Amit Sewak

[Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 @EMSwami]

Some great clinical teaching today on shift
- LVO Stroke
- Urine Tox
- Variceak bleeding
- Back pain red flags

[Aiyaz Sayed-Khaiyum @AiyazSKFiji]

Threats to our environment (and ocean) are threats to global peace.

I look forward to lending a voice to the Pacific, and all Small States, with the international panel guiding @SIPRIorg's Environment of Peace 2022 initiative.

Together, we can cultivate a climate-secure future.

[Dr I Waqainabete @Nadokoulu]

At Namau water project the Hon PM opened this massive development providing fresh water all the way to beyond Korovou town.

[Dr I Waqainabete @Nadokoulu]

Sawakasa village in Tailevu North this mane with several hundred meters of streetlights.

[Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 @EMSwami]

BREAKING: HALT-IT Trial (TXA in GI bleed) published https://t.co/rICXiD07J0

Death from bleeding @ 5d: No stat sig diff
Death from any cause @ 28d: No stat sig diff

No diff in any secondary outcomes
VTE higher in TXA group 0.8% vs 0.4%

TXA should NOT be given for GI bleeding

[Peter Horby @peterhorby.bsky.social @PeterHorby]

Dexamethasone saves lives in COVID-19. RECOVERY trial shows dexamethasone decreases risk of death in those needing oxygen by 20%, and by 35% in those on a ventilator. On the shelf, cheap and can be taken by everyone - a real breakthrough.

[Aiyaz Sayed-Khaiyum @AiyazSKFiji]

Fiji’s total number of #COVID19 tests per confirmed case (a metric that more accurately captures both our low infection rate and the strength of our testing capacities and protocols) ranks us among the top countries in the world –– alongside both New Zealand and Australia.🇳🇿🇦🇺🇫🇯

[Salim R. Rezaie, MD @srrezaie]

CENSER Trial: Early Use of Norepi in Septic Shock via @TheSGEM https://t.co/ErzBn0dKB4 #FOAMed #FOAMcc

Early norepinephrine improved "numbers" (monitor oriented outcomes), had a trend toward improved 28d mortality (not statistically significant) that needs replication

[Rick Body @richardbody]

Fascinating news on remdesevir for #COVID19 in the last 24h. This seems to be the story...
@TheLancet published a negative trial - no benefit
https://t.co/198XavmiPs
...

[Salim R. Rezaie, MD @srrezaie]

THE BEST LECTURE I HAVE SEEN on RV Failure via @SaraCrager from @emcrit https://t.co/MDhkxQcd1g #FOAMed #FOAMcc

[Dr I Waqainabete @Nadokoulu]

Dr Amit and Dr Shivani are the Specialists on at ED at CWM. We discussed their COVID19 approach and how connected they have been with all the Health facilities that refer to them. Vinakavakalevu Team ED

[Dr I Waqainabete @Nadokoulu]

With the Hon PM @FijiPM we visited with @inia_seruiratu @JoneUsamate the COVID19 Intensive Care Unit at CWM headed by Dr Luke Nasedra the Medical Supritendant and Consultant Anesthetist. #Veilomani #TogetherWeCan #BreakTheChain

[Salim R. Rezaie, MD @srrezaie]

Not an Intensivist...frontline ED doc trying to do the best for my intubated #COVID19 pts...Use Vol-AC on ventilator (bc it's the mode I am most comfortable with)...using driving pressure to help with PEEP level determination...Feedback welcome #COVID19FOAM

[C0m@ @Paintothal]

2nd patient COVID 19 with need of ECMO. They both suddenly became impossible to ventilate. We managed to have a CT scan for one of them. Did you have some similar cases? (Yes, this is lung window) @fluidloading @PulmCrit @emcrit @srrezaie

[Dr I Waqainabete @Nadokoulu]

With ⁦@inia_seruiratu⁩ & ⁦@JoneUsamate⁩ we inspected some of the Cyclone rehabilitation that Fijian Government and other development partners such as ⁦@AusHCFJ⁩ & ⁦@JCurrNZ⁩ have prepared for Tc Harold relief. #Veilomani #TogetherWeCan #BreakTheChain

[Kurt Lucas, MD (blue check) @KurteL10]

Emergency Medicine: the speciality every other speciality thinks they can do better, until they have to do it.

[Dr I Waqainabete @Nadokoulu]

It’s is cool to be alone. Like “Survivor”, Social Distance. Personal and Hand Hygiene. Do not commune. Do not invite people over to socialize. The weakest link is a chain connected. #BreakTheChain #Veilomani #TogetherWeCan

[Dr I Waqainabete @Nadokoulu]

For COVID19, It is cool to be alone. You are never alone. This storm will pass. Social distance, stay home, personal and hand hygiene. Our weakest link is a chain connected. #BreakTheChain #Veilomani #TogetherWeCan

[Dr I Waqainabete @Nadokoulu]

From Dr VolaVola and his ED Team to Dr Turagava and his Surgical Team; CWM continues to review its strategies on this COVID19 fight this mane. #Veilomani #TogetherWeCan #BreakTheChain