Amir Yousefzad @amirysh
Emergency Physician | Educator, Clinician, Lifelong learner @UManitoba | Passionate about Resus, Trauma, and real-life EM cases | Based in Manitoba 🇨🇦 Joined April 2015-
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🧵 CRP vs Procalcitonin – Inflammation vs Infection? Both rise in systemic illness. But they don’t speak the same language. Let’s break down when to use CRP, when to trust Procalcitonin—and when both lie. 👇 @IhabFathiSulima @DrAkhilX @Janetbirdope @emcrit @andrewsuleh…
🚨 NIV vs HFNC in Multiple Rib Fracture🚨 New nationwide study compared outcomes & costs in adult trauma pts with ≥2 rib fractures, no prior intubation: 🔹 Mortality: NIV 11.4% vs HFNC 17.0% (p=0.007) 🔹 Tracheostomy: NIV 1.2% vs HFNC 3.1% (p=0.006) 🔹 Pulmonary complications:…
Avoiding unrecognised oesophageal intubation The @RCoA & @dasairway have agreed to drop ‘no trace wrong place’ The message now is that we need to exclude oesophageal intubation by identifying SUSTAINED EXHALED CO2 This requires 4 elements -CO2 rises & falls with respiration…
🚨 Avoid Excessive Steroid Dosing! 🚨 Guideline-Recommended ED Dosing •COPD: 40 mg prednisone × 5 days (GOLD 2025) •Asthma: 50 mg prednisone or 200 mg hydrocortisone (divided) × 5 days (GINA 2024) •Anaphylaxis: 80–125 mg methylprednisolone or 60 mg prednisone •Sepsis: 200 mg…
Predicting NIV Failure: In acute hypoxemic RF, re-evaluate NIV pts within 60 min. 📊 HACOR score = HR + Acidosis + Consciousness + Oxygenation + RR ➡️ Score >5 at 1–2 hrs? High risk → consider early intubation. 🔗 HACOR on MDCalc Ref: Frat JP et al. Intensive Care Med.…
Head CT in Older Patients on Antithrombotics — Are We Overdoing It? 📊 New study: 5,948 pts ≥65 with head trauma (53% on AC/AP): •13% had ICH •No AC/AP ↑ ICH risk •Risk ↑ with: high fall, GCS 14, scalp impact, vomiting, amnesia, skull/facial fracture 💡 Mechanism & exam…
Suction Catheter Assisted Tracheal Intubation (SCATI) #scati #airway 🎥 vimeo.com/1093393332?fl=…
Here's a video I made breaking down this incredible case of a 60-year-old man who presented to the ER with a muffled voice, difficulty breathing, and coughing up blood #FOAMed
This recent validation study from Dr. Ohle found the Sudbury Vertigo Risk Score effectively identifies the risk of a serious diagnosis in patients with dizziness and can guide further investigation, consultation, and treatment decisions.
🚨 Traumatic Pneumothorax — When to Place a Chest Tube? 📸 >20% of thoracic volume on CXR 📏 >35 mm on CT (radial from chest wall to lung) Smaller? Observation OK, but ~10% will fail observation and need a tube. Ref: Blank & de Moya, J Trauma Acute Care Surg 2025.
Common pitfalls in airway management 📌I can intubate all my patients with VL 📌I am experienced (but do you have expertise?) 📌Incomplete airway assessment (only looking at anatomical factors) 📌Incomplete airway strategy (no transition points defined) 📌Intubating without…
Here’s a video I made breaking down this case of a 60-year-old man who was found in cardiac arrest after crashing his car into a tree #FOAMed
We are recruiting for our 2026 Acute Care POCUS fellows at @UManitoba_Emerg. Join our award winning faculty, high volume nerve block program and still the only ED-based TEE program in Western Canada! Contact me for details. Deadline Sept 19.
A52-year-old woman presents to the emergency department with weakness. The following ECG is obtained......ecgweekly.com/weekly-workout…
This is the impact of exercise on your brain

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