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Roberto Cosentini, MD

@rob-cosentini.bsky.social
28 followers 14 following 38 posts

ED physician, innate passion for learning #bedsidepearls, #FOAMed. Urban biker, dreaming climbing and sailing Milan easclubbergamo.wordpress.com

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Roberto Cosentini, MD @rob-cosentini.bsky.social · 22/04/2025
STEMI is a failed paradigm OMI should replace it New OMI patterns are expected, as the more recent South African flag sign (1st LAD diagonal occlusion) or Aslanger pattern (is.gd/DzYfD8) PMCardio App may help (no COI)
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Reposted by Roberto Cosentini, MD
Ryan Radecki MD MS @www.evidencetriage.com · 22/04/2025
What's the best maneuver for stopping peripheral vertigo? Did you even know there were so many??? #medsky www.evidencetriage.com/p/contortion...
evidencetriage.com
Contortions To Stop The Gyrations
Network meta-analyses are all the rage, vertigo edition.
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 18/04/2025
Drainage Course at #EASClub with dr Allegri Chest Drainage #bedsidepearls 🚫 Never close the drainage tube during pt transport 🩸Haemothorax ➡️ 28-32 Fr tube
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 15/04/2025
#bedsidepearls in Chest trauma 🩻 Severity of chest wall injuries ➡️ RivScore 🫁 Severity of pulmonary contusion ⬆️ significantly when contusions are >20%
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 14/04/2025
#bedsidepearls via #EASBergamo #whiteboard
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 11/04/2025
Brnchodilation during #NIV At 2nd NIV EUSEM Certification Course, Lisbon April, 10-11
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 10/04/2025
#NIV Indications at 2nd NIV Certification Eusem Course in Lisbon @Paolo Groff @Rodolfo Ferrari @Patrick Plaisance
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 10/04/2025
NIV Certification Eusem Course in Lisbon, April 10-11 ⏱️ The golden hour of NIV influence prognosis via @Patrick Plaisance
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 09/04/2025
Flying to Lisbon for our 2nd NIV Certification #EUSEM Course, April 10-11 Interactive Case scenarios to boost your competence on ARF patients to treat with HFNC CPAP Bi-Level
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Reposted by Roberto Cosentini, MD
Ryan Radecki MD MS @www.evidencetriage.com · 21/03/2025
Folks are really good down here at avoiding unnecessary radiography in kids — the most unusual misalignment of practice I’ve had recently are plain c-spine x-rays in older adults. If you care enough to order the test, you should care enough to order a test that actually answers your question ….
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Reposted by Roberto Cosentini, MD
Marco Garrone @marcogarrone.bsky.social · 14/03/2025
Such fun to work together @rob-cosentini.bsky.social! And so cool to share ideas beyond medical knowledge.
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Justin Morgenstern @first10em.bsky.social · 07/04/2025
Pediatric front of neck access (the surgical tracheotomy) An approach to the can't intubate can't oxygenate scenario in children #FOAMed
first10em.com
Pediatric front of neck access (the surgical tracheotomy)
Case It is the scenario of nightmares: a young child with an airway obstruction. They came in with stridor, and although you were initially thinking severe croup, the story doesn’t quite fit, there is no response to medical therapy, and this patient is incredibly sick. There is significant hypoxemia despite a nonrebreather. You can’t wait for backup, so you proceed rapidly to RSI.
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 07/04/2025
Chest pain at triage #bedsidepearls from MEU School Unimi at Albino 🫀Do ECG, always 🧪 Do troponin, unless a specific diagnosis can be excluded at triage (eg: PTX via Echo)
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 06/04/2025
Eating Disorders #bedsidepearls via @emcases.bsky.social 🧬 Genetic disorder, trigger by precipitating factor ⚖️ No weight threshold ➡️ Best follow ⬇️ over time Adolescents: 🫀Bradycardia/ortho hypotension: ⚠️ severity signs ➡️ Admit 🏥 emergencymedicinecases.com/eating-disor...
emergencymedicinecases.com
Eating Disorders - Common, Commonly Missed, Misunderstood | EM Cases
Recognition, management of eating disorders in emergency medicine; why eating disorders are missed, pitfalls in assessment and management on Emergency Medicine Cases podcast
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 05/04/2025
Chest Trauma #bedsidepearls 1️⃣ Identify fatal lesions ATOM-FC 2️⃣ Evaluate Severity TTS & RibScore 3️⃣ Treat accordingly 🩸MTP 💉 Chest Tube 🔪 Emergency Thoracotomy
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 04/04/2025
#bedsidepearls on Multiple Myeloma at #EASClubbergamo via Dr Alessio Marra 1️⃣ 🩺 Clinical 🩻 Thoracic vertebral lesions may manifest only with abdominal symptoms 🦴 Bone lesions may ensue when MM is otherwise asymptomatic 2️⃣ 🧠 Mental ⚠️ Don’t fix on 1st diagnosis 🎛️ Take control of your reactions
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 03/04/2025
How to incorporate #AI into daily clinical practice ⏱️ Closer than 6 months ago 🛣️ Still a long way to go Ambient Artificial Intelligence Scribes: Learnings after 1 Year and over 2.5 Million Uses | NEJM Catalyst catalyst.nejm.org/doi/full/10....
catalyst.nejm.org
Ambient Artificial Intelligence Scribes: Learnings after 1 Year and over 2.5 Million Uses
One year after the deployment of ambient artificial intelligence scribes, The Permanente Medical Group in northern California reports rapid growth in physician usage, highly positive experiences am...
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Reposted by Roberto Cosentini, MD
EMCrit Blog and Podcast @emcrit.bsky.social · 02/04/2025
EMCrit Q&A - Episode 001 Industry involvement? Vasopressor choices in PE and more... emcrit.org/qa1
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 02/04/2025
Violence pathway at our #EASClubBergamo via Antonella Mangili & Renata Colombi ⚡️ Rising tension 🧠 Deliberate violence 💧 Loving contrition 🔁 Ripetitive #bedsidepearls
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 31/03/2025
☠️ Methylene blue in methemoglobinemia From clinical pharmacologist Pharmacy Joe —> pharmacyjoe.com/episode1009/ 💉 1–2 mg/kg IV over 5 minutes of methylene blue immediately if levels indicate administration ⏱️ After treatment, MetHb levels on blood gas (ABG) are no longer reliable #bedsidepearls
Blood from an MDMA intoxicated patient seen in our ER by IM PG 4 @giacomo de luca
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 30/03/2025
My barbers shop in front of Colonne di San Lorenzo, downtown Milano If this isn’t nice, what is?
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 28/03/2025
Leadership pearls via @roborman @stmuluspodcast —> t.ly/hqzHj 1/2 1️⃣ Listening is key to Lead 2️⃣ Prioritize. Not all problems need an urgent response 3️⃣ Vision + Patience + Respect are key to succeed 4️⃣ Be ready to judge, even if you don’t like it
roborman.com
147. Your First Leadership Role? Start With These 8 Principles - Orman Physician Coaching
Leadership is hard. Here are eight ways to do it better (without losing your mind).
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 26/03/2025
Bi-monthly Simulation at #EAS Club Bergamo ☠️ Organophosphate intoxication of patient, paramedic and Team leader 🏁 Great challenge for our EM residents 🏥 Look at our group activities —> easclubbergamo.wordpress.com/attivita/
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 26/03/2025
My two teaching mantras: “You were not made to live like brutes, but to follow virtue and knowledge.” Dante Alighieri, XIV century “One should not teach thoughts, but teach how to think.” Immanuel Kant, XVIII century
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 24/03/2025
Dyspnea #bedsidepearls 3️⃣ signs of respiratory distress: # 1 tracheal tub, inspiratory # 2 jugular retraction, inspiratory # 3 supraclavicular retraction, inspiratory
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Ryan Radecki MD MS @www.evidencetriage.com · 24/03/2025
If you provide the 95% CI, you don't need to supply a p-value with it.
media.tenor.com
a monkey with goggles and headphones says i have spoken
ALT: a monkey with goggles and headphones says i have spoken
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 23/03/2025
Day 1 of AI Master in Clinical Medicine at University of Torino via Prof. Gaetano de Ferrari 📊 Data is the most valuable resource 🤖 ChatGPT spreading is supersonic 🫀AI proved effective in cardiology
Time to teach 100 million users:
ChatGPT     2 months
TikTok         9 months
Instagram  30 months
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 22/03/2025
2nd day of AI Master in Clinical Medicine at University of Torino via Prof. Gaetano de Ferrari AI Anatomy AI application in clinical medicine AI and images AI may outperform clinicians at interpretation of images (see picture 3)
Cancer detection:  Dermatologists vs AI 

AI shows better AUC ROC Curves than clinicians
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Reposted by Roberto Cosentini, MD
Ken Milne MD @thesgem.bsky.social · 21/03/2025
Interesting article on biases in RCTs based on methodological quality. jamanetwork.com/journals/jam... #MedSky
jamanetwork.com
Empirical Evidence of Bias
Objective.  —To determine if inadequate approaches to randomized controlled trial design and execution are associated with evidence of bias in estimating treatment effects.Design.  —An observa...
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Reposted by Roberto Cosentini, MD
Ryan Radecki MD MS @www.evidencetriage.com · 21/03/2025
Stop ordering abdominal x-rays in children with constipation! No! No! #medsky www.evidencetriage.com/p/cant-stop-...
evidencetriage.com
Can't Stop The (Pediatric) Waste
1 in 5 visits for selected conditions received unnecessary tests.
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 20/03/2025
#bedsidepearls at #EASClubBergamo Fever & sore throat: 🦻 Listen to voice & sounds 🥔 Hot potato voice or noisy inspiratory breathing ➡️ upper airway obstruction
Laterocervical phlegmon dislocating retro pharynx and upper airway
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 19/03/2025
Massive Transfusion at #EASClubBergamo via PGY5 Alberto Comi & Dr Eugenia Belotti 🩸 Balanced Transfusion 1:1:1 (Italy 4:1:1) ➡️ Shock Index >1 ➡️ No SBP & HR > 120
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 17/03/2025
#bedsidepearls via our Residents at #EASBergamo Inspired by Amal Mattu’s #whiteboard 1/2 🥾 Mountain hiking + hypotension + nausea and vomiting ➡️ If symptoms persist, consider snake bite or anaphylaxis 💊 Obtain cultures before first dose of antibiotics
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 17/03/2025
#bedsidepearls at EAS Bergamo via our EM residents Inspired by Amal Mattu and his weekly #whiteboard
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Reposted by Roberto Cosentini, MD
Ryan Radecki MD MS @www.evidencetriage.com · 16/03/2025
Never hurts to pull together more data sets in which COVID-19 vaccines are shown to be safe – another look at (lack of) risk for fetal outcomes in pregnancy. #medsky medicineminute.substack.com/p/covid-19-v...
medicineminute.substack.com
COVID-19 Vaccines Safe in Pregnancy
More data unable to find fetal risks due to maternal exposure.
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 13/03/2025
‘The Great Presenter’ 2nd ed. via @marcogarrone.bsky.social & me at EAS Club Bergamo How to be an unforgettable presenter 8️⃣0️⃣% Know your audience Focus on 1 key message Transform the audience 2️⃣0️⃣% Slide shaping Privileged to grow with Marco & the super enthusiastic group of participants
Before the courseAfter the course
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 11/03/2025
#TheGreatPresenter How to change your audience via @marcogarrone.bsky.social Garrone at EAS Club Bergamo easclubbergamo.wordpress.com
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StellaIn @stellain.bsky.social · 14/02/2025
EAS Congress #Bergamo @rob-cosentini.bsky.social
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 13/02/2025
Acute dyspnea workshop at 1st EAS Conference Bergamo Patient trajectory and early support with Stella Ingrassia @davidcarr333.bsky.social
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 10/02/2025
🗓️ 4 days to our 1st EAS Conference in Bergamo Thrilled to host @davidcarr333.bsky.social in person, Tim Harris online and other brilliant colleagues from Italy Ready to learn with fun
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 12/12/2024
INDUCTION 2nd edition EAS Club Bergamo_t.ly/71SPb 🔎 NIV in Neuromuscular D via Dr Valentina Rosti 🫧 Beware secretions (pseudobulbar —> worse prognosis) ⚠️ Don’t wait for ⬆️ pCO2 ⏱️ Prepare Early Staff & Equipment
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 12/12/2024
INDUCTION 2nd edition EAS Club Bergamo_t.ly/71SPb 🔎 How to Use Non-Invasive Ventilation via Dr Valentina Rosti 👺Facial mask for NIV ⛑️ Helmet > mask for CPAP ➡️ Rise time 🚅 Fast if high RR or pt obstructed 🐢 Slow if lower RR & pt restricted
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 12/12/2024
INDUCTION 2nd edition EAS Club Bergamo_https://t.ly/71SPb 🔎 How to Identify Respiratory distress 👨‍🦼 Body position 🟣 Look for Cyanosis 👤🦶Head-to-toe Muscle Recruitment evaluation
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 12/12/2024
INDUCTION 2nd edition EAS Club Bergamo_https://t.ly/71SPb ➡️ Lung ultrasound in the ED via Dr Gloria Suma ✅ Interstitial_More sensitive than C-xray ⏱️ Early Detection 🖥️ Monitoring evolution
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 12/12/2024
INDUCTION 2nd edition EAS Club Bergamo_https://t.ly/71SPb ➡️ Procedural Sedation via dr Mauro Belotti
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St Emlyn's podcast and blog @stemlyns.bsky.social · 04/12/2024
Learn about the possible utility of ECMO in trauma in this podcast with Chris Bishop at Tactical Trauma 2024
stemlynsblog.org
Podcast – ECMO in Trauma with Chris Bishop at Tactical Trauma 24
In this podcast, Liz Crowe discusses the effect bad behaviour has on teams and ultimately patient safety.
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Roberto Cosentini, MD @rob-cosentini.bsky.social · 11/12/2024
INDUCTION 2nd edition EAS Club Bergamo (t.ly/71SPb) EM Mindset via @andreaduca00 ➡️ Identify patient trajectory: 🐇 Hare. Rapidly fatal —> Treat 🐿️ Squirrel. Potentially fatal —> Treat & Investigate 🐢 Turtle. Time to investigate
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