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Mat Goebel MD MAS NR-P
Physician, researcher, paramedic. EM, PHEM, data, tacos, dogs, and whiskey
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Mat Goebel MD MAS NR-P 5h
Evaluation of Spodick's Sign and Other Electrocardiographic Findings as Indicators of STEMI and Pericarditis.
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Mat Goebel MD MAS NR-P 6h
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Mat Goebel MD MAS NR-P 6h
where could you get something like that? ?
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Mat Goebel MD MAS NR-P retweeted
Catherine R. Counts Mar 31
Replying to @MassDPH
Massachusetts: Home: Dashboard (opens as a PDF): The City of Boston is hosting a state dashboard:
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Mat Goebel MD MAS NR-P retweeted
Steve Carroll DO MEd Mar 31
Replying to @emupdates
And I think we should be even more aggressive with this Any pt who is transported should be met by an attending in the ambulance bay in maximal PPE to get the report- if the report suggests further resuscitation would be futile...
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Mat Goebel MD MAS NR-P retweeted
reuben strayer Mar 31
Initial approach to the arrival of a patient in cardiac arrest to the emergency department during COVID19. Goal is to avoid chest compressions and ventilation until advanced airway + viral filter placed by providers wearing maximal PPE. 2 minute video.
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Mat Goebel MD MAS NR-P retweeted
Tom Fowler, MD 12h
"COVID-19 Hypoxemia: A Better and Still Safe Way" Great article by guru on - Awake proning - ROX index to predict which patients are failing HFNC - HFNC/CPAP aerosolization risk discussion
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Mat Goebel MD MAS NR-P retweeted
Nicholas Caputo 12h
Try this for your “Happy Hypoxemics” if resource strapped...Proning at triage...EMS brought this guy in...SpO2 72% tachy 140s...was on 4 L NC...we asked patient to turn over...now 90-91%, tachycardia resolved. Can help buy time and decrease provider tensions over hypoxia.
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Mat Goebel MD MAS NR-P retweeted
Martin Bromiley 12h
The guide to non-technical behaviours supporting safer working in this emergency has been updated. We’ve improved wording around debriefing plus corrected a typo. Please share any further feedback info@CHFG.org
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Mat Goebel MD MAS NR-P retweeted
Ontario Palliative Medicine (OPM) Mar 28
"End-of-life care in the Emergency Department for the patient imminently dying of a highly transmissible acute respiratory infection (such as COVID-19)" via
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Mat Goebel MD MAS NR-P retweeted
josh farkas 💊 11h
Replying to @franzpoppz @tomfolanmd
💯💯 aprv is a huge benefit if available. we've now extubated two patients with a vent duration of ~5days. early APRV allows light sedation & avoids vent-induced lung injury, facilitating short ICU course. shorter vent time is better for each patient & frees up vent faster
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Mat Goebel MD MAS NR-P retweeted
Salim R. Rezaie, MD 15h
I agree with we need to stop intubating patients early in disease course...these patients need O2 not pressure...putting them on ventilators will trash their lungs...this is not ARDS...these patients act more like HAPE
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Mat Goebel MD MAS NR-P retweeted
Carol Freire 12h
Replying to @WajahatAli
If this is an emergency doctor please have them reach out to AAEM to help ASAP, they are helping with litigation and filing OSHA complaints:
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Mat Goebel MD MAS NR-P retweeted
MDCalc.com Mar 31
We’re really, REALLY excited to announce the launch of the Brescia-COVID Respiratory Severity Scale (BCRSS) - it’s a pathway used in Italy for managing *all* COVID-19 inpatients, built by ID and ICU docs there. There are some twists, so... thread.
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Mat Goebel MD MAS NR-P retweeted
Dr. Faisal Imran Mar 31
MD Calc has announced Brescia-COVID Respiratory Severity Scale (BCRSS) - it’s a pathway used in Italy for managing *all* COVID-19 inpatients, built by ID and ICU docs there
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Mat Goebel MD MAS NR-P Mar 31
this should be an easily printable part
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Mat Goebel MD MAS NR-P retweeted
airwaycam Mar 31
Out of all PEEP valves—-patients starting intubation 60s-70’s % saturation despite all efforts—very dicey inductions—I built PEEP nipple with glove tip and tape; small hole in tip made with scalpel. It is attached to viral filter. BAAM ! 👊🏻 Works just great! Bellevue PEEP Nipple
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Mat Goebel MD MAS NR-P retweeted
Rachel Tobac Mar 31
Bay Area: please don't let the snacks in your office go to waste. LifeMoves will pickup items from your office and give to homeless people/ families in need. Contact: Amy - awright@lifemoves.org Joanne - jprice@lifemoves.org Samantha shaase@lifemoves.org
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Mat Goebel MD MAS NR-P retweeted
Catherine R. Counts Mar 31
Hey : Can you please respond so can get a head start on resources for that section of her app. She's building a one stop shop that's mobile user friendly. I've already shared / website as well as a few others I know.
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Mat Goebel MD MAS NR-P retweeted
Bex Russell Mar 31
Possibly the quickest project I've ever done... How to improve staff recognition when in full PPE! Thanks to everyone who helped get this sorted in less than 24 hours
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