@DocClemency

Father of 4, Emergency Medicine Researcher, EMS Physician

 Buffalo, NY
Joined January 2019
  • Tweets32
  • Following122
  • Followers137
4Media
how it how it's started going
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Fever and/or loss of taste or smell are key for predicting which Health Care Workers will test #COVID19 + doi.org/10.1111/acem.14009
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Adding to my crew resource management file. – at Raleigh, NC
Garry Tan
@garrytan4 Dec 2019
What can we learn from pilots and plane crashes? ✈️ ☎️ Most are caused by communication errors 🎰 Most don’t start as catastrophic, but instead are on average 7 small mistakes that compound ⚔️ Copilots let their senior pilot crash the plane 25% of the time
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Best slide of #ACEP19
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Brian Clemency retweeted
Remle P. Crowe, PhD@rpcrowe2 Mar 2019
Dr. Levy bringing some stats real talk to the mix. Resuscitation time bias (opposite of survival time bias) is not often taken into consideration in prehospital observational studies. @EaglesGather @mklevy10 #GatheringEagles19
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Brian Clemency retweeted
Brent Myers@bmyersmd14 Feb 2019
Every person in EMS should mark their calendar today. Thanks to work from individuals across the country, we are moving to payment for treatment rather than payment for transport #emsismorethanataxi @NAEMSP #ET3
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I would suspect that those same patients that earn cardiac, renal, etc work ups also have abnormal vitals and fail the rule. #sgemhop
Annahieta Kalantari, DO, FACEP, FACOEP 🇺🇦@akkalantari22 Jan 2019
Replying to @First10EM @socmobem @TheSGEM @EMSwami @srrezaie @PharmERToxGuy @Rick_Pescatore @DocClemency @CHeitzMD @ProfBEEM
Main concerns are ischemic EKG changes, elevated trop and creatinine. Had a ton of ODs in Philly & I've seen irreversible cardiac and renal damage with some. d/c If its a standard OD: got narcan right away, work up, medics brought in, vitals fine, pt exam fine.
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Risk stratifying patients for discharge after opiate OD is just the beginning. Check out the amazing work @JLynchDO and @Buffalo_matters are doing linking patients to treatment from the ED after OD. buffalomatters.org/ #SGEMHOP #opioidcrisis onlinelibrary.wiley.com/doi/…
MATTERS@matters_network21 Jan 2019
This sums it up!
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Brian Clemency retweeted
Ken Milne MD@TheSGEM21 Jan 2019
Replying to @CynthiaSantosMD @mbspyres @EMSwami @srrezaie @lapizity @ToxAndHound @toxicologist12 @DocClemency
@AnnalsofEM Here is the #SGEMHOP review of the HOUR rule validation study by @DocClemency and team. thesgem.com/2019/01/sgem241-… #FOAMed #EBM
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Clinical decision rule vs clinical judgement part 2: The HOUR rule for opioid overdose (Clemency 2018) Paper: onlinelibrary.wiley.com/doi/… #FOAMed first10em.com/clemency-2018/
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Brian Clemency retweeted
MATTERS@matters_network20 Jan 2019
New Research from @DocClemency and @UBuffalo looks at decision rule to see who is safe to discharge after #Opiate #Overdose #SGEMHOP #opioidcrisis #addiction onlinelibrary.wiley.com/doi/…

Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule...

Objective St. Paul's Early Discharge Rule was derived to determine which patients could be safely discharged from the emergency department after a 1-hour observation period following naloxone...

onlinelibrary.wiley.com
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Post-EMS contact cardiac arrest *IS* preventable. #1 intervention done is running to the ambulance. Don’t move sick medical patients until you have proved them stable or maximal therapy provided. #NAEMS2019
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