Discover and read the best of Twitter Threads about #GoldenHour

Most recents (5)

Police brutality and white supremacy in #Uvalde, #Texas:

For me the greatest horror is that kkkops wasted the golden hour while kids bled out.

#goldenhour
#massshooting
#POTUS Image
From a Portland youth:
Since when do police need a fkn key? Pretty damn sure every single cop that's busted through any door didn't have a key! Image
Image
Read 4 tweets
After an amazing week in Bulgaria 🇧🇬 with @JoanMerinals, when I was too busy to tweet, it's time now for a travel thread 🚞🧵 of our trip

Sofia - Varna - Veliko Tarnovo - Sofia - Rodopi Railway - Blagoevgrad - Sofia

Spoiler: there will be plenty of trains, trams and epic views ImageImageImageImage
Here's the short thread of the first day with some cool tram pics and my attempt to ease communication with BDŽ ticket sellers.

The rest of the trip continues on this thread.

Day 1️⃣ София - Sofia

Started the day walking to the centre through the "Women's Market".

The old baths is one of the mains sights, now a historical museum.

A reminder of the "thermal" past are the fountains of hot spring water, where people go to fill their bottles. ImageImageImage
Read 48 tweets
🚨Crashing Patient Case🚨

72 yo ♀️ to ED with syncope, hypotension. Intubated for hypercap/hypox resp failure. Hypotensive post, tx to ICU.

A Tubed
B FiO2 1.0, 10 ml/kg Vt
❤️ MAP 70 -> 50 -> 30 in mins
D sedate, +cough
E Leaky 22g PIV
U n/a
L WBC 35k, lact 1.7, UA+CXR shown
First step?
My team is very adept at CVCs, but we go for the IO (1 min to insert vs 10, and much higher first past success doi.org/10.1097/ccm.00…)

More on IOs from LITFL litfl.com/intraosseous-a…

Also, the vent is alarming for high peak pressures (45 cm H2O consistently). What next?
Read 17 tweets
1/#Ogitorial No21 Real Patient with Consent. 42M, previously healthy collapses upon entering ED
A ok
B clear, bag/maskFiO2
♥️ BP 60/, HR80 Epi drip
D avPu
E punctate skin marks, diaphoresis, ashen skin, L eyelid swell
U - dark ages
L Hb10, WBC6,K 2, Na146, HCO3 12, Lact 2.4-4.5
You place (just in case) DC pads, replace K/Mg. ED volunteer says: prior to collapsing, the patient mumbled “bees”. You speed up fluid (5LNS/1h), add steroid & H1/H2 blocker with ⬆️BP but severe rigors, anxiety & delirium. The risk of future PTSD is best ⬇️ by:
#FOAMed #FOAMcc
3/ #Ogitorial No21 answer
Psychological sequelae of critical illness are common & important
ncbi.nlm.nih.gov/pubmed/25449881
Dex is not safe in patients on Epi drip & no evidence it can help.
Diaries ncbi.nlm.nih.gov/pubmed/30431494 &
Post-ICU clinics ncbi.nlm.nih.gov/pubmed/25731633
are of limited help
Read 6 tweets
(1) #TeamTrump #PhotoThread from April 27, 2018. #MAGA

🇺🇸35+ previous threads like this one: godlessnz.wordpress.com/2017/10/27/lin…

🇺🇸Unrolled versions: threadreaderapp.com/user/GodlessNZ

Below: #TakeYourChildToWorkDay White House press corps' and staffers' kids.
(2) Historic photos released on the day Mike Pompeo was finally confirmed by the Senate and sworn in as the 70th US Secretary of State. Pompeo then jumped on a plane for a 4-country trip.

As CIA Director, he met with Kim Jong Un secretly at Easter. No guarantees but its a start
(3) Cute photo of Sec Sonny Purdue with some of his grandkids a year ago. Family is what it's all about.

Read 34 tweets

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