Cliff Reid @cliffreid
EM/ICM/PHEM doc. LOVE learning + teaching. I work in the sky above Sydney, have the attention span of a bullet, + often have days that are like cartoons #FOAMed youtube.com/@CliffReid https://cliffreid.substack.com Joined March 2009-
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I love a Quick Reference Guide 👍🏻👍🏻👍🏻
Working in Paeds Emergency today, so getting ready #ZeroPointSurvey
Trauma is not a sole contra indication for ecmo . See here
Airway Management Experience is not the same as Expertise, is a thing we often forget. You can perform years and years doing the same thing, and than find out that it is suboptimal or even dysfunctional. Make sure your skills and expertise are up to date! Join us at Amsterdam…
But the take-home message is that: Patients with so called "sub-massive PE" can have depressed cardiac output and we cannot identify them from demographics and noninvasive hemodynamic measures
@clifford0584 @AmitGanguly87 Surgical techniques had the highest success rate at a median of 100.0% (pooled rate=92.0%; 95% CI, 88.0–95.0%) vs 50.0% for needle techniques (pooled rate=52.0%; 95% CI, 28.0–76.0%). bjanaesthesia.org/article/S0007-…
I know we moan a lot but it's actually great to see the NHS taking serious steps to improve doctors' working lives 👏
Gonna have to read this. Any info on microcirculation? Because strategies to increase BP are not hemodynamically equal, so broad statements become almost meaningless…
Gonna have to read this. Any info on microcirculation? Because strategies to increase BP are not hemodynamically equal, so broad statements become almost meaningless…
Suggestions from all the airway experts on X most welcome 🤗
Suggestions from all the airway experts on X most welcome 🤗
Classic SALAD approach needed modifying when trachea is the source of the contaminant and very little space to work - was a good challenge @jducanto @swarb90 @Luca_Uenlue @AirwayMxAcademy @Obidoc @mr_astvad
Classic SALAD approach needed modifying when trachea is the source of the contaminant and very little space to work - was a good challenge @jducanto @swarb90 @Luca_Uenlue @AirwayMxAcademy @Obidoc @mr_astvad
So much good learning at the education day today! Glad to be back in prehospital care after an 8 month break - even better to learn from these wonderful clinicians at @SydneyHEMS.
So much good learning at the education day today! Glad to be back in prehospital care after an 8 month break - even better to learn from these wonderful clinicians at @SydneyHEMS. https://t.co/QwcbOI9Fup
Unsere Assistenzärztin für Notfallmedizin und unser Medizinstudent @Luca_Uenlue üben erfolgreich eine Notfall-Tracheotomie bei Kleinkindern unter der Aufsicht von mir und @_NMay
Top tip: An infant airway awash with pulmonary oedema provides a hearty Wednesday morning intubation challenge HT @Luca_Uenlue
𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰Stephen W. Smith @smithECGBlog
54K Followers 497 Following Prof of EM at Hennepin. Originator (w @pendellM & @AslangerE) of OMI paradigm of acute MI, ECG diagnosis of OMI. https://t.co/jutZW7fHFa… #ECGKen Milne MD @TheSGEM
28K Followers 903 Following Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to EM. (he/him)Dr Aidan Baron @Aidan_Baron
17K Followers 3K Following Paramedic | Researcher | Doctor | POCUS Educator | Digital Medical Ethics | LGBTQIA+ health🏳️⚧️ | Patient Advocacy | He/Him | @ThePoCUSCourse | Views my OwnAnand Swaminathan MD .. @EMSwami
37K Followers 397 Following EM doc | Views my own | Medical commentary on CNN, Yahoo, MSNBC, NBC. he/him/hisMike Abernethy 🇺�.. @FLTDOC1
15K Followers 309 Following * Medicus ex Machina * Professor of EM: PGY-XXXVI * Grandfather of Dragons * Auld Yin * HEMS Physician * US Army Aviation Vet * 64 yrs of perpetual motion *Adrian Boyle @RCEMpresident
16K Followers 1K Following @RCollEM President, Adrian Boyle. Tweets prior to 4 Oct 2022 from my predecessor @KatherineRCEM.Hans Huitink @AirwayMxAcademy
13K Followers 9K Following Anesthesiologist🇳🇱Founder Airway Management Academy non-profit airway teaching #AAF24| Mobile Intensive Care Unit😷🚑🩺 | AirAmbulance🛩 @AirwayTriageAppAndrew Petrosoniak @petrosoniak
12K Followers 2K Following EM & trauma physician | #simulation & #design to improve care | speaker | high stakes decision making | Founding partner, @AdvPerformHDSimon Carley @EMManchester
29K Followers 3K Following EM, Major Trauma & HEMS Consultant, Dean @RCollEM. Associate Dean. #FOAMed @StEmlyns @PHCCC @NWAirAmbulance PGY32: Prof at #MAHSC @officialUoM & @ManMetUniJames Yates @heli_med_james
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1 Followers 379 Following👈 thisiskate @kate_elbizri
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45 Followers 149 FollowingGas, Wasser, Diso @GasWasserDiso
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1 Followers 231 FollowingJupp @CeHaBePunkt
15 Followers 282 Following𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
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54K Followers 497 Following Prof of EM at Hennepin. Originator (w @pendellM & @AslangerE) of OMI paradigm of acute MI, ECG diagnosis of OMI. https://t.co/jutZW7fHFa… #ECGKen Milne MD @TheSGEM
28K Followers 903 Following Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to EM. (he/him)Dr Aidan Baron @Aidan_Baron
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37K Followers 397 Following EM doc | Views my own | Medical commentary on CNN, Yahoo, MSNBC, NBC. he/him/hisMike Abernethy 🇺�.. @FLTDOC1
15K Followers 309 Following * Medicus ex Machina * Professor of EM: PGY-XXXVI * Grandfather of Dragons * Auld Yin * HEMS Physician * US Army Aviation Vet * 64 yrs of perpetual motion *Adrian Boyle @RCEMpresident
16K Followers 1K Following @RCollEM President, Adrian Boyle. Tweets prior to 4 Oct 2022 from my predecessor @KatherineRCEM.Hans Huitink @AirwayMxAcademy
13K Followers 9K Following Anesthesiologist🇳🇱Founder Airway Management Academy non-profit airway teaching #AAF24| Mobile Intensive Care Unit😷🚑🩺 | AirAmbulance🛩 @AirwayTriageAppAndrew Petrosoniak @petrosoniak
12K Followers 2K Following EM & trauma physician | #simulation & #design to improve care | speaker | high stakes decision making | Founding partner, @AdvPerformHDSimon Carley @EMManchester
29K Followers 3K Following EM, Major Trauma & HEMS Consultant, Dean @RCollEM. Associate Dean. #FOAMed @StEmlyns @PHCCC @NWAirAmbulance PGY32: Prof at #MAHSC @officialUoM & @ManMetUniJames Yates @heli_med_james
14K Followers 633 Following Specialist Paramedic - Prehospital Critical Care @gwaac. Advanced Paramedic - Neonatal Retrieval @theSONARteam. Podcast person @TheResusRoomIain Beardsell @docib
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50K Followers 4 Following Univ of Maryland; creator of https://t.co/GghMJOjaiB videos, #WhiteBoardTeaching; love Princess Bride! tweets are opinions, not standard of care statementsCaroline Leech @LeechCaroline
14K Followers 2K Following Emergency Medicine Consultant @nhsuhcw 🏥 HEMS Dr @Helimed53 @helimed54 🚁 @wmasmerit Trauma Network Lead @midlandsCCTNB 📚 @NIHR Research Scholar @WarwickCTURoyal College of Emer.. @RCollEM
32K Followers 668 Following The Royal College of Emergency Medicine. The membership body representing Emergency Department (A&E) staff and their patients. #ResuscitateEmergencyCareEM Board bombs @EMBoardBombs
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51K Followers 360 Following Fan and news account for the DCU and DC Studios. Contributing writer for @MultiverseColor ✉️Email: [email protected]Fck Around N Find Out @FAFO_TV
2.3M Followers 522 Following The more you fck around, the more you find out. Turn on Notifications 🔔 sub for $1 🫡 follow backup : @fafo_tv2Paula @TraumaPau
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2K Followers 2K Following Final year medical student #EMBound. Emergency Medicine | PHEM | Airway | Resuscitation | POCUS | Research. Scholar @boellstiftung Team @youngDGINA @_dasfoamLance McCarthy @Lancemccarthy
2K Followers 596 Following Proud CEO at The Princess Alexandra Hospital NHS Trust (@NHSHarlow). Love the NHS. Father of 2; husband; fan of all sports; Peloton obsessed. https://t.co/DdkoWEWs02Ted Xiao @xiao_ted
11K Followers 680 Following I teach robots to be smarter @GoogleDeepMind. Tweets about robot learning, scaling, and large models. Opinions my own.Rylie Ju @RylieJu
703 Followers 605 Following 1st gen 🇰🇷 MS3 | Founder of Vascular & Interventional Radiology Interest Group @utmbhealth | @SIRRFS MSC | @TNVIRJC | digital art & designDina S. Ramini, M.D. @DinaSRamini
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2K Followers 2K Following @WUSTL_EM | @vumc_emres trained | MD @IowaMed | FAWM @WildMedSociety | @spoonfedEM contributor | Interests: airway management and clinical teachingClay Smith @spoonfedEM
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421 Followers 713 Following I worked as an anesthesiologist in Moscow for 12 years before relocating to Scotland, where I now work as a specialty doctor in anaesthesia 🦄@cliffreid I’ve been trying to keep my gnarly old gob shut
Trauma is not a sole contra indication for ecmo . See here
Poster now up @EuroELSO and abstracts available in Perfusion. One of the largest single centre studies looking at ECMO use in major trauma. 33 patients with limited bleeding complications and 88% survival to discharge despite mobile initiation and high mean ISS/prevalence of TBI
Things my team did after a tough call that no one had any obligation to do that remind me how lucky I am to be a part of a team that genuinely cares about each other (call happened at shift change and involved a crew swap at a staging area):
@cliffreid @Luca_Uenlue Suction intuitively seems a good idea, but you can't really suction pulmonary oedema very well as it is being made so quickly. CPAP with facemask during induction, put tube in over bougie if needed. Temptation is for more suction - but more pressure is what's needed.
Airway Management Experience is not the same as Expertise, is a thing we often forget. You can perform years and years doing the same thing, and than find out that it is suboptimal or even dysfunctional. Make sure your skills and expertise are up to date! Join us at Amsterdam…
But the take-home message is that: Patients with so called "sub-massive PE" can have depressed cardiac output and we cannot identify them from demographics and noninvasive hemodynamic measures
@DaveSwart7 @cliffreid Shots fired. Come here and step up to the plate.
@craigwylie @cliffreid Hey I may be in the UK now but I haven’t forgotten my roots 🤪 Also, just because you have a personal RV, don’t forget you’re an office worker now 🤪
@DaveSwart7 @cliffreid You two can always call a SA para to help. 😉
This has sparked much debate between myself and my fiancé over dinner (ENT reg vs paramedic) on how we’d manage this. We’re now onto the benefits of CPAP and if we could get away with not tubing but that’s probably being too optimistic! Interesting one though, cheers @cliffreid
Classic SALAD approach needed modifying when trachea is the source of the contaminant and very little space to work - was a good challenge @jducanto @swarb90 @Luca_Uenlue @AirwayMxAcademy @Obidoc @mr_astvad
@SafeAirway @AICjournal @ANZCA Practice does make perfect
@clifford0584 @AmitGanguly87 Surgical techniques had the highest success rate at a median of 100.0% (pooled rate=92.0%; 95% CI, 88.0–95.0%) vs 50.0% for needle techniques (pooled rate=52.0%; 95% CI, 28.0–76.0%). bjanaesthesia.org/article/S0007-…
@KangarooBeach @cliffreid @_NMay @SydneyHEMS I personally would go for an open technique. It's all I've ever done on adults. And since is my thesis topic for my diploma from @ATACCGroup, I'm becoming very vocal about it.
@DocOnSkis @EBMgoneWILD @KangarooBeach @cliffreid @_NMay @SydneyHEMS @ATACCGroup I have been involved in 2 CICO. Both scalpel bougie tube. Both me as a rescuer when it was very very bad. Seeing the tube go into the trachea is the only sight you want to see. None with normal anatomy or landmarks at all.
@GenerallyUnwell @cliffreid @jducanto @swarb90 @Luca_Uenlue @AirwayMxAcademy @Obidoc @mr_astvad This sounds good to me? Or load a suction catheter down the tube with tip just protruding or at bevel of tube?
@EBMgoneWILD @cliffreid @jducanto @swarb90 @Luca_Uenlue @AirwayMxAcademy @Obidoc @mr_astvad Yep it looks terrible but only suctioning enough to get a tube through the cords then suppressing the urge for more suctioning and constant circuit interruptions and instead getting them onto uninterrupted high PEEP ventilation should be the goal here
@cliffreid @jducanto @Luca_Uenlue @AirwayMxAcademy @Obidoc @mr_astvad Would a paeds bougie fit through a paeds yankeur parked at the glottis? Then railroad a size 4?
I know we moan a lot but it's actually great to see the NHS taking serious steps to improve doctors' working lives 👏