Nick Packer

Emergency Medicine (FRCPC EM) & POCUS (U of C EM Ultrasound Fellowship) with interests in Physiology, Pharmacology & Medical Toxicology

[Nick Packer @npacker2015]

@lilninjadoc Huge fan of the laryngoscope for this.

[Katie Lin MD MPH 🇨🇦 @lilninjadoc]

It is frightening that medical emergencies are now being managed in waiting rooms and hallways after wait times >6-8h.

It has never been like this before, even during the early pandemic waves.

A perfect storm of ⬆️ viral illness, short staffing, ED crowding, and Connect Care.

[Nick Packer @npacker2015]

@DirkChis Isn’t all asystole just fine vfib tho?

[Shawn Dowling @shawnkdowling]

PRIVATIZATION rant:
For all of you out there that think that privatization is the solution to our health care woes.

My daughter just had an outpatient procedure to treat an ingrown toe nail. This took approximately 20 minutes. Cost 690$. 1/

[Josh Farkas MD 💊 @PulmCrit]

THERE’S NO SUCH THING AS A “BETA-LACTAM ALLERGY” OR A “CEPHALOSPORIN ALLERGY.” CROSS-ALLERGIC REACTIONS ARE LIMITED TO DRUGS WITH EXTREMELY SIMILAR R-SIDE CHAINS. SO YOU CAN ALMOST ALWAYS FIND A SAFE BETA-LACTAM. IF YOU JUST HAVE A WEE BIT OF COURAGE, THAT IS.

[Christopher Hicks @HumanFact0rz]

So yes: By all means manage the present ongoing public health emergency, with every medical, social and political tool available.

But don’t pretend for a minute that our system will somehow autoresuscitate when talk of spike proteins is in our rear view mirror.

It won’t.

4/

[Hillary Clinton @HillaryClinton]

Many of the same Republicans who just voted against protecting birth control and celebrated when Roe was overturned also oppose paid family leave and efforts to make childcare affordable. This is not about supporting families—it’s about dragging women back in time.

[Sen. Bernie Sanders @SenSanders]

Record heatwaves worldwide. Hospitalizations, injuries, and deaths. Crops destroyed. Fires raging.

Some say bold climate action is "expensive." Compared to what?

[Nick Packer @npacker2015]

@TomJelic Interesting. I haven’t seen this before.

[Nick Packer @npacker2015]

@critconcepts Agreed. Not going to impact my immediate steps for management of the failing RV. Epi + Vassopressin, Caripul and IHD/CRRT.

[Nick Packer @npacker2015]

@socmobem @ERmentor @shawnkdowling @iwwalker @jameslhuffman @TheSGEM Hard to send someone home w/ ongoing amnesia. My decision regarding CTA early (over NCCT) is based on trying to identify those at a higher risk of stroke (new a fib, high ABCD2, CHADS2VASC, etc.). Then if significant cerebrovascular dz on CTA + ongoing TGA = neuro consult + MR.

[Timothy Caulfield @CaulfieldTim]

Last night AB Premier @jkenney spoke about his concern regarding the "stigma" faced by unvaccinated.

Reality: Being unvaccinated is not an immutable trait or a noble stand. It is almost always simply a decision –usually informed by misinformation & ideological spin.

[Kristin Raworth 🇨🇦 @KristinRaworth]

Being HIV positive and treated like garbage by society and dying alone without your loved ones is different than not being able to go to Boston Pizza

[Ryan Turnbull 🇨🇦🇺🇦 @TurnbullWhitby]

🇺🇸 857,768 deaths (2,577 per million)
🇬🇧 152,996 deaths (2,243 per million)
🇪🇺 935,822 deaths (2,093 per million)
🇨🇦 31,892 deaths (840 per million)

#cdnpoli

[Jann “stop live horse export” Arden @jannarden]

Me me me me me me me me me me me me me me me me me me me me me me me me. Honk honk. Me me me me me me me me me honk

[Nick Packer @npacker2015]

Going to try this with my next consult.

[Issy Phillips @issypips]

Why do trauma get to say stuff like man vs bike, woman vs car etc but medicine never say woman vs E.coli, man vs atherosclerosis, man vs own immune system etc? I’m just saying

[David Juurlink @DavidJuurlink]

If you know someone who's on the fence about vaccination show them this. It's not too late.