Emergency Physician | Airway Enthusiast | Husband + Dad | Shawarma Lover 🇨🇦

Halifax, Nova Scotia
Joined March 2015
Adam Parks retweeted
Awake intubation remains an important tool for predicted difficult airways. This Annals study found high success and low serious complication rates in a real-world emergency department. #EmergencyMedicine #Airway #AnnalsEM annemergmed.com/article/S019…
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Accuracy of tactile bougie use in infrequent intubators: a cadaveric airway study - Canadian Journal of Anesthesia #CJA #Anesthesia #Anesthesiology buff.ly/42HFtaw
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Fired up for an awesome day in rainy Halifax working on awake airway techniques with the GOAT aimeairway.ca/about-us @CAEP_Docs @ParxEM @SowersMD #aimeawake
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Adam Parks retweeted
#CCR23: In the DEVICE trial, the use of video laryngoscopy in critically ill patients undergoing intubation in the ED or ICU resulted in a higher incidence of successful intubation on the first attempt than direct laryngoscopy. nej.md/43H2t79

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Another great day of awakes! Still floored that I’m afforded the privilege to work and teach with these legends. @SowersMD included.
AIME Awake cadaver course in Halifax. Awesome to spend the day soaking up pearls with master clinicians/mentors Adam Law and George Kovacs again. @ParxEM @CAEP_Docs
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First time seeing/using the peds Glidescope HAVL blade. Found the handle extremely small rendering laryngoscopy challenging. Any tips/tricks on troubleshooting this from #AirwayTwitter?
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Great day representing @EMSaintJohn at AIME Awake learning from the best in emergency airway management from @DalDeptEmergMed @ParxEM @SowersMD Fantastic high yield course with a ton of hands on training and repetition. has renewed my enthusiasm for awake airway management!
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For Ace inhibitor-induced angioedema should we be doing steroids/epi/antihistamines? What about FFP? TXA? Icatibant? Ecallantide? C1 esterase? What ACTUALLY works? Dr. Murray has our answers: emottawablog.com/2022/11/ace…
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We often talk about performing awake intubations in the ED, but there are some nuances in the actual process to consider. Dr. Nicholas Choi has a great approach to increase your procedural comfort, with some insights from @ParxEM and @airwaycam emottawablog.com/2022/12/awa…
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Historically, we have approached angioedema the same way we do anaphylaxis, out of a paucity of evidence. Dr. Murray takes a deep dive into ACE inhibitor-induced angioedema, and gives us the best evidence-based wisdom on approaching these patients: emottawablog.com/2022/11/ace…
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Be sure to check your kids' Halloween candy this year. I cut into my son's Butterfinger and it's recommending he routinely perform cricoid pressure.
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That one guy in the corner of the room shouting out sats during your intubation
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Neuro with their bow ties
“Doc, the consultants you called have arrived in the ED”
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More evidence showing high rates (7.4%) of awareness of paralysis among ED patients 😬😬😬 journal.chestnet.org/article…
Pretty jarring study in Annals of EM showing prevalence of awareness following ED intubation of 2.6% (more common in patients who received rocuronium)...(1/3) A few recommendations below. annemergmed.com/article/S019…
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Great case of "glottic impersonation", where proximal esophagus can mimic glottis. This is why it's important to be methodical with laryngoscopy and to NEVER rely solely on direct visualization for ETT placement. Always confirm placement with waveform CO2.
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AIME Awake! Our first ever cadaver-based awake course is in the books. Privileged to teach alongside Adam Law + George Kovacs. Innumerable pearls around decision making, patient coaching, topicalization, and device use. Looking forward to the next one. @CAEP_Docs
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