EM & EMS physician who loves emergency care outside the ER. Wife of OHCA survivor. Determined to show my 3 girls what is possible in life. Views are my own.
Lost in all the COVID news is how hard Michigan and Detroit specifically is being hit. There are now over 1000 deaths statewide mostly in SE Michigan Oakland, Wayne and Macomb counties. You guys are all warriors @ReceivingEM@emsghdetroit keep pushing you will get through
I’ve gone from intrigued➡️amazed➡️worried about the total absence of non-Covid gen medicine in the last 2 weeks. Where are the bread and butter cases of acute med? The NSTEMIs, IBD flares, decomp’d CCF, overdoses, sepsis, PEs...
Where are they? Has anyone seen them? Are they ok??
It’s not just docs and nurses on the frontlines. It’s first responders, techs, clerks, scribes, and our unsung environmental service professionals whose efforts to sanitize the ER likely saved more lives than me today.
The team @ Ford Motor Company has stepped up. They can’t source elastic headbands fast enough & are using the sealing for car doors. Thank you! #GetMePPE#BuiltFordProud#COVID19
Glad I’m not the only one noticing these patients are profoundly hypoxic on spO2 but don’t seem to be in distress. We getting more comfortable with O2 sats that would have been unthinkable without intubation a few weeks ago. #COVID19
Covid lung disease: we are all noting hypoxia out of proportion to dyspnea. In our COVID-ICU, patients do well over time with shockingly low SpO2.
This is anecdote. We hope to web-publish our data very soon. Consider withholding ETI in hypoxic patients who are otherwise OK.
3. Use highflow, proning, and a NRB, to buy yourself some extra time. This gave our team the opportunity to set up for a safe and organized intubation.
The government is listening. Help is coming. Here is proof: Ford Motor Co has made a complete pivot from cars to medical equipment. Their amazing team delivered 1250 face shields to us this morning. Jeff Sturges, Will Brick & Howard Lew THANK YOU! #GetMePPE#COVID19#Ford