first10em.bsky.social - Profile | ThreadSky | a Reddit-style client for Bluesky

Noah Wiley on an episode of the the SGEM?? Absolutely crazy episode of FOAMed pca.st/episode/2558...

submitted 24 days ago • 0 comments

New World Screwworm It is fascinating. It is disgusting. It is on the rise, and so although we would all probably prefer not to see this, it is something we need to know #FOAMed

submitted 42 days ago • 1 comment

New World Screwworm It is fascinating. It is disgusting. It is on the rise, and so although we would all probably prefer not to see this, it is something we need to know #FOAMed

submitted 42 days ago • 1 comment

The PECARN c-spine rule will cause a lot of harm (if anyone is silly enough to use it)

submitted 46 days ago • 1 comment

Is “First do no harm” a “deepity”?

submitted 47 days ago • 0 comments

My latest for @thestar.com, on the national crisis that doesn't seem to a part of the election. www.thestar.com/opinion/cont...

submitted 48 days ago • 2 comments

Thyroid storm diagnosis 1) TSH results can be delayed + not always available 2) Burch-Wartofsky scale: bedside clinical scoring system that requires no testing 3) High suspicion = immediate management youtube.com/shorts/E_U_V... #EMIMCC #MedSky

submitted 48 days ago • 0 comments

'Can you send me your "presentation"?' No. My slides are visual aids within my presentation. If your slides are so text-heavy that they contain all the information, you didn't do a presentation but a narrated collective document reading. Also, no you can't have my visual aids. Make your own.

submitted 182 days ago • 2 comments

The First10EM Research Roundup for April 2025 #FOAMed

submitted 49 days ago • 2 comments

The First10EM Research Roundup for April 2025 #FOAMed

submitted 49 days ago • 2 comments

Seeing many people confuse correlation with causation when it comes to vaccines & autism. Reminded me of this science joke. #MedSky

submitted 50 days ago • 0 comments

Canada comes second last out of 20 countries in new health-care ranking Seems like this should be an election priority ... Why such silence from our major parties?? financialpost.com/opinion/cana...

submitted 53 days ago • 0 comments

The pediatric can’t intubate can’t oxygenate scenario (Use a knife) #FOAMed

submitted 53 days ago • 1 comment

“what do you understand about your condition?” “only what they’ve told me” “what have they told you?” “it’s in my chart” “can you summarize it for me?” “doc, i’ve been a patient since before you were born. i know how to evade any question to conceal my cognitive decline. i can do this all day”

submitted 54 days ago • 11 comments

A pediatric transfusion dosing guide from McMaster Children's Hospital https://first10em.com/pediatric-transfusion-dosing/

submitted 54 days ago • 0 comments

Andexanet alfa: expensive and harmful?

submitted 54 days ago • 1 comment

I think a good way is to debrief with good judgement, let the learner to search for ways to improve in a sort of maieutic method. Many times there's no wrong or right but there's a mental process that has to be vivisected to find the answer. This is my short thought on the topic #FOAMed #EMIMCC

submitted 56 days ago • 0 comments

Providing feedback and defining excellence in medicine I need your help. How can I give better feedback? #FOAMed

submitted 56 days ago • 0 comments

Truth

submitted 58 days ago • 0 comments

I find this story fascinating 2 incredibly rare genetic disorders; one with dramatically different physical consequences And yet a woman recognizes the similarities based on pictures and badgers physicians/scientists until they prove her right www.durhamregion.com/news/the-ama...

submitted 58 days ago • 1 comment

Unless someone's got multiple clinical trials to cite, I stand by this rule

submitted 59 days ago • 1 comment

is contrast nephropathy in the room with us right now? another article showing that contrast nephropathy isn’t a thing I wonder how long these articles will keep getting published, since I kinda thought this was settled 🤷‍♂️ https://www.jem-journal.com/article/S0736-4679(24)00372-X/abstract #EMIMCC

submitted 60 days ago • 3 comments

One of the smartest people I know in emergency medicine. #foamed #med #medsky #emimcc give her a follow to show her that this is the right social media space to be, and then reap the rewards of following a brilliant clinician

submitted 60 days ago • 2 comments

Today's talk at NYGH EMU: pediatric front of neck access Scary as hell, but I think the clear approach requires a scalpel first10em.com/pediatric-fr...

submitted 60 days ago • 1 comment

Overdiagnosis: Would we better better off not looking?

submitted 60 days ago • 0 comments

XX-ray normal is not a diagnosis" Run your differential diagnosis of MSK patients with normal appearing x-rays Of course, from Arun Sayal

submitted 60 days ago • 0 comments

If you want to get better at looking at x-rays, get better at looking at patients (The clinical exam is essential to scrutinizing the right area of the x-ray) Arun Sayal at the NYGH EMU conference

submitted 60 days ago • 0 comments

2 weeks in the ICU can save you 1 hour of difficult conversation

submitted 60 days ago • 0 comments

Scientists should try to repeat more studies, but not those looking for a link between vaccines with autism theconversation.com/scientists-s... @kaymd.bsky.social

submitted 60 days ago • 0 comments

hyperangulated videolaryngoscopy pearl: this is your daily reminder to look at the oropharynx while you’re passing the ETT through it. don’t stare anxiously at the screen while blindly jabbing at the oropharynx, waiting for the tube to magically appear on the screen. #EMIMCC

submitted 60 days ago • 2 comments

Meant is not said Said is not heard Heard is not understood Understood is not done

submitted 60 days ago • 0 comments

I enjoy teaching and learning about logical fallacies. It helps me think about the evidence better when trying to assess people's arguments for their positions. #MedSky

submitted 61 days ago • 1 comment

My talk this morning at the North York General Emergency Medicine Update conference: Let Them Eat The historical practice of keeping patients NPO just in case has no evidence of benefit, but causes significant harm youtu.be/qZmm6-XiKFs

submitted 61 days ago • 1 comment

My talk this morning at the North York General Emergency Medicine Update conference: Let Them Eat The historical practice of keeping patients NPO just in case has no evidence of benefit, but causes significant harm youtu.be/qZmm6-XiKFs

submitted 61 days ago • 1 comment

Fasting prior to ED PSA is unnecessary: no evidence of incr risk of aspiration/harm. ACEP Clinical Policy 2018: “The urgency of the procedure dictates the necessity of providing sedation without delay, regardless of fasting status.” youtube.com/shorts/asbmh... #MedSky #EMIMCC

submitted 62 days ago • 0 comments

Thanks to Dr. Choo and her sadly anonymous co-author. "'Public health saved your life today, and you probably didn’t know it,' begins the description of a popular PBS series. We may now find out what happens when public health is so compromised that it cannot continue to save our lives."

submitted 62 days ago • 0 comments

When you have imaging overuse, you have imaging overuse problems to solve. But, yes, you can rely upon a normal CXR in a febrile child who had virtually no chance of having pneumonia to start with. #medsky #pedsky #radsky www.evidencetriage.com/p/trust-your...

submitted 62 days ago • 0 comments