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One of my incredible co-residents wrote this piece- it is beautiful and heartbreaking and resonated deeply with me. It is a privilege to train with such talented physicians.

Dr Anton Helman Anton Helman opening #EMUpdate2023 with a wonderfully warm tribute to the late Dr Paul Hannam, our chief who is missed every single day. North York General

You've probably heard that Bicarbonate has to turn into CO2 to raise the pH. “Don’t give bicarb if you can’t increase ventilation.” But how much CO2 is there in an amp of sodium bicarbonate? A bicarb 🧵 1/

my pet peeve: someone dies of unclear causes, gets ROSC, rushed to CT, only gets a head CT🤬 STAT head CT is insensitive for anoxic injury & low yield overall. often the LEAST important scan if you're road tripping a post-arrest pt to the scanner please get the whole thing 🙏🙏

For most people who die from trauma incidents, like car accidents or gunshot wounds, death occurs before they make it to the hospital. That fact led a team of St. Michael’s physicians & scientists to ask: what if we brought aspects of the hospital to them?bit.ly/45T9IKV

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Thank you CJEM for highlighting our review of this important topic- an amazing team effort with George Mastoras, MD, FRCPC (@yiatre.bsky.social) Sara Gray & Steve Lin

Love this written in 1984. Remains as true as ever.

Thank you Sylvia Jones Doug Ford for this transformative investment in Ontario’s air ambulance Ornge This will improve access to emergency care for all communities in Northern Ontario, particularly remote Indigenous communities!

I love ED peer-to-peer! Helpful chats with Andrew Petrosoniak and Eric Letovsky this weekend. Such a great service for rural and remote docs in Ontario.

Happy New Year! Wondering what the top articles of 2023 were as per Altmetric? Thanks to all the authors for their contributions: Paul Atkinson James Worrall Victoria Myers George Mastoras, MD, FRCPC (@yiatre.bsky.social) Sara Gray Steve Lin Don Melady Michael Gottlieb Dan Kim Link ⬇️⬇️⬇️⬇️ altmetric.com/explorer/repor…

Congratulations Victoria Myers for your leadership and hard work on such a high impact EM publication! A much deserved recognition! George Mastoras, MD, FRCPC (@yiatre.bsky.social) Sara Gray

Hey Olivia Chow and City of Toronto 🇨🇦 it's time to open up additional warming centres. It's -18 with windchill. All warming centres are full. The only option we have is to discharge patients without a place to go to the street. That's not ok. This is inhumane. Do better.

What happens when there is disagreement between an MD and a patient or substitute-decision maker (SDM) about code status? Is it ethical (or legal) for a physician to unilaterally make a patient “DNR”? Check out this short thread 🧵 and our new publication in CJA - Canadian Journal of Anesthesia below

The Next Woman Surgeon - a partnership between Unity Health Toronto University of Toronto Cardiac Surgery Temerty Medicine Havergal College: CPR, 🫀surgery, trauma / ER, anesthesia & woman excellence!!! 💪👏💪💪💪💪🚀🚀🚀 Lina Elfaki Aliya Izumi Garrick Mok

Great article about how our team trains for a mass casualty event (Code Orange). Led by the incredible Dr. Rachel Poley Unity Health Toronto, an amazing multidisciplinary turnout so we can prepare to help serve our patients.

Total team effort with amazing mentors Sara Gray George Mastoras, MD, FRCPC (@yiatre.bsky.social) Steve Lin

EM Cases' Pearl of the week is an up-to-date practice changing Q&A delivered to your inbox each Sunday evening curated by ElishaTargonsky Victoria Myers. Sign up for free here: emergencymedicinecases.com/about/newslett… #FOAMEd

Amazing work done by Unity Health Toronto Stroke Team. So fortunate to work alongside the best of the best Alex Muccilli!

This is more important than any other news. Millions rely on St. Micheal’s ER when on death’s doorstep. A problem at St. Mike’s is a problem for all of us. There is no rational world where ER doc hours in Ontario should be reduced. Make Dr Petrosoniak’s concerns go viral.