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#Intubated
John Mandrola, MD
drjohnm
Well, after dismissing the observational trial of remdesivir for #COVID19 last evening. I wake to find a surprise that causes me to relook.@EricTopol, who is an experienced and thoughtful scientist
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ice9
__ice9
Another reminder that outcomes for intubated patients with this disease are... not great.The sorts of vent settings required to keep them from dying of hypoxia tend to further intensify the
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Matt Mireles
mattmireles
COVID-19 is NOT ARDSEarly intubation + high PEEP to treat hypoxemia may hurt patients"It seems to be some kind of attack on the capillary-alveolar interface combined with some kind of
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faruq
faruqzulkafli
Back in 2018there was one caseโSalam, ni Dr Far** ke,houseman Peadiatrics in-charge ED kan? Haa ni ada satu patient,kami dh refer pada your senior Mo peads oncall dh just now.
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Shannon Last
shannon_last
I have a favor to ask you. But first, a story to tell. A story some of you know. Nine years ago today, my nephew Aidan was born. My SIL
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David Furfaro
david_furfaro
1/ A Tweetorial on ventilator waveforms and vent dysynchrony. Share any videos of vent dysynchrony if you have them! @cardionerds @Sam_Brusca @CPSolvers @DxRxEdu @WApplefeld @AnnaPodolanczuk @OslerResidency @sanjayvdesai @ATSCritCare @Colum
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Matt Mireles
mattmireles
Treating hypoxemia caused by COVID-19 with early intubation + high PEEP may hurt patients"It seems to be some kind of attack on the capillary-alveolar interface combined with some kind of
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Anand Swaminathan
EMSwami
Notes from the Front Lines: w/ 2nd wave bearing down on us, important to review what we knowOxygen- HFNC + CPAP can avoid intubation- If patient altered, CPAP unlikely to
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Go Away Humans
nekosensei
The Karening: A Short Story and Free Public Service AnnouncementThe public health experts warned that opening businesses too early was dangerous, but Karen didnโt listen. As soon as Georgiaโs lockdown
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Taylor Nichols, MD
tnicholsmd
He came in by ambulance short of breath. Already on CPAP by EMS. Still, he was clearly working hard to breathe. He looked sick. Uncomfortable. Scared.As we got him over
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Craig Spencer MD MPH
Craig_A_Spencer
๐๐ก๐ ๐๐ญ๐ซ๐๐ง๐ ๐ ๐๐๐ฐ ๐๐ฎ๐ข๐๐ญ ๐ข๐ง ๐๐๐ฐ ๐๐จ๐ซ๐ค ๐๐ฆ๐๐ซ๐ ๐๐ง๐๐ฒ ๐๐จ๐จ๐ฆ๐ฌ:When you walk into the emergency room now, there is silence.Itโs
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Benjamin Rome, MD
bnrome
Alright, we finally have some data from the ACTT-1 remdesivir trial, published as a prelim report in @NEJM Some initial thoughts https://www.nejm.org/doi/full/10.1056/NEJMoa2007764?query=featured_home The randomization was stratified by sev
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Jonah Rubin, MD
JonahRubinMD
Correct Answer: LIES! In the ICU, parenteral nutrition (PN) is *NOT* associated with increased infection risk compared to enteral nutrition (EN).But it wasnโt always that way...#Medtwitter #Medstudenttwitter #nutritionmatters #ICUNutritio
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Hina Patel
hinapatelRx
Diary of a Sad Woman - why I hate COVID. Sun, Oct 15th - my brother picks up my mom who has just spent 2 weeks in Florida staying
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Erin C. Sanders, MSN, WHNP-BC (She/Her)
ErinSandersNP
1/ The stories of symptoms are fascinating:Virologist Peter Piot age 71High fever, stabbing headache, exhaustion starting 3/19Severe O2 deficiency no SOB, no coughHospitalized x 1 weekDx severe pneumonia by imaging,
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Sayed Tabatabai, MD
TheRealDoctorT
We sit together in one of those quaint European cafรฉs that Iโve seen in a thousand movies.He sits across from me, casually stirring his cup of coffee.I glance over his
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