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Intubation is not always the answer for prehospital trauma. Sometimes less is more. We need to revalue ABC's & resuscitate before we intubate. "A good paramedic knows when too intubate. The great paramedic knows when not too!" link.springer.com/article/10.100… #FOAMems #FOAMed #Paramedic

Much respect to Canadian inspiration Laurent D. Tardif who could've been in the #SuperBowl playing for the Chiefs tonight, but instead chose to serve on the frontlines of the #COVID19 pandemic as a health worker at a Montreal long-term care home. You're a true healthcare hero 🇨🇦♥️

Gordon Guyatt shares his advice for research trainees: 1) Find the right mentor 2) Take care of your well-being (have fun & dont accept unfair treatment) 3) Prioritize important things outside work Great advice for any young researcher! Journal of Clinical Epidemiology jclinepi.com/article/S0895-…

Great interactive CME today by Natalie Lavergne. Lots of pearls for the tox patient: -You don't know its tox unless you think about it -Keep a high index of suspicion -ACLS wasn't written for toxicology (my favourite🙂) -Know your pharmacology #NeverStopLearning Regional Paramedic Program for Eastern Ontario Ornge

Another example of how #CommunityParamedics make a difference. Niagara EMS #MobileIntegratedHealth team results in: - ⬇️ transport to hospital - ⬇️ health care system costs - ⬆️ emergency ambulance availability #OpenAccess in JAMA Network Open jamanetwork.com/journals/jaman… #FOAMems

Check out our recent editorial in CJEM about the role #paramedics play in the health care system, what we have to offer, and where we can go in the future! Ian Drennan #OpenAccess #Covid_19 link.springer.com/content/pdf/10…

Paramedic tests should not be made to evaluate if students can memorize information. They should be made to evaluate if students know how to use the information, and where to find it if they need to look it up.

Dr. Team Venk on advice for young researchers: - Find an area you're passionate about - It has to address a common problem - Use chart reviews and talk to experts to understand the scope #CAEP21 #CAEP2021 #Plenarytalk CAEP CAEP Med Student Rep CAEP Residents #CAEP24 Saskatoon

Interesting concept - placing students at triage for a shift to help develop their ability to judge sick / not sick Joan Cheng 鄭 瓊𤥃 pubmed.ncbi.nlm.nih.gov/33789821/

Do us a favour, don’t ask us what’s the worst thing we’ve ever seen when we meet. We don’t want to see it again in our minds.

Implementing standardized concentrations for pediatric medications & cards with both dose and volume led to: - ⬇️ medication errors & ⬆️ appropriate dose - ⬇️ #paramedic anxiety & ⬆️ confidence tandfonline.com/doi/full/10.10… #FOAMems #FOAMed #Pediatrics #Children #CriticalCare #PEM

This was written anonymously and reflects the views of at least one HCW.

Work by Dr. Crickmer et al. from EM UofT show utility of #EtCO2 in #OHCA: 1) 📈⬆️EtCO2 = 📈⬆️ likelihood of ROSC 2) If Δ EtCO2 > 20 = continue resuscitation 3) Always think about reversible cause in #PEA #CardiacArrest #FOAMems #FOAMed #FOAMcc resuscitationjournal.com/article/S0300-…

Here's a chart worth remembering...authors looked at NEW ECG findings in PE (segmental up to saddle). Nice demonstration of the MYTH of sinus tach and S1Q3T3 in PE. Note-24% of patients had no new changes on the ECG

Narrowed pulse pressure (<30 mmHg) shouldn't be ignored in penetrating trauma Predicts 1. need for massive transfusion 2. operative/emergent intervention 3. thoracotomy Add it to your list when evaluating sick trauma pts Refs sciencedirect.com/science/articl… pubmed.ncbi.nlm.nih.gov/31551145/

A 500cc fluid bolus does not reduce the incidence of cardiovascular collapse after in-hospital intubation. But it's still common (~20% of patients had CV collapse after intubation) Take Home Point = Have your vasopressors ready! jamanetwork.com/journals/jama/… #FOAMems #FOAMcc

This seems like a bit of a disaster waiting to happen…we discovered this during in situ #simulation testing this morning Manufacturers need to do better Under pressure, it’s predictable these 2 very different meds could get mixed up #clinical #design #HumanFactors

Congrats to Sheldon Cheskes! Grateful for all the mentorship and advice over the years. Privileged to call you a colleague! An advocate for paramedics and overall great person. Can't think of anyone more deserving! CAEP UofT Family Medicine Sunnybrook Health Sciences Centre CanROC IHPME

When you work in a system that doesn't support you from the top, its easy to lose sight of why you do what you do. Leadership involving front line staff in decisions to help support success & removing hurdles is needed more now than ever in the house of medicine. #Burnout

🚨 New Publication 🚨 Now available in Resuscitation, we examined > 30,000 cases of OHCA in the CanROC Registry to examine the impact of the COVID-19 pandemic on EMS care for patients with OHCA. Key Findings: