Less than 1 in 5 men in the U.S. are offered any paid paternity leave. Take the Pledge for Paternity Leave to help make paid leave the new standard. #PaternityLeavePledge

Flipped T waves as the most common new ECG change in PE. Don’t rely on tachycardia #Resus2019 U of Maryland Emergency Med Amal Mattu

Picard management tip: Take your leisure time seriously. A relaxed captain is a sane captain.

Picard management tip: There's no need to solve hard problems alone. Admit when you need help.

If you think this is an appropriate way to teach new medics airway management, and or that it’s appropriate to intubate someone like this. Just stop now. I’m 100% on board for US medics losing ability to intubate if this is the plan.

Im no fan of insurance companies -but I would not expect them to pay $100 for an aspirin ( actual cost to hospital 50 cents) I would not expect any person or insurance company to pay $50k for a 20 minute flight in a 25 year old Bell 206 providing basically ALS care

Here’s some comedy to start your day. An EMS “equipped” Bell 505.

How is it that the "10 min fly circle" has become the standard for HEMS coverage? 10 min fly=approx 20 miles. HEMS should not typically be used for such short hops. These circles should be 2-3x the current diameter. With that-the gross oversaturation becomes even more apparent

Picard management tip: Gain a reputation for completing missions.

Interesting -I have been blocked by @aams The Assn of Air Medical Services. The trade association for the US air ambulance industry. ? because I openly disagree with their basic philosophy of: More helicopters are always better -regardless of medical quality, safety or cost.

Shame on AAMS

How does this fentanyl hysteria/paranoia continue?

...and the legend of Abernethy grows still stronger. Mike Abernethy 🇺🇸 blocked by AAMS. Interesting choice. I suspect that AAMS may come to regret doing this. x.com/FLTDOC1/status…

"EMS providers die from transportation collisions at a greater rate (9.6 per 100K) than police officers (6.1) or firefighters (5.7). Rear occupants are 2.7 times more likely to die in an crash." acepnow.com/article/ambula…

Picard management tip: Empower others to command when you are unfit. You never know when your mind will be taken over by an alien.

Making your dying loved one a full code, intubating, doing chest compressions, invasive lines & inotropes until the out of town family can arrive to say goodbye is cruelty. There. I said it. Tell the others.

EM Rule 3.21: Regardless of where it occurs in the entire medical center complex, any inefficiency in patient flow or staffing will always trickle down and bite the emergency department right in the arse.

Peripheral edema does not equal heart failure Peripheral edema does not equal heart failure Peripheral edema does not equal heart failure Peripheral edema does not equal heart failure Peripheral edema does not equal heart failure

Fentanyl touching an ungloved hand. No Narcan required