Matt Libby

Neo/pedi/adult crit care medic. International medical & logistics consultant. MIH program designer. EMS Presenter. FOAM nut. Retrievalist. Pilot. Pirate.

[Dorian L. Beasley MD, FACC @cardiojaydoc02]

Peripheral edema does not equal heart failure
Peripheral edema does not equal heart failure
Peripheral edema does not equal heart failure
Peripheral edema does not equal heart failure
Peripheral edema does not equal heart failure

[Mike Abernethy 🇺🇸 @FLTDOC1]

Fentanyl touching an ungloved hand. No Narcan required

[Mike Abernethy 🇺🇸 @FLTDOC1]

EM Rule 3.21:

Regardless of where it occurs in the entire medical center complex, any inefficiency in patient flow or staffing will always trickle down and bite the emergency department right in the arse.

[CritCareRN @rn_critcare]

Making your dying loved one a full code, intubating, doing chest compressions, invasive lines & inotropes until the out of town family can arrive to say goodbye is cruelty.

There. I said it.
Tell the others.

[Picard Tips @PicardTips]

Picard management tip: Empower others to command when you are unfit. You never know when your mind will be taken over by an alien.

[High Performance EMS @hp_ems]

"EMS providers die from transportation collisions at a greater rate (9.6 per 100K) than police officers (6.1) or firefighters (5.7). Rear occupants are 2.7 times more likely to die in an crash." https://t.co/o0KEdRfpy5

[Matt Libby @matlibby]

@cbatesmd @HarrySiboldMD @fltrn77 @MedFlightDoc @FLTDOC1 That’s a d model 117.

[Mike Abernethy 🇺🇸 @FLTDOC1]

How does this fentanyl hysteria/paranoia continue?

[Mike Abernethy 🇺🇸 @FLTDOC1]

Interesting -I have been blocked by @aams The Assn of Air Medical Services. The trade association for the US air ambulance industry. ? because I openly disagree with their basic philosophy of:

More helicopters are always better -regardless of medical quality, safety or cost.

[Michael Perlmutter, MD @DitchDoc14]

Shame on @AAMS

[Bill Hinckley @UCAirCareDoc]

...and the legend of Abernethy grows still stronger.

@FLTDOC1 blocked by @AAMS.

Interesting choice. I suspect that @AAMS may come to regret doing this.

https://t.co/coo0PJCriw

[Matt Libby @matlibby]

@calldaburd Speachless

[Matt Libby @matlibby]

@MJGriksaitis @picsatg @PedCritCareMed @SCCM @WFPICCS Some of the ground trucks I’ve been in are criminal in the ride quality. Fell on deaf ears.

[Mike Abernethy 🇺🇸 @FLTDOC1]

How is it that the "10 min fly circle" has become the standard for HEMS coverage? 10 min fly=approx 20 miles. HEMS should not typically be used for such short hops.
These circles should be 2-3x the current diameter. With that-the gross oversaturation becomes even more apparent

[Picard Tips @PicardTips]

Picard management tip: Gain a reputation for completing missions.

[Matt Libby @matlibby]

@christifulli88 No

[Matt Libby @matlibby]

@ketaparamedic @FOAMpodcast @FOAMfrat @AmiTomaszewski @ECHOHeliOps So both I guess. We have options in our goals of care although empowered to do anything in name of safety. I would never use physical restraint in an emergency, but always an option I guess.

[Mike Abernethy 🇺🇸 @FLTDOC1]

Im no fan of insurance companies -but I would not expect them to pay $100 for an aspirin ( actual cost to hospital 50 cents)

I would not expect any person or insurance company to pay $50k for a 20 minute flight in a 25 year old Bell 206 providing basically ALS care