Alfred Sacchetti

“A scientific truth does not triumph by convincing its opponents and making them see the light, but rather because its opponents eventually die and a new generation grows up that is familiar with it.” Max Planck Those opposed to COVID-19 vaccines just accelerate this process.

Does anyone have policy regarding CPR and known COVID patients? Or is it case by case?

I’m 66 and people keep asking if I want them to see the respiratory distress patients. Very kind. No help on single coverage. One nurse with Lupus brought me some of her Plaquenil to have in case. Thank you forever.

#FOAMed @EMSwami Use High Flow Nasal Cannula to treat COVID-19/Flu patients. Don’t abandon therapy that reverses hypoxia and avoids intubation for theoretical risk of aerosolizing particles.  Just put the cannula under the surgical mask the patient is already wearing.

If you have chest pain, you need a diagnostic test because we have a treatment for a STEMI. If you have respiratory infection, we don’t have a viral specific treatment, COVID, RSV, Adeno, etc. Once you know it is in your community no need for testing, manage symptomatically.

#FOAMed, @EMSwami Stop whining about testing kits, treat COVID-19 like RSV. Only need to test a few patients to know virus is in your community, after that symptomatic care. Mild infections home treatment and self quarantine. Severe illness, hospitalize. Staff resp precautions

Must read

Don’t be too quick to discount the high flow nasal cannula, child desaturated every time was removed from it. Took 3 days before could be weaned off from it.

#FOAMed @EMSwami Try this tweet again with the video this time. Pediatric Respiratory Distress and High Velocity Nasal Cannula. A match made in heaven.

#FOAMed @EMSwami Pediatric Respiratory Distress and High Velocity Nasal Cannula. A match made in heaven.

Help fight back, by getting involved and make a difference in the fight against cancer. main.acsevents.org/site/TR/C…

At present Geriatric BRUE is of no value other than to prevent misfitting patients into wrong diagnoses. Once defined with diagnostic study recommendations and evidence supported disposition criteria it will be very valuable, like the pedi BRUE.

Wife brings in 80 yo husband. 45 second spell, slumped in chair, starring, not responding to voice or tactile stimuli. Spontaneous recovery, now at baseline. TIA?, Syncope?, Seizure? None really fit. Why not Geriatric BRUE.

Despite my best efforts there are many elder patients that I just can’t diagnose. Yes, BRUE means I don’t know, but better than faking it and calling them a TIA or Syncope.

Number one cause of SIDS in our shop.

Way to go Jan, very well deserved.

#FOAMed Isn’t this Child Abuse? Just what part of professional journalism requires interviewing children after their high school friends were shot, then airing it on all media outlets.