Alexandra Wick, MD

Hospitalist @UWHealth | Asst Prof @UWSMPH | Former resident @MGHMedicine | Interested in simulation education & quality improvement | Views are my own

[Alexandra Wick, MD @AlexWickMD]

@DrDanRestrepo @mghmedres I’m here! 👋🏻

[University of Wisconsin Department of Medicine @uw_medicine]

Join tomorrow's Grand Rounds and hear from @uw_IMresidency chief, Dr. @ScLaurenzo, with "Simulation-based Education in Internal Medicine: Past, Present, and Future."

Watch: https://t.co/uAu0fSPq5Y

[Alexandra Wick, MD @AlexWickMD]

Exciting day for UW IM residents at the sim center! “Mock Code 201” pilot for senior residents in one room and POCUS training for interns across the hall. The manikin was lucky to be in the hands of these excellent doctors! @ScLaurenzo @uw_IMresidency @WIsimulation @uw_medicine

[Journal of Hospital Medicine @JHospMedicine]

🩺There was no group in which treatment of inpatient hypertension helped.

🚨Inpatient treatment of hypertension = harm.

#SHMConverge #UpdateinHospMed2022

https://t.co/k78i0ep9f4
PMID: 33369614

[Valerie Vaughn @ValerieVaughnMD]

Poster by Nicole Bonk—Despite caring for majority of hospitalized patients with COVID, hospitalists only 4% of COVID authors. Worry 4 those that volunteered for frontlines but then get promoted based on pubs. Let’s rethink how we thank our heroes @SocietyHospMed #ShmConverge22

[Journal of Hospital Medicine @JHospMedicine]

🩸More data supporting a restrictive strategy for blood transfusion, now in patients with ACS. ❤️💕
#SHMConverge #UpdateinHospMed2022

https://t.co/gR3F8EGNCW
PMID: 33560322

[Duke Heart @DukeHeartCenter]

“We’ve identified a large gap in care among patients with pacemaker and defibrillator infections,” said @sean_pokorney “I want to close that gap to save lives.” @JonPicciniSr @manesh_patelMD @DCRINews @DukeHealth #Treat2BeatCIEDinfection

[Bruce Wilkoff @BruceWilkoff]

Long way to go. Therapy gap is huge when we fail to detect. Awareness is key. #Treat2BeatCIEDinfection

[Jonathan Piccini, MD, MHS @JonPicciniSr]

Dr Sean Pokorney highlighting the critical importance of timely extraction for CIED infection #ACC22 #EPeeps #Cardiotwitter ⁦@BruceWilkoff⁩ ⁦@narrowQRS⁩ ⁦@rdschaller⁩ ⁦@DukeHeartCenter⁩

[NEJM @NEJM]

In double-blind RCT, ivermectin that was administered within 7 days after Covid-19 symptom onset was shown not to be of any clinical benefit. https://t.co/IOprjQRVKk

[Mended Hearts @MendedHearts]

Dr. John Andriulli talking about problems with delay in extraction when there is an infection. 3x less mortality if taken out within 7 to 10 days but often a delay between positive blood culture and extraction. #Treat2BeatCIEDinfection @AHAScience

[Alexandra Wick, MD @AlexWickMD]

‼️For patients with cardiac device infections, extraction saves lives. Antibiotics alone won’t cut it. Early referrals to ID and EP are critical.
#Treat2BeatCIEDInfection

[M. Rizwan Sohail, MD @RizwanSohailMD]

Antibiotics aren't sufficient to cure cardiac device infection. Extraction is critical to achieve cure.
#Treat2BeatCIEDInfection❤️‍🩹
@RizwanSohailMD @cbgranger @sean_pokorney @ElaineWanMD @BruceWilkoff @AHAScience @ecoromil @AlexWickMD @bcmhouston

[Nkiru Osude, MD MS @NkiruOsude]

What does a CIED pocket infection look like in our melanated brothers and sisters? 🤔

I haven’t seen a picture in my cardiology fellowship textbooks/resources 🙋🏽‍♀️…have you?🧐
That’s a problem. Let’s change that. Now. Grateful for these conversations
🗣🗣#Treat2BeatCIEDInfection

[Ellie Coromilas, MD @ecoromil]

Are we appropriately informing our patients about the risks of device implantation?
‼️the majority of patients don't recall being informed of the risk of infection associated with CIED implantation @KnowYourPulse @AHAScience
#Treat2BeatCIEDInfection

[Miguel A Leal @DrMiguelLeal]

Very honored to participate in such an important AHA initiative on awareness, early detection and treatment of cardiac implantable electronic device (CIED) infections. This is just the beginning… @AlexWickMD @UWMadison @uw_cvm @uw_medicine @AHAMeetings @ACCinTouch @HRSonline

[Nkiru Osude, MD MS @NkiruOsude]

“Gaps in care are not the exception, they are the rule” - @cbgranger 🤯

Let’s change that, shall we? Starting now. 🏃🏾‍♀️⏰ #ImplementationWorks

#Treat2BeatCIEDInfection❤️‍🩹

@RizwanSohailMD @cbgranger @sean_pokorney @ElaineWanMD @BruceWilkoff @AHAScience @ecoromil @AlexWickMD

[Nkiru Osude, MD MS @NkiruOsude]

The PERCEPTION of the risk of CIED extraction is a barrier ⚠️ to referral for extraction in CIED infection-@BruceWilkoff 🤯🤯

Extraction misinformation is damaging and deadly. Risk of CIED extraction is & has always been LOW. Let’s get the word out! 🗣🗣#Treat2BeatCIEDInfection

[Alexandra Wick, MD @AlexWickMD]

🗣Let’s keep the conversation going!

🏥🫀So proud of the strong #UWSMPH representation at the National CIED Infection Summit today! #Treat2BeatCIEDInfection

@DrMiguelLeal @uw_medicine @uw_cvm @uwsmph

[Nkiru Osude, MD MS @NkiruOsude]

Time to get practical! 💭
Breaking out into small groups to discuss
1️⃣ Driving Earlier Diagnosis
2️⃣ Improving Treatment/Management
3️⃣ Raising Awareness

Quality Improvement 101:You can’t improve what you don’t measure. Let’s 📏 this! We’re on our way 💪🏾
#Treat2BeatCIEDInfection

[Nkiru Osude, MD MS @NkiruOsude]

Time to get practical! 💭
Breaking out into small groups to discuss
1️⃣ Driving Earlier Diagnosis
2️⃣ Improving Treatment/Management
3️⃣ Raising Awareness

Quality Improvement 101:You can’t improve what you don’t measure. Let’s 📏 this! We’re on our way 💪🏾
#Treat2BeatCIEDInfection

[Alexandra Wick, MD @AlexWickMD]

#Treat2BeatCIEDInfection

[Alexandra Wick, MD @AlexWickMD]

This! We know that late removal >7 days after infection ➡️ decreased survival. We need to work to get our patients to extraction-capable centers ASAP 🚑🏥

[Nkiru Osude, MD MS @NkiruOsude]

The further away a provider is from being an extracting EP, the more difficult it is ID an infxn ➡️ delayed extraction

Let’s involve ALL members of the team in ID a solution. Not just 🫀👩🏿‍⚕️
Let’s do it for the patients. 🏥💪🏾👫
#teamworkmakesthedreamwork
#Treat2BeatCIEDInfection