Rob Flint
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robflint97.bsky.social
Rob Flint
@robflint97.bsky.social

Emergency physician/educator/mentor. UMD Emergency Medicine. Academic: Trauma, ED ops., EMS, Geriatrics, bus. of med. Interest: family, travel, reading, Ravens, NYY, Terps, Rochester Yellowjackets
Avoid tramadol in #geriatric patients.

#medsky #emsky #emedsky #gerisky
January 30, 2026 at 1:47 AM
Not pro-histamine but anti-antihistamine in #geriatric patients.

#medsky #gerisky #emsky #emedsky
January 18, 2026 at 5:25 PM
We can do better initiating medication for #OUD in the #emergency department based on data in this study.
#medsky #emsky #emedsky
January 15, 2026 at 1:53 PM
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
January 11, 2026 at 1:55 PM
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
January 4, 2026 at 2:27 PM
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
January 3, 2026 at 9:51 PM
Is there an optimal tool to assess #geriatric #emergency department patients and #mortality/morbidity?
#gerisky #medsky #emedsky #emsky
January 2, 2026 at 12:04 AM
Reposted by Rob Flint
Read the latest Educational Pearl on CAB is the new ABC at https://umem.org/educational_pearls/4940/
December 14, 2025 at 2:30 PM
Circulation before airway in #trauma pts. That’s today’s thought.
#emedsky #emsky #medsky
December 14, 2025 at 2:33 PM
Today’s @umemergencymed.bsky.social Pearl reminds us to use the clinical frailty scale.
#gerisky #emedsky #emsky #ccsky
November 27, 2025 at 12:56 PM
Reposted by Rob Flint
Finished updating the IBCC chapter on septic shock

This algorithm is where I ended up 👇

Therapies should be based on several factors (not solely whether CRT is <3; CRT isn't precise so this dichotomy is problematic)

Beware of vasopressin; it may depress digital perfusion & block the goal #EMIMCC
November 19, 2025 at 2:01 PM
#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
November 2, 2025 at 1:04 PM
This @umemergencymed.bsky.social pearl reminds us that norepinephrine may have a place in #ACLS in the future.
#medsky #emedsky #ccsky #emsky
November 2, 2025 at 1:00 PM
Are we ready to give up our mechanical CPR devices?
Read the latest Educational Pearl on AHA vs. Mechanical CPR Devices in Cardiac Arrest at https://umem.org/educational_pearls/4907/
October 31, 2025 at 1:41 PM
Reposted by Rob Flint
Read the latest Educational Pearl on Low-Dose Radiation Therapy for Osteoarthritis at https://umem.org/educational_pearls/4911/
October 26, 2025 at 3:36 AM
Further evidence we should be testing for,and encouraging vaccination against, RSV.
#medsky #emsky #emedsky #idsky
@umemergencymed.bsky.social
October 19, 2025 at 2:44 PM
A nice look at fall risk in older patients. If we can anticipate and prevent falls in this group we can impact morbidity and mortality.
Read the latest Educational Pearl on Geriatric Fall Risk Score at https://umem.org/educational_pearls/4900/
October 12, 2025 at 5:43 AM
Reposted by Rob Flint
Read the latest Educational Pearl on CO Pulse Oximetry in CO Poisoning at https://umem.org/educational_pearls/4888/
September 29, 2025 at 4:03 PM
Reposted by Rob Flint
Read the latest Educational Pearl on Megadose of omeprazole as anti-inflammatory agent in sepsis at https://umem.org/educational_pearls/4890/
September 30, 2025 at 3:14 PM
This conference has a ton of great speakers and topics. Check out cms.umem.org/index.php/tc... The Crashing Patient Conference 2025 | UMEM Events. #medsky #emedsky #emsky #ccsky
The Crashing Patient Conference 2025 | UMEM Events
cms.umem.org
September 30, 2025 at 3:39 PM
Reposted by Rob Flint
Where the separate divisions of ANTIFA landed on the beaches of Normandy on June 6, 1944:
September 18, 2025 at 11:19 PM
Really nice pearl on screening for child abuse in the ED.
Read the latest Educational Pearl on A new child abuse screening tool in the ED - SCAN at https://umem.org/educational_pearls/4881/
September 19, 2025 at 1:13 PM
Reposted by Rob Flint
Read the latest Educational Pearl on 2025 HTN guidelines at https://umem.org/educational_pearls/4872/
September 6, 2025 at 1:23 PM
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
August 30, 2025 at 3:47 PM
Reposted by Rob Flint
Read the latest Educational Pearl on More data on intensive blood pressure control in post-thrombolysis CVA patients at https://umem.org/educational_pearls/4864/
August 30, 2025 at 3:40 PM