Fabian Kooij

Emergency care anesthesiologist - HEMS physician - perioperative anaphylaxis ( - Riding horses, iron and breathing versions

[Fabian Kooij @F_Kooij]

@ketaminh @Anaesthesia_AGB @doc_ryan @djoll always and never do not exist in medicine. Only on twitter.

[Fabian Kooij @F_Kooij]

@bobfunn Dank

[Fabian Kooij @F_Kooij]

18% Large PTX and 5% esophageal tube during postmortem after trauma. That should be humbling. #getthebasicsright https://t.co/ulakLsGPJx

[Fabian Kooij @F_Kooij]

@TotalResus @AMPAdocs @DrewCathers @FLTDOC1 @StephenHearns1 @bostonmedflight @wildernessmd @DrPaulRees @VikingOne_ @marcus_rudolph @luigisdad Hamilton T1, had oxylog3000 before. Hamilton better in small kids, injured lungs (drowning). Will work without pressurized O2. More & better options for CPAP/NIV. Haven’t found any real cons yet. Not the lightest or cheapest vent out there, but that’s not really a con.

[Fabian Kooij @F_Kooij]

@HansvanSchuppen @HawkmoonHEMS @traumaoncoplast @drgeoffhealy @ECMOphile @victor_viersen @IscanderMaissan @reinketelaars @pchgerritsen Lot to say about that study. Most important: asking questions to a retrospective group of 20k patients in an admin database with a lot of missing data is hypothesis generation, not causation. Can’t “conclude” anything on that. Only identify thing to look in to better.

[Fabian Kooij @F_Kooij]

Not 26 years, but 16 nonetheless. 😳 At least it seems more fair than the Swan Ganz catheter, which omits Forrester, Marcus, Diamond and Chonette. I guess SGFMDC catheter didn’t sound as easy as RAE tube.

[Fabian Kooij @F_Kooij]

@Tanca_m @ArmandGirbes @Bartissimus @VogelvrijeHArts @diederikgommer1 Uiteraard gesimplificeerd, maar veelzeggend als zelfbeeld. Zou dat beeld veranderen (en hoe dan) als je het door de anderen op dat plaatje (of nog niet, zoals anesthesioloog of kinderarts) laat tekenen? @loes_bruijstens @Stierbeker @HansvanSchuppen @victor_viersen

[Niek Hoogervorst @NiekH]

Ik heb hem even voor jullie gefixt @volkskrant

[Siniša Savić @sinisauksav]

The International Suspected Perioperative Allergic Reaction Group (ISPAR) 1st virtual meeting. Great talks and debate. Website now live: https://t.co/QvMlNjEAqJ
@profhop @LouiseSavic

[Fabian Kooij @F_Kooij]

@ewoudterAvest I read that, but fail to understand how that would work. You can’t block more than 100% of receptors nor can you speed up the process of getting from the injection point to tissues (other than by flushing, which may be what we’re looking at: flush the Roc with an extra 10ml)

[Fabian Kooij @F_Kooij]

@ewoudterAvest The idea is complete NM block in one circulation time. That requires at least 1-1,2 mg/kg. You could look up some old anesth/pharmaco literature from the time Roc was registered (mid ‘90s) for exact info.

[Fabian Kooij @F_Kooij]

@DoyleLeilani Hamilton T1! Oxylog 3000 and the likes work for most patients, but most are not specified/suited for serious ARDS type ventilation.

[Fabian Kooij @F_Kooij]

@digihaas @zusterbeau1 Ik zie die getallen niet bij lareb (linkje in pm?). Wel zie ik 8 ernstige complicaties en 1 overlijden op 400000 vaccins (https://t.co/Au5WAyF0ON). Overlijden na een vaccin is bijna nooit overlijden aan een vaccin (maar aan iets anders wat je al had).

[Fabian Kooij @F_Kooij]

@digihaas Mis je niet een nul? 1 op 60000 klinkt mij logischer in de oren (en 1 op 6000 echt wat te fors).

[Hans van Schuppen @HansvanSchuppen]

New step in improving safety during #intubation of #COVID19 patients: using local exhaust ventilation to protect against aerosols with #coronavirus. Please read and share our study from @AnesAMC @amsterdamumc in @BJAJournals to keep colleagues safe: https://t.co/964cFi2L7b

[Fabian Kooij @F_Kooij]

@mjslabbert Taught the same. Falls apart occasionally anyway though.

[Fredrik Granholm @TotalResus]

Great prehospital airway & ventilation paper from @HansvanSchuppen @F_Kooij et al. #oohca #foamed #ems https://t.co/nMIbWA27g3 Ping @EmsLighthouse @FlightBridgeED @heavyhelmet

[Hans van Schuppen @HansvanSchuppen]

How can we optimize #airway management and #ventilation during #prehospital advanced life support? Check out my review (open access), hot-off-the-press; https://t.co/UiMRAIA0RY #OHCA #ALS #FOAMed #FOAMems #EMS #ambulance

[Fabian Kooij @F_Kooij]

@docib @TVAirAmb @dsairambulance @WiltsAirAmbu @airambulancekss @LDNairamb 2 Packed red cells, 2 quarantaine plasma, 2 gram fibrinogen.

[Fabian Kooij @F_Kooij]

@FLTDOC1 Its not the same there now. Hope to meet up again after this pandemic, either your side of the pond or mine.

[Fabian Kooij @F_Kooij]

@LondonAllergy Use epipen then immediately climb down.