Emergency Doctor - Janus General Hospital | #FOAMed | Opinions obviously my own | https://xitter.cf/t.co/GUv5FkBJnl
Toronto, Canada
Joined January 2015
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Justin Morgenstern retweeted
Aw c’mon - it’s -10 with wind chill. @MayorOliviaChow @cityoftoronto
Justin Morgenstern retweeted
I have never understood why we do need non-inferiority trials. In my view, they are a great invention of pharmaceutical industry to introduce me-too drugs without demonstrating any real advantage with low cost trials. This excellent review fully explains the key concepts
👇👇👇👇
Justin Morgenstern retweeted
The December 2024 #FOAMed research roundup
This edition contains what I think might be the best article I have ever read: Did you know that ants are better doctors than we are??
buff.ly/41H5s1a
Justin Morgenstern retweeted
Latest vodcast Journal Club with @First10EM out now: youtu.be/hgozONqxsWs?si=mjB-…
@Eleytherius @TheSGEM @LITFLblog @precordialthump @EMSwami @theSonoCave #FOAMed
Justin Morgenstern retweeted
Conservative treatment for primary spontaneous pneumothorax first10em.com/conservative-t… via @First10EM
Justin Morgenstern retweeted
Managing status epilepticus
youtu.be/wmbF9wH678s?si=3es9… via @First10EM
Justin Morgenstern retweeted
PROFUNDUS trial - can we exclude acute dissection in the ED with POCUS and a Dimer? youtu.be/j_ejoaVynXI?si=YgRN…
#FOAMed @TheSGEM @First10EM @emcrit @EMSwami @EMUGs_ @UltrasoundJelly @coreultrasound @theSonoCave @tgpcassidy @LITFLblog
Justin Morgenstern retweeted
And although I cannot say this for a fact, I would be surprised if the NI margin were not defined at study start. This was an investigator-initiated HTA trial.
Justin Morgenstern retweeted
Actually, this is now me being sloppy as well.
If you follow me down the rabbit hole:
fundingawards.nihr.ac.uk/awa…
njl-admin.nihr.ac.uk/documen…
Dating back to October 2017. I hope this settles it.
Justin Morgenstern retweeted
The only solution is to move admitted patients out of the ED so we have the space and resources to get to the patients in a timely way. Give us a chance to save them @CAEP_Docs
Justin Morgenstern retweeted
Thank you Avis for sharing this case. A reminder that a) long wait times kill, b) perfect triage is impossible, and that c) it's not just patients who have minor issues who leave without being seen. 1/2
Justin Morgenstern retweeted
Our premier @fordnation once promised to end hallway care in Ontario
Instead, under his leadership, our healthcare system is in the worst shape it has ever been
I am forced to see ICU level patients in hallways in GTA hospitals, while he wastes endless money on spas and beer
Justin Morgenstern retweeted
Interesting, yea, 5% would seemingly be a more natural choice compared to 5.4%.
Justin Morgenstern retweeted
It's bugging me because if they had specified a margin of 5%, which is what i would have done just to pick a whole number, then the PCT-guided strategy would have been inferior to standard care:
Justin Morgenstern retweeted
The unusual precision of this margin is really bugging me. I don't mean to imply suspicion about it being determined post-hoc; 5.4% is in the protocol in the supplement, but unfortunately no margin is specified in the ISRCTN protocol.
Heres the relevant text from the protocol
Justin Morgenstern retweeted
How fast are you correcting hyponatremia? Scared of demyelination? Did you know that slower rate are associated with more death?? #FOAMed
buff.ly/4icuJGm
Justin Morgenstern retweeted
Yea, agree - does not make sense to me. Also, odd that there is no discussion elsewhere in the manuscript & conclusion throws in the word "safe" without any qualifier or even mention of a potential issue.
Justin Morgenstern retweeted
I agree. The federal government has tried to make this happen in the past and it is opposed by provinces who essentially say ‘Health care is provincial. Keep you nose out of it’
Justin Morgenstern retweeted
If we had nat’l licenses it’d be so easy for docs to help out anywhere.
“The further away from a city you get the better the medicine is. The job is just so much more fun. […] I do think rural locums are key to staying a really good clinician.” @First10EM on @broomedocs podcast
