Amedeo Guzzardella

Anesthesia and Intensive Care Resident. Love travelling 🇲🇬 All expressed views are personal.

[Nick Mark MD @nickmmark]

"Hey what’s this funny donut 🍩 stuck on the crash cart?"

It's a 🧲 magnet! We keep it there because it can be life-saving if applied over a pacemaker or ICD.

A 🧵about magnets, pacemakers & ICDs. Some useful facts that everyone in an ICU ought to know.
#FOAMcc #FOAMed
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[Sam Ghali, M.D. @EM_RESUS]

This is the best video of flail chest I’ve ever seen

https://t.co/kx8HP0NmJI

[Amedeo Guzzardella @AGuzzardella]

@Aisol67 @marattin @PagellaPolitica

[The Cultural Tutor @culturaltutor]

12 Reasons Why Cities Need More Trees:

1. Temperature Control

One large tree is equivalent to 10 air conditioning units, and the shade they provide can reduce street temperature by more than 30%.

2. Noise Reduction

Trees can reduce loudness by up to 50%. In urban areas filled with the sound of cars, construction, sirens, aeroplanes, and music, trees are essentially the best way to block noise and keep cities — along with the homes and workplaces in them — quieter.

3. Air Purity

Trees remove an astonishing amount of harmful pollutants and toxins from the air. In urban areas air quality is often disastrously bad — with severe consequences for our health. Trees make the air we breathe much cleaner.

4. Oxygen

And, while absorbing all those pollutants, trees also put more oxygen back into the urban environment. Oxygen levels are significantly lower in cities compared to the countryside; trees help to solve that problem.

5. Water Management

Trees do more than just shelter us and our buildings from rain — which is, in fact, extremely important. They also absorb huge quantities of water, reduce run-off, neutralise the severity of flooding, and make flooding more unlikely altogether. Not to forget that their roots absorb pollutants and prevent them from feeding back into a city's water supply.

6. Psychological Health

Studies have proven what we instinctively know to be true: that human beings are significantly happier when surrounded by nature rather than sterile urban environments. Our emotions, behaviour, and thoughts are shaped by the places we spend time — and trees have a profoundly positive effect on our psychology. The consequential benefits of being happier and more peaceful — as individuals and as a society — are immense.

7. Physical Health

Beyond all the other ways in which trees improve air quality and the urban environment, much to the benefit of our health, they also encourage people to go outside. Cycling, running, and walking are all more common in urban areas with plenty of trees. A knock-on effect of people spending more time outdoors is also social integration and stronger communities.

8. Privacy

A simple point, but not inconsequential, is that trees provide privacy.

9. Economics

The total economic benefit of urban trees is hard to calculate. There are costs, of course, including the repair of infrastructure damaged by roots and maintaining the trees themselves. But the total economic benefit — a consequence of everything else in this list and more — far outweighs the expenditure. Trees make cities wealthier.

10. Wildlife

Trees are miniature cities all of their own, serving as a habitat for hundreds of different species, including birds and mammals and insects.

11. Light Pollution

Trees don't only block the light shining down, therefore keeping us and our cities cooler — they also disrupt light shining up, from street lighting, cars, houses, and billboards. Skies are clearer in cities with more trees.

12. Aesthetics

And, finally, trees are beautiful. They break up the potential monotony of urban environments — the sharp geometry, the greyscale roads and buildings, the endless rows of cars — with their trunks, boughs, canopies, and flowers.

Just think: the gold and red of falling leaves in autumn, the white and pink blossom of spring, the vast green canopies of summer, and the branches lined with hoar-frost in winter. Every single tree is a myriad of intricacy and texture, of colour and scent, of dappled light on the pavement, mottled bark, knotted roots, of clustered leaves and delicate petals and stern boughs.

Few streets would not be improved by the kaleidoscopic aesthetic delights of a tree, not to mention the many different species of tree, all over the world, whether willow, oak, lime, cherry, aspen, maple, birch, horse chestnut, dogwood, hornbeam, ash, sycamore... the list goes on.

There are some drawbacks to urban trees, most of them context-specific, and they are not — of course — universally appropriate. But it seems fair to say that many cities would benefit from at least a few more trees here and there.

[NASA @NASA]

July 2023 was the hottest month on record, according to our global temperature analysis. Overall, July was 0.43°F (0.24°C) warmer than any other July in @NASAEarth's record, and it's likely due to human activity. Details: https://t.co/2DTIfL8S1Q

[Amedeo Guzzardella @AGuzzardella]

New clinical + LUS score to predict severe bronchiolitis have just been published on @yourICM - Paediatric and Neonatal. Thanks @LaCampo4 and @surf4children for leadership this project!

[La Campo - Anna Camporesi @LaCampo4]

We are happy to share our latest paper @yourICM! A quick and easy score - combining clinical data and ultrasound - to predict severe bronchiolitis in children presenting to EDs
@surf4children @AGuzzardella
https://t.co/8kvF1vFzgG

[Agenzia ANSA @Agenzia_Ansa]

Sono 8 mila le persone in attesa di un trapianto in Italia ma un terzo dei potenziali donatori rifiuta il prelievo e sono duemila i trapianti non realizzati ogni anno per le opposizioni. #ANSA
https://t.co/ZVvIOFC8l2

[Nick Mark MD @nickmmark]

Sometimes it takes an AI to catch an AI!

This brilliant new #GPTzero bot by @Edward_the6 can determine the probability that #gptchat was used to write text.

College profs take note!

https://t.co/NsfSV8l0tg

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[Eric Topol @EricTopol]

Coffee lovers will love this new report ;-)
https://t.co/KYNVF3jm5I
@escardio @BakerResearchAu @uk_biobank
☕️☕️☕️

[Chadi Allam @Allam93]

❗️CPR
🫀Lifesaving Chest Compressions and Electric shock!⚡️ @MattersoftheH14
Video by @DrECMO

[Amedeo Guzzardella @AGuzzardella]

❗️Dexamethasone treated COVID pts have higher cumulative risk of VAP and subsequent longer ICU LOS.
❓ How to figure out which pts benefit most from this treatment?
⁦@Crit_Care⁩ ⁦⁦@GicoBellani⁩ ⁦@MGrecoMD⁩
#dexamethasone #VAP #COVID19 https://t.co/evMoW0w4zg

[Radio3 Scienza @Radio3scienza]

Domani, alle 11.30 su @Radio3tweet, parleremo di cibo e neuroscienze con @sofia_rossi, coautrice, insieme a @ccoricelli del saggio "Guida per cervelli affamati. Perché da bambini odiamo le verdure e altri misteri neurogastronomici che ci rendono umani" (@ilSaggiatoreEd 2021).

[Armand Girbes @ArmandGirbes]

Young investigators present their study in one of the most important sessions of this congress. #LIVES40 Congratulation to the abstract award winners! And they will have free access to any @ESICM event they choose.

[Jan De Waele MD @criticcaredoc]

#LIVES2021

@ESICM will be launching #AIRSPACE - a web application to be used on smartphones, tablets or desktop computers - bringing all the information for #antimicrobial decision making to the #intensivecare clinicians at the bedside 24/
@DrMCecconi @DrStefan2 @JMellinghoff

[Paul @CaprettoPaul]

Il dottore ha insistito per non far fare a mio nonno di 116 anni la seconda dose di Pfizer. Lui testardo è andato a vaccinarsi in bicicletta.
Ieri è morto il dottore. 🤷‍♂️

'Stizia du coddidi a nonnu...

[Maurizio Cecconi @DrMCecconi]

When you choose to get your vaccination, you are not just choosing to protect yourself from #COVID.
You are choosing to protect others from COVID.
You are choosing not to overwhelm hospitals so that every patient suffering from any other disease carries on receiving the best care

[Stefano Nava @StefanoNava5]

After 55 days of break we are going to re-open our Covid unit. From the deep of my heart I want to thank the NO mask, NO vaccine, the “freedom warriors” (liberta’,libertà) the dictatorship fighters,for making their dreams come true.While you are having fun we are back to trenches

[CHEST® Journal @journal_CHEST]

Hospital-acquired infection in patients with COVID-19: Characteristics and outcomes

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

@L_Scudeller @GicoBellani @MGrecoMD @aguzzardella @SimonRedaelliMD @tomton87 @DrMCecconi @pesenti_antonio #COVID19

[Prof. Feynman @ProfFeynman]

Understand. Don't memorize.
Learn principles, not formulas. 🧠

[JAMA @JAMA_current]

Among critically ill patients requiring fluid challenges, treatment with a balanced solution compared with saline solution did not significantly reduce 90-day mortality https://t.co/zCk0c4pt8x