DocTomesch's profile picture. Emergency Medicine/Sports Medicine physician, Husband, Father, Sports Enthusiast, Craft Beer Lover. Views are my own.

Alex Tomesch, MD (he/him)

@DocTomesch

Emergency Medicine/Sports Medicine physician, Husband, Father, Sports Enthusiast, Craft Beer Lover. Views are my own.

Dr. Michael Backer from @NebraskaEM presenting his poster at #AMSSM2025

DocTomesch's tweet image. Dr. Michael Backer from @NebraskaEM presenting his poster at #AMSSM2025

Alex Tomesch, MD (he/him) reposted

A joint Trauma Surgery and Emergency Medicine Conference Day! Starting with Sports Med Trauma and case conference! #embound #traumasurg @unmc @UNMCSurgery

NebraskaEM's tweet image. A joint Trauma Surgery and Emergency Medicine Conference Day! Starting with Sports Med Trauma and case conference! #embound #traumasurg @unmc @UNMCSurgery
NebraskaEM's tweet image. A joint Trauma Surgery and Emergency Medicine Conference Day! Starting with Sports Med Trauma and case conference! #embound #traumasurg @unmc @UNMCSurgery
NebraskaEM's tweet image. A joint Trauma Surgery and Emergency Medicine Conference Day! Starting with Sports Med Trauma and case conference! #embound #traumasurg @unmc @UNMCSurgery
NebraskaEM's tweet image. A joint Trauma Surgery and Emergency Medicine Conference Day! Starting with Sports Med Trauma and case conference! #embound #traumasurg @unmc @UNMCSurgery

Alex Tomesch, MD (he/him) reposted

🚧 Last Giveaway of the year! 🚧 Retweet this tweet for a chance to win my authenticated, signed, game-worn Roberto Clemente jersey and a signed pair of cleats! Winner will be chosen in 48 hours. Good luck! #ClementeDay

tonykemp's tweet image. 🚧 Last Giveaway of the year! 🚧

Retweet this tweet for a chance to win my authenticated, signed, game-worn Roberto Clemente jersey and a signed pair of cleats! Winner will be chosen in 48 hours. Good luck! #ClementeDay

Alex Tomesch, MD (he/him) reposted

AstrosAtoZ's Birthday Giveaway! See this card? It's a Biggio rookie. For my birthday, I'm going to give away a bunch of them. How do you win? Like and RT this. Here is how I will decide. For every sale I make tomorrow, big or small, I will give away one. If I have to give…

AstrosAtoZ's tweet image. AstrosAtoZ's Birthday Giveaway!

See this card?  It's a Biggio rookie.  For my birthday, I'm going to give away a bunch of them.  How do you win?  Like and RT this.

Here is how I will decide.  For every sale I make tomorrow, big or small, I will give away one.

If I have to give…

Alex Tomesch, MD (he/him) reposted

Drs. Alexander J. Tomesch, Matthew Negaard and Olivia Keller-Baruch’s article on Chest and Thorax Injuries in #Athletes available now on theclinics.com, @ScienceDirect & @ClinicalKey. @DocTomesch @MattNegaard #ClinicsinSportsMedicine bit.ly/3NdnPmV


Put in a blakemore tube this morning at the 13th hour of a 12 hour shift. It was a little more straightforward than I thought it'd be.


Great case put together by future @MizzouEM intern Nathan Dismang!

DocTomesch's tweet image. Great case put together by future @MizzouEM intern Nathan Dismang!

Alex Tomesch, MD (he/him) reposted

Monkey bar mania! What is the diagnosis and management? #FOAMed #FOAMrad #EmergencyMedicine Full details of the case Wed including our new Orthopedic Commentary!

orthoEMpearls's tweet image. Monkey bar mania! What is the diagnosis and management? #FOAMed #FOAMrad #EmergencyMedicine 

Full details of the case Wed including our new Orthopedic Commentary!
orthoEMpearls's tweet image. Monkey bar mania! What is the diagnosis and management? #FOAMed #FOAMrad #EmergencyMedicine 

Full details of the case Wed including our new Orthopedic Commentary!

Alex Tomesch, MD (he/him) reposted

25yo was taking some batting practice preparing for softball league when developed pain over the ulnar aspect of his palm. What is the diagnosis? ⚾️ #FOAMed #FOAMrad #EmergencyMedicine #SportsMed

orthoEMpearls's tweet image. 25yo was taking some batting practice  preparing for softball league when developed pain over the ulnar aspect of his palm. What is the diagnosis? ⚾️ #FOAMed #FOAMrad #EmergencyMedicine #SportsMed
orthoEMpearls's tweet image. 25yo was taking some batting practice  preparing for softball league when developed pain over the ulnar aspect of his palm. What is the diagnosis? ⚾️ #FOAMed #FOAMrad #EmergencyMedicine #SportsMed

Alex Tomesch, MD (he/him) reposted

A 16 year-old baseball player collapses after being hit in the chest by a line drive. What Tx is indicated for the rhythm strip below? #SportsMed #EmergencyMedicine #FOAMed

orthoEMpearls's tweet image. A 16 year-old baseball player collapses after being hit in the chest by a line drive. What Tx is indicated for the rhythm strip below? #SportsMed #EmergencyMedicine #FOAMed

Alex Tomesch, MD (he/him) reposted

Pt presents to the ED with difficulty weight-bearing after an inversion injury. #FOAMed #FOAMrad #emergencymedicine #SportsMed Find out full details and pearls of this case on Wednesday by signing up for our free email list.

orthoEMpearls's tweet image. Pt presents to the ED with difficulty weight-bearing after an inversion injury.
#FOAMed #FOAMrad #emergencymedicine #SportsMed

Find out full details and pearls of this case on Wednesday by signing up for our free email list.
orthoEMpearls's tweet image. Pt presents to the ED with difficulty weight-bearing after an inversion injury.
#FOAMed #FOAMrad #emergencymedicine #SportsMed

Find out full details and pearls of this case on Wednesday by signing up for our free email list.
orthoEMpearls's tweet image. Pt presents to the ED with difficulty weight-bearing after an inversion injury.
#FOAMed #FOAMrad #emergencymedicine #SportsMed

Find out full details and pearls of this case on Wednesday by signing up for our free email list.

Hey @espn it would have been better to have a doctor talking about what happened last night instead of football analysts. I'm Emergency Med and Sports Med board certified if you're looking for someone!


Alex Tomesch, MD (he/him) reposted

4-year-old female presents with right arm pain. She fell onto an outstretched hand and immediately complained of severe pain. What’s the diagnosis?

orthoEMpearls's tweet image. 4-year-old female presents with right arm pain. She fell onto an outstretched hand and immediately complained of severe pain. What’s the diagnosis?
orthoEMpearls's tweet image. 4-year-old female presents with right arm pain. She fell onto an outstretched hand and immediately complained of severe pain. What’s the diagnosis?

Alex Tomesch, MD (he/him) reposted

RT for a chance to win a pair of tickets in the @MillerLite Lounge for Sunday's game against the Jets. The lounge features all-inclusive food and beverage. Must be 21+.

Vikings's tweet image. RT for a chance to win a pair of tickets in the @MillerLite Lounge for Sunday's game against the Jets. 

The lounge features all-inclusive food and beverage. Must be 21+.

Alex Tomesch, MD (he/him) reposted

Did you catch this PEARL this week’s case? #FOAMed #EmergencyMedicine The Stork Test is performed by having the patient stand on one leg and hyperextend at the waist. Pain is considered a “positive test” and may indicate a pars interarticularis defect

orthoEMpearls's tweet image. Did you catch this PEARL this week’s case? #FOAMed #EmergencyMedicine 

The Stork Test is performed by having the patient stand on one leg and hyperextend at the waist. Pain is considered a “positive test” and may indicate a pars interarticularis defect

Alex Tomesch, MD (he/him) reposted

Did you catch this Pearl from this week’s case? #FOAMed #FOAMrad #emergencymedicine #sportsmed PEARL: Xray has a 90-98% sensitivity for proximal hip/pelvic fractures. If you have high suspicion and xray is negative, an MRI is considered the gold standard.

orthoEMpearls's tweet image. Did you catch this Pearl from this week’s case? #FOAMed #FOAMrad #emergencymedicine #sportsmed

PEARL: Xray has a 90-98% sensitivity for proximal hip/pelvic fractures. If you have high suspicion and xray is negative, an MRI is considered the gold standard.
orthoEMpearls's tweet image. Did you catch this Pearl from this week’s case? #FOAMed #FOAMrad #emergencymedicine #sportsmed

PEARL: Xray has a 90-98% sensitivity for proximal hip/pelvic fractures. If you have high suspicion and xray is negative, an MRI is considered the gold standard.

Alex Tomesch, MD (he/him) reposted

79yo walked into the ED with hip pain that had been increasing over the past month after a fall. #FOAMed #EmergencyMedicine #orthotwitter Find out full details of the case this Wednesday!

orthoEMpearls's tweet image. 79yo walked into the ED with hip pain that had been increasing over the past month after a fall. #FOAMed #EmergencyMedicine #orthotwitter 

Find out full details of the case this Wednesday!

Alex Tomesch, MD (he/him) reposted

15yo presents to ED /severe hip pain after kicking a soccer ball. What is your Dx and ED management? #FOAMed #FOAMrad #Emergencymedicine #sportsmedicine Case and image by Abiye Ibiebele, MD

orthoEMpearls's tweet image. 15yo presents to ED /severe hip pain after kicking a soccer ball. What is your Dx and ED management? #FOAMed #FOAMrad #Emergencymedicine #sportsmedicine 

Case and image by Abiye Ibiebele, MD

Alex Tomesch, MD (he/him) reposted

25yo presents to the ED with knee pain after a player fell into his knee. What is the highest on your differential based on this mechanism? ##FOAMed #orthotwitter #emergencymedicine Video and case: Adriana M. Mercado Rodriguez, MD


Alex Tomesch, MD (he/him) reposted

Patient presents to ED with posterior ankle pain, swelling, and ecchymosis a fall down the stairs. #FOAMed #FOAMrad #EMTwitter #EmergencyMedicine Find out full details tomorrow by signing up for our email list! Case and image by @justinekomd

orthoEMpearls's tweet image. Patient presents to ED with posterior ankle pain, swelling, and ecchymosis a fall down the stairs.  #FOAMed #FOAMrad #EMTwitter #EmergencyMedicine 

Find out full details tomorrow by signing up for our email list!

Case and image by @justinekomd

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