Damage Control for the Failing Heart - Part 3 (a blog series about cardiogenic shock in the ED). Defend the diastolic, tailor treatment to phenotype, make the Shock call EARLY #EmergencyMedicine #EM #EMedSky #EMSky #MedSky #cardiogenicshock robertlloyd.substack.com/p/damage-con...

Damage Control for the Failing Heart - Part 2 (a blog series about cardiogenic shock in the ED). Spotting cardiogenic shock in heart failure. Staging severity. Phenotyping. #EmergencyMedicine #EM #EMedSky #EMSky #MedSky #cardiogenicshock robertlloyd.substack.com/p/damage-con...

Cardiogenic shock in the ED. Why we miss it. How to recognise it. The 3 S’s. open.substack.com/pub/robertll...

Gastroenteritis vs sepsis, pause points, Bayesian reasoning, “finessing the discharge” open.substack.com/pub/robertll...

Some useful snippets from recent coffee & cases sessions #EMedSky #MedSky open.substack.com/pub/robertll...

Silver trauma, the STUMBL score, pnuemoperitoneum, tribalism #EMedsky #Medsky open.substack.com/pub/robertll...

Culture & Machines (2.0): My thoughts on how healthcare organisations can reliably create and harness knowledge in a changing world. This is the blog write-up of a talk I gave to EHAAT earlier today on the subject of organisational knowledge management. #EMedsky #Medsky #Coffee&Cases #AI #LLM

A potential use case for AI in the ED #EMedSky #MedSky

Good take on this Robbie. Some work needed for me on ensuring I have CPD and carry on learning

Worth a read. A well written article on the natural clinical development of POCUS and how it continues to integrate in actual practice and acumen. Robbie describes something I suspect we all naturally now do. The next step is how to teach this The challenge is how to govern it. #emimcc

The conversation around point-of-care ultrasound in UK EDs has matured #EMedsky #Medsky #POCUS

Just crack on with the peripheral norad.

My take on sepsis, circulation management in septic shock, peripheral noradrenaline #EmergencyMedicine #EM #Sepsis #MedSky #EMedSky #MedEd #EMSky

Don't run towards an emergency. Deliberately walk. #EmergencyMedicine #EM #Performance #HighPerformance #MedSky #EMedSky #MedEd #EMSky

I was interviewed about my quality improvement work by my good friend Robin Pap - Paramedicine academic and QI legend... #EmergencyMedicine #EM #QI #Quality #QualityImprovement #MedSky #EMedSky #MedEd #EMSky

Ketamine calamities, refractory laryngospasm, emergency PEEP

@rcemlearning.bsky.social there is potentially some outdated information in your Acute Aortic Dissection module (last updated 2023) on the subject of dissection/haemopericardium. Obviously a controversial topic but I've flagged in the below blog post. Might be worth a look/revision. Cheers!

Cardiac tamponade, pericardiocentesis, aortic dissection + tamponade #EmergencyMedicine #EM #Asthma #MedSky #EMedSky #MedEd #EMSky

The sickest asthma patients (periarrest or worse), finger thoracostomies, VV ECMO #EmergencyMedicine #EM #Asthma #MedSky #EMedSky #MedEd #EMSky

When to start NIV in COPD, ABGs vs VBGs, IV morphine and the "RV Death Spiral"

open.substack.com/pub/robertll... #MedSky #EMedSky #EMSky

When to stop the resus, intra-arrest thrombolysis, and new RBBB #EmergencyMedicine #EM #ECGSky #MedSky #EMedSky #CardioSky #MedEd #EMSky #EUSEM

#EMSky do your thing!

UK EM friends… I have just taken on the role of POCUS lead for my new ED. Anyone out there with same role willing to have a virtual (MS teams) coffee and give me some tips? I’d be hugely grateful. Keen to do the job well and sustainably (and love POCUS of course). @rcem.bsky.social

In case you missed it - the cognitive forcing strategy I employ EVERY time I review the ECG of a patient with palpitations or syncope Don’t want to miss subtle signs of risk of sudden cardiac death, and I don’t trust my fallible primate brain EVERY. TIME.

“Coffee and Cases Snippets” QI study published in the Prehospital Emergency Care journal #MedSky open.substack.com/pub/robertll...