Chian Wern Tai

Paediatric Intensivist
🇲🇾. #PedsICU Views are my own.

[Bob Wachter @Bob_Wachter]

Covid (@UCSF) Chronicles, Day 838
The die is now cast: BA.5 is destined to be our dominant virus.
In today’s 🧵I discuss the implications on the course of the pandemic, and how to think about responding.
(I use “BA.5” & not “BA.4/5” since BA.5 is poised to outrun BA.4.). (1/25)

[Chian Wern Tai @cwtai]

@KKMPutrajaya @Khairykj @DGHisham Why is the duration for casual contacts not revised accordingly too?

[Michael Bang Petersen @M_B_Petersen]

Today, Denmark lifted all restrictions & COVID-19 is no longer deemed a "societal threat".

I led the country's largest behavioral covid-project (@HopeProject_dk) & advised the Danish gov.

Here are my thoughts on how DK got here, what can be learned & what lies ahead.
🧵 (1/14)

[Chian Wern Tai @cwtai]

@MYVaccineCount @Khairykj @henrylim96 @embr @roshennn @lumsterdumpster @KKMPutrajaya Great work!
Just a minor mixup of some state flags.
Aplaud the way you all presented the data with more sense!

[Christopher Lee @chriskc_Lee]

Unfortunately, we've seen significant no. of pts taking ivermectin at home, coming in with severe COVID. Some of them are not even vaccinated. Please don't neglect what is a given; Vaccines work & it can save yr lives.

[Zaf @drzaf_pic]

Next @Bham_Childrens @PICU_BCH #pedsicu study day - facilitated @drsmileyarun with global expert speakers @MignonMcCulloch @aakashdeeparora @davidgrantsim @slgold777 @rajitbasu @rhiani101 @eclsbch et al
Free!
👉 https://t.co/93XTAuCXtf

@WFPICCS @RCPCHtweets #BCHrenal21

[Chian Wern Tai @cwtai]

Real world data from CDC: mRNA vaccines efficacy against delta variant=66% (95%CI 26-84) vs Pre-delta= 91% (95% CI 81-96) https://t.co/aaZ15KmkuQ @JKJAVMY @DGHisham @KKMPutrajaya

[medRxiv @medrxivpreprint]

Pediatric critical COVID-19 and mortality in a multinational cohort https://t.co/321gzjbedo #medRxiv

[Chian Wern Tai @cwtai]

Real world study in Guangzhou regarding efficacy of Sinovac and Sinopharm vaccines against Delta strain.
The inactivated vaccines were 70.2% effective against moderate infections and 100% against severe infections. https://t.co/tsZzXFaDyo @JKJAVMY @KKMPutrajaya @DGHisham

[Chian Wern Tai @cwtai]

Invaluable free ICU resource for doctors, nurses and allied healthcare professionals https://t.co/C8EqOySdPL
#myosler #PedsICU

[Mark Russell @dr_mark_russell]

Haem Onc #PedsICU study day on the 21st July via zoom - free registration - excellent speakers from UK and internationally. Please register on the following link - https://t.co/H85Ijc7J3q @drzaf_pic @PICJournalWatch @SapnaKmd @MiguelrrMD @pus27 @GraemeMacLaren @drsmileyarun

[Dr Greg Kelly @drgregkelly]

"We call on regulatory bodies..to conduct immediate review of the accuracy of pulse oximeters in patients of colour & to only approve oximeters proven to perform equivalently in White patients and patients of colour in clinically relevant range of 88–96%"

https://t.co/HdA40rvpUA

[Chian Wern Tai @cwtai]

https://t.co/pqag6ZTan6

[Chian Wern Tai @cwtai]

@emiwark What's the average income in USD?

[Yonca Bulut M.D. @yoncabulutmd]

Essential for #PedsICU Training
#5 is especially important
@PIPSQC @uclapicufellows @UVA_PICU @StanfordPICU @CHLA_PCCM @ACHPRPICU @areinamo21 @EmoryPedsICU @RatnaBehal @JHPICUFellows #MedTwitter
Breaking bad news: what parents would like you to know https://t.co/EUTZTi3H5X

[Zaf @drzaf_pic]

Next @Bham_Childrens @PICU_BCH trainees study day is open for registration.

24th March 👉 https://t.co/U9nwmuN3e1

. @WMPaeds @Wilkinsonjonny @ongsoomay @shibikomtamirat @sgdambrauskas @MiguelrrMD @WFPICCS @PICSociety @yoncabulutmd @VSLanziotti @PravinPICU @SapnaKmd #PedsICU

[Chian Wern Tai @cwtai]

@Khairykj Please consider sending to private hospitals, especially those that helped @KKMPutrajaya treat Stage 4 and 5 covid patients

[Nick Mark MD @nickmmark]

🚨Exciting results from the #RECOVERY trial #preprint of #Tocalizumab (Toci) in hospitalized people w/ #COVID19
-reduced 28-day mortality (29 vs 33%; NNT)
-decreased likelihood of requiring MV (33% vs 38%)
-shorter hospital stay (median 20 vs >28 days)
https://t.co/6olc1P7Ilv
1/

[Marilyn McDougall @docmcdevelina]

In case you missed the PanLondon webinar on PIM-TS hosted by @thames_south and @NorthThamesPN featuring colleagues from @EvelinaLondon and @GreatOrmondSt you can catch up at https://t.co/YMEpZA3CCi

[Nick Mark MD @nickmmark]

🚨Brand new ICU #OnePager 1️⃣📟 in collaboration with @MRamzyDO on #Lactate / Lactic Acidosis🧪including why it’s made, how it’s cleared (70% liver, 20% kidney), and a framework for thinking about VO2/DO2 & Type A/B/D lactic acidosis.