Joshua Stilley, MD
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joshuastilley.bsky.social
Joshua Stilley, MD
@joshuastilley.bsky.social
Husband, Father. EM/EMS Physician.
Chief, Division of EMS, University of Missouri
Pilot, Farmer, Follower of God
Learning point from EM conference: In patients with syncope then an ED EKG with a conduction abnormality (Brugada, HCM, ARVD), we must assume the rhythm at time of syncope was vtach. Vtach without a pulse is cardiac arrest. This is a post-ROSC patient! Treat accordingly!
September 4, 2025 at 12:45 PM
Hey EM Residents, some basic guidelines for residency:

Year 1 - Figure out how to do anything
Year 2 - Figure out how to do the right thing (and quickly!)
Year 3 - Figure out how to do your thing

#emergencymedicine #resident #EM
July 17, 2025 at 1:58 PM
Reposted by Joshua Stilley, MD
Nothing will kill more children than the ongoing decimation of CDC, NIH, and USAID work to lift vaccine uptake in the US and world.

Child survival rose 75% in the last 50 years. Vaccines account for 40% of that. Measles vax alone was 60% of the benefit. www.thelancet.com/journals/lan...
Contribution of vaccination to improved survival and health: modelling 50 years of the Expanded Programme on Immunization
Since 1974 substantial gains in childhood survival have occurred in every global region. We estimate that EPI has provided the single greatest contribution to improved infant survival over the past 50...
www.thelancet.com
March 13, 2025 at 12:05 PM
Norovirus is here!

Symptoms: Nausea, vomiting, diarrhea, fatigue, fever.
How to care for yourself at home: Drink fluids (water, pedialyte, diluted sports drinks), ibuprofen and tylenol as needed for aches/pains, rest.

www.komu.com/news/midmiss...
MU Health Care sees rise in norovirus cases
What is norovirus? Here are some norovirus symptoms, what to know if you're sick with the norovirus, and an answer to can you get norovirus twice.
www.komu.com
March 10, 2025 at 3:37 PM