Robert Alunday

Neurocritical Care, Emergency Medicine. Opinions are my own, not my employer’s, and not medical advice.

[Josh Farkas MD 💊 @PulmCrit]

PSA: 📢 the mRNA vaccine is 95% effective (amazing!!). it will be given to *millions* of people, so we *will* be hearing about many vaccine failures (5% x millions). anyone who doesn't understand percentages is welcome to repeat elementary school, via zoom. that will be all.

[NEJM @NEJM]

High-titer convalescent plasma was compared with placebo in older adult patients within the first 3 days after the onset of #SARSCoV2 symptoms and infection. Disease progression was half as common in patients who received convalescent plasma as in those who received placebo.

[Robert Alunday @robalunday]

@ResusPadawan 23 hours and no likes or comments... I think only 1 of those 3 descriptions is accurate :)

[Paul Krugman @paulkrugman]

The new Eurostat numbers say that Sweden and Denmark have had identical economic performance: ~8% GDP decline over past year. So all Sweden got from its herd immunity strategy was a bunch of dead Swedes https://t.co/2HGCAX8TcP

[Robert Alunday @robalunday]

@ResusPadawan @unm_emed @DarrenBraude @DianeRimple @EMSDrDrew @EMSDrDorothy @tdettmer13 Hands down, it’s the people I work with. There is also amazing resuscitations, eCPR, advanced neuro monitoring in the NeuroICU.

[KRUPALI @krupali]

This is a GREAT video on how to take off #n95 masks and store! #covid19 #medtwitter #radonc @choo_ek

[Tim Hogan @timjhogan]

.@nytimes has video from a hospital in Elmhurst, Queens. It is horrifying.

“We had to get a refrigerated truck to store the bodies of patients who are dying.”

“Five ventilators...there’s a mythical 100 ventilators out there that we haven’t seen.” https://t.co/zARPofu6pS

[Josh Farkas MD 💊 @PulmCrit]

we need to talk about COVID DIC. It *really* seems like a subset of these patients require therapeutic anticoagulation for management of a hypercoagulable form of DIC with elevated fibrinogen... (#1/6)
(IBCC section on COVID DIC: https://t.co/rQkWI4DfEK)

[Siyab Panhwar, MD @DrSiyabMD]

@psrao92 @PulmCrit Agreed! Below is a saddle embolus in a man in his 30s admitted with COVID. D-dimer, ferritin all increased. At our center we are finding DVTs in almost all of our sick COVID patients as well.

[Anna Podolanczuk @AnnaPodolanczuk]

Today.

I told a 28 year old that he needs intubation. He was scared. Couldn’t breathe.

I told the wife of a 47 year old that he is dying over FaceTime.

I bronched a #COVID19 patient who mucous plugged. It saved his life. Risked mine.

[Thoracic Surgeon - Joel Dunning @joeldunning]

I have changed from being a consultant thoracic surgeon to an ICU Nurse to help with the intense pressures on our ICU now. If like me you are in the NHS but working less to free up space for COVID patients, can I encourage you to #put-in-a-shift in your ICU to help them out !

[Ian Haydon @ichaydon]

I've been admitted into the 1st COVID-19 vaccine trial.

I'm grateful for my health. For the 1000s of scientists who brought us here. For the team that developed this vaccine (@NIH, @moderna_tx, et al). For @KPWaResearch, and the nurse who came out of retirement to draw my blood

[Cedric Dark, MD, MPH, FACEP @RealCedricDark]

Every email I send to a colleague these days seems like a Civil War letter.

[@jschuurmd.bsky.social 🟧 @JSchuurMD]

"is #COVID19 airborne?"
The #1 concern among my faculty, residents & APPs…
So let me explain why I believe the @WHO & why I am OK wearing a surgical mask for my entire shift (& safety glasses & handwashing!) AND only wearing N95 (or CAPR) during aerosol-generating procedures
1/

[Robert Alunday @robalunday]

Be careful out there guys. ACEP // Two Emergency Physicians in Critical Condition https://t.co/HfCPOckRn4

[Anthony Lewis @OSWinNSW]

Finally, the toilet paper-ICU link you were all looking for.
#COVID19Aus

[Robert Alunday @robalunday]

@KOB4 This makes me sad

[UNM Health Sciences @UNMHSC]

Taking protective social measures – canceling events, working from home, self-quarantine, etc. – can help slow the spread of an outbreak such as the Novel Coronavirus (COVID-19.) Epidemiologists call this strategy #flatteningthecurve, and it looks like this: