Mandy Peach

Emergency Physician, Memorial University St.John's NL. Mama to Jack. Lover of PoCUS, wine and puppies. All views are my own.

[Katie Wiskar @katiewiskar]

1/

Sometimes it just BAFFLES me that this procedure used to be done blind 🙈 😵‍💫

I mean, kudos to the docs who used to have the skills to do this...but in 2024, we can be better! #POCUS

Here's a quick #tweetorial on using ultrasound for #paracentesis 🧵

[Mandy Peach @mandy_peach]

Tomorrow, 7pm Newfoundland Standard Time @PaulAtkinsonEM will be bestowing all the #POCUS knowledge - don't miss out!
Contact on poster for zoom link or DM me via X! @MUNEmergencyMed @GillianSheppar9 @jstonemclean #MedEd #CME

[Mandy Peach @mandy_peach]

Join us for our next NL PoCUS Society Grand Rounds with PoCUS expert @PaulAtkinsonEM and review some interesting #POCUS cases! 🤓 November 12th - mark your calendar and register to join! @GillianSheppar9 @jstonemclean

[Mandy Peach @mandy_peach]

"Phenotypes of B-lines" - not just present or absent, what do they look like? Seeing a little can tell you a lot! #POCUS pearls from @rajivthava during our NL #POCUS rounds.
Huge thanks to @rajivthava for such a great talk!

[CJEM @CJEMonline]

POCUS literature primer: key papers on POCUS in cardiac arrest and shock
https://t.co/YlTO5ufCjL
by: @dan___kim @PaulAtkinsonEM @GillianSheppar9 @rajivthava @colinrbell @TomJelic @ELalandeEM @RogueClaire @TRRBB @FrankMyslik @OlszynskiP #POCUS

[Mandy Peach @mandy_peach]

@rajivthava @PoCUS_NL @MUNEmergencyMed @emergmedottawa @OttawaPocus @CAEP_EUC @GillianSheppar9 @jstonemclean @MUNEmergencyMed

[Mandy Peach @mandy_peach]

@rajivthava Eek the flap!

[Mandy Peach @mandy_peach]

First PEM PoCUS course in the books! @canpocus spreading PoCUS knowledge throughout the Maritimes 🙌 @e_med_doc @KirstinYeh @PaulAtkinsonEM

[Dan Mirsch @DanMirsch]

#POCUS Twinkle sign for right UVJ stone

[Marc Probst, MD @probstMD]

What is the benefit of isopropyl alcohol (IPA) inhalation for treatment of nausea?

New SRMA in @EmergencyMedBMJ

▶️Three RCTs
▶️Pooled effect of IPA: 2-point reduction in nausea on 0-10 scale.
▶️Inexpensive, safe, and worth trying.

🍺IPA for the win

https://t.co/o25LIIyBaj

[Kayla Furlong @KaylaFurlong]

A convenient label in a broken system...

The ED is not the appropriate place for these older adult patients labeled ‘community emergencies,’ but where else do they go?

…terrible for the patient…risk of delirium, falls, decline, etc, as well as the overall function of the ED.

Support systems outside of the hospital our failing our older adult patients.

We need to fix this, yesterday.

@GovNL @GerardFarrell @_nlma @theGEDC @geri_EM @GeriEM_Canada

[Dan Kim @dan___kim]

Also from the #EACVI consensus statement on lung #ultrasound in heart failure, the authors include an infographic highlighting the idea of integrating both cardiac and lung ultrasound findings into the clinical picture
#POCUS #echo

🔗https://t.co/XEzWd7QKff

[Dr Emma Katz @DrEmmaKatz]

Toxic trend in courts:

If an abusive man has past trauma, it is used to make every excuse for his current abuse.

If a female victim-survivor has past trauma, it is used to say she's an unreliable reporter of the more recent crimes an abuser has committed against her.

[Mandy Peach @mandy_peach]

@dan___kim Had to plug mine in today for my cardiac arrest #Truth

[Mandy Peach @mandy_peach]

Guest appearance by smiley @SarahLothlorien

[Mandy Peach @mandy_peach]

What a weekend! Fog couldn't keep @e_med_doc away! Lots of #POCUS learning courtesy of @canpocus @KTraboulsee and our amazing local crew @GillianSheppar9 @jstonemclean , Rebecca Bobby & Eric Smith 🙌

[Mandy Peach @mandy_peach]

@e_med_doc @canpocus Rain, drizzle, fog - a truly NL experience! Can't wait for you to arrive!

[Mandy Peach @mandy_peach]

Few stellar EM residents practicing #Pocus ! 🤓 @GillianSheppar9 @jstonemclean @MUNEmergencyMed

[Mandy Peach @mandy_peach]

@GillianSheppar9 @MUNEmergencyMed @MunPocus @CAEP_EUC @MUNMed @margomwilson Rockstars! ⭐

[Kayla Furlong @KaylaFurlong]

Older adults in the emergency department who are not admitted, but also too unsafe to discharge home (i.e., a ‘community emergency’ or ‘social admission’) suffer adverse events and have high mortality. We need to do better @GeriEM_Canada @CAEPConference @MUNEmergencyMed