Scott Studebaker, NRP, FAEMS
@pghmedic502
Followers
865
Following
370
Media
344
Statuses
2,706
Keep comments/posts civil. Medic/ US&R Rescue/ Med Specialist/ QA Nerd/Researcher/Advocate/Educator. Tweets my own, not my employer. Tweets ≠ Medical Advice. 🚑
Pittsburgh, PA
Joined January 2019
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
Liz Cheney
• 1114791 Tweets
الهلال
• 565597 Tweets
Diddy
• 392111 Tweets
Fortnite
• 191154 Tweets
I WAS HERE
• 105725 Tweets
Snoop Dogg
• 39907 Tweets
Juice WRLD
• 39202 Tweets
#SmackDown
• 33085 Tweets
HAPPY A'TIN ANNIVER5ARY
• 23387 Tweets
Indi
• 22479 Tweets
Ron Paul
• 18808 Tweets
三連休初日
• 18123 Tweets
Hornets
• 14694 Tweets
Corbin
• 12414 Tweets
大雨警報
• 11932 Tweets
Lamelo
• 11234 Tweets
土砂降り
• 10596 Tweets
#fosstotounel
• 10510 Tweets
大雨の影響
• 10490 Tweets
#ウルトラマンアーク
• 10178 Tweets
I’ve seen a lot of people wondering why Hamlin was on the field for so long. The medical literature overwhelmingly supports working cardiac arrests in place for best outcomes. If commotio cordis, even more important for early defibrillation/CPR. Textbook work tonight.
121
2K
19K
@KSchaferPhD
Parenting has been a sacrifice between both my wife and me, professional and personally. Know you aren’t alone, but early childhood was more rough. Things are leveling off. It does get better.
22
41
2K
@EM_RESUS
This 100% correlates with critically ill patients who have an impending sense of doom and say they’re going to die. In both cases, I’m already mentally preparing for the next step. I’m trying to get myself ahead of the curve.
10
11
652
@AmySilvas2
@JohnJHarwood
Saw a tweet similar to this that clearly wasn’t from someone medical. Perhaps they meant his heart was beating again on its own. That doesn’t mean his respiratory drive has returned. Need to mechanically ventilate to perfuse organs. Very complicated process.
3
10
446
@Adespoto3
@SFFDPIO
You realize that most career fire department or paramedics spend 12-24 hours at minimum at work. They usually grab groceries and cook as a crew. Where do you suggest parking a vehicle that is much larger than an average vehicle and doesn’t fit in spots or lots?
19
5
408
I hate to speculate, but that looks a lot like commotio cordis. If you’re in EMS and work stuff like this, learn about it. Prayers to Damar Hamlin. He’s a local kid with a whole life ahead of him. The NFL needs to suspend this game indefinitely. Allow the players to heal mentally
15
14
346
@EM_RESUS
I was there when a former department Chief collapsed from a V-Fib arrest. Immediate CPR by me, AED by another. Walked out of the hospital only a few days after. I’ve never been more thankful to be in the right place at the right time and for CPR.
0
2
226
@mdono13
@JohnJHarwood
Same. Horrible situation. We can only wait for word from the medical professionals about his prognosis but hoping for the best.
1
4
161
@tmakinthehouse
Ummm, he was objectively in cardiac arrest. Regardless of root cause of the arrest, patients have better outcomes when worked in place. Root cause wasn’t the discussion point here. Lots of people asking why he wasn’t moved quickly. This answers that.
2
0
139
@beckron99
@Angry_Staffer
Nothing should take priority over quality CPR and defibrillation is the easy answer. The only two things definitively make a difference in survival rates.
5
2
133
@isndatspecial
@SFFDPIO
If they’re still assigned to the call, regardless of if they’re still engaging the patient or not, they are still legally able to park or stop wherever needed.
7
0
116
@sbold
Field is definitive care in cardiac arrest. Outside of cardiac arrest related to massive internal injury from blunt or penetrating trauma with hemorrhage, patients who receive coordinated resuscitation in the field do far better than those that don’t. The science is solid on this
2
0
121
@quality_nguyen
Steve sounds as though he’s opening himself and the school district up to massive liability for violating the ADA.
2
1
112
@baby2thfairy
It’s a process. Have to get helmet and shoulder pads off for CPR to be effective. Must consider spinal injury though. I know it seems like a long time but this is well rehearsed.
10
0
100
@AlastairMcA30
I’ll confirm as a medic, not only do we ask, but the vast majority of us can identify the most commonly prescribed blood thinners by name in the event the patient isn’t the best historian or knows what their medications are for, which many do not.
4
1
95
@Vancbromycin
United Healthcare would like a pre-authorization first 😂
In all seriousness, yes. As an EMS provider they’d be going to Level 1 trauma to ensure they get those services quickly.
2
0
83
@Adespoto3
@SFFDPIO
You’ve responded with nothing but fear mongering and hyperbole. I’ve responded with reality. You’ve been presented a question you can’t answer. Please don’t act like we don’t care about the public. We’re overworked individuals who love our jobs and the public we serve.
3
0
84
@4thEstateFraud
Just go away. No one wants to hear your anti-vaxx nonsense rhetoric. The science on cardiac arrest protocols is extremely well established.
2
0
78
This conspiracy that Damar Hamlin isn’t alive might just be an absolute new low for those in society trying to push some false narrative. Imagine being so twisted that you exploit someone’s tragic event to that degree. Where has basic decency gone?
17
14
78
@joshmcgoo
@nichols_senator
Well the census should be easy in Idaho next time since the population will be zero since she’s banning mRNA. No room for us mRNA containing life form there.
1
2
69
@sbold
I don’t know where you work but if you’re doing it this way, rushing to the hospital with someone in arrest from a medical issue, you’re doing it wrong. That’s not opinion, it’s fact. Care is far more ineffective in a moving ambulance than on scene.
1
0
68
@randysharpswife
I think it’s funny how you think it’s promoting “wokeism” yet here you are to share it. Why in the world would you care about a product that makes someone feel more included & a company deciding they wanted to recognize that we aren’t all white or standard bandaid color?
0
0
60
@greg_spicuzza
@ThePoniExpress
Yeah, last in 2011. It’s been 11 years since a Super Bowl appearance, which was a loss, and 13 since a Super Bowl victory. What else is there to show for that? There’s no silver lining in your statement. He’s a good coach, but I think it’s time to move on.
27
0
55
@emporer_naked
@JohnJHarwood
Not necessarily. If you hit on the upstroke of the T-wave it’s a mechanical manifestation of R on T phenomenon. I think it’s something like a 30ms window for it to happen. More common in kids, but I don’t think it’s exclusive to the pediatric population.
2
0
58
@NewsUrology
@SainvalMd
I’ve got zero skin in the game here but you sound like an old man who’s angry that a new generation wants better. The exploitation by healthcare systems on residents is outrageous. No kidding there wouldn’t be job or board certification without it, but the healthcare system would
4
0
51
@somethingfuzzy8
Nope, still well established to work in place. In fact, those are situations I’m even more likely to stay and work. Less reversible causes. We work in place and if no changes and efforts are futile, we terminate.
3
1
52
@sbold
There have been massive multi-center studies with randomized controls on the matter. The science overwhelmingly supports us working medically based arrests in the field either to ROSC or termination, with limited exceptions.
1
1
45
EMS lost a friend early this morning. Dr. Rockacy was the balance of what can only be described as the chaos of night turn at an inner-city trauma center. A night shift staple for years. Prayers to his hospital colleagues and his family as we process this tragedy.
3
3
40
@QueeninLemon
@KathleenRMC1
@ColdVanillaChai
Didn’t take long for this old chestnut to get throw out. Pride in who you are as a persona and who you love isn’t a political statement, it’s being a human being.
1
0
39
I’ll make my yearly plea: Don’t drink and drive tonight. Call someone. Uber is great. The bus is fine. See if you can crash on the couch, or even the floor. None of us want to respond to you and your family’s worst moment. Just be safe for you and others.
1
3
38
Are you in EMS and actually interested in attending a conference that allows for great networking, education and engagement about the future of your career? If so, check out
@NAEMSP
Annual Meeting to be hosted in San Diego from January 10-15, 2022.
A thread 1/
4
4
38
@yogaDGAF
@DGlaucomflecken
It must be nice to go to medical school at all. Some of us just could never afford to take on that debt. Your privilege is showing. The eye docs point was well taken. Now you just seem jealous.
0
0
35
It’s taken me eight years to share this story in a public forum, so here it goes:
A 🧵 about an important topic.
Eight years ago I responded to still what I consider to be the hardest call of my career. The suicide of a colleague and friend.
1/
3
5
39
Another fantastic example of medically directed rescue. Delivering care to the patient wherever they are, providing advanced level care and having cross-trained medic rescuers is critical to our operations so we can best serve those who entrust us with their care.
At ~10:30am, Pittsburgh EMS, Fire, & Police responded to Rt. 51 for a motorcycle collision.
The patient was found in the creek bed, 100ft+ from where his motorcycle struck the guardrail.
He was transported in life-threatening condition.
Full Release:
0
2
33
3
6
39
@tmakinthehouse
First off, I’m humbled but I’m not a doctor, I’m a Medic. Just to set the record straight. Second, it’s hugely important for people educated to discuss immediately when it was seen by millions. Many of us are speculating based on experience, but still discussing professionally.
1
0
37
@Ms_LilShadow
@taylonr
Obviously not knowing the full circumstances I can’t comment because all situations are different but unless it’s a very narrow set of cases, cardiac arrest should almost always be worked in place until we get pulses back or efforts are considered futile.
1
1
32
Any medics out there attending
@NAEMSP
2020 next week? If not, you should be. It’s not just for physicians. Broaden your horizons, educate yourself, and better your career field. If anyone is out there feel free to DM to meet up!
5
5
34
@ThePoniExpress
@937theFan
Here’s what I can’t believe: Let’s say this game hadn’t been postponed for the reason it was, but something like weather or power outage. You’re telling me the multi-billion dollar industry that is the NFL doesn’t have a backup plan for such case? That’s the real failure here!
5
0
31
@kim540cns
@Angry_Staffer
I think it’s human nature to wonder and I think it’s equally as important they understand why. There’s a lot of value to the public to understand why we do what we do and how CPR can be so valuable.
1
0
34
@le_chadd
If anyone outside of EMS knew the impressive levels of food consumption I’ve seen in an ambulance they’d probably be mortified.
2
1
32
@PantalonesB
The medical protocols for the NFL are top tier. They do a lot wrong but they do a lot right in that case. Years of doing things poorly and CTE have made them really good.
0
0
31
Today is seven years since I responded to the suicide of a friend and emergency services colleague. I’m ok, although I’ll never really get past it. This thread isn’t about me though, it’s about the big picture. It’s about the things that still need worked on. A 🧵1/
1
2
31
@tmakinthehouse
There’s value in discussing to help curb radically wrong ideas based on what we’ve seen. Certainly none of us are saying this as bible, we’re waiting for facts. But that all has nothing to do with what I was discussing, which is the value of working cardiac arrest in place.
3
0
31
@snobby_gravy
@beckron99
@Angry_Staffer
I’d like to know that information myself but as someone who works NFL games, our response is nearly instantaneous. The NFL has extremely rigid protocols on medical protection for players, etc. We have very specific roles on that field.
1
1
29
@vic_mackey918
@OverheardOnDuty
I know this is a throw away account but I can tell you’re a cop. I support police, but not police like you. Did you forget your oath to help the public, to help those in need? Stop buying into a false narrative. Exposure risk near zero. Help the OD victim or give up the badge.
1
0
26
@willbeonekenobi
@Adespoto3
@SFFDPIO
Yes, this too. I just wanted to point out the glaringly obvious that vehicles this size are very restricted as to where they can be parked but potential responses is always something we consider too.
2
0
28
I want to say a congratulations to all my fellow speakers in the New Speaker Series at the
@NAEMSP
Annual Meeting. You were all amazing. Getting selected to speak among so many talented individuals is humbling.
#NAEMSP2022
1
0
27
@drsiyabmd
I love the rhetorical question because we already know, no such peer reviewed substantial data or research exists. These people just want to pound their fists on the table in hopes their loud and wrong opinions will be heard in the echo chamber that is social media.
0
0
28
@lauradunneMD
@natalizumab96
Respectfully, all your work matters. It may just be a resource guide but it’s still her intellectual property that deserves recognition. Would you do all the research and work but put someone else’s name as a first author on a paper? Probably not. We shouldn’t be diminishing
0
0
26
@pityinzer
@ThePoniExpress
Yes if not making the playoffs and thus, no title win is a good season. A 9-8 doesn’t mean a thing. Doesn’t. Mean. A. Thing.
19
0
27
I lost steam on the CPR thing after Twitter magically made my 17/18 posts disappear. What I will say now that Damar Hamlin is well on he other side of his incident, is that it’s undoubtedly thanks to CPR that he survived. You should go out and learn CPR. 1/ A 🧵
2
1
26
@RyanMarino
It’s stunning that someone who had the intelligence and privilege to attend medical school and the intelligence, determination and work ethic to complete medical school, could spread such terrible misinformation and in such a scare tactic manner. Yikes.
1
1
25
@Oreobelle
@AmySilvas2
@JohnJHarwood
Post-cardiac arrest cooling can help protect the brain and prevent lasting neurological damage. This is a very likely possibility of what is occurring. But too early to speak without hearing from medical professionals involved or official statements.
0
0
26
@joshkimbre
The IAFF is the enemy of modern EMS. I know there are IAFF services out there that champion being good at EMS but the collective whole isn’t good for EMS. Sad when our advocacy groups are working against things to better our field.
3
2
27
Finally picked up my copy of ‘American Sirens’ at
#NAEMSP2023
which tells the story of Freedom House Ambulance. If you don’t know the history, look it up, it’s fascinating. Was lucky enough to get it signed by both the author and Chief Moon. 1/2
1
4
26
After performing two very difficult intubations this week I think it’s a great time to review airway management. I believe it’s good to share experiences and help those who maybe aren’t as comfortable or experienced. Ultimately these difficult airways were made easy because of
1
1
26
Hopefully some really cool things coming to Pittsburgh EMS soon!
0
1
26
Part of our job in EMS is to advocate for safety, not only for ourselves and our patients, but the community as a whole. Here’s a few tips:
1. Get vaccinated!
2. If you see us at an accident scene, please move over for our safety!
3. Check on your less capable neighbors!
@NAEMSP
1
4
25
@JkkCalifornia
@EM_RESUS
Yes they do! It’s such an overlooked thing by newer clinicians sometimes.
1
0
23
@evasuncle
It’s great to hear the system worked so well for you. Glad to hear you’re still here. It’s incredible that you’ve survived two OHCA! Bystanders and early defibrillation is so essential!
2
0
24
Change “work in an ER” to “work in EMS” and you’ll see how widespread the fear of lack of PPE. We’re ok, for now. Only time will tell. What is certain is that all that wasted PPE would be valuable right now.
I’m more than a little anxious to work in an ER right now. I’m even more anxious that lots of PPE is on shortage/unavailable.
And I can’t stop thinking that irresponsible fearmongering caused a lot of the N95 masks etc we need to be wasted on imaginary “fentanyl exposure” fears.
26
71
717
4
3
23
@mikehealthai1
@drsiyabmd
I’m not sure this proves what you think it does and I’m not sure it’s the best take. Commotio Cordis could have very well been the initial cause of arrest. Post-arrest your heart is still very unstable, making re-arrest very possible. Doesn’t rule out CC as the root cause.
1
0
23
@ScottC20012
@tracybeanz
That’s 100% false. Passive exposure to Fentanyl is a myth. Anyone who carries it for that reason might as well be carrying a sledge hammer. Those that carry it, carry it to treat true opioid ODs where there is clinical indication to do so.
1
1
20
@JohnLuciew
@RyanMarino
@DefiantBritta
@edoc_a
@OTirmizi
@Simon_Taxel
@JerEscajeda
@PennLive
This doesn’t sound like a breaking news story. This sounds sensationalized to grab readers. A breaking news story was that a officer got sick and it is possibly related to an unknown substance. Sometimes it pays to be accurate, not first.
1
0
20
to deal with. Today started out with what I thought was going to be teaching recruits. It turns out they got a lot more education out in the field. My day didn’t go as planned or ended when I thought. Proud though to be part of something great today. 3/3
1
0
22
@ThePoniExpress
I’ll be back to post “This didn’t age well” tomorrow morning. Bookmark this tweet.
3
0
21
@LAPDMarcReina
Imagine being so sure of yourself that you’re willing to say “well, you’re wrong” only to actually be wrong yourself. Embarrassing. Maybe you should read some responses and listen to the experts. What you saw was not an overdose, that I can assure you.
1
0
21
While I’m at it with the CPR message, I think Damar Hamlin’s situation is also a really good public education opportunity about what EMS does during a cardiac arrest. Hopefully, if you don’t know already, you’ll learn about the incredible things we do in cardiac arrest. A 🧵 1/
1
3
22
@sheologian
@JohnLuciew
@TinFoilAwards
@tnicholsmd
@Simon_Taxel
@JerEscajeda
@RyanMarino
@PennLive
I’ve finally reached the point where I’ll say it today. An article such as this is far more “toxic” than any potential passive Fentanyl exposure. Journalism like this only serves to advance irrational fear about the opioid epidemic and stigmatizes those we’re trying to help.
1
4
21
@_connoisseur
Thanks! Lots of facts still unknown. Everyone speculating at this point, including me to some degree. Looks like potentially one thing but could be another. What’s definitely true is the system in place for medical care worked as designed last night.
0
0
20
@4thEstateFraud
It was very likely something called commotio cordis, which is when someone has a strong hit to the chest on a very specific spot on their cardiac cycle. It’s funny how you anti-vaxx folk only believe it can be that. You’re out of your league on this one.
1
0
19
I’m thankful to work with such great people, not only in my EMS agency, but also on my US&R team, both of which I responded with in some capacity today. I’m thankful for Lady Luck. She was looking over a whole lot of people today, including us who could have had a lot worse 2/3
1
0
20
@randyhillier
@MrAhmednurAli
Wait until you hear about the American medical system where people can’t afford medications, can’t get access to healthcare and go broke over medical debt.
21
0
20