James Nelson MD (@tothebedside) 's Twitter Profile
James Nelson MD

@tothebedside

Emergency physician. Posting articles and insights on #Physicaldiagnosis, #bedsidemedicine, #diagnosticreasoning, and POCUS

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calendar_today30-08-2020 01:24:41

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The best wording is centers objectively on what the patient needs, and not subjectively on how it challenges us. What is the resource that is lacking here?

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This is great advice. If there is one thing, after sincerely putting the needs of the patient first, that produces long-term success in a career, this is it.

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Wide complex tachycardia study. Regular cardiologist 60% sensitive, EP 92%, AI 92%. AI will be welcome, and bedside judgment is always paramount. Free access: sciencedirect.com/science/articl…

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Wide complex tachycardia: AI will be able to differentiate VT from SVT with aberrancy with increasing reliability. For now, procainamide treats both (stable) and shock treats both (unstable). So we can act now and get input from cardiology depending on how quickly they respond.

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As the complexity of hospital care increases, inefficiencies increase. Solving the day's top problems accumulates like compound interest and creates a better experience for patients and those who provide care.

James Nelson MD (@tothebedside) 's Twitter Profile Photo

Medication shortage disrupting your hospital operations? Work with pharmacy to create a drug substitute protocol, so that the doctors are not stuck in convoluted EMRs, trying to write an order for something not yet in the system.