Emergency Medicine/EMS Physician, nocturnist, resuscitationist, HEMS/TEMS enthusiast. President-elect of AMPA. He/Him. Tweets are mine & not medical advice.
Buffalo, NY
Joined August 2017
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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
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.
nejm.org/doi/full/10.1056/NE…
#emergency #emergencymedicine #icu #criticalcare #airway #military #war #trauma #data #science #research #armyemdoc #medtwitter #foamcc #foamed
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
Michael O'Brien, MD, FACEP, FAEMS, CCEMT-P retweeted
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.
kevinmd.com/2022/02/i-risked…
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
Our #EMChiefs stepping into the shoes of an airport firefighter!
Our #EMChiefs stepping into the shoes of an airport firefighter!
Discussing aerospace medicine and general aeronautical pearls! @BUFAirport #ARFF
Airport Fire Chief Bill Major, a dedicated Fire/EMS veteran, shares his experiences with airfield mass casualty incidents & incident planning. #CareintheAir
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
Pre-Hospital Arterial Lines @airambulancekss safe and efficient. Scene time increased by only 1 minute. Low rate of complications. @GreenhalghRob #Retrieval2023 @_retrieval
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
#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
YES! Been working to launch a pilot project in #NYS to put this into action!
Ping @DrMWDailey @JLynchDO @matters_network
#EMSbupe #harmreduction
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: bit.ly/3HePQqJ
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
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. legiscan.com/TX/text/HB1147/…
Out-of-hospital cardiac arrest does NOT routinely need sodium bicarbonate. Leave "prolonged downtime" in the past and target your bicarb therapy to suspected hyperK or TCA overdose.
A Review of Bicarbonate Use in Common Clinical Scenarios
CCR Journal Watch
criticalcarereviews.com/late…
Michael Bolas, Esq., chair of the @mercyflightwny Board of Directors, gives opening remarks at the remembrance for our beloved pilot, James E. Sauer, EOW 4/26/2022.
"The office is small, but the view is beautiful."
Thank you, Jim.
@AMPAdocs @FLTDOC1 @ktanaka_0123 @JLynchDO
Master the basics to master the complex.
.@calldaburd: "It's not really about performance. It's about reliability. If you can't consistently and reliably do the day-to-day transports well, it's not likely that you're going to be able to do ECMO transports well." #CCTMC23 @AMPAdocs @ASTNA2 @ICAPParamedics
Never forget those who gave their lives in the service of others.
Took a moment @ #CCTMC23 to remember those lost, esp @mercyflightwny Pilot James Sauer and Bell Instructor Pilot Stewart Dietrick, EOW 4/26/2022. We've got it from here.
#AMPS23 @AMPAdocs @JLynchDO @ktanaka_0123
