EM-CCM @ Advocate Christ Medical Center, formerly of @PittCCM + @upmcem. #FOAMed & #FOAMcc enthusiast. Views my own and not medical advice/not my employer’s.
Pre-print: @ColumbiaMed case series describes the ICU course of n=252 people w/ #COVID19. 73% intubated w/ median MV duration 13 days. Overall 33% hospital mortality, 18% d/c alive, most still hospitalized. Biggest mortality risk factors: age, HTN, COPD. ➡️https://t.co/Ty1jRe7yXV
Dreamers have contributed so much to our country, and they are risking their lives fighting on the frontlines of this pandemic. They deserve permanent immigration status and a pathway to citizenship—as they are Americans in every way but on paper. https://t.co/e4IYqX3WIy
ultimately, nobody knows the optimal trigger for intubating COVID patients. hopefully these concepts might help a bit in these enormously challenging bedside decisions. when in doubt, consider asking a colleague for a second opinion & seeing how the patient evolves over time.
Ok, I have to say something, especially as I keep getting pulled into in these posts. COVID-19 causes ARDS. I keep hearing the refrain that it is not ARDS because “the compliance is normal.”
Awesome round table with some of our EM/CritCare docs about #COVID19. We discussed HFNC, obesity, proning, heparin, Goals of Care convos, and ways to better align the “upstairs” and “downstairs” at @ACMCEM@DavidBarounis@ngoodmanson
people think it's bizarre, ironic, and funny when a frozen meat company points out the importance of critical thinking, but chances are the same message would never "go viral" if it was from a person. our society values entertainment over truth and that's a huge problem
Dr. Anthony Fauci: "When all this is over, and as we've said, it will end. We will get over Coronavirus, but there will still be health disparities, which we really do need to address in the African American community."
Full video here: https://t.co/3w9Yv5OBxU
friendly reminder in times of uncertainty and misinformation: anecdotes are not data. (good) data is carefully measured and collected information based on a range of subject-dependent factors, including, but not limited to, controlled variables, meta-analysis, and randomization
The @nytimes marks the deaths of many we all know and love who’ve succumbed to #COVID19, and countless more of those we love are not on this list. #StayAtHome to do your part to prevent this list getting any longer. https://t.co/jye62SDv0s
I’m just a jobbing intensivist but if there’s one thing I’ve learned from this it’s best expressed as a 10 metre high neon sign saying ‘do what you normally do’ backlit by fireworks.
Our latest report on COVID-19 and ICU admissions: baseline characteristics respiratory support and initial prognosis of 1591 critically ill patients in Lombardy, Italy @pesenti_antonio@azangrillo Giacomo Grasselli @AlbZanella@JAMA_current@ESICM 👇
Three Rhode Island Emergency Medicine Docs are headed to NYC to help: Drs. Becky Karb, Kate Moretti & Whit Fisher. Humbled by their selflessness and that of all the volunteers, and of course, their families. Paying it forward @RIACEPnews@RIMedSoc@BrownEMRes@BrownMedicine