Justin Morgenstern @First10EM
Emergency Doctor - Janus General Hospital | #FOAMed | Opinions obviously my own | https://t.co/GUv5FkBJnl first10em.com Toronto, Canada Joined January 2015-
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Followers18K
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Following672
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You MUST know how to perform Delayed Sequence Intubation youtube.com/watch?v=mVVuMh…
GCS 8 obviously doesn’t mean intubate (in tox or otherwise) #FOAMed first10em.com/gcs-8-obviousl…
GCS 8 obviously doesn't mean intubate (in tox or otherwise) first10em.com/gcs-8-obviousl… via @First10EM GCS 9 -they’re fine gCS 8- intubate GCS 7 en route to heaven? #notmedicaladvice
Be skeptical of the findings in single-centre RCTs of critically ill patients published in high-impact journals claiming a mortality benefit. Only 1 out of 16 RCTs were replicated in a multi-centred RCT. ccforum.biomedcentral.com/articles/10.11… @First10EM @KirstyChallen @drjohnm @adamcifu
Bioluminescent waves beneath the stars at Crystal Cove, California. 📽: Patrick Coyne
@SylviaJonesMPP These spots were forced filled through the second match. Occupied by graduating medical students who need a job and would rather do family medicine than sit a year out unpaid. This is a misleading statement.
Stop. You’re literally wrong. You have no clue what matching to family medicine means Most of these MDs will work in a non 1o care envt. How do I know this? Bc I literally teach them. They’re seeking clinical opportunities where they are paid enough to pay back their $150K debt.
Stop. You’re literally wrong. You have no clue what matching to family medicine means Most of these MDs will work in a non 1o care envt. How do I know this? Bc I literally teach them. They’re seeking clinical opportunities where they are paid enough to pay back their $150K debt.
@PECARNteam @nkuppermann @LancetChildAdol @UCDavisEM Great work! I am curious how this will play out in the real world. Unfortunately, these tools often rapidly turn into, if they failed the criteria, they MUST have CT. (See for example @First10EM on Candian CT brain rule). This was not the intent of the authors, and may lead to…
@First10EM @EM_Update posted with all other figures here: first10em.com/fooheysfigures…
inspired by @First10EM's @EM_Update 2022 trach emergencies talk, updated more recently after our dept's in situ sim: a simplified approach to respiratory distress in patients with a trach. feedback welcome!
EM Quick Hits *1st RCT on hi-dose nitro in SCAPE @First10EM *REBOA indications/evidence @TheCaseReport *Indications for CT in suspected diverticulitis @long_brit *CRAO @tdbhate *Penicillin Allergy Myths *ED physician personality & pt outcomes emergencymedicinecases.com/em-quick-hits-… #FOAMed
I want people to understand how impressive this is. Those are 10-0 nylon sutures closing an irregular corneal laceration. The cornea is ~550 microns thick. That is precise work. Vision saved. Well done!
I want people to understand how impressive this is. Those are 10-0 nylon sutures closing an irregular corneal laceration. The cornea is ~550 microns thick. That is precise work. Vision saved. Well done!
Doesn't really change much We have known this trial was negative for years This drug probably never should have been used first10em.com/paxlovid-evide…
EPIC-SR: The negative paxlovid data Pfizer has been sitting on #FOAMed first10em.com/epic-sr-the-ne…
Artificial Intelligence in clinical practice: Artificial hope or Intelligent opportunity? I spoke on this topic at #Europaediatrics2024 Some thoughts from my talk 🧵
A.I. is likely to really challenge Clinical Decision Making. This recent great blog via @First10EM highlights how A.I needs to be synergistic with Cognition and not in conflict first10em.com/diagnostic-rea…
Cliff Reid @cliffreid
42K Followers 3K Following 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 #FOAMed𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
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23K Followers 2K Following Inner city ER Doc | Mom | Advocate | Speaker | @drshazmamithani on Threads, Insta, and TikTok | *Tweets are not medical advice@First10EM I think we’re all willing to tolerate the ads for the good content.
@First10EM Almost like our clinical judgement should matter more than pithy sayings. Great write up as always. Thank you for the time put into these. Ended up with a bit of a chuckle at this unfortunate ad placement.
GCS 8 obviously doesn't mean intubate (in tox or otherwise) first10em.com/gcs-8-obviousl… via @First10EM GCS 9 -they’re fine gCS 8- intubate GCS 7 en route to heaven? #notmedicaladvice
Sadly @danieldennett died last week. Reading his “I’ve been thinking” this week. The opening chapter is fantastic, rational thinking at its very best @First10EM @TheSGEM @EMManchester @emcrit
Be skeptical of the findings in single-centre RCTs of critically ill patients published in high-impact journals claiming a mortality benefit. Only 1 out of 16 RCTs were replicated in a multi-centred RCT. ccforum.biomedcentral.com/articles/10.11… @First10EM @KirstyChallen @drjohnm @adamcifu
Bioluminescent waves beneath the stars at Crystal Cove, California. 📽: Patrick Coyne
Unbelievable political spin given this is the second iteration…
CaRMS shows family medicine is growing in Ontario! ✅Ontario filled 100% of family med residency spots ✅More students rank family med as their first choice ✅76 more spots than last year Our plan to expand access to primary care is working and we're just getting started!
@SylviaJonesMPP These spots were forced filled through the second match. Occupied by graduating medical students who need a job and would rather do family medicine than sit a year out unpaid. This is a misleading statement.
Stop. You’re literally wrong. You have no clue what matching to family medicine means Most of these MDs will work in a non 1o care envt. How do I know this? Bc I literally teach them. They’re seeking clinical opportunities where they are paid enough to pay back their $150K debt.
CaRMS shows family medicine is growing in Ontario! ✅Ontario filled 100% of family med residency spots ✅More students rank family med as their first choice ✅76 more spots than last year Our plan to expand access to primary care is working and we're just getting started!
@PECARNteam @nkuppermann @LancetChildAdol @UCDavisEM Great work! I am curious how this will play out in the real world. Unfortunately, these tools often rapidly turn into, if they failed the criteria, they MUST have CT. (See for example @First10EM on Candian CT brain rule). This was not the intent of the authors, and may lead to…
@SarahFoohey @First10EM @EM_Update Please please please, include the importance of using continuous waveform capnography to verify and prevent undetected decanulation. There have been devastating cases of third space decanulations. Continuous capnography will defect this immediately, before anoxic brain injury.
@SarahFoohey @First10EM And an top of that, you can check out both @SarahFoohey and @First10EM at our 2024 EM Update Conference in just 2 weeks May 8-10 in downtown Toronto! (Or virtual if you can’t make it) See you there! #EMU2024
@embasic @DGlaucomflecken @jfletchermd Wait!! They didn’t use ultrasound to close this corneal lac??!? What is this? 1980?
@DGlaucomflecken @jfletchermd You know what have made it even more impressive Point of care ultrasound 😂😂😂
@First10EM @EM_Update posted with all other figures here: first10em.com/fooheysfigures…
inspired by @First10EM's @EM_Update 2022 trach emergencies talk, updated more recently after our dept's in situ sim: a simplified approach to respiratory distress in patients with a trach. feedback welcome!
EM Quick Hits *1st RCT on hi-dose nitro in SCAPE @First10EM *REBOA indications/evidence @TheCaseReport *Indications for CT in suspected diverticulitis @long_brit *CRAO @tdbhate *Penicillin Allergy Myths *ED physician personality & pt outcomes emergencymedicinecases.com/em-quick-hits-… #FOAMed
I want people to understand how impressive this is. Those are 10-0 nylon sutures closing an irregular corneal laceration. The cornea is ~550 microns thick. That is precise work. Vision saved. Well done!
👁️ Corneal sutures in ocular penetrating wound 👁️