Josh Monester

ED physician | medical education | ultrasound | philosophy nerd | ice cream

[Eddie Cliff @Eddie_Cliff]

Over 20 @smh articles say $8 billion is "rorted" from Medicare each year - but what is the evidence behind this figure? @toriberquist & I tried to find it but it was nowhere to be seen. Our piece @theMJA: https://t.co/8bA63dTPIJ @brookmanknight @MJA_Editor @coopesdetat

[Binula W @binulaw]

Just stumbled upon this wonderful piece by @char_durand 🙌🏽. A much needed reminder after some particularly strenuous shifts.

https://t.co/CjpsCCzF6N

[Emergency Medicine Ultrasound Groups @EMUGs_]

The EMUGs Northern Territory Team ran a fantastic POCUS Workshop on Saturday in Darwin. Thank you to our stellar organising team and instructor group, some of whom travelled up from Melbourne and Perth, as well as our sponsors.
@GEHealthcare @Sonosite @ButterflyNetInc

#POCUS

[ACEM President @ACEMPresident]

I have always felt some anticipatory anxiety before working a shift in the emergency department.

[Emergency Medicine Ultrasound Groups @EMUGs_]

#pocus education #MedTwitter #NorthernTerritory with @EMUGs_ @EM_VATA @gabyblech @joshmon_ @ButterflyNetInc

[Critical Care Reviews @CritCareReviews]

A widespread intervention in critical care over the past 20 years has been the use of induced hypothermia post cardiac arrest
➡️ A thread......
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[Rohit Sharma @piandro3142]

Unfortunately all my residents this term want to do Infectious Diseases as a career, so to curb their misguided enthusiasm *someone* has been taking the liberty of putting b̶a̶d̶ great antibiotic advice posters around the Neuro office, enjoy 😂 #stewardship

[Tessa Davis @TessaRDavis]

In 2019 I delivered online tutorials and I thought I was brilliant.

But the student feedback said that I was...boring.

So I've spent the last 2 years learning, watching others, and studying technique on running online tutorials.

Here are 6 things I learned:

🧵👇

[Jan Hansel @VirtueOfNothing]

1/ We just published our full @Cochrane_ACE systematic review and meta-analysis of videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation.

The full review is here, but first - some of our key takeaways 👇

https://t.co/HxzXhF83ZB

[🧶 unravellednurse 🧶 @jsam-1967.bsky.social @jsam_1967]

I’m a nurse practitioner working in specialist palliative aged care. Let me share with you just a little bit about what happens in a residential aged care facility/‘nursing home’ that doesn’t have registered nurses 24/7 365 days of the year.

[Critical Care Reviews @CritCareReviews]

One of the most outstanding questions in critical care is whether patients benefit from IV fluid resuscitation in septic shock.
A thread...
(image shutterstock)
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[David Anderson @expensivecare]

1/n I've heard a few times over the years that many paramedics think that their patient care records (PCRs) are primarily for internal audit purposes and aren't read by other clinicians.

So - A thread on EMS PCRs...

[Barrie Cassidy @barriecassidy]

Can smokers light up again indoors as a celebration of the new era of personal responsibility?

[Josh Monester @joshmon_]

@zedunow @EMUGs_ Thanks @zedunow! I'll make it happen in 2022 😆

[Chris Nickson @precordialthump.bsky.social @precordialthump]

As a trainee we often focus on "getting procedures". As ICU consultant it wouldn't bother me if I never did another ecmo cannulation etc. We add value by leading, cognition, & communication. Our role is in sense making, anticipation/planning, seeing the whole patient, & teaching.

[Josh Farkas MD 💊 @PulmCrit]

treating septic shock with fluid boluses

[Eve Purdy @purdy_eve]

After studying ED teams, I am thrilled to share insights about how they work and some simple hacks to make them even better.

Spoiler alert: psychological safety is what it’s all about - thanks @amyCEdmondson @RoisinODonovan4

#RCEMasc @RCEMevents @SocraticEM

A thread…

[Eddie Cliff @Eddie_Cliff]

Covid zero is unfortunately no longer maintainable for Australia. Our leaders must shift mindsets, maximise vaccination access, sustainable public health measures & make clear to all Australians that the time for vaccination is now. w @BrianFern_ @nytimes https://t.co/vKG1J6emlB

[REBEL EM @REBEL__EM]

Upping Our ECG Game: OMI vs STEMI

-Subgroup of NSTEMI pts who have acute coronary occlusions similar to STEMI pts
-They don’t meet millimeter STEMI criteria
-Have similar outcome severity
-Less likely to receive emergent cath

https://t.co/f113tvDca2

#FOAMed #STEMI #ECG

[Charlotte Durand @char_durand]

ALSO the other best thing about this is that one of my fave colleagues & work BFFs @joshmon_ has also joined and we only just figured it out. 😂 #dreamteam