(1/20) Just finished leading a conference about #COVID19 and hematology. >50% of my citations were preprints, so that got me thinking: why write my own preprint when I can just do a tweetorial? So here goes: 🎺🥁[fanfare] COVID-19 for the HEME CONSULT fellow or attending.
The need for virtual training on how to use mechanical ventilators is in high demand. Our Ventilator Simulator lets you train prior to caring for patients in the ICU. Upgrades include #COVID19 patient cases & most recent peds & adult ventilation guidelines https://t.co/G7tHJfLu4h
Just finishing 5 days as crit care consult. The ? was the same, over and over. Progressive hypoxemia: do we intubate? I always looked at the work of breathing. Total: 52 patients over 3 weeks & 3 services. 1 d/c home. 11 died. The rest remain in hospital, almost all intubated.
COVID Lesson #1 from past 24hrs call in NYC. Don’t intubate for low sats - tolerate sats in 80s if pt mentating and comfortable. Confirm no CO2 retention and keep the tube away!
@NMakhdami hey Nima, so apparently you need to find a supervisor and fill the forms available at the website. I haven't been able to find any supervisor in Toronto. if you have any leads, let me know and best of luck!
This Detroit bus driver made a video asking people to take the coronavirus pandemic seriously. He was upset about a passenger who wasn't taking measures to cover a cough while on his bus.
Four days later, he got sick. On Wednesday night, he died. https://t.co/aZ03XjEZcc
the movements in and out of exposure, every few days, if one gets infected, increases the risk of viremia without typical symptoms, and is how this is moving around. i would suggest to @JustinTrudeau and @fordnation to strongly consider this approach. ask PH to do the models.
For me, this chart is the most alarming of the latest batch.
US & UK daily death tolls are accelerating in a straight line on a log scale chart, i.e still increasing exponentially.
~All other countries had begun slowing the rate of increase in deaths by now.
#COVID19 won't go away. It'll infect the southern hemisphere as they winter and will want to come back to U.S. in fall. But we'll have a massive surveillance system by then, and I believe more than one drug to both prevent and treat infection. Our tool box will be very different.
Let's crowdsource this
If you are a health care provider..
Anonymously add your hospital's PPE standards for all pts, suspected COVID, known COVID and Aerosolizing procedures to the spreadsheet
Pls RT if u r interested in seeing these data
https://t.co/OWDEdoMaPY
12/ In a "Stimulus Bill" we MUST include support for frontline practices. It's moving quickly, and I don't know when there will be another chance, if ever
This string has details on what physician orgs are asking for.
simple/fast: primary care fee bump
https://t.co/tEYhuD9N8q
This will be very useful for patients who don't quite need intubation and are not doing well on plain oxygen alone. The Italians have been using CPAP helmets, which are now in short supply. This should help a lot!
@choo_ek Yes, been saying this for weeks. In general, for PCR, a positive is true positive but a negative can be a false negative. 30% of negative results are actually false negatives for SARS-CoV-2 so if have high clinical suspicion, best to assume positive.
Spotted this being shared around, and I can't help but think journalists need to see this more than anyone. We can't control how public health officials are sharing key information, but we *can* translate it into clear, concrete messaging for the public.
https://t.co/4pwGoxZ4CZ