Pinned Tweet
A great 18 minute summary of my experience from the Langone Critical Care Cardiology Symposium in 2024, NYC youtu.be/h_QFZjmdkNQ
Riding the Storm: My experience in a VT Storm...
Iβm usually the one looking at squiggly heart tracings or talking about critically ill patients and resuscitation techniques. Itβs a strange twist of fate when you find yourself becoming the subject of your own professional discussions.
In a recent article I penned for the Journal of Emergency Nursing, I delve into a personal journey that's quite different from my usual topics of heart rhythms, waveforms, or advanced medical technology. This piece is about my harrowing experience with a VT (Ventricular Tachycardia) Storm, an event that nearly cost me my life. It's a recount of what I went through as a patient, including the many moments I βslept throughβ during this critical time.
This experience has not only deepened my understanding as a healthcare professional but also given me a new perspective on patient experience in emergency and critical care settings. I believe it's crucial for us, as medical professionals, to sometimes step into our patients' shoes, to truly comprehend the impact of our care and interventions.
I invite you to read my story jenonline.org/content/ymen-bβ¦ . Itβs a reminder of the unpredictability of life and the importance of empathy in healthcare. I hope it resonates with you, whether you're a fellow healthcare professional or someone who's ever found themselves on the other side of the hospital bed. Your thoughts and reflections on the article are most welcome.
@sholarichards
π₯π²ππππ π²π± retweeted
Today @TheLancet published our AMIE study with @BIDMC_Medicine, the first prospective study of patient-facing conversational diagnostics in a real clinic.
AMIE is a research system people can chat with before doctors appointments. Testing AMIE outside the lab with real urgent care patients showed how technology can help gather medical histories safely. Clinicians reported that the summaries helped them prepare for visits in 75% of cases and influenced their approach to care in more than half. AMIEβs differential diagnoses also matched the doctorsβ final diagnoses 90% of the time giving clinicians more time to focus on patient care.
Itβs Googleβs first-ever paper in The Lancetβs main journal!
π₯π²ππππ π²π± retweeted
SNAP-3: 7,128 UK patients aged 60 and over having surgery in 214 hospitals. Median hospital stay was 12.5 days with delirium and 1 day without.
After adjusting for age, frailty, multimorbidity and type of surgery, delirium added 5.2 days (95% CI 3.8 to 6.5), and the odds of death within a year doubled. Observational, so some influences were not measured.
doi.org/10.1016/j.bja.2026.0β¦
π₯π²ππππ π²π± retweeted
NICE says the diagnosis of delirium should be written in the person's notes and in their GP record. SIGN says the discharge letter should say the person had delirium, and that everyone who has had delirium should be reviewed by the primary care team.
A letter that names the delirium, its cause, whether it has cleared and what the family were told gives the GP something to act on.
ALT Kronk doing a chef's kiss. Top: a model discharge letter naming the delirium, its cause, resolution, family discussion and a three month cognitive review. Bottom: 'A discharge letter. Perfection.'
One of my biggest fears is the ~23 days in ICU I spent in delirium will result in accelerated dementia, alzheimerβs or other cognitive decline.
This All Day!!!
I'm amazed at how many providers in the ICU still think about shock with approaches learned in pre-clinical med school...
its 2026, lets move away from
"Distributive, Hypovolemic, Cardiogenic, Obstructive" or "Pumps tubes pipes"
To:
Stroke Volume
Minute VTI
Congestion (right and left)
Fluid responsive
Fluid tolerant
Microcirculation
Hemodynamic Coherence
SVR
MAP responsive
LV-Arterial coupling
RV-PA coupling
Admittedly, the above is more complicated, but so is the physiology of a patient dying of shock! These patients are hard, but don't start shackled by mental frameworks that don't allow you to actually think about these issues.
Phoenix roll call: Whoβs going to EN2026?
Emergency Nursing 2026 is coming to Phoenix, Arizona, September 28βOctober 1, and we want to hear whoβs packing their bags!
Somewhere in Phoenix, a restaurant is about to learn what emergency nurses consider appropriate dinner conversation.
Whatβs the ONE thing youβre most looking forward to? Is there a session we should have on our radar, or are you counting down to seeing your nursing friends?
Drop your state and your conference must-do in the comments. Tag someone youβre hoping to see there so they know to find you!
#EN2026 #EmergencyNursing #ENA #ResusMed #TNCC #ENPC
ENPC 7th Edition is here!
Pediatric emergencies can arrive on any shift. ENAβs updated Emergency Nursing Pediatric Course brings new content and learning activities to help nurses prepare for those moments.
Whatβs new in the 7th Edition?
β’ A dedicated βThe Child in Shockβ chapter.
β’ The new PNP Primary Assessment Algorithm to guide assessment and interventions.
β’ Expanded coverage of tuberculosis, brief resolved unexplained events (BRUEs), and emergencies involving heat or cold.
β’ Practical strategies throughout the course to help strengthen pediatric readiness.
β’ Fresh interactive activities for virtual and in-person learning.
β’ Updated global child health content addressing cultural humility and health equity.
The full provider course offers 19 CNE hours, with four-year ENPC provider verification earned upon successful completion.
Whether you work in a pediatric ED or care for children in a community emergency department, this education applies to the patients who come through your doors.
ENA says 7th Edition courses are coming soon. Follow ResusMed for updates on course availability.
Ask use about our corporate programs and discounts.
ResusMed.com/events
#ENPC #PediatricEmergencyCare #EmergencyNursing #ResusMed #TNCC
"Hospitals are being cited for violating the federal emergency-care law more often than at any point in more than a decade, according to a Beckerβs analysis of CMS inspection data.
Deficiencies under the Emergency Medical Treatment and Labor Act β the law requiring hospitals to screen and stabilize anyone who arrives at the emergency department, regardless of ability to pay β appeared in 422 hospital inspections in 2024, the most in a public dataset spanning 2010 to 2026.Β "
beckershospitalreview.com/leβ¦
π₯π²ππππ π²π± retweeted
Saturday night shift with some good cardiac cases #WhiteBoardTeaching #foamed
410+ nurses registered so far.
At this point, calling it a study group feels a little ambitious. We may need to start calling it an emergency nursing convention.
HCA Healthcare and HealthTrust nurses are showing up in force for the ResusMed Live Virtual Certified Emergency Nurse (CEN) Review Course.
October 28β29, 2026
14 CE contact hours
Free for eligible HCA Healthcare and HealthTrust employees
The CEN exam has a reputation for being tough. Fortunately, emergency nurses are not exactly known for backing away from a challenge.
Contact your nurse educator for your facility or division registration coupon code.
Sponsored and funded by HCA Healthcare East Florida Division.
Powered by ResusMed.
#CEN #CertifiedEmergencyNurse #EmergencyNursing #HCAHealthcare #HealthTrust #NursingEducation #ResusMed #TNCC #ENPC
π€ Made with AI
WOW. More than 370 HCA Healthcare and HealthTrust nurses have already registered for the ResusMed Live Virtual CEN Review Course!
Apparently, someone mentioned FREE continuing education and the nurse group chats took it from there.
CEN stands for Certified Emergency Nurse, a national board certification focused on the knowledge and clinical judgment required in emergency nursing.
The exam deserves serious preparation. BCENβs 2025 exam statistics show that roughly half of candidates with reported pass-or-fail outcomes passed the CEN exam.
In other words, βI work in the ED, so Iβll probably be fineβ may need a study plan.
Course details:
October 28 and 29, 2026
Live virtual instruction
14 continuing education contact hours
FREE for HCA Healthcare and HealthTrust employees
Preparing to take the exam soon? Join more than 370 colleagues for two focused days covering the major CEN content areas. Nurses considering certification later will also gain a comprehensive review of emergency nursing practice.
Contact your nurse educator for your facility or division coupon code and direct registration link.
Sponsored and funded by HCA Healthcare East Florida Division.
Presented by ResusMed
ResusMed.com
#CEN #CertifiedEmergencyNurse #EmergencyNursing #HCAHealthcare #HealthTrust #NursingEducation #ResusMed #TNCC #ENPC
π€ Made with AI
HCA Healthcare and HealthTrust emergency nurses: Join ResusMed for a live virtual, two-day CEN Review Course.
October 28 and 29, 2026
9:30 a.m. to 6:00 p.m. Eastern each day
14 continuing education contact hours
FREE for HCA Healthcare and HealthTrust employees
Strengthen your emergency nursing knowledge while preparing for the CEN exam. The course also provides a broad, practical review for nurses who are still deciding when to pursue certification.
Contact your nurse educator for your facility or division coupon code and direct registration link.
Sponsored and funded by HCA Healthcare East Florida Division. Presented by ResusMed
ResusMed.com
#CEN #EmergencyNursing #HCAHealthcare #HealthTrust #NursingEducation #ResusMed #TNCC #ENPC
π€ Made with AI
π₯π²ππππ π²π± retweeted
Lexie Hull brought the heat for tonight's first pitch at the @indyindians game βΎοΈ
π₯π²ππππ π²π± retweeted
Never gets old watching Caitlin punk Dijonai ππ€ππ€
π₯π²ππππ π²π± retweeted
Handing over the @nyulangone Division of Cardiology to @SVRaoMD in pretty good shape! Thankful for great colleagues who still believe in and support the tripartite mission of academic medicine - even in these most challenging of times.
π₯π²ππππ π²π± retweeted
Congrats @SVRaoMD ππΌππΌππΌ
#Cardiotwitter @RadialFirstBot @mmamas1973 @SandeepNathanMD @fischman_david @Allison_Dupont @CircIntv @SCAI @Hragy @aymanka @mirvatalasnag
Handing over the @nyulangone Division of Cardiology to @SVRaoMD in pretty good shape! Thankful for great colleagues who still believe in and support the tripartite mission of academic medicine - even in these most challenging of times.
