mike defilippo
@MDtheDO
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EM/EMS Doc | EMS Fellowship @nmemsfellowship | EM @NYEmergency | Medical Director @OverrunEMS | Research, Resus, and EMS | 🏳️🌈
Albuquerque, NM
Joined September 2019
The “ABCs” of Resuscitation: Airway Breathing Circulation Sonography High performance resuscitation and ultrasound go hand-in-hand
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I love teaching EMS clinicians ultrasound! Having a great day with @abqfire doing cardiac ultrasound basic and refresher course for cardiac arrest! @unm_emed @nmemsfellowship
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My face when the Taco Bell “ding” went off from the app in my pocket while I’m talking to a patient
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When I get an EMS medical command phone call and they start off with “Hey doc, sorry to bother you…” Literally me 7/10 times when I’m getting the call - trust me you’re not bothering me
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As a resuscitation scientist and self-proclaimed VFib nerd, this may be my favorite text message I have ever received
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Hot take: Your initial pad placement in cardiac arrest should always be Anterior-Posterior. Why? 1. Increased myocardial coverage 2. If the arrest turns into refractory VF arrest, can easily "add-on" Anterior-Anterior pads
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EMS folks: Double Sequential External Defib (DSED) is transforming VF care - better survival, better neuro outcomes. If it’s not in your toolkit, it should be. Wanna know more? Check out our lit review! @AaronLacyMD @JamesLi_17 @WUSTL_EMS @unm_emed
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@TheResusTailor There are few things as an EMS doc I expect 100% compliance on for quality review, but ETCO2 confirmation after ETI is one of them
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Excellent review of occlusive MI patterns! If you're in MedEd, esp EM/EMS/acute care, this is a MUST read. Adding this to my list of journal articles for new EM docs and medics! Great work @fabrizioricci @RobertHermanMD @smithECGBlog @PendellM & others
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How it feels as an EM doc with asthma taking care of asthma patients in the ED
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Great work here by @reverendofdoubt et al! MRSA bacteremia is rare in ED sepsis, yet Vanc use remains high. Surprisingly, 1/3 of MRSA cases lacked risk factors, and risk factors didn't predict MRSA infections. We need better tools for antimicrobial stewardship.
Our paper is out- limitations of course, but interesting stuff. @BradSpellberg @ABsteward Methicillin-resistant Staphylococcus aureus and Vancomycin Prescribing in the Emergency Department- @JACEPOpen
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Super cool study! In my anectodal experience, medics will have better INITIAL proficiency/comfort but after training and more field/flight exposure, medics and RNs are functionally the same in regards to prehospital ETI.
Paramedics vs. nurses - who is better at prehospital RSI? We looked at this question in our recent 📝 published in PEC ➡️ What are your thoughts?
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@FireMedic40NJ Walked into the wrong bungalow on the Jersey shore; lady sat right up in the bed, screamed, then said "you're probably going next door" and laid back down.
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