I also created At Home #BreathingExercises for patients discharged home with #COVID19. Feel free to use. Also available in Spanish.
https://t.co/JxeKSXPAB3
As @zalaly and colleagues previously published, the number of reinfections is associated with higher risk of #LongCovid
https://t.co/1ZMbAnnO2K
Prior and new report, side by side, note similarities in direction and magnitude of risk
If you intubate you need to read the #PREOXI trial!
-n=1301 people requiring intubation in ED/ ICU were randomized to preoxygenation with oxygen mask vs non-invasive ventilation (NIV)
-NIV HALVED the risk of hypoxemia: 9 vs 18%
-NIV reduced mortality: 0.2% vs 1.1%
#CCR24
🧵
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A case everyone needs to know:
A man admitted for CHF exacerbation is normoxic on ambient air. POCUS shows bilateral pleural effusions.
He develops Afib w/ RVR (HR 150s). A med is given. Suddenly he develops hypoxemia (SpO2 84% on NC, 94% on NRB).
What med & what happened?
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I often teach the a few core principles of what makes ICU decision making different from treating what appears to be similar problems on the med-surg floors. Here are a few principles I emphasize, in no particular order...🧵
New data from our lab @BarouchLab on the Neutralization Escape of BA.2.86, FL.1.5.1, EG.5.1, and XBC.1.6. We had a well-defined cohort of 66 participants, with people who did and did not receive bivalent mRNA vaccines. A thread🧵.
This statement is a step in the *wrong* direction, after the ATS correctly recommended eliminating race-based PFTs.
It’s allready overdue that we eliminate race-based PFTs.
ATS statement: https://t.co/2sSpUhXCWe
We have previously published on the concept of #LiftAsYouRise where at @WIMSummit we have been able to give students leadership opportunities to co-moderate panel discussions on the mainstage, which has led to further leadership opportunities for them as trainees early on
This paper was a labor of LOVE & highlights some of the ways we should be thinking about #MedEd and reworking the way we think of leadership @MarahKays
Flattening Hierarchical Structures to Empower Women Trainee Leaders on Social Media Teams
A short 🧵
https://t.co/theUOYH8mw
Nurses save lives.
I see this all the time in the ICU.
It's a curious thing - both obvious, yet also frequently overlooked.
🙏Thank you for everything that you do.
#NursesWeek
ICU stories (a brief one): A 40+ yo pt w hx of bipolar disorder/asthma/GERD/HTN was brought to the ED by EMS after his wife found him lethargic ("altered mental status"). Apparently, he had spent the previous 2 days isolated in his forest cabin. Upon ED arrival, he was obtunded
“ICUs should focus on increasing the involvement of nurses in decision-making and improving the ethical decision-making climate.” 👏👏 👏
challenging ethical problems should be approached in a team-based collaborative fashion, not a top-down physician-dictated manner. #teamICU
Important new report on #LongCovid and the brain demonstrating persistence of the virus spike protein, throughout the body and particularly the skull-meninges axis, both in humans and the mouse model
https://t.co/tcOywXMafL by @erturklab@zhouyi_rong@HongchengM@Sakethkapoor