@SkylerLentz I wouldn’t rely on “good fit” to prevent spread of aerosolized droplets from NIV - patients get cray sometimes and rip it off anyhow. Our approach (as you may know 😉) is to go in sequential order: Hudson nasal cannula->Oxymizer->NRB->HFNC and low threshold to intubate.
Been saying it for a while - ⚠️YOUNG PEOPLE ARE NOT INVULERNABLE⚠️. “New C.D.C. data showed that nearly 40 percent of patients sick enough to be hospitalized were aged 20 to 54.” ➡️ Please be responsible and don’t bring the virus home to grandma. #COVID19 https://t.co/09NqXsTB0S
only 62/201 got methylpred and +/- multiple agents with unknown effect; prone to expectation bias, confirmation bias in a time when WHO etc recommends AGAINST steroids while most patients in China GOT steroids. conclusion: inconclusive.https://t.co/x7wKL27bZi
@PulmCrit Outbreaks come in waves. Expect multiple. Important not to deplete resources on the first one...the healthcare and first responder work force tends to thin out as time goes on.
This morning I am teaching salt and water physiology, hyponatremia, and hypernatremia to M2s. I have 95 minutes. When teaching this to reisdents I get 1 hour to hyponatremia alone. I am not surprised by the massive confusion about hyponatremia. #HyponatremiaIsHard
Rat bite fever is caused by S moniliformis (US) or Spirillum minus (Asia). Transmission also occurs by ingesting food contaminated by urine of colonized rats, causing a syndrome known as “Haverhill fever." https://t.co/lCXUji0eQy
so it turns out that obstetrics is kinda complicated... perhaps we should leave this to obstetricians (not politicians)? @DrJenGunter https://t.co/JIpOeOhXKW