mike defilippo

@MDtheDO

EM/EMS Doc @WUSTL_EM | @WUSTL_EMS EMS Fellowship @nmemsfellowship | EM @NYEmergency Medical Director @OverrunEMS Research, Resus, and EMS | 🏳️‍🌈

St Louis, MO

Joined September 2019

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962Followers

mike defilippo@MDtheDO · 20 h

Many clinicians mistakenly believe ACS is essentially a solved problem. A significant minority of patients with one of medicine’s most common and deadliest diseases are failed by our current standard of care. CC: @drjohnm

SStephen W. Smith@smithECGBlog · 22 h

Failure of standard contemporary ST-elevation myocardial infarction electrocardiogram criteria to reliably identify acute occlusion of the left anterior descending coronary artery All were diagnosed on the first EKG by the @PMcardioApp academic.oup.com/ehjacc/advance…

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mike defilippo@MDtheDO · Jul 27

I’m a fan of nebulized TXA! Anecdote from residency: 40s F w/ massive hemoptysis iso DAH. Used nebulized TXA prior to intubation to help optimize and it worked extremely well such that we held off on ED intubation and she was safely monitored direct to OR for Bronch!

RREBEL EM@REBEL__EM · Jul 25

🚨TXA for Hemoptysis: We Put That $#!t on Everything (That Bleeds) Pt 2 🫁💨 Neb TXA worked faster & needed fewer procedures than IV in a small RCT 🌬️ Cheap, no IV, and maybe better ⚠️ Mostly TB patients, but results? 🔥 📖 rebelem.com #FOAMed #MedTwitter #MedX

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WashU EMS Fellowship@WUSTL_EMS · Jul 26

🚁 Tactical EMS, concerts, and a raccoon named Beepers?! Meet Dr. Jacob Trammel, our newest EMS Fellow at WashU. 📸 Check out his #MeetTheFellows spotlight on Instagram! 👇 #EMS #EMSFellowship #WashUEMS instagram.com/p/DMlj0PsS91R/…

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mike defilippo@MDtheDO · Jul 25

"What brings you to the ER today?" -Me "My wife's been bothering me to come in for days, she thinks I have a blood clot in my lungs." -Pt (A few blood tests and scans later) "You have a blood clot in your lungs" -Me Wife in the chair next to the patient:

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mike defilippo@MDtheDO · Jul 24

One of the best feelings as an EM doc: dispo’ing the entire ED on a night shift 😎

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Respectful Memes@RespectfulMemes · Jul 15

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mike defilippo@MDtheDO · Jul 11

Are you an EM resident interested in… MCI drills? ✅ Field response? ✅ 🍩 Legendary donuts? ✅✅✅ The WashU EMS Fellowship 25-26 cohort is off to a sweet start! Come join the fun; applications now open! Check us out and apply: emergencymedicine.wustl.edu/education/fell…

WWashU EMS Fellowship@WUSTL_EMS · Jul 10

Starting the new academic year strong! Multiagency MCI drill, best donuts in America, and physician field response with refueling breaks. #emsfellowship #ems #emergencymedicine #meded

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mike defilippo@MDtheDO · Jul 5

Emergency medicine final boss

DDudes Posting Their W’s@DudespostingWs · Jul 5

This dude skydiving through a fireworks show is incredible

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reuben strayer@emupdates · Jul 8

Calcium channel blockers consistently outperform adenosine for SVT, and do not make people feel like they're going to die. I haven't used adenosine for stable SVT in many years. jem-journal.com/article/S0736-…

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Eddy J. Gutierrez, MD@eddyjoemd · Jul 7

IVC assessments were the "hot new thing" in POCUS when I was a fellow. Today, it's a minimal component of my practice. There are too many variables involved to help one make a volume status decision based solely on this. 🎩 tip to the authors. eddyjoemd.com/foamed

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mike defilippo@MDtheDO · Jul 7

Me: “So we’ll start ceftriaxone and admit to medicine.” Intern: “Slay.” I like this generation of residents.

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mike defilippo@MDtheDO · Jul 7

Best financial decision I've made is getting an espresso machine for home

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