August Sigelko

Proud cheesehead. Coffee/beer snob. Medicine resident at Boston University @BMCimRES. MedEd enthusiast. Opinions my own

[James Hudspeth, MD, FACP 🔸 @JamesCHudspeth]

Residents on my team often get this little tidbit of knowledge that helps convert doses between common opioid. Hattip ⁦@AugustSigelko⁩ for inspiring me to tweet it! Some caveats below.

Fibonacci sequence for #paincontrol.

[Josh Farkas MD 💊 @PulmCrit]

Fever workup in the ICU - fresh @iBookCC chapter
🤒 think & examine more, test less
🤒 don't reflexively culture urine & sputum (often false-positive 2/2 colonization)
🤒 don't confuse antibiotics with antipyretics (usually *neither* are helpful!)
https://t.co/NvwVBIIcJZ

[The Daily Show @TheDailyShow]

Double or nothing?

[CHEST @accpchest]

Cefepime-associated neurotoxicity is uncommon, but critically ill patients with renal dysfunction may be at greater risk.

Read more: https://t.co/hrXXhwftyz

#journalCHEST #CHESTCritCare

[The Clinical Problem Solvers @CPSolvers]

A pillar of the community...

#MedTwitter, we are excited to share our new community acquired pneumonia illness script!

Find it on the website here:
And on the app here: https://t.co/FrqaX41cZD

[Nick Mark MD @nickmmark]

Lots of articles about ICUs reaching capacity, but what does this actually mean?

Buckle up for a #tweetorial about ICU capacity and what it means in the context of #COVID19.
1/

[𝒌𝒆𝒗𝒊𝒏 𝒌𝒆𝒍𝒍𝒆𝒓 @radiokeller]

Evaluation of an Unsanctioned Safe Consumption Site in the United States | NEJM https://t.co/IbSRhBkhdr

[Nate Silver @NateSilver538]

US daily numbers via @COVID19Tracking.

Awful day.

Newly reported deaths
Today: 897
Yesterday: 922
One week ago (7/1): 701

Newly reported cases
T: 62K*
Y: 52K
7/1: 53K

Newly reported tests
T: 666K
Y: 641K
7/1: 633K

Positive test rate
T: 9.3%
Y: 8.1%
7/1: 8.4%

* record

[August Sigelko @AugustSigelko]

@PaulDGeorge Pre-chart, pre-chart, pre-chart

(That said, I often still feel terribly inefficient, despite all that pre-charting)

[Michael Ian Black @michaelianblack]

We said people were going to die if you elected him. You did. They are.

[James Hudspeth, MD, FACP 🔸 @JamesCHudspeth]

Pandemics are predictable products of inequitable policies. Countless lives lost, trillion$ squandered. Urge @JoeBiden to do better with global health, affordable meds & U.S. public health corps jobs.

Sign here: https://t.co/TBnIKyHIq1 #BetterBidenCOVIDPlan

[Rich Davis, PhD, D(ABMM), MLS🧫🦠 @richdavisphd]

What about keeping your distance?

Second demo: I set open bacteria culture plates 2, 4 and 6 feet away and coughed (hard) for ~15s. I repeated this without a mask.

As seen by number of bacteria colonies, droplets mostly landed <6 ft, but a mask blocked nearly all of them.

[Rich Davis, PhD, D(ABMM), MLS🧫🦠 @richdavisphd]

What does a mask do? Blocks respiratory droplets coming from your mouth and throat.

Two simple demos:

First, I sneezed, sang, talked & coughed toward an agar culture plate with or without a mask. Bacteria colonies show where droplets landed. A mask blocks virtually all of them.