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Mike Abernethy
Medicus ex Machina * HEMS Physician *Professor of Emergency Medicine: PGY-32 *ATACC Faculty* US Army Aviation Vet* Patriot * *Justified & Ancient* 42
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Mike Abernethy 2h
Rule of emergency medicine 35D: When you walk into the exam room and an elderly person hands you a brown paper bag -They are not giving you a lunch.
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Mike Abernethy 3h
Replying to @medicalaxioms
I remember scrubs from Ohio State that had clearly stenciled on the back "Posession outside of the hospital is THEFT"
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Mike Abernethy 4h
I had a recent case of a large,cold pt- no real pulses but a waveform and good Perfusion Index on forehead pulseox
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Mike Abernethy 5h
And does "Arrest" = loss of palpable pulses? Espc with obese and/or cold patients. How accurate is digital palpation in determining presence or absence of pulses? Are there any other options?
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Mike Abernethy 7h
Replying to @FLTDOC1
Risk vs benefit. In this case- ZERO benefit to the patient. Risks are real. Fatal HEMS crash every 4-5 months in the US. Winch ops add to the risk. Bad things happen to relatively uninjured pts
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Mike Abernethy 9h
Person winched off a mountain and airlifted to a hospital for a... Wait for it... A TICK BITE ( ? Rapid Onset Lyme Disease) Of all the BS utilization of HEMS Ive seen over the years, this has to be close to #1
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Mike Abernethy Jun 18
The art or rural EM - working without a net
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Mike Abernethy Jun 18
Replying to @VincentMcD @umanamd
I was fortunate to work in the VA system for many years. I made it a point to ask almost every pt about their military service. The amazing stories I have collected. One of my most treasured possessions is a Navy ring left to me by then 17 y/o corpsman who landed on Iwo Jima
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Mike Abernethy Jun 18
Base and descent module complete. About 70% done
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Mike Abernethy Jun 18
Replying to @rappert2148
You kids today and your computing machines and fancy schmancy powerpoint. Get off of my lawn
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Mike Abernethy Jun 18
Replying to @rappert2148
?days? When I was in residency we had to submit our slides, camera ready at least 10 days before the lecture if you had any hope to get them on time
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Mike Abernethy Jun 18
#1 Try to always sit down when you are talking with patients and family. #2 never cross your arms when you are talking with patients and family
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Mike Abernethy Jun 18
Firing up the old slide carousel. Getting ready for my lecture on MAST pants and cricoid pressure
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Mike Abernethy Jun 18
Replying to @mrsjuliaspencer
IMO - Cricothyroidotomy should be thought of as a tactile procedure. Don't expect to see landmarks but expect to feel them
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Mike Abernethy Jun 18
Replying to @EMManchester
Once you reach a level of competence/experience, I find there is no longer the "drive" to perform procedures. eg intubation. On borderline cases, I am very good at knowing how not to do it and when not to do it (and Im usually right) whereas a younger doc would clearly go for it
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Mike Abernethy Jun 18
Excellent piece of work. On a deeper level, I find it disconcerting that the world we live in has use for such a document.
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Mike Abernethy Jun 17
Look who stopped by Helicopter Specialties in Janesville WI. ( I didn't recognize the BO 105 flying right side up)
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Mike Abernethy Jun 17
again and again..
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Mike Abernethy Jun 17
Rings? Swords? You guys are pretty lame. All grads are presented with this on completion of our program
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Mike Abernethy Jun 17
Replying to @EMManchester
Depends where I am: Large tertiary hospital. Every sub specialty at beckon call or.. Small community hospital - depending on time of day, just me and ED staff. Im the only doc in house, or.. On HEMS. Always just me & flight nurse
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