Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P

Emergency Medicine/EMS Physician, nocturnist, resuscitationist, HEMS/TEMS enthusiast. President-elect of AMPA. He/Him.

Tweets are mine & not medical advice.

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Wrapped another successful Medical Director Core Curriculum (Part III) at #AMTC23 brought to you by @AMPAdocs!

Interested in sharing your experiences and learning from leaders in the field? Join us for Air Medical Physician Symposium at #NAEMSP23 in Austin!

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Dogs are among the best people. ❤️

[Thoughts of Dog @dog_feelings]

i was told. whenever a square car with sirens passes by. they are on their way to help. so i always howl along. to let everyone know. i’m helping too

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

VL is only the victor for the EDs and EMS services that enjoy access to it. Let's figure out how to get the better tool into the hands of those who need it!

#EMS #HEMS @AMPAdocs @JLynchDO @ktanaka_0123

[armyemdoc @armyemdoc]

The results from our DEVICE trial are out in the @NEJM . In this RCT, direct laryngoscopy was inferior to video laryngoscopy for first-pass success.

In fact, it was so inferior that we had to stop the trial early after DSMB review due to the clear benefit of VL.

This is the 🔨 nail in the ⚰️ for DL. While it's an important skill, VL should be the standard when it's available. If it's not available, we need to make it available.

https://t.co/M1WVUhEZ5z

#emergency #emergencymedicine #icu #criticalcare #airway #military #war #trauma #data #science #research #armyemdoc #medtwitter #foamcc #foamed

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Humbled to join @mercyflightwny & the Sauer Family to dedicate the newest member of the MF fleet, Bell 429 aircraft reg. N509TJ, to the life & memory of our pilot & friend, James E. Sauer.

"When minutes matter."

@JLynchDO @ktanaka_0123 @AMPAdocs @MercyFlightCNY

[Jillian Rigert, DMD, MD, ACC @jillian_rigert]

My ex died at age 29.

So... I disagree.

I missed his last call, because I was too tired and busy from prioritizing my surgery career over my life.

Let's normalize prioritizing our lives, love, and happiness.

https://t.co/0XQpJckqkh

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

@GovKathyHochul @McMahonforNYS @SenSeanRyan @carlheastie @AndreaSCousins Oppose liability expansion bills like A.6696/S.6636 that will harm our healthcare safety net. @MSSNYtweet #DontChasePhysiciansOutofNY #TortReform https://t.co/5xwpiNOgJG

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

@rpcrowe Ping @JoNana - REMLE KNOWS US

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Our #EMChiefs stepping into the shoes of an airport firefighter!

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Airline Pilot Phil Van Dette discussing in-flight medical emergencies at @UBuffaloEM EMS Grand Rounds 2023 kindly hosted by @BUFAirport Fire!

@UBemSono @ktanaka_0123 @JLynchDO

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Our #EMChiefs stepping into the shoes of an airport firefighter!

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Discussing aerospace medicine and general aeronautical pearls! @BUFAirport #ARFF

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Airport Fire Chief Bill Major, a dedicated Fire/EMS veteran, shares his experiences with airfield mass casualty incidents & incident planning. #CareintheAir

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Send in the art lines! The time sacrifice is minimal, the yield can be incalculable, and there's no reason skilled flight crews cannot place them.

Bring the care to the patient.

@AMPAdocs @NAEMSP @mercyflightwny @ktanaka_0123 @JLynchDO

[#HelloMyNameIs Andy @AndyPattonIRL]

Pre-Hospital Arterial Lines @airambulancekss safe and efficient. Scene time increased by only 1 minute. Low rate of complications. @GreenhalghRob #Retrieval2023 @_retrieval

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Someone you care about may be struggling with opioid misuse.

Naloxone is safe. It won't hurt someone if they don't need it. NALOXONE. SAVES. LIVES.

But it can't work by itself.

Learn where to get it and how to administer it BEFORE you need to.

#harmreduction

[MATTERS @matters_network]

#Naloxone has no effect on someone who does not have opioids in their system. It reverses the effects that #opioids have on the body, saving lives across the country.

Are you certified in naloxone administration? Get trained with MATTERS today!

@JLynchDO @HealthNYGov

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

YES! Been working to launch a pilot project in #NYS to put this into action!

Ping @DrMWDailey @JLynchDO @matters_network

#EMSbupe #harmreduction

[NAEMSP @NAEMSP]

EMS-administered buprenorphine can be a well-tolerated intervention for OUD patients who are in withdrawal. Read more about a pilot study in Contra Costa County of California from PEC: https://t.co/oXqlH8vwvQ

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Welcome back to the re-launched @JournalHTAM!

https://t.co/KrbgeAiTHt

#operationalmedicine #EMS

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

I FULLY support #StopTheBleed and training students to intervene in cases of life threatening traumatic hemorrhage.

It. Saves. Lives.

But guess what would work even better? Eliminating school shootings. It's long past time for brave and decisive action. #ThisIsMyLane

[Mark Elliott @markmobility]

Here's what's going on in the Texas legislature in response to school shootings: All students in third grade and up to be trained in battlefield trauma care. https://t.co/n3izumblxL

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

@stevecripe57 Agree, trauma, acute stroke within a window, & STEMI need minimal interventions @ scene (but some! needle decompress, ASA to the STEMI, check glucose for stroke) prior to transport.

We ask EMS to make complex medical decisions that do affect outcome. Let's pay them like we do!

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

Care starts at the patient's side, not in the ambulance.

[Joshua Stilley, MD FAEMS @JoshuaStilley]

Biggest push I am making right now for EMS care of sick medical patients? Slow down. Good stabilizing care on scene can make a huge difference before moving to the ambulance.

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

@Gnarniashreds @OldGrumpyMike Well put. Medicine is an art, informed by science. 😉

[Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P @retrievalmd]

@stevecripe57 Sure you can. And you can do the EKG (may change treatment/destination), give the first breathing treatment, etc., at the bedside. And almost always should. 😊