Andrew Napier, MD

EM Physician, Former Combat Medic, Inventor of @IntuBlade

[Andrew Napier, MD @napiermd]

@clairevo @chatprd @openclaw Great series and awesome podcast!

[Andrew Napier, MD @napiermd]

@HealthcareAIGuy @MenloVentures Awesome list @HealthcareAIGuy but missing @sayvant_com

[Hocus Pocus: Vassar EM Ultrasound @NuvancePOCUS]

Older female, diffuse abdominal pain and vomiting
#POCUS #IMPOCUS #FOAMed #echofirst #MedEd

[Andrew Napier, MD @napiermd]

@KateHoit What a crew!

[Rob Buttner @rob_buttner]

Pick a body part. Pick a skin surface. Pick a block.

The Nerve Block App makes regional anaesthesia easier on the go.

https://t.co/b6Xa9ZzfOZ

#FOAMed @NishCherian @thame

[Andrew Napier, MD @napiermd]

@POCUSAcademy @ButterflyNetInc Thank you! Ultrasound has been great to demystify the chaos we encounter in the ED

[Andrew Napier, MD @napiermd]

1/ A #Completeheartblock is ALWAYS terrifying. This elderly pt came in smiling and reporting generalized weakness. HR in 50s-60 with SBP 140s. #POCUS from @ButterflyNetInc showed what the ECG confirmed, that the separate atrial contractions were being counted on the monitor…

[Andrew Napier, MD @napiermd]

4/ Once in residency, pre-covid, had the same scenario but the father coded in front of his children after collapsing in the hallway walking from the waiting room towards his ED bed. Be fast, be vigilant, and don’t trust the monitor. Your patients are depending on it.

[Andrew Napier, MD @napiermd]

3/ And she codes. Briefly but she codes, get her back with awesome nursing staff. Cath lab is activated and I’m barely keeping BP in the 100s with the transcutaneous pacing and fluids. She finally goes to cath and 100% occluded RCA…

[Andrew Napier, MD @napiermd]

YES! If you’ve had an arterial line placed on yourself, then you know how painful this is. Watching residents and attendings fish for the artery blind always made my skin crawl.

[Journal of Cardiothoracic and Vascular Anesthesia @JCVAonline]

Real-time ultrasound guidance improves success rates of #arterialcannulation with less time, reduces attempts, arterial spasms, hematoma, and rules out the presence of any vascular abnormalities. Which approach are you using? #ultrasoundfirst https://t.co/FZ0SQEATiF

[Andrew Napier, MD @napiermd]

“MVC” was the heads up we got in my ED. Bloodied next to a car and refusing to provide any information. Wound pattern didn’t jive, eFAST +, went directly to the OR and trauma sx repaired the ventricle! #pericardialeffusion #ultrasound #eFAST

[Michael I. Prats @PratsEM]

LOVED this recent article on RV STRAIN. I put evidence cited into a table for my ref & thought I would share. Keep in mind heterogenous data in terms of operator, cut offs, chronicity, vitals. Def read this article for yourself #POCUS #EBS

https://t.co/JE3Oze6mZ5

[Gonzalo Garcia-Casasola @CasasolaGarcia]

Early systolic notching (ESN) of the right ventricular outflow tract pulsed-wave Doppler is probably the most sensitive and specific echocardiographic sign of massive or submassive lung embolism. DOI: 10.1016/j.echo.2019.03.004 @GTECOSEMI @PabloDemelo

[Andrew Napier, MD @napiermd]

Excellent graphic on #POCUS for PE detection. Increasingly useful in the emergency department during #COVID19 given the prothrombotic states of many patients

[John Moeller @JMoeller_EUS]

Happy New Year!! Here's another great UCI #POCUS of the Wk - PE with Dr. Pierce and @eabramsMD
Unstable vitals + RV strain on echo in triage (CT later confirmed massive PE) + ED tpa given, pt did well & later discharged w/o strain on repeat echo. #FOAMed #FOAMus #FOAMcc #FOAMrad

[Andrew Merelman @amerelman]

Just waking up to @ButterflyNetInc revolutionizing POCUS again

[Andrew Napier, MD @napiermd]

Humbled to be on the Veterans Chronicles podcast with @Dateline_DC to discuss my military service and transition into school, vet issues, and the direction of my medical device company as we push the launch of our device @intublade.

[@HeliosMedia @Helios_MediaUS]

📣 New Podcast! "Andrew Napier, Combat Medic, Afghanistan" on @Spreaker #afghanistan #ambush #guard #innovation #medic #national #veterans https://t.co/v7zYoOsLAh

[EMS World @EMSWorldOFCL]

Congrats to our EMS World Innovation Award finalists! @3BScientific @Intublade @CAEHealthcare @FirstResponseMH @HealthScholars1 @ImageTrendEDS @i_simulate @MoulageConcepts @NoninMedical @NARescue @OperativeIQ @Pulsara @RescueEssentials @TechnimountSyst https://t.co/el5CyAoxz3

[Andrew Napier, MD @napiermd]

@VolzMD Thank you Dr. Volz for bringing all of your experience and allowing us to hone our ultrasound training in our program. You all are very inspiring!

[Andrew Napier, MD @napiermd]

Blood, sweat, and tears went into making this #POCUS EM U/S Pocketbook Guide with the help of @KRMC_EM U/S director @moremois. Perfect for interns up to attendings and fits in your lab coat: https://t.co/v3Rfi91MEQ

[Andrew Napier, MD @napiermd]

@Breamd Thank you for the support Dr. Brea! Already missing that place.