Marcus Lindahl

Anesthesiologist. Likes EM, CC and prehosp education

[Marcus Lindahl @marlindrome]

@WildernessEMC @EContantMD @CHUVLausanne I deleted one of my statements since I commented on another study, not the validation study, but rather one on potassium and avalanche victims, sorry my mistake. This is a study where vitals signs and temp would fare better than potassium: https://t.co/GE17w98q5s

[Marcus Lindahl @marlindrome]

@WildernessEMC @EContantMD @CHUVLausanne I would be happy to hear your opinions on this. Maybe I have misunderstood important nuances in this research field

[Marcus Lindahl @marlindrome]

@WildernessEMC @EContantMD @CHUVLausanne 4. Fortunately for the 7y girl in Gothenburg 2010 who survived despite potassium>11, the clinicians did not use the HOPE-score.

[Marcus Lindahl @marlindrome]

@WildernessEMC @EContantMD @CHUVLausanne 2 As I understand it, the HOPE-score is based on a data-set during a time period when high potassium was increasingly considered a marker for low survivability. So it becomes a self-fulfilling prophecy.

[Marcus Lindahl @marlindrome]

@WildernessEMC @EContantMD @CHUVLausanne 3 There are probably less survivors with high potassium in the data-set, because they would simply be declared futile cases. If I’m wrong here, I would really like to be enlightened.

[Marcus Lindahl @marlindrome]

@WildernessEMC @EContantMD @CHUVLausanne I think the circumstances in central Europe having a lot of cases with historically bad outcomes requires a balanced approach, which the researchers behind HOPE-score is addressing in a thoughtful manner. Too much futile ECMO will of course impact the wellbeing of other patients.

[Marcus Lindahl @marlindrome]

@EContantMD @CHUVLausanne outcome I wouldn’t use it as a lone predictor. I also have some issues with the HOPEscore. It is nice to see the statistics, but I would just use it as one factor among many to weigh in

[Marcus Lindahl @marlindrome]

@EContantMD @CHUVLausanne I think there are a lot more nuances to hypothermia. For instance, The cut off for potassium have constantly been pushed upwards, from 8,9,10 and now 12. I wouldn’t be surprised if yet higher levels of survivability will emerge. While high potassium certainly is a marker for bad

[Marcus Lindahl @marlindrome]

Incredibly important to study basic skills and equipment, sometimes you’ll be surprised: https://t.co/cBJOYulJUK

[Marcus Lindahl @marlindrome]

@Kit_Yates_Maths @VickiGSP Is it possible to 3D animate the spikes to se how they fit our tastebuds receptors? Sweet or sour taste?

[Marcus Lindahl @marlindrome]

@Kit_Yates_Maths @VickiGSP What does it taste like?

[Kit Yates @Kit_Yates_Maths]

The total volume of SARS-CoV-2 in the world could fit inside a can of cola.

https://t.co/T6KbBrDi1z

Calculation by me. Animation by @VickiGSP

[Marcus Lindahl @marlindrome]

@ThinkingCC a, but to me it seems more like a failure of DNR. Half of the deaths received CPR. That is certainly not the norm in my ICU, although an unknown disease understandably makes the desiscion harder

[Marcus Lindahl @marlindrome]

@ThinkingCC The study is interesting and adds data to the c19 puzzle. However, I wonder what the mortality of a icu-cohort with 2/3 p/f <100, 90% resp cause of CA, obese or morb obese, 1/2 in septic shock is without SARS-cov2 infection? I’m not familiar with the healthcare system in Georgi

[Marcus Lindahl @marlindrome]

Short and to the point. Aerosol spread in covid is a reality and why it is important, but not that a big deal. Most people in healthcare seems to have adopted this pragmatic stance anyways

[Justin Morgenstern @First10EM]

Aerosols have been downplayed in many circles throughout this #COVID pandemic
In this (open access #FOAMed) EM:RAP segment, I discuss why that is a mistake based on the best science we have available
https://t.co/Pq4uHZVg4N

[Marcus Lindahl @marlindrome]

Ecmo for vf cardiac arrest. We need a multicenter study now , but will it be ethical? https://t.co/0ISxAf0Kl6

[Alasdair Munro @apsmunro]

I’m trying to think of what could be more cruel than a pandemic where both the virus, and the measures used to control it, disproportionately affect and burden the most disadvantaged and vulnerable members of society