management file.

[Brian Clemency @DocClemency]

Best slide of #ACEP19

[Brian Clemency @DocClemency]

@DrCraigManifold Congratulations!!!

[Brian Clemency @DocClemency]

@matters_network

[Jenna Nikolaides @jennak06]

The opioid epidemic, where we went wrong. Credit: ⁦@andrewkolodny⁩ #RxSummit2019

[Brian Clemency @DocClemency]

@DrJeffJarvis @HandtevyMD And I treat all my acid burns by putting some base on it.... what could go wrong!!! 🤦‍♂️

[Brian Clemency @DocClemency]

@HandtevyMD @DrJeffJarvis You mean giving a pro-arrhythmic to a patient with a lethal arrhythmia is not a good idea?

[Brian Clemency @DocClemency]

@bflodoc Probably? ....... definitely!!!

[Remle P. Crowe, PhD @rpcrowe]

Dr. Levy bringing some stats real talk to the mix. Resuscitation time bias (opposite of survival time bias) is not often taken into consideration in prehospital observational studies. @EaglesGather @mklevy10 #GatheringEagles19

[Brent Myers @bmyersmd]

Every person in EMS should mark their calendar today. Thanks to work from individuals across the country, we are moving to payment for treatment rather than payment for transport #emsismorethanataxi @NAEMSP #ET3

[Brian Clemency @DocClemency]

@AndrewBresnahan @socmobem @TheSGEM @mcyarema @First10EM @CHeitzMD Mmmm.... pancakes!!
#SGEMHOP

[Brian Clemency @DocClemency]

I would suspect that those same patients that earn cardiac, renal, etc work ups also have abnormal vitals and fail the rule. #sgemhop

[Annahieta Kalantari, DO, FACEP, FACOEP 🇺🇦 @akkalantari]

@First10EM @socmobem @TheSGEM @EMSwami @srrezaie @nicholasenacca @PharmERToxGuy @Rick_Pescatore @DocClemency @CHeitzMD @ProfBEEM Main concerns are ischemic EKG changes, elevated trop and creatinine. Had a ton of ODs in Philly & I've seen irreversible cardiac and renal damage with some. d/c If its a standard OD: got narcan right away, work up, medics brought in, vitals fine, pt exam fine.

[Brian Clemency @DocClemency]

@nicholasenacca - Do you routinely get EKGs on your opiate overdose patient?
#SGEMHOP
https://t.co/bHyXwNf6tx

[Brian Clemency @DocClemency]

@kavitababu Ideally, when the rule misclassified a pt. they were DC'd with a responsible adult & have been given take-home naloxone kit
In EM "what if your wrong" can be applied to just about every patient.
PERC, HEART, NEXUS etc are good but not perfect, why is this different?
#SGEMHOP

[Brian Clemency @DocClemency]

Risk stratifying patients for discharge after opiate OD is just the beginning. Check out the amazing work @JLynchDO and @Buffalo_matters are doing linking patients to treatment from the ED after OD.
https://t.co/umqQgdWy3J
#SGEMHOP #opioidcrisis
https://t.co/bHyXwNf6tx

[MATTERS @matters_network]

This sums it up!

[Ken Milne MD @TheSGEM]

@CynthiaSantosMD @SamStellpflug @mbspyres @ManiniAlex @EMSwami @srrezaie @lapizity @ToxAndHound @toxicologist12 @heshiegreshie @DocClemency @AnnalsofEM Here is the #SGEMHOP review of the HOUR rule validation study by @DocClemency and team. https://t.co/T916AlnsV1 #FOAMed #EBM

[Brian Clemency @DocClemency]

@MRamzyDO @srrezaie @EMSwami @First10EM @RJHamiltonMD @dorazepam @UBuffaloEM @TheSGEM @painfreeED @emresidents #REBELem review of the #HOURrule reflects the challenges of studying this unique patient population.

But what is the strength of the evidence in support of the dogmatic 4-6 hour observation of patients following naloxone for OD on IV opiates?

#SGEMHOP
https://t.co/bHyXwNf6tx