Extubator

.

[Eric Topol @EricTopol]

Has the @CDCgov warned you about BA.5, now accounting for ~37% of Covid cases, a liability for reinfections, less protection from vaccines and monoclonals, risk of #LongCovid?
No. But it should have.
Why?
https://t.co/vwK1ZXsU7m

[Maria Dubovikova @politblogme]

18+ (21+)

Ukrainian soldiers shoot Russian prisoners of war in the legs and afterwards give them a severe beating. At the beginning of the video, there are Russian POWs lying on the ground with bullet wounds in their legs, some of them have got leg bones broken. #WarCrimes

[Maria Dubovikova @politblogme]

It might give the impression that the Russian military were captured after having been wounded. But that's not the case. At the end of the video, we can see Ukrainian soldiers shooting all the newly arrived prisoners through their legs.

#WarCrimes

[Intensive Care Medicine @yourICM]

Mortality in critically ill #COVID19 pts
➡️ 60 🇪🇸 ICUs
In 🏥 mortality 34%
➡️ 3210 pts completed 1y follow-up, 1% died after discharge
➡️ mortality 14% non-invasive vs 40% IMV
🏥 acquired pneumonia ⬆️ in who died after discharge: marker of poor prognosis?
https://t.co/syj361sVGj

[Intensive Care Medicine @yourICM]

Evolving mortality of critically ill #COVID19 adults
➡️>13K pts
➡️126 🇧🇷 ICUs
➡️60 day Hospital mortality 13%
➡️age, frailty, mortality declined over first 8 months of #pandemic
➡️non-invasive respiratory support, associated w improved survival
#COVIDFOAM https://t.co/EIVDSekKcg

[Intensive Care Medicine @yourICM]

Acute Stress Disorder in #COVID19 survivors: high prevalence!
➡️unclear memories of ICU stay
➡️feeling of complete isolation (limited possibility to communicate w families/physicians)
Asthenia & dyspnoea persist for weeks after discharge in large majority https://t.co/0GQsrfc1gr

[Intensive Care Medicine @yourICM]

Cardiogenic shock
🔸5 stages SCAI classification
🔸culprit‑lesion‑only or multivessel percutaneous
coronary intervention?
🔸norepinephrine or epinephrine?
🔸non‑pharmalogical interventions
🔸Temporary circulatory support: #IABP #ECMO #Impella...
#FOAMcc https://t.co/xwG573LiSG

[Intensive Care Medicine @yourICM]

Analgesia & sedation in #ARDS
➡️ NMBAs
➡️ protective MV w/o NMBAs
➡️ drug shortages context
➡️ administration & symptom oriented strategies
➡️ drugs choice: analgesics? sedatives?
➡️ ventilatory management first strategy
➡️ prone position, #ECMO, #COVID19
https://t.co/WriYYdweSE

[SEMICYUC @semicyuc]

“Va a haber una competencia durísima por una cama #UCI https://t.co/MTG0CbT2mc vía @el_pais con @ferrer_ricard

[Intensive Care Medicine @yourICM]

Wean/extubate critically ills
1⃣optimize (⬇️) sedation
2⃣diaphragm-protective MV
3⃣daily screen for SBT
4⃣best SBT?
5⃣weaning strategy
6⃣what if SBT fails
7⃣muscle load/efficiency ratio
8⃣weaning/extubation failure
9⃣post-extubation support
🔟 tracheostomy
https://t.co/TaYdzMvisK

[Flare ☀️ @FlareNetworks]

We named our testnet after Martha Coston who invented the maritime Flare. The snapshot of the XRP ledger for the #Spark distribution will be taken on the 194th anniversary of her birthday - December 12th 2020. https://t.co/aKAvfwMiLY
#XRP #Flare #UnlockingValue

[NEJM @NEJM]

Patients with confirmed or suspected #COVID19 were randomly assigned to receive HCQ with AZM, HCQ alone, or usual care. The primary outcome was clinical status at 15 days. There were no significant differences between groups in the primary outcome.

[Sahil Bloom @SahilBloom]

1/ An Allegory of Finance

I have been posting a lot of educational (and humorous!) threads on finance, money, and economics.

My mission is simple: to demystify these concepts and make them accessible to everyone.

All of the threads can be found below. Enjoy and please share!

[Gareth Harney @OptimoPrincipi]

1) A stranger than fiction Roman ring mystery thread: this enigmatic Roman gold ring was found in a ploughed field near Silchester in 1785. The square bezel has a portrait of the pagan goddess Venus, inscribed backwards SUNEV for use as a signet ring by the owner. Curiously...

[CHEST @accpchest]

Understand the roles of respiratory rate and dead space when implementing lung-protective ventilation: https://t.co/lNJ8v1ZRFX

#journalCHEST

[@SoMe4MV @some4mv]

RT @emireles_c: Work shifting, flow asynchrony, flow starvation. So many terms... To highlight this patient-ventilator discordance here is a very severe case and tweetorial. @msiuba @RobChatburn @siddharth_dugar @MonaresTI @DocMusician @CCF_PCCM @CleCl…

[Fede Gordo-Vidal @ventilacionmeca]

Personalización de parámetros también en pacientes obstructivos. Ajuste de PEEP en Asma grave (eliminando el fenómeno de Pendelluft

Titration of extra-PEEP Against intrinsic-PEEP in Severe Asthma by TIE .
#SoMe4MV

https://t.co/lcXdXOD9cg

[@SoMe4MV @some4mv]

RT @ventilacionmeca: Mucho por hacer en el tema de la disfagia y también en el de la disfonía tras VM. Crucial la prevención, disgnóstico y tratamiento.

Interventions for oropharyngeal dysphagia in acute and critical care: a systematic review and meta-a… https://t.co/6bxbP6LqKH

[the Juice Media @thejuicemedia]

The Government™ has made an ad about the global response to the pandemic, and it's surprisingly honest and informative 🌏📺

👉 We're on Patreon: https://t.co/gHLr8lwdS2

[SEMICYUC @semicyuc]

Futuros R1, si estáis pensando en #MedicinaIntensiva como vuestra especialidad, aquí os resumimos lo más importante para ayudaros en vuestra decisión. ¡No os arrepentiréis!
Más info 👇 https://t.co/fx0X91qrzD #EligelaUCI #2MIR20 #MIR2020 #MIR2020Abierto