Emergency Medicine & EMS physician | surfing!
Waialua, HI
Joined June 2015
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- Following321
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Had the opportunity to speak about the role of EMS in the drowning chain of survival today at the @uslifesaving educational conference. Once a lifeguard, always a lifeguard! #drowning #hypoxia #oceanrescue #lifeguard #EMS – at Redondo Beach, CA
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Cliff retweeted
We flew over Hurricane Milton about 90 minutes ago. Here is the view out the Dragon Endeavour window. Expect lots of images from this window as this is where I’m sleeping while we wait to undock and return to Earth.
Timelapse coming in a separate post.
1/6400 sec, f8, ISO 500
Cliff retweeted
(1/5) 5 lessons that I learned as a paramedic that make me a better intensivist. A 🧵🚑
#1: In paramedicine we are taught the importance of a scene survey as we arrive to the call looking for hazards, mechanisms of injury, and other environmental cues. 🔥⛽️🥛💪
When I arrive to a resus in-hospital, I perform a scene survey to generate some situational awareness: who is there? what pumps are going? what access does the patient have? are pads in the right location? is there someone in charge? are there hazards to the team (e.g. precautions).
#meded #foamed #medtwitter #paramedic #EMS
Cliff retweeted
In 1981, Dr. Michael Shannon worked tirelessly through the night to successfully rescue a premature baby boy.
30 years later, in 2011, Dr. Shannon was trapped in his burning SUV following a collision with a semi-truck.
Miraculously, he was rescued from the blazing vehicle by Chris Trokey, a paramedic with the Orange County Fire Authority.
Remarkably, it was revealed that Chris Trokey was the same premature baby Dr. Shannon had delivered three decades earlier.
Cliff retweeted
The medical education community on X is unparalleled.
Here are some of my favorite posts and threads related to #meded from 2023!
Each and every one of these exceptional educators deserves a follow!
What posts/threads would you add?
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Cliff retweeted
Hemorrhagic tamponade at autopsy #FOAMed
Cliff retweeted
Flail chest @ingPocilgasx @TLHM_MD teapawt.net/ingPocilgasx/status/17…
Cliff retweeted
#POCUS in PEA Cardiac Arrest, an interesting case + relevant literature #cardiacarrest #echofirst
First - pericardiocentesis?
👀 – at Hawaii, USA
Post-resuscitation hypotension + hypoxia are associated with a nearly 5-fold adjusted increase in the odds of mortality. New paper from our team:
tandfonline.com/doi/full/10.…
@WVUEmergencyMed @ESO_Solutions @rpcrowe
@JScheid14 @JBardesMD @DrJeffJarvis @NAEMSP @FL_NAEMSP
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ICU stories: Middle-aged pt w CAD/HTN/HLD was admitted w SOB & found to have a moderate-sized pericardial effusion on chest CT. Underwent pericardial window for 1 liter of hemorrhagic fluid. Work-up for infectious/autoimmune/malignant etiology remained negative & the drain was
Swift water rescue technician course on the Nantahala ✅
#SAR #wildernessmedicine #eddy – at Florida, USA
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Flecainide Fakeout
acoep-rso.org/the-fast-track… – at North Carolina, USA
Cliff retweeted
Wilderness Medicine Magazine reviews the prevention and treatment of shark bites in the Breaking News column after the recent bite of a surfer in Florida.
wms.org/magazine/1386/Shark-…
#sharkbite #WildMedMag
Awesome talk from Phil Henderson at #wmswinter23 “don’t think outside the box, live outside of it” @WildMedSociety
Cliff retweeted
Surprised how few people know this little “hack” for giving salbutamol down your asthmatic or COPD patient’s ET tube… 🫁
All you need is a 50ml syringe & their inhaler (disclosure - not my idea!)
#medtwitter
