Liga

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.

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!

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.

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.

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

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

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

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

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.

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.

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.

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

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

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

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

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.

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

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.

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. 🎯

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. 🛏️

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.

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.

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.

🏥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...

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