Nathan Swinger

Pediatric ICU doctor and amateur chef

[Adi @IDdocAdi]

Leucocytosis be like https://t.co/1xChxuGMMv

[IUPICU @iupicu]

He's making his list & checking it twice! Santa popped into the Riley PICU to see if our Silver team was on the nice list. @CmRowan @nswinger1 @Aehanson6 @RileyChildrens #PedsICU

[Gabriel Bosslet @gbosslet]

I don't know who needs to hear this but

If you show up to a fellowship interview and they scoff at the fact that you aren't wearing pants, ask yourself if that is a program that you would want to match at anyhow

[IUPICU @iupicu]

2022 Fellow Simulation Boot Camp is in the books! A joint effort with PICU/PEM/Peds Hospitalist that allowed all to learn as a team. #PedsICU @nswinger1

[IUPICU @iupicu]

Meet one of our 1st year fellows: Jatinder Dhami! Jatinder is new to Indy but is loving it so far! You can catch her at Livery & downtown or exploring Fountain Square for plants, records, and coffee places. #PedsICU @CmRowan @nswinger1

[Nathan Swinger @nswinger1]

@ArielG_RRT @ventilacionmeca @DocMusician @DrMiguelIbarra1 @msiuba @emireles_c All true. But IMO more a product of the way vents developed historically than a meaningful difference wrt your question. If VC had early allowed exponential decelerating flow instead of a ramp PRVC would be a VC mode now 🤷🏻‍♂️ For monitoring in this patient it acts like VC

[Nathan Swinger @nswinger1]

@ArielG_RRT @ventilacionmeca @DocMusician @DrMiguelIbarra1 @msiuba @emireles_c 3) our unit typically uses VC (PRVC) so the bedside staff are much better at monitoring PIPs. Put together I think monitoring/adjusting is easier using VC in kids. That said you can def manage in either mode. It just is much easier with VC in my population 3/3

[Nathan Swinger @nswinger1]

@ArielG_RRT @ventilacionmeca @DocMusician @DrMiguelIbarra1 @msiuba @emireles_c So small absolute TV changes are higher %change. With significant secretion burden and potentially high response to bronchodilators, it’s easy to dangerously hyperexpand or underventilate patients before the vent alarms. 2/

[Nathan Swinger @nswinger1]

@express_you @KK_medicine I was curious so I checked out the inflation calculator. REALLY similar to most resident salaries now. But the hours are better!

[Sunny @sunnyright]

Good news: Sweden is sending weapons

Bad news: Gotta assemble them yourself

[Nathan Swinger @nswinger1]

Wordle 211 3/6

🟨⬛🟨⬛⬛
🟩🟨⬛🟨⬛
🟩🟩🟩🟩🟩

[IU Health @IU_Health]

Weekly IU Health COVID-19 Update - https://t.co/giRMqiU3HF

[Jessica Little, MD @JessicaLittleMD]

If one page could sum up being in ID right now…

#IDtwitter #MedTwitter #TXID #Covid #thankyouforthisconsult

[Nathan Swinger @nswinger1]

@ArielG_RRT @msiuba @emireles_c All the Ti are identical so either C or AC. Patient can trigger breaths so must be AC. Pressure regulated with exponential flow decay on vent triggered breaths so PC or PRVC - prolly PRVC. Pretty sure the patient is actively exhaling during Ti bc P overshoots the regulated value

[Indiana Department of Health @StateHealthIN]

Each person represents 10 Hoosiers that were hospitalized, admitted to the ICU or died from COVID-19 during the week of Sept. 5.

The best protection against serious illness is to get your #COVID19 vaccine.

Find a location near you at https://t.co/yjsFrp1ayI

[Gabriel Bosslet @gbosslet]

IU Health Academic Health Center current hospitalization data

Keep in mind Indiana is at about 50% vaccinated at this point. So if vaccines didn’t work, it should be equal numbers of vax and unvax hospitalized.

Vaccines clearly keep people out of the hospital.

Get the shot.

[Nathan Swinger @nswinger1]

@areinamo21 @JennaMillerKC Congrats Igor!! Very well deserved!

[Josh Farkas MD 💊 @PulmCrit]

fresh RCT on the effects of a continuous infusion of hypertonic saline for traumatic brain injury (#1/6)
https://t.co/obN9oagCCz

[IUPICU @iupicu]

Cureus | Using a Semi-Structured Qualitative Interview to Evaluate Pediatric Interns’ Use of the Electronic Medical Record in a Simulated Setting https://t.co/E8TXxFfNfH