Dirk Chisholm
@DirkChis
Emergency Medicine PGY2| MD @ualberta_FOMD | Primary Care Paramedic | prehospital care, resus, injury prevention, running | @cantf2 medical member
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So stoked to join the amazing team @CalgaryEMres back home to train to be an Emerg doc for the next 5 years!!!
#CaRMSTips : Find a program with truely the best admin! (and aPD)! @CalgaryEMres
So proud that both our Program Admin (Madhavi, aka Mom) and our Assistant PD Dr Pandya are receiving University of Calgary PGME awards this year. Thank you both for all that you do for us!
Whoever said you can’t have epiglottitis and lay flat was, well, very wrong (n=2)
Phenomenal work on @UCalgaryEM Grand Rounds today @DirkChis 👏 Blunt cerebrovascular injury (BCVI): -BCVI incidence 3-7% of major trauma cases -Stroke risk post-BCVI 5-10% with tx, 40% without tx -Early antithrombotics reduce risk of morbidity (OR 0.2) & mortality (OR 0.17)
Most shade I've ever seen thrown in a journal article: “The higher rate of inappropriate manual shocks ... with physicians as team leaders than for paramedics out-of-hospital could be due to the fact that the physicians were internal medicine residents.” Circulation, 2007
Excellent, Canadian, prehospital OHCA research! 🇨🇦
Here's a trial that should change your practice if you treat patients in cardiac arrest. In a cluster-randomised trial from 🇨🇦, double sequential defibrillation was associated with a 16% ⬆️ chance of SR, 20% ⬆️ chance of ROSC and 17% ⬆️ of surviving to hospital discharge. 1/3
Aptly timed in this province ….
An ICU nurses’ response to this h.scum piece. I bring you: The 77 things I hated about what COVID did to the human body. 📷 Heather Paterson Photography
Congrats @pheliason @CarolynAEmery @aacademic @BHagel4 ! Nice to see some familiar names on the cover article of CMAJ !
Time to quit medicine and start the world’s second contrast manufacturer?
Off service post call musings: Medicine (healthcare, even) is way too tribalistic; everyone is doing their best in a system at its breaking point; try to be kind to each other and remember we’re all in this together, trying to help our patients.
Sooooo stoked to welcome you all to the family!
Welcome to our newest residents!! Allen Vorobeichik (Calgary), Julia Cirone (Western), Tess Loch (Calgary), and Kala Draney (UBC). We are already counting down the days till you join us in July 🥰
If accidentally putting R1 after my signature on my receipt at the grocery store on vacation isn’t a sign I needed time off, not sure what is…
Medicine’s most toxic trait is saying “See the excellent notes above” knowing no one will.
Can I claim the eponym for post call encephalopathy if not already taken ?
Find yourself an emerg program where your staff and seniors find you for 2 CVCs and an intubation in one night while you’re off service on call #carms2022 @CalgaryEMres
Does anyone else have a moment of sheer panic each time the rapid test buffer moves up the cartridge, not sure if that first line is going to stay or keep moving up?
So. Much. COVID. Croup.
Baby 👶🏻 with ✔️ Stridor 🗣 ✔️ Barky Cough 🫁 ✔️ Increased work of breathing ✔️ Congestion 👃🏼 DX: Parainfluenza croup? Nope! ✅ COVID CROUP! TX: is the same 🌀Rac Epi 🌀Dexamethasone 🌀 Nasal suction #covidhasnolimits #medtwitter #pem #meded #emergencymedicine
Today’s AB COVID numbers may have been 30% + but these good pups brought 100% positivity to the ED
Sometimes in healthcare and emergency services we ironically, given the things we see every day, don't appreciate how short life can be in our personal lives. Rest easy, Mike, one of the kindest paramedics I've known - sorry we never made time for that beer.
Baby 👶🏻 with ✔️ Stridor 🗣 ✔️ Barky Cough 🫁 ✔️ Increased work of breathing ✔️ Congestion 👃🏼 DX: Parainfluenza croup? Nope! ✅ COVID CROUP! TX: is the same 🌀Rac Epi 🌀Dexamethasone 🌀 Nasal suction #covidhasnolimits #medtwitter #pem #meded #emergencymedicine
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