Maddow: "What they want least of all is to realize that half the country went to bed sad tonight but then woke up tomorrow fired up with a new sense of purpose knowing that apparently this is what we're on this Earth to do as American citizens in this generation."
New SCCM/ASHP guidelines on stress ulcer prophylaxis (SUP) in the ICU.
They've been promising us this guideline for about a decade, and it's finally here!
Let's take a look! (#1/n) 🧵
(full text: https://t.co/hJDmvd4pXv)
A case everyone needs to know:
A man admitted for CHF exacerbation is normoxic on ambient air. POCUS shows bilateral pleural effusions.
He develops Afib w/ RVR (HR 150s). A med is given. Suddenly he develops hypoxemia (SpO2 84% on NC, 94% on NRB).
What med & what happened?
1/
Sometimes I think how prescient the design of sick bay was in #StarTrek:
In ICUs of the 1960s, vital signs were written on clipboards at the foot of the bed & telemetry was on tiny oscilloscopes.
It was so futuristic to imagine big flat screen vitals at the head of the bed!
This story is horrifying. An LASD officer followed a trans man who was leaving their teaching job, then brutally attacked him without provocation. The reason given: an air freshener. The deputy was not disciplined; the victim was charged with a felony. https://t.co/Yr7xPOWmnC
shameful how the "white Christian majority" seems to hate the rest of America & to use any ruse to chip away at their rights. it's like watching a great beautiful creature like a whale being destroyed by thousands of small cuts before our eyes.
https://t.co/bx1ZjuEfWS Racism is alive and well in medical education, and we need more people like Dr Ray to call it out. @lvhemres do you really have a policy that residents can't wear #BLM clothing? and you singled out your one black resident to enforce the dress code? gross.
You can grab a free N95 masks at the following locations (🧵):
In @NYCTSubway stations:
- Grand Central 4/5/6
- Fulton St 4/5
- Penn Station 1/2/3
- Jamaica Center-Parsons/Archer E/J/Z
This is my dear friend, Nakita.
Nakita and I were medical school classmates and both interns in New York City. Nakita tragically took her own life on May 26.
She is such a beautiful soul. She was so fun to be around. She was intelligent, charismatic, and confident. (1/x)
A heart transplant recipient was arrested after a dispute with a neighbor over WiFi. Jail officials refused to let him take his transplant medication for two days. He’d waited 12 years for a heart. His body rejected the heart, and he died.
https://t.co/c6ZfNSL2r4
This is Jordan Neely.
On Monday, he was lynched.
On the NYC subway he started telling passengers that he was fed up being hungry, thirsty and having no place to rest. He began to shout in his frustration, and threw his jacket on the floor.
An ex-marine then murdered him.🧵
Researchers who study Type 2 diabetes have reached a stark conclusion: There is no device or drug powerful enough to counter the effects of poverty, pollution, stress, a broken food system, cities that aren't walkable, and inequitable access to healthcare. https://t.co/aQUve1pQW1