flight doc | alumni @sydneyHEMS & @UWmedflight. @DenverEmed @COwildernessMED trained.
Joined August 2009
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Justin McLean retweeted
Now accepting applications for our @UWMedFlight fellowship program. A unique year-long fellowship focusing on HEMS/Critical Care Transport, with world-class faculty and teams. @MadtownEM @UWEmerMed @AMPAdocs @NAEMSP @ATACCFaculty @DipRTM @WIsimulation
emed.wisc.edu/education/fell…
@AMPAdocs Dr O’Brien on PAIP:
1st ? to the group: how many in the room have been affected by a crash in your HEMS program? 90% of hands go up
If same ? in Australia, almost no one in the room would raise their hand & would be hard pressed to remember the last crash country wide.
Reflections on a recent stint of helicopter EMS shifts.
Learned from @drgeoffhealy to always self reflect on tough calls.
A #thread
1/
@Aidan_Baron (“**demographics changed, details fabricated, case non-contemporaneous, & images from Google**”)
Farm accidents are brutal, farmers are more resilient than most
Impress upon older kids not to dive in water where they can’t see the bottom
Industrial accidents are tough on both patient & rescuer #safetythird #dirtyjobs
If @ATACCFaculty ran a course in the US, I would go
4/
Neonatal emergency
Home births still need Vit K.
ER docs: Consider hemorrhagic shock in unwell appearing newborn. If it’s not congenital heart issue, not clearly sepsis consider bleeding 2/2 Vit K deficiency
Hang #NRP poster on ED warmer as cognitive aid for a really bad day
In other news…
El cap gray, 22inch wheels, black mtn. Happy to answer questions.
Thanks @itskyleconner for the advice.
#R1T #rivian
Justin McLean retweeted
.@ResusPadawan: "A good emergency checklist leads to decreased practice variability, which is huge. It's really hard to improve your team's performance when there's lots of practice variability." @AMPAdocs @ASTNA2 @IAFCCP #CCTMC22
Truly powerful talk at #cctmc22 by @DrPetDetective on alcohol abuse, ptsd, suicidality in pre-hospital providers and physicians. #ems #FOAMed #emra
“We aren’t that different (and sometimes worse) than our patients”
Justin McLean retweeted
The @AMPAdocs podcast crew recapping the days talks and discussing the highlights for todays #CCTMC22 #cctmc @ASTNA2 @IAFCCP @CCTMC1 @kmconnel78 @ResusPadawan @DrewCathers @cbatesmd @DrPetDetective @wildernessmd
#cctmc22 .@gueromedico on managing the RV in massive PE.
Support with vasopressin. Won’t be wrong to use norepi. Avoid phenylephrine. Minimize fluids. Have an a-line for transport. Epi for inotropy if needed. Decrease pulm vasc resistance w/iNO or nitro.
.@kmconnel78 Benefit of resident-physician flying as a flight physician (not a ride-along) includes hands-on skill acquisition (blood admin, vent management etc) & confidence building via autonomy.
@GannonSungar
@emresidents
#EMBound
The catch.
#cctmc2020 .@UCAirCareDoc on ABG (air by ground)
HEMS crews taking the patient by ground with local #EMS. What the bean counters care about. 👇
Benefit: the CCT team & equipment already a fixed cost. Improves relations with EMS and referring centers.
