EMDeliberate Practice

High acuity low opportunity procedural training for emergency & critical care medicine based in principles of deliberate practice. Med Director: Chris Keefer MD

[Justin Morgenstern @First10EM]

Why is @UnityHealthTO denying the vaccine to pregnant healthcare workers??

The risk from COVID is probably higher than the risk from the vaccine
You are going to force pregnant nurses to work in the ICU without the protection of a vaccine?
Let them choose!
@BogochIsaac

[Justin Morgenstern @First10EM]

@UnityHealthTO @SOGCorg And in the mean time - if you are unwilling to provide the vaccination to these populations, you had better also ensure that they are not exposed to COVID. Paid leave or offer the vaccine. Anything else is negligence.

[Justin Morgenstern @First10EM]

@UnityHealthTO But guidance from every professional organization that looks after pregnant women says that this approach is wrong
You are a healthcare institution. You need to follow good medical practice, not government guidance. The @SOGCorg says your approach is wrong. Change it now.

[David Carr @davidcarr333]

Why are we waiting till next week before requiring a negative Covid test prior to entering to Canada? Why not now? We won’t capture all those returning during the busy holiday period. We have had a lot of time to think about this.

[EMDeliberate Practice @emdeliberate]

BOTCH-AD a new tool to get rid of those clunky H’s & T’s... @EmICUcanada @vsperelman @BosmanDr @drlauraduggan @MelHerbert @wansbrough @crack_cast @ketaminh @Njfarber @ThurgurTox @EMCCTEAM @SarahFoohey @tzakrison @TheSGEM @Leeors @Stella_Yiu @EMSwami @MischMic @Brent_Thoma

[chris keefer @Dr_Keefer]

Move over H’s and T’s... BOTCH-AD is here. BOTCH-AD is an easy to recall memory tool for ACLS which is treatment focused & efficient.
Bolus, O2, TPa, Calcium, HCO3, Antidotes, Decompress. @davidcarr333 @First10EM @petrosoniak @HumanFact0rz @EMCases @emcrit @Ornge @HeartandStroke

[EMDeliberate Practice @emdeliberate]

I dedicate this to ⁦@First10EM⁩ a physician/researcher who exemplifies wisdom and paints the clearest path to high quality evidence based practice for the rest of us mortals. Mad respect. ⁦@davidcarr333⁩ ⁦@HumanFact0rz⁩ ⁦@EMCases⁩ ⁦@petrosoniak⁩.

[EMDeliberate Practice @emdeliberate]

@mededgene @Dr_Keefer @ketaminh @kovacsgj @petrosoniak @HumanFact0rz @EmICUcanada @HanzlaTariq @First10EM 3.) last detail. Bougie microskill: I teach passing the bougie along the finger pad rather than over the nail. False passage is less likely with more nerve endings in the pulp of the finger and a more proprioceptive information and a more oblique angle.

[EMDeliberate Practice @emdeliberate]

@mededgene @Dr_Keefer @ketaminh @kovacsgj @petrosoniak @HumanFact0rz @EmICUcanada @HanzlaTariq @First10EM 2.) I usually teach 4-6 sessions in a day to an ED group or at a conference. Thats 120-180 reps. This is only possible with a scaleable partial task trainer. Pig skin is <1$ per pound and the whole PPTA costs 25-30$ to build.

[EMDeliberate Practice @emdeliberate]

Rep #3... Difficult Anatomy lets go!

[EMDeliberate Practice @emdeliberate]

@jon_kavanagh @kovacsgj @EmICUcanada @emcrit @ketaminh @airwaycam @tzakrison @JessMasonMD @crack_cast @VortexApproach @drlauraduggan

[EMDeliberate Practice @emdeliberate]

Get Committed! Cric landmarking with watercolours.

[chris keefer @Dr_Keefer]

Cric training @emdeliberate arts and crafts style. Paintbrush gets learners out of the comfort zone, committed to their landmarking decisions and allows for immediate feedback from coach @Dr_Keefer. 6 part motor pattern further reinforced. @petrosoniak @HumanFact0rz @EMCases

[EMDeliberate Practice @emdeliberate]

Part 2.. tour of the Em deliberate practice Cric partial task trainer.

[chris keefer @Dr_Keefer]

@emdeliberate is all about low cost, high fidelity task trainers (PTT) that allows multiple incrementally more difficult reps to develop mastery thru deliberate practice. Our PTT. part 2.) @ketaminh @airwaycam @kovacsgj @EmergencyDocs @precordialthump @trklou @TChanMD @M_Lin

[EMDeliberate Practice @emdeliberate]

Part 1 of the tour of our ultra low cost, ultra high fidelity, ultra rep-able, ultra cool partial task trainer. Make sure to watch part 2 as well. @JessMasonMD @VortexApproach @Leeors @drlauraduggan @icgcr @tzakrison

[chris keefer @Dr_Keefer]

@emdeliberate is all about low cost, high fidelity partial task trainers (PTT) that allows multiple incrementally more difficult reps to develop mastery through deliberate practice. Here's a tour of our PTT. @petrosoniak @HumanFact0rz @emcrit @davidcarr333 @EMCases @EmICUcanada

[EMDeliberate Practice @emdeliberate]

The pigskin is screwed to the underlying wood around the 3D printed trachea. You can also play with how tightly you screw in the skin to create a more mobile larynx. @jon_kavanagh

[chris keefer @Dr_Keefer]

@emdeliberate Cric partial task trainer adjustments to incrementally challenge learners with harder anatomy. @jon_kavanagh @kovacsgj @EmICUcanada @emcrit @EMCases @ketaminh @airwaycam @First10EM @icgcr @tzakrison @JessMasonMD @crack_cast @VortexApproach @Leeors @drlauraduggan

[EMDeliberate Practice @emdeliberate]

Our 25$ Cric partial task trainer... only slightly lower fidelity then a cadaver but unlimited reps. Also can male more difficult with thicker pig skin or folding it over to create an obese neck. @EmICUcanada @emcrit @airwaycam @EMCases @davidcarr333 @HumanFact0rz @petrosoniak

[chris keefer @Dr_Keefer]

@emdeliberate is all about low cost, high fidelity partial task trainers (PTT) that allows multiple incrementally more difficult reps to develop mastery through deliberate practice. Here's a tour of our PTT. @petrosoniak @HumanFact0rz @emcrit @davidcarr333 @EMCases @EmICUcanada

[EMDeliberate Practice @emdeliberate]

@alandrummond2 Im afraid its only the beginning...

[EMDeliberate Practice @emdeliberate]

Learners teach their future selves by verbalizing the 6 part gross motor pattern and surgical micro skills to a partner filming them on their own phone. Excellent spaced repetition resource @ketaminh @airwaycam @emcrit @EMCases @davidcarr333 @EMRAPGO @HumanFact0rz

[chris keefer @Dr_Keefer]

Surgical Cricothyrotomy like a boss! Teach your future self partial task trainer rep #3. Student verbalizes the procedure as their assistant records them on their phone. #spacedrepetition resource. Summiting the #learningpyramid. @emdeliberate practice! @EMCases @petrosoniak

[EMDeliberate Practice @emdeliberate]

How to catecholamine vaccinate...? get your HIIT on to stress inoculate.!

[chris keefer @Dr_Keefer]

Cric Like a boss U of T CCFP-EM edition w @emdeliberate. Final integration exercise Rep #5. Physiologic stressor w a microsim. 6-part gross motor pattern, land marking & scalpel/bougie microskills locked in. #Musclememory <60 sec to airway. ⁦@EMCases⁩ ⁦@HumanFact0rz⁩