#Always available
#AIIMSParivar
While returning from ISVIR- on board Bangalore to Delhi flight today evening, in Vistara Airline flight UK-814- A distress call was announced
It was a 2 year old cyanotic female child who was operated outside for intracardiac repair , was unconscious and cyanosed
5 Doctors from @aiims_newdelhi were onboard
Dr Navdeep Kaur- SR Anesthesia
Dr Damandeep Singh- SR Cardiac Radiology
Dr Rishab Jain- Ex SR AIIMS Radiology
Dr Oishika- SR OBG
Dr Avichala Taxak- SR Cardiac Radiology
Immediately child was examined - his pulse was absent, extremities were cold , child was not breathing with cyanosed lips and fingers
On air- Immediate CPR was started and with limited resources, using skilled work and active management by team
Successfully IV canulla was placed , oropharyngeal airway was put and emergency response was initiated by whole team of residents on board- and the baby for brought to ROSC- return of circulation.
It was complicated by another cardiac arrest for which an AED was used.
For 45 mins , baby was resuscitated and flight was routed to Nagpur
On reaching Nagpur, child was handed over in stable hemodynamic to the pediatrician
My fav moment from #Kohrra is when WazirPatar's 'Tere Baad' plays in the background of a wedding, simultaneously fitting the arcs of multiple characters.
That 45-sec sequence is a masterclass in editing, blending music & visuals to create emotion. Too good🤌
#KohrraOnNetflix
So basically with TCS you pay tax thrice and get hit 4 times.
1. While earning income. Pay TDS at 30% + cess
2. While buying anything. Pay IGST+CGST if in India or Pay local VAT applicable if paying abroad. 18%+ minimum
3. Pay Forex conversion charges : 2.5%+
4. Pay 20% TCS
So if spending ₹100k, you pay govt 70k and get back 20 later.
Need 170k in bank to spend 100k🫨🤦🏻♂️🤷🏻♂️
Just wow.
Read updates to the ODYSSEY OUTCOMES trial that had the goal of comparing the safety & efficacy of alirocumab compared w/ placebo among patients w/ recent #cvACS already on intensive or maximum-tolerated statin therapy: https://t.co/CqaY6nkV0c #cvGeri
FSRH Guidlines say that EC providers should advise women that the available evidence suggests that oral EC administered after ovulation is ineffective.
https://t.co/6twoAXHERU
Example: For someone who had unprotected inter course, on the 18th day of her cycle, these would be not recommended. Instead, IUDs would be the method of choice for EC.
Comfort is a drug. Once you get used to it, it becomes addicting. Give a weak person consistent stimulation, good food and cheap entertainment they will forget about their ambitions. Comfort is a place where dreams die!
“The increased adoption of pre-prints results in faster identification of erroneous articles compared to the traditional peer-review process.”
On retractions, preprints, and COVID science
https://t.co/LfeBuAtQMo
Our analysis of the retracted COVID-19 papers shows that pre-prints are retracted significantly faster than peer-reviewed articles. @RetractionWatch https://t.co/ZuUgAbR6hU