@TraumaSoapBoxes Resuscitate before intubation
@traumaicurounds Reasonable amount of evidence/experience from military trauma as well as the same principle of resuscitation prior to intubation for non-trauma critically ill. I'm don't thin we need to continue to cause harm! Also this recent paper from
A reminder that docs are still learning how to treat COVID. #FlattenTheCurve to postpone transmission and we have a better chance of saving lives. #medtwitter
RT @DrStrathman: Yup. As my trauma colleagues are used to hearing me say, intubating in the ED causes patients to "do the thing" https://t.…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @CoryJVatsaas: Pts in hemorrhagic shock need immediate hemorrhage control not just resuscitation. The best place for this is the OR. Int…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
Pts in hemorrhagic shock need immediate hemorrhage control not just resuscitation. The best place for this is the OR. Intubation is common in the ED but there are more resources for control in the OR that likely account for this benefit. GET TO THE OR!!! h
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
Emergency Department Versus Operating Suite Intubation in Operative Trauma Patients: Does Location Matter? https://t.co/LS5bhSlpdw by @SpringerLink #meded
"Clearly patients in ED sample were more severely injured...Sise et al showed... Early intubation candidates more severely injured..." Rationale on pg 786..ED not prehospital so extrapolation to prehospital outcomes is irrelevant
RT @DocCook91: Interesting. No difference in time to definitive tx, but increased arrest and mortality with ED intubation. Recently had a…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @embasic: I love me a good trauma airway But if the best thing is to get to the OR and do the tube there...you go to the OR and do the…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @NoobieMatt: Ping @MayoClinicEM @smoot_will @TschautscherMD Why are you intubating the patient? If they have altered mental status d…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @asiftalukder: Great study! Re-enforcers one of the the many great lessons imparted to me by @CQWhiteMD early in my training
RT @NoobieMatt: Ping @MayoClinicEM @smoot_will @TschautscherMD Why are you intubating the patient? If they have altered mental status d…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
Ping @MayoClinicEM @smoot_will @TschautscherMD Why are you intubating the patient? If they have altered mental status due to on-going hemorrhage, extending the anatomic dead space isn’t going to solve this problem. Resuscitate before you intubate.
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
One of the most valuable things I learned @LACUSCMedCenter trauma
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
Interesting!
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @DissanaikeMD: Time to bleeding control crucial in trauma: @TTUHSCSurgery we created direct ambulance/ helicopter➡️OR protocol for pts w…
RT @DissanaikeMD: Time to bleeding control crucial in trauma: @TTUHSCSurgery we created direct ambulance/ helicopter➡️OR protocol for pts w…
Time to bleeding control crucial in trauma: @TTUHSCSurgery we created direct ambulance/ helicopter➡️OR protocol for pts w need for operative bleeding control, esp penetrating injury. Named "FlyBY" because we "fly" by the ER w/out stopping! Xrays lines etc
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @DocCook91: Interesting. No difference in time to definitive tx, but increased arrest and mortality with ED intubation. Recently had a…
RT @MackenzieCookMD: Key paper! When you intubate someone in hemorrhagic shock - be ready for hemodynamic collapse. Be in a place to contr…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
Yup. As my trauma colleagues are used to hearing me say, intubating in the ED causes patients to "do the thing"
Practice changing?
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @asiftalukder: Great study! Re-enforcers one of the the many great lessons imparted to me by @CQWhiteMD early in my training
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @PMH_Trauma_RPD: Great to see this important topic generating discussion! Location Matters! @MarkSeamonMD. We emphasize this all the tim…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
Emergency Department Versus Operating Suite Intubation in Operative Trauma Patients: Does Location Matter? https://t.co/anxOiYBBv3
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
Peri intubation hypotension is the biggest cause of post intubation mortality. Always address the physiology first #FOAMed
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @ResusMed: Resuscitate before you intubate!
RT @MackenzieCookMD: Key paper! When you intubate someone in hemorrhagic shock - be ready for hemodynamic collapse. Be in a place to contr…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
Resuscitate before you intubate!
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @embasic: I love me a good trauma airway But if the best thing is to get to the OR and do the tube there...you go to the OR and do the…
Key paper! When you intubate someone in hemorrhagic shock - be ready for hemodynamic collapse. Be in a place to control the bleeding (ie the OR) before doing it. @OHSUsurgery @OHSUEmergency @MarkSeamonMD @PMH_Trauma_RPD https://t.co/ImGpk3w8O6
Resuscitate, then intubate.
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
Interesting. No difference in time to definitive tx, but increased arrest and mortality with ED intubation. Recently had a trauma we had to get to OR ASAP since speed of resuscitation was vital. Wonder if we should bypass bay in certain circumstances. ht
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
Yet another reason why @DissanaikeMD twitter feed is full of gems. From the top 5 people I learn from daily.
RT @isaiah_turnbull: Agree with the conclusion, but study is flawed (hard to know what intangibles drove intubation in the ED). There is a…
RT @DissanaikeMD: Once more for those in the back: Majority of early, preventable trauma deaths are from bleeding. Pls focus on that 1st i…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
I love me a good trauma airway But if the best thing is to get to the OR and do the tube there...you go to the OR and do the tube there And if you can’t make it to the OR then you resuscitate like hell until intubation is safe or you can get to the OR
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @DissanaikeMD: Great article by @MarkSeamonMD et al confirming once again: If you intubate a hypotensive bleeding pt before you’re in…
RT @bryanacotton1: No diff in time to 🔪 for emergent trauma cases, but ⬆️⬆️ post-intubation arrest if done in ER/ED. 🎤⬇️...and Go Twitter!…
RT @ResusMed: Emergency Department Versus Operating Suite Intubation in Operative Trauma Patients: Does Location Matter? https://t.co/bSEGK…