Brian A Russ

@uams_em residency and US fellowship trained #POCUS

[Brian A Russ @sonobrian]

@noahkaufmanmd Me and my ER nurses down here in CO springs were admiring your website tonight. Super cool idea!!!

[Mohamad Alkhouli @adnanalkhouli]

When well-intended policies create unintended harm — a lesson in system dynamics.

Rating systems are designed to help patients choose better care, increase transparency, and incentivize hospitals to improve. But when you change one part of a complex system, the ripple effects can be profound — especially when reputation and reimbursement are on the line.

A new analysis in @JACCJournals reveals that after U.S. News & World Report began rating TAVR programs in 2020, lower-rated hospitals became significantly more risk-averse — performing 44% fewer high-risk TAVR procedures, with no compensatory increase at higher-rated centers.

This is the paradox of public ratings: a tool meant to improve care may instead discourage hospitals from treating the sickest patients, simply to protect a score.

It is a reminder that:
1. Metrics shape behavior.
2. Imperfect risk adjustment means patients — not systems — absorb the cost.
3. Those “too sick” for surgery must not become invisible casualties of policy design.

This is an opportunity to rethink and redesign — rather than to blame.

Perhaps the question should be: How do we build systems that reward treating the hardest cases — instead of penalizing them?

https://t.co/KEXJEkAZAO

[Ross Prager @ross_prager]

(1/x) Authors have sued the six largest academic publishers for running an illegal cartel that violates US antitrust law.

Here are the key points from the biggest lawsuit in academia 🧵

Please retweet to help promote FAIR publication.

[Governor Josh Shapiro @GovernorShapiro]

I am done letting private equity treat Pennsylvania hospitals like a piggybank they can empty out and smash on the floor.

As a Commonwealth, it’s time for us to reform the way private equity has infected our health care system.

Send a bill to my desk requiring pre-transaction notifications for all sales, mergers, acquisitions, and bankruptcy claims by empowering the Office of the Attorney General to review these intentions carefully, comprehensively, and with the community’s best interest at the forefront.

[Dr. Glaucomflecken @DGlaucomflecken]

My crazy Severance fan theory is that Lumon is a health insurance mega corporation and the innies in macro data refinement are denying claims.

[Self-Help Boooks @SelfHelpBoooks]

【Best Sellers】
「MicroSkills: Small Actions, Big Impact」
Author：Landry M.D., Adaira, Lewiss M.D., Resa E.
Publisher：Hanover Square Press
https://t.co/mj3p6rJcfS

[Tyler Olson, EA @olsonplanner]

Question: why do you charge medical students with no income and no other options hundreds to thousands of dollars to use your service?

And do you realize this disproportionately affects students of lower socioeconomic means?

[Dr. AK 🇮🇳 @docakx]

70 yr old male with new onset headache and joint pains

ESR is 110

Cardinal sign on Ultrasound.

Diagnosis ❓️

[NephroPOCUS @NephroP]

#POCUS in #Nephrology is much more than just looking at the IVC or 🫁B-lines.
👇our clarion call for deeper understanding! - in collaboration with Prof @AmirKazory and @OBayoOlaoye
#Nephpearls #FOAMed
🔗https://t.co/QGTZHi1nnz

[🫀EcgOxford @EcgOxford]

What do you see?
@Vadeboncoeur_Al @NephroP @OrlandoRPN @ABCDEcografia @mohamme95952348 @iamritu @EM_RESUS @EmergencyEcho @echo_stepbystep @EchoCases @paomorejon @ecgrhythms @estudiomedicina @yolyabreuh @NMerke @IhabFathiSulima @IMPOCUSFocus @fxgodzeuss @danielsaeed @PBasiukiewicz @MattersoftheH14 @NaokiThukishima @TrRja #CardioTwitter #echofirst #MedEd #FOAMed @Sthanu5

[IMCrit @IM_Crit_]

I don't know who has to hear this but feeling for a pulse is not necessary during CPR interruptions if several monitoring waveforms from well-functioning devices (art line/CVP/pulse ox/Swan/ETCO2) are compatible with cardiac arrest. The same holds true if waveforms suggest ROSC*

[Brian A Russ @sonobrian]

@Apple Please update iOS 17 so that people can change the default notification tone/volume. Suddenly notifications are useless if you are relying on the audible alert for something important—Nobody can hear the new tone unless it’s a quiet room.

[Salim R. Rezaie, MD @srrezaie]

Do You Know the Concept of Spaced Repetition for Remembering Things?

Check Out This Short Video on the Concept of Spaced Repetition

https://t.co/nws5QBZ8dQ

#RezaieStrong #SpacedRepetition #Memory

[SAEM Academy of Emergency Ultrasound (AEUS) @SAEMAEUS]

Know a rockstar medical student with an interest in point of care ultrasound??? Have them apply for the AEUS Student Ultrasound Scholarship! Details on flyer below!

[Aaron Fleming @AaronFleming57]

The 5-layer composition of the Supraspinatus tendon.

#ultrasound #mskultrasound #foamrad #radiopaedia

[Critical Concepts @critconcepts]

Spot diagnosis.

A cardiac arrest patient with prolonged downtime. You perform a quick TCD and find…

#medtwitter #FOAMcc #FOAMus #FOAMed #pocus

[Dan Kim @dan___kim]

You may have heard of subcostal TAPSE, but have you heard of subcostal VTI?
#echofirst #echo #POCUS

Check it out: "A modified subcostal view: a novel method for measuring the LVOT VTI" in @JournalSiumb
https://t.co/BnlW3Tzhp7

[Wake Forest Ultrasound @UltrasoundWake]

Watch out for our #Neurovascular #Ultrasound course coming up in the near future #cometrainwiththebest

https://t.co/H2gyKM4frn

---
@AtriumHealthWFB @UltrasoundWake @wakeforestmed

[armyemdoc @armyemdoc]

Your patient is actively hemorrhaging and needs to go to the OR stat for a hemorrhage control intervention. They do not have a clear indication for intubation yet but are trending that direction. Do you...
(a) take control of their airway in the ED so they are all ready for surgery
(b) wait and let them get intubated in the OR 7.2 seconds before the surgeon starts cutting

This recent @JTraumAcuteSurg study from the NTDB of 9,667 patients suggests option B. Option A was associated with higher risk of death and cardiac arrest.

https://t.co/3JZGAgTtvk

#emergency #emergencymedicine #airway #surgery #surgeon #trauma #sick #blood #foamed #foamcc #science #data #research #armyemdoc #medtwitter