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Liga @gettylenol.bsky.social · Mar 30

14/14 The 2025 @ILCOR_org CoSTR emphasizes continued research and global collaboration to refine resuscitation practices. These updates aim to enhance survival rates and neurological outcomes worldwide.

Liga @gettylenol.bsky.social · Mar 30

13/14 #FirstAid continued: For amputated body parts: wrap in moist cloth, seal in bag, cool without freezing to improve replantation success. Simple but critical knowledge!

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Liga @gettylenol.bsky.social · Mar 30

12/14 #FirstAid updates: For choking, back slaps first, then abdominal thrusts if ineffective. For postpartum hemorrhage, manual uterine massage is suggested as a first aid measure.

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Liga @gettylenol.bsky.social · Mar 30

11/14 #EIT continued: Post-resuscitation debriefing is suggested to improve team performance. Prehospital critical care teams are recommended in EMS systems with sufficient resources.

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Liga @gettylenol.bsky.social · Mar 30

10/14 #EIT updates: CPR feedback devices during training are strongly recommended. In situ simulation improves skills and organizational processes. Gamified learning shows promise!

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Liga @gettylenol.bsky.social · Mar 30

9/14 #NLS continued: Preterm infants should start with FiO2 ≥0.30; term infants with 0.21. Supraglottic airways are suggested as alternatives to face masks or intubation during neonatal resuscitation. #NRP

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Liga @gettylenol.bsky.social · Mar 30

8/14 #NLS updates: Defer cord clamping ≥60sec for all vigorous newborns. For non-vigorous infants ≥28wks, cord milking is suggested.

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Liga @gettylenol.bsky.social · Mar 30

7/14 #PLS continued: Multimodal neurological prognostication is emphasized after pediatric cardiac arrest, combining clinical exams, biomarkers, imaging, and EEG to predict outcomes.

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Liga @gettylenol.bsky.social · Mar 30

6/14 #PLS updates: Specific diastolic BP targets during pediatric CPR: ≥25mmHg for infants (<1yr) and ≥30mmHg for children (1-18yrs). Both compression-first and ventilation-first CPR approaches are reasonable.

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Liga @gettylenol.bsky.social · Mar 30

5/14 #ALS continued: Mechanical CPR devices aren't routinely recommended but are useful in specific scenarios. For hyperkalemia-induced arrest, insulin+glucose is recommended, but calcium use lacks sufficient evidence.

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Liga @gettylenol.bsky.social · Mar 30

4/14 #ALS updates: Post-cardiac arrest care should target normothermia (≤37.5°C). For refractory VF, consider double sequential defibrillation or vector change defibrillation.

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Liga @gettylenol.bsky.social · Mar 30

3/14 #BLS continued: Head-Up CPR isn't recommended outside research settings due to inconsistent evidence. For women, train proper pad placement around breast tissue, repositioning bras instead of removing them when possible. #AEDs #Defibrillation

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Liga @gettylenol.bsky.social · Mar 30

2/14 #BLS updates: No special CPR modifications needed for obese patients. Dispatchers should help callers retrieve AEDs, and AED cabinets shouldn't be locked unless clear unlocking instructions are available. #SuddenCardiacArrest

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Liga @gettylenol.bsky.social · Mar 30

2025 ILCOR CoSTR
1/14 🧵 Just released! The 2025 @ILCOR_org Consensus on Science With Treatment Recommendations (CoSTR) brings major updates to #resuscitation guidelines. Let's break down the key changes across all task forces! #CPR #ECC #FOAMed #Emedsky #medsky #emimcc #emergencymedicine

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Liga @gettylenol.bsky.social · Jan 26

10/ That's emergency medicine - where being a good sieve means catching everything that could be dangerous, even if most turn out fine. Because missing one critical case is one too many. 🎭/end
#EmergencyMedicine #MedSky #Healthcare

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Liga @gettylenol.bsky.social · Jan 26

9/ We're the gatekeepers of hospital care, the first line of defense, the ultimate safety net. And sometimes, being "overcautious" is exactly what saves a life.

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Liga @gettylenol.bsky.social · Jan 26

8/ Bottom line: Emergency medicine isn't about being right 100% of the time. It's about never being wrong when it matters most. 💯

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Liga @gettylenol.bsky.social · Jan 26

7/ Time is our diagnostic tool. Will they:
Pass out again?
Develop chest pain?
Show worsening labs?
Don't know. Don't need to know. We watch and wait.

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Liga @gettylenol.bsky.social · Jan 26

6/ Don't care if other specialty isn't impressed. Not here to impress. Here to save lives. Sometimes that means watching 100 patients to catch the 1 who needs us. 🎯

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Liga @gettylenol.bsky.social · Jan 26

5/ Here's the key: We're built for sensitivity, not specificity. When that troponin comes back elevated in a low-risk case? That's it. Decision made. Patient stays. 🛏️

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Liga @gettylenol.bsky.social · Jan 26

4/ Third Sieve: The Daily Grind 📊
Chest pains
Belly aches
Fainting spells
Running labs, reading EKGs, analyzing scans. This is where most of our work happens.

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Liga @gettylenol.bsky.social · Jan 26

3/ Second Sieve: The HALO Hunt 🔍
(High-risk, Low-probability cases)
Like finding a needle in a haystack:
That one aortic dissection among chest pains
The rare brain bleed hiding in "just another headache"
This is peak emergency medicine.

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Liga @gettylenol.bsky.social · Jan 26

2/ First Sieve: The Critical Sort 🚨
Pure survival mode. Find the sick, save lives, mobilize resources. This is why we chose emergency medicine - to be that crucial first line of defense.

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Liga @gettylenol.bsky.social · Jan 26

🏥A Thread on the Art of Emergency Medicine 🧵
Inspired by reddit posting
1/ I'm a sieve - not just any sieve, but a complex system of medical filters that sorts patients into life-saving categories. Here's how it works...

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Reposted by Liga

SARS‑CoV‑2 (COVID-19) @covid19disease.bsky.social · Nov 16

The H5N1 sequence found in the hospitalized teenager shows two important mutations that improve the virus's ability to bind to human α2,6 sialic acid receptors.

This adaptation is crucial for the virus's potential to spread between humans.

The virus is evolving.

#H5N1

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