Justin Cook (@ER_Dr_ummer) profile picture

ED physician with a penchant for sono, airway, medEd, & 80s drumming. Critical Points & ULA faculty.

Portland, OR
Joined April 2012
Photo by Justin Cook (@ER_Dr_ummer)Photo by Justin Cook (@ER_Dr_ummer)Photo by Justin Cook (@ER_Dr_ummer)Photo by Justin Cook (@ER_Dr_ummer)Photo by Justin Cook (@ER_Dr_ummer)Photo by Justin Cook (@ER_Dr_ummer)
Anyone using a COVID “protected code blue” model that incorporates a P100 respirator for the immediate first responder to start CPR/apply O2 by mask? Versus N95, for which many don’t pass fit testing, and PAPR donning which takes obviously longer . . .
1
@ER_Dr_ummer: Deliberate practice for vascular access and nerve blocks: extra-firm tofu is your friend. Take a tofu time-out. vimeo.com/159548726
“We are playing a team game, and they are still testing us as solo athletes.” Dr Jeff Drazen, editor of NEJM, on continuing certification & assessment in medicine. Thought provoking! @KLIC_SF @KPMedSchool @KPShare #MedEd @theMedEdGuru @ZivTali @ucsfklic
2
6
(2/2) When doing nerve blocks, also avoid LAST (local anesthetic systemic toxicity) by: -incremental injections of 3-5 mL at a time -use nomogram to dose your local anesthetic safely: aliem.com/2014/06/pv-card-lo… #PRFest19
Superficial cervical plexus block uses: -laceration to the helix or lobule of ear -laceration in submandibular region, adjacent to angle of mandible -placement of IJ vein central line . . . and may have some benefit for clavicle fractures #PRFest19
1
9
1
17
(1/2) When doing nerve blocks, avoid LAST (local anesthetic systemic toxicity) by: -using the smallest volume of the least-toxic local anesthetic -using ultrasound! -avoiding multiple injections -aspirating before you inject . . . #PRFest19
2
3
2wk old has glucose of 30. Draw these labs (=orderset) BEFORE dextrose (unless seizing or coding); 11 cc required. #NateMick #CritPointsIES
1
2
Why Nate uses only cuffed tubes in peds intubations. #NateMick #CritPointsIES
4
2
Replying to @HGHED
@JoeLex5 So true! Otis has the Ken of a poet.
First Stranger Things, now 24k Magic. We have just reached peak 80s nostalgia, folks. Sell your Jovi concert T now
1
I just heard the raddest Gap Band/Grandmaster Flash mashup! Oh wait, it's the new Bruno Mars song
2
Justin Cook retweeted
Breaking news! 2016 @ACEP_EUS ACEP ultrasound guidelines just published bit.ly/2dcphlP #FOAMed
2
104
3
113
Our course is only two months away! Register now at criticalpoints.net to learn, refresh, and play at the Rancho Bernardo Inn.
1
Don't miss our #AMTC16 Precon with @JBairmedic and Michael Keller! Register today at goo.gl/MvEY5y
“Talking is the medium.”—Walter Eppich. Effective communication = high functioning teams. Closed loop, clarity. #PedsEMCCM16
1
1
Make your team better. DEBRIEF with your team on your next shift, and commit to doing this weekly, minimum. #PedsEMCCM16 #humanfactors #CRM
1
1
Group simulation coming up at 2pm! Hoping to see some great CRM skills in action. #humanfactors #PedsEMCCM16
1
.@mdbergmd peds defib pearls: regarding J/kg dose sequence: 2, 4, 4 or more! Europeans start at (and stay at) 4 J/kg. #PedsEMCCM16
1