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Rob Flint @robflint97.bsky.social · 02/08/2026

Never would have dreamed I would get to lead one of UMEMs EDs. Very honored.

Rob Flint @robflint97.bsky.social · 15/02/2026

Interesting case presentation. Anyone with experience using one of these devices? em.umaryland.edu/educational_... #abdominalaortic #tourniquet #medsky #traumasky #emedsky #emsky

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Rob Flint @robflint97.bsky.social · 03/02/2026

#Hypothermia was the biggest issue with patients who fell 30 meters into water in this English study. #trauma #emedsky #emsky #medsky

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Rob Flint @robflint97.bsky.social · 18/01/2026

Not pro-histamine but anti-antihistamine in #geriatric patients. #medsky #gerisky #emsky #emedsky

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Rob Flint @robflint97.bsky.social · 15/01/2026

We can do better initiating medication for #OUD in the #emergency department based on data in this study. #medsky #emsky #emedsky

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Rob Flint @robflint97.bsky.social · 11/01/2026

Can the success of #prehospital #blood transfusion seen in traumatically injured patients be seen in non-traumatic #hemorrhage patients? This study says, maybe. #medsky #emsky #emedsky

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Rob Flint @robflint97.bsky.social · 04/01/2026

So much #research over the years on #nebulized #pain medication (I’m guilty!) but how many are using it in practice? Here’s another one looking at ketamine. #trauma #medsky #emedsky #emsky

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Rob Flint @robflint97.bsky.social · 03/01/2026

So many #geriatric prediction tools. My bias is find one that’s easy and go with it. The biggest benefit is putting a spot light on #frailty and thinking about how pre-existing disease is going to impact your older #emergency department patient. Am I wrong? #gerisky #emedsky #emsky

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Rob Flint @robflint97.bsky.social · 02/01/2026

Is there an optimal tool to assess #geriatric #emergency department patients and #mortality/morbidity? #gerisky #medsky #emedsky #emsky

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Rob Flint @robflint97.bsky.social · 14/12/2025

Circulation before airway in #trauma pts. That’s today’s thought. #emedsky #emsky #medsky

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Rob Flint @robflint97.bsky.social · 02/11/2025

#Multimodal pain control. YES IV #paracetamol. YES Rapid onset opiate agonist/antagonist. YES This study offers many options for #prehospital traumatic #pain control. #emedsky #medsky

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Rob Flint @robflint97.bsky.social · 02/11/2025

This @umemergencymed.bsky.social pearl reminds us that norepinephrine may have a place in #ACLS in the future. #medsky #emedsky #ccsky #emsky

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Rob Flint @robflint97.bsky.social · 19/10/2025

Further evidence we should be testing for,and encouraging vaccination against, RSV. #medsky #emsky #emedsky #idsky @umemergencymed.bsky.social

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Rob Flint @robflint97.bsky.social · 30/08/2025

Today’s @umemergencymed.bsky.social #pearl looks at aggressive lowering of blood pressure in post thrombolysis #CVA pts. More data to sat it doesn’t provide a benefit. #medsky #emedsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine

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Rob Flint @robflint97.bsky.social · 17/08/2025

When does a #traumatic #pneumothorax require tube thoracotomy? Answer here em.umaryland.edu/educational_... #trauma #medsky #emedsky

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Rob Flint @robflint97.bsky.social · 10/08/2025

Surviving a firearm injury can lead to chronic ongoing issues such as PTSD, pain, nerve injuries and increased risk of reinjury. #trauma #medsky #emedsky #pearl

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Rob Flint @robflint97.bsky.social · 02/08/2025

Anxiety in older patients can lead to worse health outcomes and poorer quality of life. There are certain risk factors for anxiety to be aware of. #gerisky #medsky #emedsky em.umaryland.edu/educational_...

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Rob Flint @robflint97.bsky.social · 30/07/2025

Undertriage of geriatric trauma patients is common due to perceived less severe mechanism, different physiologic normals, lack of using frailty in trusted decision algorithms. Systolic blood pressure <110 should be used instead of <90. #gerisky #medsky #emsky #emedsky

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Rob Flint @robflint97.bsky.social · 28/07/2025

#emedsky #emsky #medsky Blunt Cerebral Vascular Injury and inpatient stroke risk:

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Rob Flint @robflint97.bsky.social · 20/07/2025

This @umemergencymed.bsky.social #pearl is a reminder of the targets for physiologic homeostasis in #traumatic #brain #injury. Early intervention to achieve these goals along with seizure prophylaxis lead to better outcomes. #medsky #emedsky #emsky

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Rob Flint @robflint97.bsky.social · 06/07/2025

Info on the US CMS health measure looking at Age Friendly Healthcare. #gerisky #medsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine

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Rob Flint @robflint97.bsky.social · 05/07/2025

Shock index can be used in compensated shock #trauma pts. to predict blood transfusion need within one hour of arrival at a trauma center. #medsky #emedsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine

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Rob Flint @robflint97.bsky.social · 02/07/2025

Today, we continue the conversation about facial fractures and who needs to be transferred to a higher level of care. #medsky #trauma #emedsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine

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Rob Flint @robflint97.bsky.social · 23/06/2025

Brain Injury Guidlines for kids? A small start to answering yes. BIG is used in adults to get patients the correct level of care after head injury. Without unnecessary transfers or consultation. Now we are getting closer for kids too #emedsky #trauma #pedsky #medsky #emsky

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Rob Flint @robflint97.bsky.social · 22/06/2025

Brain abscess patients do better with drainage according to this study. #medsky #idsky #emedsky #emsky #neurosurgery

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Rob Flint @robflint97.bsky.social · 19/06/2025

A NY health system is restructuring due to financial pressures created by federal cuts including moving from a level 2 to 3 #trauma center. I believe we will see more of this as #Medicaid payments are cut. Trauma leaders need to evaluate referral patterns, EMS protocols, etc in this new environment.

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Rob Flint @robflint97.bsky.social · 15/06/2025

I would argue it’s not the location, it’s injury severity, resuscitation progress and underlying disease state that predicts in hospital mortality for intubated trauma patients. #medsky #trauma #emedsky #emsky @umemergencymed.bsky.social

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Rob Flint @robflint97.bsky.social · 08/06/2025

Today’s pearl looks at the mechanics of performing a resuscitative hysterotomy. It also includes data from a recent @emajournal.bsky.social article. em.umaryland.edu/educational_... #medsky #emedsky #trauma

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Rob Flint @robflint97.bsky.social · 01/06/2025

Today’s #pearl from @umemergencymed.bsky.social tells us antibiotics alone or surgical debridement did no better than no intervention for nail gun injuries in a retrospective study. #medsky #emedsky #emsky #trauma

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Rob Flint @robflint97.bsky.social · 31/05/2025

Today’s #pearl from @umemergencymed.bsky.social looking at ketamine along with midazolam for pediatric seizure cessation. #emedsky #Medsky

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Rob Flint @robflint97.bsky.social · 30/05/2025

This study says there is no advantage to whole body Ct scan vs selective CT scan in geriatric trauma pts. I feel like we need more robust literature in this area. In general, my bias is toward selective scanning but I would like more data. thoughts? #gerisky #trauma #emedsky #medsky #emsky #radsky

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Rob Flint @robflint97.bsky.social · 26/05/2025

#Climate change will affect how we think about #infectious diseases and change endemic areas for many pathogens. Here is an example from @jama.com showing how the area for Coccidioidomycosis will change. #idsky #medsky #Emedsky @umemergencymed.bsky.social

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Rob Flint @robflint97.bsky.social · 22/05/2025

Latest pearl looks at #TIA pts and their risk of future #stroke. #medsky #emsky #emedsky #neurosky @jama.com em.umaryland.edu/educational_...

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Rob Flint @robflint97.bsky.social · 18/05/2025

More data saying skip the antibiotics after anterior nasal packing. #medsky #emedsky #emsky @umemergencymed.bsky.social em.umaryland.edu/educational_...

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Rob Flint @robflint97.bsky.social · 08/05/2025

Hip fractures have high one year mortality and a significant amount of patients with hip fractures experience not insignificant complications. #medsky #gerisky #emedsky #emsky

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Rob Flint @robflint97.bsky.social · 04/05/2025

Aortic dissection remains a difficult diagnosis to make. There is a good review article in JACEP Open that goes through the process. #medsky #emedsky

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Rob Flint @robflint97.bsky.social · 28/04/2025

Any exposure to gun violence increased mental health needs in this study and repetitive exposure significantly increased mental health problems. Be aware of this issue when evaluating patients. #medsky #emedsky #trauma #mentalhealth

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