How much did the U.S. gov't pay farmers in your state to offset losses from the trade war? Find out now in our interactive maps: apmresearchlab.org/farm-aid#2019 cc: @apmdistribution

Hi EMS/pharm twitter: can you help a colleague with a short 4 question survey on use of TXA in your EMS system? Cc: Chris Root Jace Mullen James DuCanto, M.D. Christopher Watford Tom Bouthillet naemt.org/WhatsNewALLNEW…

So, earlier today, Google published a whitepaper on 🌟BeyondProd🌟, about how Google does cloud-native security. Here’s a summary thread /1

Hey #EPeeps and #ECG freaks. I’m going to embarrass myself again. This is an SVT at 229 bpm. Explain the “turning of the points” in lead II. I say one bundle branch fatigues, then another.

I have to admit... I was totally fooled by this one! And then found out it broke with adenosine..... JMC #EPeeps #cardiotwitter

Christianity Today was founded by Billy Graham, the most prominent evangelical figure in modern history. It is a vehemently anti-choice, conservative publication. The second it called for Trump's removal, the entire GOP attacked it as "far-left." THIS IS HOW CULTS THINK.

Merry Christmas to me! #nerd. Purchased from Ben Eater

When neighbors in this tight-knit community learned a new child on their block was deaf, they decided to learn ASL. Now, about 40 of them are taking classes. "It's like being surrounded by family," says Raphi, whose daughter is now 3. n.pr/2rsNbpG

Sonos states on their website that "sustainability is non-negotiable," and that they design products to minimize impact, but I work at an e-waste recycler and have demonstrable proof this is false. Sonos's "recycle mode" intentionally bricks good devices so they can't be reused.

1/The 4 image twitter rapid ecg dx 1-Laddergram pls 2-Pacemker malfx? Y/N 3-Name the QRS complex on arrow 4-Pt admit for confusion. CT brain - sroke. The drug level was elevated. ECG diagnosis and dx for confusion? #FOAMed #FOAMems #meded #cardiology #cardiotwitter #EPeeps

Americans in rural communities report more chronic pain, but outside of opioids, they have fewer alternatives for pain treatment. In Necedah, Wisconsin, population 916, one doctor set out to change that. 📹 Watch here: n.pr/2F4ALrt

“As far as I can tell, most desktop email client developers have chosen to go the route of destroying all of your email if corruption happens.” danluu.com/file-consisten…

1/1/2020 in @HFDVA everyday is a training day! SCBA Donning Drill plus CPR & Removal of PPE on a FF. #Professionalism #Rule6 - my standard shall be perfection.

A *stellar* teaching ECG! Forget looking for type 4 Brugada, subtle deWellens' sign, or hyper-early repolarization. THIS is the ECG to not miss!

Brooks Walsh Lead III only PART of the KEY — Go straight up from 1st complex in lead III — you’ll see a complex in lead I - then with calipers, MARCH OUT the R-R interval from III to show regular complexes across the tracing. ARTIFACT is in R. Arm (given max artifact in leads I,II,aVR — :)

For my next trick, I'm going to build a 65 MB self-contained game in C# and shrink it to 8 kB (still 100% self-contained): medium.com/@MStrehovsky/b…

Lessmeier et al. Unrecognized paroxysmal supraventricular tachycardia. Potential for misdiagnosis as panic disorder. Arch Intern Med. 1997;157(5):537–543. of 107 patients with reentrant PSVT, 55% were diagnosed with panic disorder for a mean of 3.3 years. 13 had delta waves.

1/ I’ve been to war, twice. Iraq in ‘09 and Afghanistan in 2011. I am just a fucking ER doc. But it was there, in the deserts far,far from home, that I made my bones as a newly board certified ER doc. It is around that time, I think that I lost my capacity to feel joy.

ECGs are hard. Two different patients, both anterior STE Both ECGs overread as "sinus tach otherwise normal" One was dynamic, trop (+), culprit mLAD The other was troponin negative, apparently baseline. 😬