London Trauma Conference 2015: Air Ambulance & Pre-hospital Care Day

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Lara Sulaiman @Dr_Lara

Dabigatran reversal is now in Rapid fire session #FOAMED #FOAMtox #menatox2016 pic.twitter.com/XraFLp3Zu0

Lara Sulaiman @Dr_Lara

What is Praxabind? #menatox2016 #FOAMED #FOAMtox pic.twitter.com/8UKUQo9aCM

Lara Sulaiman @Dr_Lara

Dr. Frank walter on Mass Casualty Decontamination after a chemical incident #menatox2016 #FOAMED #FOAMtox pic.twitter.com/XPtvFGWJlC

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Jalal Alessai @Galal501

#menatox2016 Dr. Kent Olson about Charcoal Odyssey #foamtox pic.twitter.com/GM2cOcFGhl

Suad @suadbulushi

#menatox2016 Here we go starting the day with dr kent 👌👌👌 Charcoal where to go!!!! pic.twitter.com/edyj3fvwwI

Samya al-mazrooei @samya_saif

The effects of activated charcoal.. #menatox2016 pic.twitter.com/F3IpM9YGwb

Samya al-mazrooei @samya_saif

Charcoal after one hour may be useful if ?? #menatox2016 pic.twitter.com/JIcym4Kpfl

Samya al-mazrooei @samya_saif

Activated charcoal #menatox2016 pic.twitter.com/mWcdg8uexP

Samya al-mazrooei @samya_saif

Evidence that AC can cause aspiration pneumonia .. #menatox2016 pic.twitter.com/ez4kYh00hS

Mahmood Aljufaili @docmaj08

Exercise your clinical judgment to decide on prescribing charcoal #menatox2016 pic.twitter.com/wpukTXhAZ8

Suad @suadbulushi

Bottom line ... #menatox2016 pic.twitter.com/1FABhBYBsx

Samya al-mazrooei @samya_saif

Paediatric poisoning statistics .. Oman #menatox2016 pic.twitter.com/TzOB357345

Samya al-mazrooei @samya_saif

our ED statistics #menatox2016 pic.twitter.com/2Z6CkMV1Rq

Menatox2016 @Menatx2016

Interesting speak about Calcium for HF Toxicity conduct by Dr. Ezaldeen Numur. #menatox2016. pic.twitter.com/sGiln9b69n

Mahmood Aljufaili @docmaj08

Learning points from the HF talk #menatox2016 pic.twitter.com/s4FKZcq619

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Ayesha Almemari @Ayesha_Almemari

Most snakes in MENA are not toxic #MENATOX2016 pic.twitter.com/LyOJ16UnKO

Ayesha Almemari @Ayesha_Almemari

Vipers do exist in MENA and are toxic as well Malpolon #menatox2016 pic.twitter.com/VyEBow5Cu5

Ayesha Almemari @Ayesha_Almemari

#menatox2016 this is toxic, if you see it in #Oman don't touch it or Handel it😉 pic.twitter.com/Sl0WB6ulhL

Lara Sulaiman @Dr_Lara

Snakebite tarck #menatox2016 #FOAMED #FOAMtox pic.twitter.com/qbuzgyXXCW

Ayesha Almemari @Ayesha_Almemari

Snakes and geographical location in #MENA #menatox2016

Ayesha Almemari @Ayesha_Almemari

It might be a snake & if it is snake it might't be venomous if venomous it might't have injected venom #menatox2016 pic.twitter.com/xMPT66AfAG

GCC/Gulf Cooperation Council - Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates.
Arabian Peninsula - - Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, the United Arab Emirates, Yemen, parts of southern Iraq, and parts of southern Jordan.

Ayesha Almemari @Ayesha_Almemari

#gcc snakes by @alhelail , the same message , don't try to catch the snake #menatox2016 pic.twitter.com/DePW3HVWI3

Lara Sulaiman @Dr_Lara

@alhelail snakebite in Arabian Pensula #menatox2016 #FOAMED #FOAMtox pic.twitter.com/A2XzEqvutS

Ayesha Almemari @Ayesha_Almemari

For snake bite their is not pre hospital Rx.stay calm,immobilize the limb and go to the hospital #menatox2016 pic.twitter.com/3WwbTqtlnW

Ayesha Almemari @Ayesha_Almemari

If pt placed tourniquet make sure you have antivenom at bed side #menatox2016 pic.twitter.com/Sus4LUUYLD

Ayesha Almemari @Ayesha_Almemari

Snake bite Mangement pathway #menatox2016 pic.twitter.com/HzYLp9wF6k

Ayesha Almemari @Ayesha_Almemari

Management of #snake bite #menatox2016 pic.twitter.com/EZKVIUBR4j

Ayesha Almemari @Ayesha_Almemari

#snake bite #menatox2016 pic.twitter.com/mTtRDOQWEc

Ayesha Almemari @Ayesha_Almemari

Indication for antivenom #menatox2016 pic.twitter.com/IhdWMZaJpO

[RemRoof]

Mooi verhaal over slangen Ik zag er wel een paar lieverdjes tussen staan...

RemRoof

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Mooi verhaal over slangen Ik zag er wel een paar lieverdjes tussen staan...

RemRoof

Zeeslangen zijn de meest beroerde lieverdjes. Ze komen normaal gesproken niet in het ondiepere water voor de kust. Alleen zieke/zwakke/dode (ook levensgevaarlijk voor de mens!) zeeslangen, die soms ook aanspoelen. Vreselijke combinatie met spelende peuters/kleuters.

Gif van zeeslangen is vergelijkbaar met gif van krait en cobra, alleen vele malen potenter.

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Samya al-mazrooei @samya_saif

Acute radiation syndrome #menatox2016 pic.twitter.com/BSslwIFWKD

Samya al-mazrooei @samya_saif

4 phases of acute radiation syndrome #menatox2016 pic.twitter.com/lgON4A2meE

Abdulaziz Albreiki @albr90eiki

Radiation toxicity in #menatox2016 pic.twitter.com/kfMTOnSL8U

Samya al-mazrooei @samya_saif

Dr. Saad Al juma ..presenting now #menatox2016 pic.twitter.com/tuSDbqDGR1

Samya al-mazrooei @samya_saif

DigiFab Role.. #menatox2016 pic.twitter.com/CrvPx4K5kO

Samya al-mazrooei @samya_saif

DigiFab indications #menatox2016 pic.twitter.com/fafMSjuFhR

Samya al-mazrooei @samya_saif

Dosing #menatox2016 pic.twitter.com/LjcEnJuya2

Samya al-mazrooei @samya_saif

Amazing talk by Dr Saad Al juma #menatox2016 pic.twitter.com/nZmKIKxX1l

Adil @Adilalmusalami

#menatox2016 Now Dr waleed alsukaiti presenting Ciguatera toxin pic.twitter.com/LQztMQqsOS

Lara Sulaiman @Dr_Lara

@digoxin88 on Ciguatera Toxin #menatox2016 #FOAMED #FOAMtox pic.twitter.com/AMHIHqZMBG

Abdulaziz Albreiki @albr90eiki

Ciguatera poisoning #menatox2016 pic.twitter.com/6is6ntUKDT

Suad @suadbulushi

#menatox2016 الشيخ فيصل Dr faisal future toxicologist Talk about aspirin 👌 pic.twitter.com/HpI3TGqYUF

Samya al-mazrooei @samya_saif

Now Dr faisal Al sawafi presenting interesting talk #menatox2016 pic.twitter.com/FMW6roc4xM

Samya al-mazrooei @samya_saif

Summary of Dr faisals lecture #menatox2016 pic.twitter.com/7C9xRpOxx6

BAlhatali @BAlhatali

Tramadol common and cheap #menatox2016 pic.twitter.com/ry6OQ4sEoq

Lara Sulaiman @Dr_Lara

Razor blade as rescue device,cut ur self,less blood to brain u wake up Drugabusermyths 😑 #menatox2016 #FOAMED #FOAMtox pic.twitter.com/q1V3l8OpAa

Samya al-mazrooei @samya_saif

First time seizure... Hmm always ask about Tramadol #menatox2016 pic.twitter.com/EpF9mR1jud

BAlhatali @BAlhatali

Dr Kent Olson #menatox2016 pic.twitter.com/w4AYEl4XLU

Samya al-mazrooei @samya_saif

Causes of status epileptics in the ED .. #menatox2016 pic.twitter.com/XjjktPVdl1

Samya al-mazrooei @samya_saif

What increases the likelihood of seizures and what decreases it #menatox2016 pic.twitter.com/WrB74hvvDN

MENATOX @MENATOX

Kent Olson: phenytoin should not be used for drug induced seizures; consider #menatox2016

Mahmood Aljufaili @docmaj08

If drug-induced status epilepticus remain refractory after lines of Rx,think Ketamine #menatox2016 pic.twitter.com/l2odYgXA66

BAlhatali @BAlhatali

Rule out ATOMIC before label drug induced seizure #menatox2016 pic.twitter.com/FwjJsP0Bvj

Suad @suadbulushi

#menatox2016 Remember Person who is mostly high It's not always the case💪💪💪

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Critical Care Review 2016 Book (pdf), critiquing 30 biggest trials of 2015: http://www.criticalcarereviews.com/index.php/meetings/2610-ccr16-book

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Moath Bin Homaid @M_Humaid

Status epilepticus! #SASEM2016 pic.twitter.com/3SfAQc3dvH

Abdurrahman Ayoup @abu_almohannad

From Seizures update lecture #SASEM2016 pic.twitter.com/Hg1kJWuaPO

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EMS1 @EMS1

Hearing from 50+ medical directors responsible for 120 million lives. #GatheringEagles16

Mitch Page @mitchpage3

Revert trial #gatheringeagles16 pic.twitter.com/FGMmJrbuJN

Tony Garcia @ER_Murse

Alicia - modified valsalva improves success to 50% #gatheringeagles16

Eagles Coalition @EaglesGather

In PSVT, have the patient valsalva and THEN lie them flat with their legs elevated...improves response!  #Gatheringeagles16

Eagles Coalition @EaglesGather

The modified Valsalva is the new way to increase effectiveness of converting PSVT to NSR...up to 47% conversion rate! #Gatheringeagles16

Mitch Page @mitchpage3

Dr.corey Slovis 100% o2 in arrest Dial back after rosc #gatheringeagles16 pic.twitter.com/Fx0UwDzl66

Eagles Coalition @EaglesGather

No antiarrhythmic has been yet shown to increase survival in VF/pVT #Gatheringeagles16

Eagles Coalition @EaglesGather

Does epi really have a role in ACLS?  We don't know....research is ongoing! #Gatheringeagles16

Mitch Page @mitchpage3

Vaso might work but out for acls Dr Corey Slovis #gatheringeagles16 pic.twitter.com/yShz509yEy

Eagles Coalition @EaglesGather

Bystander CPR improves with phone texts alerts compared to no texts alerts, 62% vs 48%. #Gatheringeagles16

Mitch Page @mitchpage3

Dr.Slovis is for pulsepoint and goodsam type apps #gatheringeagles16 pic.twitter.com/LLfkgPZNuK

Eagles Coalition @EaglesGather

Systolic BP has been shown to drop ~30mmHg after administration of nitroglycerin in ALL MI's, not just inferior MI's. #Gatheringeagles16

Eagles Coalition @EaglesGather

Nitroglycerin improves pain, not mortality, in your patient with an MI. #Gatheringeagles16

Tony Garcia @ER_Murse

NSlovis- if u use NTG, be prepared for BP fall #Gatheringeagles16

Chuck Sheppard @chucksheppard

#Gatheringeagles16 ntg in inf MI vs STEMI in general pic.twitter.com/CS8B4sNrzj

Eagles Coalition @EaglesGather

Success rate for needle decompression is much better if you look at the anterior axillary line instead of midclavicular. #Gatheringeagles16

Eagles Coalition @EaglesGather

Anterior axillary line probably best for needle decompression! If miss, try another spot! #Gatheringeagles16

Mitch Page @mitchpage3

Where to put needle for tension Be careful! If you miss change location! #gatheringeagles16 pic.twitter.com/wzSKYeCQqv

Mitch Page @mitchpage3

Summary Dr.Slovis #gatheringeagles16 pic.twitter.com/OxVOgs6yWg

Eagles Coalition @EaglesGather

Modified Valsalva manoeuvre for supraventricular tachycardia via @YouTube #Gatheringeagles16

https://www.youtube.com/watch?v=8DIRiOA_OsA

Eagles Coalition @EaglesGather

Glucagon is $250 in the U.S. but only $23 in New Zealand!  What's the deal??? #Gatheringeagles16

Mitch Page @mitchpage3

Glucagon is pricy and rarely used #gatheringeagles16 pic.twitter.com/WwRSI1iN5n

Eagles Coalition @EaglesGather

CPAP is becoming ubiquitous in prehospital care.  #Gatheringeagles16

Mitch Page @mitchpage3

New ems toys Cpap+++ #gatheringeagles16 pic.twitter.com/yxDrPnSTDY

Mitch Page @mitchpage3

Training in ems Strews management very important #gatheringeagles16 pic.twitter.com/FSE2ym9pEf

EMS1 @EMS1

Active shooter training, products and protocols #GatheringEagles16 pic.twitter.com/AvUGvxJe37

Mitch Page @mitchpage3

Implementing new pals Dr.Peter Antevy #gatheringeagles16 pic.twitter.com/NJAoJPKUDd

EMS Nation @EMS_Nation

Evidence base for new PALS guidelines @Handtevy @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/f4fUnSKXbw

Mitch Page @mitchpage3

Be careful with fluids in children! But still give if in shock! #gatheringeagles16 pic.twitter.com/nJ6UTElkZ9

Tony Garcia @ER_Murse

Antevy - ECMO-CPR not recommended in children #gatheringeagles16

EMS Nation @EMS_Nation

Fluid bonus in pediatrics... Level of evidence by ILCOR @HandtevyMD @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/jtmLj0q0G6

EMS Nation @EMS_Nation

Routine use of Atropine before pediatric intubation? @HandtevyMD @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/376BQlpb1b

Mitch Page @mitchpage3

Epi reasonable in peds cardiac arrest #gatheringeagles16 pic.twitter.com/hAPGMifXyO

EMS Nation @EMS_Nation

Quality of CPR in OHCA... Do better! Use Feedback! @HandtevyMD @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/R9tp3yN6fm

Eagles Coalition @EaglesGather

Look here for the AHA guidelines for 3rd trimester cardiac arrests. #Gatheringeagles16

http://circ.ahajournals.org/content/early/2015/10/06/CIR.0000000000000300

Eagles Coalition @EaglesGather

At 32 weeks gestation, shifting a mother onto her L side can increase cardiac output by 32% in a healthy woman. #Gatheringeagles16

Eagles Coalition @EaglesGather

Tilting the backboard in a pregnant cardiac arrest may not be enough, try the manual left uterine displacement method. #Gatheringeagles16

Mitch Page @mitchpage3

Cardiac arrest in pregnancy Push uterus to side #gatheringeagles16 pic.twitter.com/XtaV5rYKw9

EMS Nation @EMS_Nation

Manual Left Uterine Displacement for relief of A-C Compression. Class 1 rec @EaglesGather #GatheringEagles16 pic.twitter.com/S4QgU0eaVq

Eagles Coalition @EaglesGather

"No literature examining use of mechanical compressions in pregnant cardiac arrest" - AHA. #Gatheringeagles16

Mitch Page @mitchpage3

Als for cardiac arrest in pregnancy #gatheringeagles16 pic.twitter.com/0O9d0ZvlRS9

Eagles Coalition @EaglesGather

IV access should be above the diaphragm in pregnant cardiac arrest, use high flow O2, anticipate a difficult airway. #Gatheringeagles16

Eagles Coalition @EaglesGather

Class I recommendation - perimortem C-section if no ROSC within 4 minutes, baby out after 5 minutes. #Gatheringeagles16

Richard Beebe @MedicThink

Left lateral recumbent or manual uterine displacement in cardiac arrest results in increase 24% CO post 32 weeks #Gatheringeagles16

EMS Nation @EMS_Nation

Limited data on field termination in pregnant OHCA, transport for potential PeriMortem C-section #GatheringEagles16 pic.twitter.com/OoQg007WDk

Eagles Coalition @EaglesGather

If you have a 3rd trimester cardiac arrest, treat them with ACLS and DIESEL FUEL!!!!!  Get to the ER quick! #Gatheringeagles16

EMS Nation @EMS_Nation

PeriMortem Section often improves Maternal Outcomes.

Tony Garcia @ER_Murse

#Gatheringeagles16 pic.twitter.com/mrfdFYgaxH

Mike Jackson @MikeJac77036347

Tilting 3rd trimester 30 degrees on board not enough in cardiac arrest! manual displacement of uterus in resus and post rosc #Gatheringeagles16

Tony Garcia @ER_Murse

#Gatheringeagles16 pic.twitter.com/i83YbY0E9t

Eagles Coalition @EaglesGather

There is a broad differential in 3rd trimester cardiac arrests, more than just typical "H's and T's". #Gatheringeagles16

Kyle Bates @imagemedic

CA in pregnancy? Rapid transport to ED as removal of baby may result in ROSC #gatheringeagles16

EMS1 @EMS1

Left uterine displacement #Gatheringeagles16 pic.twitter.com/tfsSF6DkpP

Mitch Page @mitchpage3

The unstable pregnant patient #gatheringeagles16 pic.twitter.com/YAJEb5Pi9T

Tony Garcia @ER_Murse

#Gatheringeagles16 pic.twitter.com/jITetiWtQV

EMS Nation @EMS_Nation

Prehospital mgmt of stable vs unstable Pregnant patient @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/ybbeVj72Jy

Kyle Bates @imagemedic

CA in pregnancy? Manual ventilations, not passive oxygenation #gatheringeagles16

Dan Carlascio @DanCarlascio

The Eagles DO agree on something!!! 100% agree that prehospital evacuation of the uterus in cardiac arrest is bad idea

EMS Nation @EMS_Nation

Diving deep on Intrathoracic Pressure Regulation in OHCA! ITD + ACD @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/MmKKd7lQ9U

Eagles Coalition @EaglesGather

Even with great CPR, the blood flow is only about 15% of baseline circulation.  #Gatheringeagles16

Eagles Coalition @EaglesGather

The ACD ResQCPR pump has its benefit from the DE-compression phase of CPR. "Active" vs "Passive" recoil. #Gatheringeagles16

Eagles Coalition @EaglesGather

Active recoil with the ResQ Pump improves venous return during CPR. #Gatheringeagles16

EMS Nation @EMS_Nation

More negative intrathoracic pressure in cardiac arrest --> ⬆️ Preload @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/OoNyjkOX6x

Eagles Coalition @EaglesGather

Study for "Augmented CPR: Rescue after the ResQ trial found here: #Gatheringeagles16

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62309-4/abstract

Word on the Street @wotsukrobl

'Suck it up' More Negative Pressure with ResQCPR #Gatheringeagles16 @FOAMEMS #FOAMed @hp_ems pic.twitter.com/qNsFaTb1Tr

Sharon Leffler Smith @steides

Increased negative intra-thoracic pressure =⬆️perfusion #Gatheringeagles16 pic.twitter.com/nfvt86Sksd

Eagles Coalition @EaglesGather

The ResQPump allows 80 compressions per minute to allow improved recoil and ventricular filling time. #Gatheringeagles16

Mitch Page @mitchpage3

Cautions about its/acd cpr #gatheringeagles16 pic.twitter.com/YRHLTocn82

Eagles Coalition @EaglesGather

Don't use ResQpump when transporting, while straddling pt, if pt is moving, or in pt's with sternotomy in last 6 months. #Gatheringeagles16

UT Southwestern EM @DallasEMed

ResQ - 53% incr survival (5.8% to 8.9%) to hosp D/C in favorable neuro outcome c augmented neg pressure over standard CPR #GatheringEagles16

EMS Nation @EMS_Nation

Understanding physiology of Active Compression Decompression for ⬆️Preload @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/UZ47xkvJhe

Word on the Street @wotsukrobl

ResQCPR.. However 'You are not trying to jack up a car' #Gatheringeagles16 @FOAMEMS #FOAMed pic.twitter.com/KMyaGa7eBC

Mitch Page @mitchpage3

Outcomes with acd/icd cpr Good but very small n #gatheringeagles16 pic.twitter.com/yGwXSiAQdZ

Mitch Page @mitchpage3

Interesting data But again small n #gatheringeagles16 pic.twitter.com/1M2ymnT3UA

EMS1 @EMS1

Intriguing talk on active compression device #Gatheringeagles16 pic.twitter.com/ndrC0QIeUZ

Samuel Kordik @samuelkordik

Great discussion on ACD-ITD CPR. Wondering why @PhysioControl Lucas II isn't doing ACD.  #Gatheringeagles16

Samuel Kordik @samuelkordik

"No harm described with mech./ACD CPR not also found with standard CPR"—Dr Frascone #Gatheringeagles16

Eagles Coalition @EaglesGather

During chest recoil, the ITD prevents air inflow to the lungs which helps improve ventricular filling. #Gatheringeagles16

Faroukh Mehkri @FaroukhMehkri

ACD CPR is NOT LUCAS. ACDITP CPR BEATS STANDARD CPR. 53% increase over standard.. @EaglesGather  #Gatheringeagles16

Tony Garcia @ER_Murse

#Gatheringeagles16 pic.twitter.com/n9imbnrLSJ

Faroukh Mehkri @FaroukhMehkri

ACD ITP DEVICE. FDA APPROVED. IMPROVE LIKELYHOOD OF SURVIVAL IN OHCA @EaglesGather @HandtevyMD #Gatheringeagles16 pic.twitter.com/dnhpKlpRWE

Mitch Page @mitchpage3

Problem with supine cpr #gatheringeagles16 pic.twitter.com/BTQyGgwalj

Eagles Coalition @EaglesGather

Supine chest compressions causes increases in cerebral arterial and venous pressures, resulting in too much ICP. #Gatheringeagles16

Tony Garcia @ER_Murse

#Gatheringeagles16 pic.twitter.com/LjgwXOzGm5

Eagles Coalition @EaglesGather

30 deg "heads up" CPR results in decreased intracranial pressure and elevated cerebral perfusion pressure. #Gatheringeagles16

Mitch Page @mitchpage3

What happens when you raise head during cpr #gatheringeagles16 pic.twitter.com/zvqzKP3ZP4

Mitch Page @mitchpage3

And if you add itd and Lucas #gatheringeagles16 pic.twitter.com/m5BLpyPq3c

Faroukh Mehkri @FaroukhMehkri

30 deg "heads up" CPR results in decreased ICP  and elevated cerebral perfusion pressure.

EMSWorld News @EMSWorldNews

Dr. Pepe discussing heads-up CPR at #GatheringEagles16. Read more here: pic.twitter.com/mMFzbvxkXX

http://www.emsworld.com/article/12088616/heads-up-cpr

Mitch Page @mitchpage3

Again small but interesting data #gatheringeagles16 pic.twitter.com/djJ1U6iSSj

Chuck Sheppard @chucksheppard

#Gatheringeagles16 Paul Pepe res w head up CPR pic.twitter.com/BwXtMeuMIn

Word on the Street @wotsukrobl

A quick heads up! Palm Beach rates tilt in the right direction #Gatheringeagles16 @FOAMEMS #FOAMed @hp_ems pic.twitter.com/oeDpdkqZQC

EMS Nation @EMS_Nation

Finding the sweet spot with ITD/ACD to optimize CorPP & CerPP @EaglesGather @zollemsfire #GatheringEagles16 #FOAMems pic.twitter.com/K4yjQnGMRD

EMS Nation @EMS_Nation

Takeaways of Heads Up CPR. Promising but not ready for prime time @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/2PjDZAZ8xr

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EMS Nation @EMS_Nation

Optimizing 911 Dispatch for Stroke: FAST - Face/Arm/Speech/Time #GatheringEagles16 #FOAMems @EaglesGather pic.twitter.com/6tZvkeBT54

Eagles Coalition @EaglesGather

For strokes, quick history, last known well time, FAST exam, POC glucose, and O2 for SpO2<94%, NPO, and DIESEL!! #Gatheringeagles16

Brian Hricik @BrianHricik

Dispatch questions for patients suspected for CVA. @AlexandriaVAFD #gatheringeagles16 pic.twitter.com/cnSvkmkS2a

Sharon Leffler Smith @steides

#Gatheringeagles16 pic.twitter.com/NsTjVICeIe

Weston Davis @wdavis911

"Too much oxygen is bad for stroke patients"- Dr. Miramontes #gatheringeagles16

Eagles Coalition @EaglesGather

If you want better stroke care at the ER, give them a quicker heads up and the basic data to activate stroke care early. #Gatheringeagles16

Eagles Coalition @EaglesGather

How many EMS agencies transfer your stroke patient directly from the stretcher to the CT table? #Gatheringeagles16

Sharon Leffler Smith @steides

#Gatheringeagles16 pic.twitter.com/MfJQbjh55q

EMS Nation @EMS_Nation

Trust your medics! Excellent stroke accur in San Antonio. Beware of mimics @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/gWMtOJODoO

Sharon Leffler Smith @steides

#Gatheringeagles16 pic.twitter.com/OVjCI8sQIN

Brian Hricik @BrianHricik

Suspected stroke = BE FAST #gatheringeagles16

Faizan H. Arshad @emscritcare

Prehospital Optimization of stroke MGMT includes EMS Stretcher --> direct to CT Table #GatheringEagles16 #FOAMems

EMS Nation @EMS_Nation

Just like optimizing OHCA Chain of Survival... same applies for stroke! @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/Cf9kNsz6cu

Gene Bradley @GeneBradley2

EMS needs a 10 minute scene time or less with a positive stroke scale #Gatheringeagles16

Mitch Page @mitchpage3

Lots of great stuff about improving systems for stroke care at  #gatheringeagles16 but does ultra fast tpa even matter??

Samuel Kordik @samuelkordik

Streamlining/paralleling prehospital CVA data gathering = huge improvements in TPA times. #Gatheringeagles16 pic.twitter.com/mkxrxwidHc

Eagles Coalition @EaglesGather

Don't we all wish we had one of these in our systems? Mobile stroke unit with a CT scanner! #Gatheringeagles16 pic.twitter.com/rnMmm1MdRo

Eagles Coalition @EaglesGather

Stroke care is a money-making business. Triage your stroke pt to the appropriate facility who can care for your pt.#Gatheringeagles16

Mitch Page @mitchpage3

Improving stroke systems #gatheringeagles16 pic.twitter.com/dq7ic3m0GV

Marty Turvey @martyturvey

#Gatheringeagles16 pic.twitter.com/5060su4rXl

Derek L. Hunt @DerekLHunt

EMS needs to gather Door to Needle and Picture to Puncture times from their local stroke facilities #GatheringEagles16

Eagles Coalition @EaglesGather

Large vessel occlusive strokes are not fixed with IV tPA. Better with intraarterial tPA and even better with embolectomy. #Gatheringeagles16

Eagles Coalition @EaglesGather

Want to diagnose an ELVO without CT? Try this...  Activate from the field! #Gatheringeagles16

http://www.ncbi.nlm.nih.gov/pubmed/24281224

Eagles Coalition @EaglesGather

EMS can drastically improve stroke care with activations from the field.  Use the RACE scale! #Gatheringeagles16

EMS Nation @EMS_Nation

RACE scale > 5 likely ELVO. Model for EMS activation of Endovascular Lab @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/dTZ9pceMlG

Eagles Coalition @EaglesGather

Broward County EMS uses the Pulsara app to alert the stroke team that they are coming with an ELVO...1 click! #GatheringEagles16

Tony Garcia @ER_Murse

#GatheringEagles16 pic.twitter.com/Zjgph9jEs1

Tony Garcia @ER_Murse

Take your patients directly to CT from EMS stretcher #GatheringEagles16 pic.twitter.com/2R3weZRqWg

Mitch Page @mitchpage3

This might creat some controversy! #gatheringeagles16 pic.twitter.com/i9TwURPgHU

Mitch Page @mitchpage3

Patients at comprehensive stroke center 6times more likely to get tpa!you decide if that is good #gatheringeagles16 pic.twitter.com/SV8KbJgeSB

Samuel Kordik @samuelkordik

Problem: ED door to intervention times to slow (for CVA, also true for other diseases) #Gatheringeagles16

Mitch Page @mitchpage3

Take the ED to patient #gatheringeagles16 pic.twitter.com/TAQl8xTwOR

Mitch Page @mitchpage3

Prehospital tpa data from Houston #gatheringeagles16 pic.twitter.com/bpXNFtii9r

EMS Nation @EMS_Nation

W/ Mobile Stroke Unit in Houston 42% pts receive IV tPA in first 60 min @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/Dy1hnapcgb

Sharon Leffler Smith @steides

#Gatheringeagles16 "A stroke is like a gunshot wound to the brain- BUT we can REVERSE a stroke"

Tony Garcia @ER_Murse

#GatheringEagles16 pic.twitter.com/fhICf1GgUC

Samuel Kordik @samuelkordik

"It's criminal to ask someone to do manual CPR in the back of a moving ambulance" #Gatheringeagles16

Marty Turvey @martyturvey

#Gatheringeagles16 pic.twitter.com/DNJBj3u3gt

Kyle Bates @imagemedic

Interesting, even across the pond r friends in London have difficulty getting units in service from EDs due to crowding #gatheringeagles16

Eagles Coalition @EaglesGather

London EMS is treating elderly falls at home with a nurse and medic and preventing 65% of admissions due to elderly fall.#Gatheringeagles16

Mitch Page @mitchpage3

London ambulance community treatment team #gatheringeagles16 pic.twitter.com/lPyeDpeIYl

Word on the Street @wotsukrobl

Dr Fionna Moore @Ldn_Ambulance Falls Prevention with a Community Treatment Team @EaglesGather #Gatheringeagles16 pic.twitter.com/fLqH4MsfcA

Eagles Coalition @EaglesGather

By 6pm, London is usually holding ~120 emergency calls due to lack of personnel and available units! #GatheringEagles16

Catherine R. Counts @CatherineCounts

.@Ldn_Ambulance CEO: some crew writing "War & Peace" on PCR, convincing them that pts waiting in queue matter is hard #Gatheringeagles16

EMS Nation @EMS_Nation

Dr. Fionna Moore (London) on Job-Cycle Time & Responsibility of EMS on cue @EaglesGather #GatheringEagles16 #FOAMems pic.twitter.com/ywOUlTuEdt

EMS1 @EMS1

120 calls are holding by 6 p on many days in London Ambulance #Gatheringeagles16 pic.twitter.com/FMPtHczlfz

Kyle Jackolin @KJackolin

Been waiting for this all day. #ROCTrial #GatheringEagles16 pic.twitter.com/YMfJI9YUWX

Catherine R. Counts @CatherineCounts

Here's the Trial of Continuous or Interrupted Chest Compressions during CPR paper in @NEJM #Gatheringeagles16

http://www.nejm.org/doi/full/10.1056/NEJMoa1509139

Catherine R. Counts @CatherineCounts

Bobrow: Chest Compression–Only CPR by Lay Rescuers and Survival From OHCA in @JAMA_current #Gatheringeagles16

http://jama.jamanetwork.com/article.aspx?articleid=186668

Catherine R. Counts @CatherineCounts

Berg: Interrupting chest compressions during V Fib cardiac arrest in @CircAHA #Gatheringeagles16

http://m.circ.ahajournals.org/content/104/20/2465.full

Catherine R. Counts @CatherineCounts

Koster OpEd on Continuous or Interrupted Chest Compressions for Cardiac Arrest in @NEJM #Gatheringeagles16

http://www.nejm.org/doi/pdf/10.1056/NEJMe1513415

Eagles Coalition @EaglesGather

Continous chest compressions may not be better than interrupted, but they may result in better skill retention.#GatheringEagles16

Richard Beebe @MedicThink

Interrupted CPR vs Continuous CPR ? ROC trial N = 23K+ Result No Difference! #Gatheringeagles16

Kyle Bates @imagemedic

30:2 or continuous chest compressions? Meh...no one seems to really know, or really willing to say. #gatheringeagles16

Mitch Page @mitchpage3

Reasons why intubation may not be so good #gatheringeagles16 pic.twitter.com/7Ffr9r4Uk1

EMS Nation @EMS_Nation

CCC vs 30:2 in OHCA --> Umm?! Recommendations by #GatheringEagles16: Consider CCR @DrHowieMell @emscritcare #FOAMems pic.twitter.com/mJm8GTXTH9

EMS Nation @EMS_Nation

Airway approach in OHCA does not effect HandsOff time w/ training. Near equal CCF #GatheringEagles16 #FOAMems pic.twitter.com/ScLZL3Atrx