Beyond excited to continue my training as a critical fellow @McMasterU next year. Thank you to everyone who supported me, cannot wait to start this new chapter!
@Dr_Forza Should definitely consider and perform 60/60 sign, DVT assessment
(In this case, it was not PE; just put this up to warn hypotension ≠ indication for fluids)
@British_Airways I am desperately attempting to get through to your call centre as I need to change my flight that is scheduled to leave tonight.The call continues to be dropped and the online platform is having technical difficulties. Do you have any suggestions?
When explaining critical illness to patients + families I use layers:
1st layer = pre-ICU functional status/comorbidity
2nd layer = source of critical illness
3rd layer = effects on the body (multisystem organ failure)
4th layer = any secondary complications
#medtwitter
Our youngest vaccine-eligible age groups are furthest behind in vaccine uptake.
Members of these groups may be more likely to listen to artists, musicians, athletes & other SoMe influencers on the benefits of vaccination vs MDs on Twitter/MSM.
Please make your voices heard.
@drdangayach@virenkaul@Chaeface@HarpreetSGrewa1@ogi_gajic@PulmCrit I follow the guidelines - I do not do a cuff leak test unless the patient is high risk, and if no cuff leak (I will repeat with RT present to confirm) then I give steroids and extubate later the same day or next morning. https://t.co/BEdqCuHWHo
ICU stories: Middle-aged pt with cirrhosis presented to the ED with abd pain and underwent Hartmann's procedure (colectomy - end-colostomy). Next am, pt was hypotensive on rising levo gtt (0.24 from 0.1) and ⬆️lactate (3.4 -> 6.7). S/he was positive 8 liters in 12 hours 😱
Starting the morning with live COVID-19 airway simulation. Great example of imagining simulation beyond the high fidelity experience.
1. HFNC and awake proning 1st
2. BVM with V-E technique and HEPA filter
3. VL > DL
4. Use a neuromuscular blocker
#CHEST2020#CHESTCritCare