Top Tweets for #ACEMWS23
When 2 Ed/tox friends hang out, it’s only fitting we celebrate with gin that was partly created by a tox guru @UnaNicI @geoff_isbister #ACEMWS23
Never rush end of care decisions . Have a system for everything (ethics / communication etc ) Peter Saul at #acemws23
Kath Hume on enhancing staff experience in NSW
#acemws23 @acemonline
During disasters energy levels increase followed by a deterioration afterwards
How can we improve recovery to enhance performance?
Created a strategy that includes well-being as an important topic
Dr Rhys Ross-Browne on incivility in ED
#acemws23 @acemonline
Rudeness impairs team performance, even that of witnesses
We need to create workplaces where civility is the norm, the path of lowest resistance
Accountability is essential
#ACEMWS23 Dr Yolanda Coleman (paediatric intensivist) pearl for paediatric upper airway obstruction: “don’t take the breath away if you can’t give it back”
Dr Sam Ridler - PHRM
#acemws23 @acemonline
Creation of an intubated stretcher winch pathway - use of a ventilator rather than BVM relieves cognitive load and aids consistency of breaths
Created a soft bridge to hang the ventilator and monitor to be visible to winching medic
Dr Richard Lennon - paediatrics
#acemws23
Invasive group A strep
Resurgence from Europe 2022
Typical: pharyngitis, impetigo, cellulitis
Invasive: toxic shock syndrome, necrotising fasciitis, meningitis
Strep pharyngitis hallmark is absence of cough or coryza
Sudden deterioration
Dr Theo de Malmanche - immunologist #acemws23
Throat tightness is a common reason for referral.
Normal sats are not reassuring in hereditary angiooedema due to hypoxia being a late sign
Hereditary angioedema will often present frequently with abdominal pain prior to diagnosis
Are you at #acemws23?
Be sure to head over to the ACEM lounge where you can find out how to submit your ideas for the future of ACEM by watching the 40th Anniversary video.
Dr Emma Croker - on diabetes
#acemws23 @acemonline
SGLT2i = Flozins
Remove excess glucose via kidneys
Reduce hospitalisations for HF and slow progression of CKD
Don’t cause hypoglycaemia unless adjunct SU or insulin
Increase creatinine is expected
Dr Ferdi Miteff - interventional neurologist
#acemws23 @acemonline
AV fistulas can lead to reversal of venous flow resulting in raised intracranial pressure
Consider spinal dural AV fistula in a patient with ascending weakness
Unruptured aneurysms can give local neuro symptoms
#acemws23 AI in EM - do we design systems that acknowledge overdiagnosis? Many algorithms are sensitive but not specific.
#ACEMWS23 key note speaker Adj Prof Nicola Cunningham shares her kickboxing mantras that translate fabulously to emergency medicine mantras
#ACEMWS23 key note speaker Adj Prof Nicola Cunningham reminding us that stories are critical to learning. The Communiques do just this. Excellent learning from Australian Coroner cases.
https://t.co/FoLeB9Q6lB
#ACEMWS23 keynote speaker Adj Prof Nicola Cunningham giving advice for emergency physicians as expert witnesses in court
#ACEMWS23 keynote speaker Prof Martin Than discussing artificial intelligence for emergency medicine
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