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

Relationship between ⌚ spent in A&E & odds of 30-day, post-discharge, all-cause mortality: Compared with patients who spent 2h in A&E, the odds of post-discharge death were: 🕒 1.1 x ☝️ if spent 3h 🕕 1.6 x ☝️ if spent 6h 🕘 1.9 x ☝️ if spent 9h & 🕛 2.1 x ☝️ if spent 12h #EMedsky 🔗 shorturl.at/Tvw9e

submitted 42 days ago • 0 comments

The Barts/London prehospital experience has just been published www.resuscitationjournal.com/article/S030... Excellent work by my friends and colleagues.

submitted 82 days ago • 2 comments

1/ I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆 It's time for another #POCUS basics #skeetorial 🧵 Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️ #emimcc

submitted 87 days ago • 7 comments

Beautifully articulated as always It's not just about rate of patients seen. Emergency Medicine needs time and space to train, reflect, innovate, discuss and enjoy the unique challenges it faces. These aspects are still work and service. They've been devalued but they're more important than ever

submitted 89 days ago • 0 comments

Since we’re entering the last month of 2024, here is a non-systematic review of #pulmcrit trials published this year that I found particularly noteworthy. Not comprehensive, so please include any that I may have missed! (🧵1/11) #emimcc #critcare #pulmsky #medsky

submitted 90 days ago • 7 comments

I built and lead a HIU programme and if your unit hasn’t got one, you need one - benefits the patient, benefits the unit, benefits the finances, and can be extremely interesting work

submitted 95 days ago • 1 comment

Interesting article. A lot of what we label as refractory VF isn’t refractory at all. It’s actually recurrent. Is there a way in which we could change defibrillation strategies or antiarrhythmic drug administration to better address this? academic.oup.com/eurheartj/ad...

submitted 92 days ago • 1 comment

Face mask ventilation vs high-flow nasal oxygenation Comparison of end-tidal oxygen concentration and the lowest SpO2 after tracheal intubation between parturients. #AnSky #MedSky https://buff.ly/4fMvK6u

submitted 92 days ago • 0 comments

Look forward to the East Anglian Air Ambulance RAID annual conference this Friday…the theme being ‘Innovations in Pre-Hospital Resuscitation’.

submitted 93 days ago • 0 comments

Skytorial: Five pearls on olanzapine 😁 Between agitation and nausea/vomiting, olanzapine has a wide range of use. Olanzapine is generally not a front-line agent (e.g., haloperidol or ondansetron often are). But sometimes, it really comes in clutch....

submitted 93 days ago • 13 comments

Nipped back to the other place briefly. 8 bot followers waiting for me, not much else since I came across. Not really missing it loads but will check in from time to time while the communities build here.

submitted 94 days ago • 1 comment

For those professionals interested in improving the standard of care provided to patients with learning disabilities: The Medical Practice in Adult Learning Disability postgraduate certificate (PGCert) www.edgehill.ac.uk/course/medic... www.rcp.ac.uk/events-and-e... #medsky #emimcc

submitted 94 days ago • 0 comments

Will happily take a work-provided smart phone with the same capabilities as my personal one which currently offsets a huge amount of inadequate IT... This is a systems issue that needs a solution. That solution needs to make it easy not to need to use a personal device (as well as appropriate IG)

submitted 95 days ago • 0 comments

Critical fundamentals #emimcc #resussky

submitted 95 days ago • 1 comment

editorial from @bmj.com and paper: Poor staff retention is associated with higher patient mortality. Have said it before & I’ll say it again. If you don’t care for the carers, they cannot care for their patients. www.bmj.com/content/387/...

submitted 96 days ago • 11 comments

Want to improve your Basic Bag-Valve-Mask Ventilation skills? Here's a VERY short course I made that's free and will only take 5-10 minutes. tinyurl.com/BMVCourse

submitted 97 days ago • 3 comments

Why do people wear shoe covers in the operating room? 💥 The reason may surprise you! A 🧵 about the #HistoryOfMedicine and the dangers of blindly following traditions. onepagericu.com/blog/cx1l66q... 1/

submitted 97 days ago • 7 comments

"Your scientists were so preoccupied with whether or not they could, they didn't stop to think if they should"

submitted 97 days ago • 0 comments

Important skill for EM folks #emesky #resussky #emimcc For those in London (UK), the folks at Homerton do good #pocus teaching on this

submitted 97 days ago • 0 comments

Tell your friends! Prehospital Sky as a feed is up and running! If you see things relevant to EMS please tag them #EMSsky for them to be cataloged! Everyone is welcome, I hope this ends up high yield! bsky.app/profile/did:...

submitted 101 days ago • 4 comments

Have yall heard of “Wellen’s Syndrome”? It describes a characteristic ECG appearance (biphasic anterior ST segments)- associated with a critical LAD lesion. in cases of ongoing discomfort- it should be considered like an Anterior STEMI because it can progress to one should the LAD fully occlude

submitted 98 days ago • 6 comments

“Patients are suffering the consequences of a system that is in crisis, while staff continue to shoulder the burden of delivering effective and safe care in these conditions." RCEM's President responds to CQC's Urgent and Emergency Care survey. Read more here - tinyurl.com/3ypeesvh

submitted 99 days ago • 0 comments

“Learning CPR on manikins without breasts puts women’s lives at risk, study finds” Dr Rebecca Szabo et al @inquisitivegyn.bsky.social Research 🔗: academic.oup.com/heapro/artic... #ResusSky

submitted 99 days ago • 1 comment

New to Bluesky? Check out our #patientsafety starter pack go.bsky.app/Jhnn8Yb

submitted 99 days ago • 1 comment

The latest from @stemlyns.bsky.social - what dose of TXA in traumatic brain injury? #FOAMed #MedSky #EMedSky www.stemlynsblog.org/dose-txa-in-...

submitted 101 days ago • 0 comments

shortcomings of the STEMI NSTEMI paradigm, resulting patient harm, and why we need to add on the 'OMI paradigm' which i will post next #CardioSky #EmImCc #12lead #ekg #STEMI #pci #OMI heart.bmj.com/content/110/...

submitted 101 days ago • 1 comment

Pediatric #ECPR: where next?? EuroELSO webinar 🗓️ Nov 27, 17:00 CET 🎙 speakers: M Davidson, M O’Callaghan, A Desai, J Brandt 🎙 moderator: P Roeleveld 🎙 chairs: M Mendonca, U Pollak, T Thiruchelvam 🖋 www.euroelso.net/webinars/! 🎥 all previous webinars available at 🔓 bit.ly/EuroELSOyout... #PedsICU

submitted 104 days ago • 0 comments

Medicine focuses a lot on the question “will this help my patient” but not on the question “when will it help my patient.” The latter becomes important as we age. We’ve developed a “time-to-benefit” tool on eprognosis.ucsf.edu to help answer this question. Here is a snapshot #MedSky #FOAMed #meded

submitted 102 days ago • 11 comments

Also relates to: 🛑 ED crowding 🛑 Corridor care 🛑 Ambulance offload delays Among others... If it's enough of an issue to hammer front line staff, it's enough of an issue to need systemic solutions #emedsky #emimcc #resussky #EMSsky #paramedicinesky [😡 & monitor alarms which are not acted upon 🤯]

submitted 101 days ago • 0 comments

Physiologically challenging airway? Watch out for SHARK KILLERS 🦈 (H/T @cliffreid.bsky.social) #Resuscitology15 #FOAMed #MedSky #EMedSky

submitted 102 days ago • 0 comments

With multiple front doors into urgent and emergency care (UEC), why don't we measure performance at each? 🩼 & 🚑 = 👌🕓 / 💺 = 👎 #Medsky #EMedsky .../1

submitted 101 days ago • 1 comment

Hello all! On behalf of the editors, @maxhockstein.bsky.social and @zentensivist.bsky.social, we’d like to announce the launch of our living textbook for hemodynamics, shockwaves.icu! #emimcc

submitted 102 days ago • 3 comments

#ParamedicineSky - let’s regrow the community 💛 pls tag more to help us find each other 👇🏼 go.bsky.app/BZpAcQN

submitted 105 days ago • 2 comments