Discover and read the best of Twitter Threads about #ICU

Most recents (24)

1) Welcome to a #tweetorial on what every #ICU #nurse should know about #hypertensive crisis, or #hypertensive #emergency as it is now more properly termed. I’m Bryan Boling @bryanboling, ICU #NP, & co-host of the @icuscenarios podcast. Follow this 🧵for 🆓CE/#CME credit!
2) This accredited educational activity is intended for healthcare providers & is supported by grants from AstraZeneca, Bayer, & Chiesi. Faculty disclosures cardiometabolic-ce.com/disclosures/. Like ❤️this topic? More CE/#CME on #hypertension mgt at cardiometabolic-ce.com/category/hyper….
3) So let's start with a case: 65yo ♂️, presents to the #ED with #headache, lethargy & confusion. PMH: #HTN, #hyperlipidemia, #DM2, COPD. Initial VS: HR 85, BP 205/120, T 37.2 RR 12, SpO2 92% on RA. Family reports that he has been more lethargic over the past 2 days.
Read 37 tweets
Ich gehe heute weinend nach Hause. Mal wieder.
Bilanz des heutigen Dienstes:
-3 Aufnahmen gleichzeitig
-2 Intubationen
-1 Verstorbener
Und das waren nur meine Pat.

Ein Mensch ist alleine gestorben, weil wir währenddessen um das Leben des Nachbarpat. gekämpft haben.
Dieser Mensch
Mensch ist unter unwürdigen Bedingungen gestorben.
Alleine, obwohl so viele Menschen im Zimmer waren.
Ich hatte nicht mal die Zeit, ihn danach zu versorgen u. das macht mich fertig.
Ich habe diesem Menschen bis zu seinem Tod die Angst u. die Schmerzen genommen, so gut ich konnte.
Es tat mir in der Seele weh, ihn so da liegen zu lassen, aber es war einfach nicht möglich mir 10 Min. dafür zu nehmen.

Es ist der 6. Dienst in Folge.
Der 5., in dem ich keine Pause hatte.
6 Überstunden in 6 Diensten.
Ich war nicht mal auf Toilette.
Das 1. Mal was gegessen habe
Read 5 tweets
I’ve never shared these pics, I was mad they were taken at first. I am sharing now to try and wake some ppl up. It’s easy to see the # of people on ventilators and gloss over it. Seeing a loved one on a #ventilator torture. This is my dad. A 🧵1/ Image
This is why it looks like for the first 7 to 14 days. It violently shakes them, you can’t help but imagine how much it hurts them even though your brain tells you they are sedated. You hold their hand but its like they aren’t there. You have no idea if they will make it. 2/
They are so weak you don’t know which outcome to hope for. After the 1st fewdays the dr says if they leave the vent in their throat it will permanently damage them, so they cut their neck to to a tracheotomy. You think the first day you saw them was the worst. You are wrong 3/ Image
Read 8 tweets
Triple or Quadruple jabbed people in #UK aged 80+
78.3% of #Omicron Deaths
82.9% of those in Hospital
91.1% of new cases of known jab status
#mRNA #Covid19Vaccines, mainly #Pfizer FAILURE
#auspol
Unjabbed people in #UK aged 80+
5.2 % of #Omicron Deaths
5.8 % of those in Hospital
2.3 % of new cases of known jab status
In NSW the vast majority of #LetItRipDom #covidnsw victims are jabbed
82.6 % of the Dead
67 % of those in #ICU
72.2 % in Hospital
Note jab status of the 2,000+ left at home "under NSW Health care" is never reported.
Data for week ending 5 March 2022
Note "unknown" jab status.
Read 5 tweets
Today marks 20 yrs of #remission from #Crohns. For some #IBD patients, remission feels like an elusive thing. I get it, I’ve had my share of time in the #ICU. I’m extremely fortunate that #Remicade has worked this long. Many people must switch meds to find a lasting solution. 1/n
The last 20 yrs haven’t come w/o complications. A sustained high quality of life was worth the trade offs that come with #biologics. I lived with recurrent infections and a #cancer diagnosis. Was it challenging? Yes. Was it better than living with flares? Absolutely. 2/n
There isn’t a day that I don’t think of those that weren’t as lucky. Alex Davidson, Ty Redler, Lacey Conners and Lindsey D’Ercole were younger than me and have since passed from IBD complications. In spite of some survivor’s guilt, I do my best to keep their memory alive.💜 3/n
Read 8 tweets
I don’t know if anyone has seen the pernicious claim flying round social media in the last few days that only “17,000 people in the UK have died from #covid

I’ve yet to see anyone debunk it so I thought I’d do a 🧵

1/
Recently, I saw a number of people making the same, obviously false claim along the lines of “only 10% of covid deaths are actually covid deaths”

I asked for sources repeatedly and eventually got sent a link to an @ONS Freedom of Information request…

2/
ons.gov.uk/aboutus/transp…

The ONS were asked for the numbers of people who had died from covid, but had no other underlying conditions.

The answer came back as ~17,000.

So does that mean the other 150,000 didn’t die of covid??

No - of course it doesn’t.

3/
Read 27 tweets
Utterly shocked by the performance of Anaesthesia Consultant Steve James & his assertion that staff don’t need vaccination following recovery from COVID
He is wrong on the facts - vaccines have proven beneficial boosting “natural immunity”
Anti-vac are eating it up
#anaesthesia
Read 45 tweets
0 deaths ‘with’ #OMICRON in #Scotland🏴󠁧󠁢󠁳󠁣󠁴󠁿

1 #ICU admission with #OMICRON in 🏴󠁧󠁢󠁳󠁣󠁴󠁿

91 #Hospital admissions with #OMICRON in 🏴󠁧󠁢󠁳󠁣󠁴󠁿

13,649 #OMICRON ‘Cases’ in 🏴󠁧󠁢󠁳󠁣󠁴󠁿 from 30/11/21 to 31/12/21

We shut down the country for THAT!!

Please share and RT 👊👊🔥🔥
#OMICRON cases by #NHS board

Remember, I do not believe that these ‘cases’ are not genuine cases

I also question the validity of the #PCR test, especially the S-gene target failure pish
A reminder that these ‘cases’ are ASSUMED to be #Omicron based on probable or possible reporting on the flawed PCR ‘test’
Read 11 tweets
#antivaxx efforts now even use #deepfake

to target #refugee, Black, religious minority communities

like measles outbreak in Minnesota in 2019: Wakefield was flown in TO spread #misinformation & #disinformation

Now: online fake accounts/fake identities vs #VaccinesWork
What has #healthcare been doing meanwhile?

#Medbikini: Teach (male Asian) med students to make fake accounts to cyberstalk trainees’ personal Facebook for: bikini
or “being political” or “religious” (#BLM)

➡️“model minority” pipeline for “shadow faculty” vs Blck @ayshakhoury
#Medbikini #research got flak for men vs women

BUT was ALSO fake acct #surveillance vs #BLM like drove out @ayshakhoury @uche_blackstock @nhannahjones

While academia has ignored #vaccineequity
➡️ongoing #pandemic & deaths in marginalized targeted by #antivaxx

@womanistpsych
Read 23 tweets
This 👇🏽👇🏿👇🏻 This is why #BLM exists & why “implicit bias” is not only real but it kills

Why, when you see it, say something, do something
The system changes not by sharing tweets & hashtags but actions & consequences & removal of toxicity from the system

Follow #BlackTwitter
Above #MedEd #TikTok improvement: #citeblackwomen who lead this work (not only utilized the savior mindset of Black & brown as victims) #Blackexcellence @citeblackwomen center Black women
Send #SoMe traffic to Black creators & activists. #healthcare twitter.com/i/lists/122380…
Take #sharethemic initiative. It allowed #Blackexcellence to speak thru #influencer accounts to large followings for a day. I looked at before/after numbers, it did NOT drive any additional traffic to the actual accounts of those voices. Resurfacing this:

https://t.co/VZ26WWNxRP
Read 45 tweets
‘Im just a nurse’

A nurse working in #PedsICU >19 years had nowhere to park for her shift on Tues morning
Leaves hospital at 8.15pm, 13 hrs after arriving, car has been towed by clampers
Phone charge runs out, walks 3km in pouring rain to Garda station
Garda locate her car 5km away
She walks back to hospital, charges phone, pays release fee, walks to the car, soaked and freezing

Gets home to her worried family at 11pm
My colleague recounted this to me today, how she cried with cold and fatigue while waiting for phone to charge

But mostly she spoke about how small, insignificant and undervalued it made her feel
‘Just a nurse’
#ICU #icunurse
Read 6 tweets
Do we need maintenance fluids at all? What is your preferred maintenance fluid solution?
#IFAD2021 #FOAMed #FOAMcc

REPOSITORY (access 100+ lectures): whova.com/portal/webapp/…

@avkwong - @Manu_Malbrain - @azJanPalfijn - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @iceman_ex
When do you use (hypotonic) albumin 4% solutions?

#IFAD2021 #FOAMed #FOAMcc
REPOSITORY (access 100+ lectures): whova.com/portal/webapp/…
@avkwong - @Manu_Malbrain - @azJanPalfijn - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @iceman_ex - @icmteaching - @Gas_Craic
Read 30 tweets
Die #Corona-#ICU-Erstaufnahmen zeigen, dass in den meisten Bundesländern nicht nur die Wachstumsrate sinkt, sondern mittlerweile auch die absoluten Zahlen:
#COVID19 #lockdown #ImpfenSchuetzt
1/7
Die Datengrundlage stammt aus dem #DIVI-#Intensivregister. Sie beinhaltet alle Personen, die ERSTMALIG auf einer #Intensivstation aufgenommen werden und SARS-CoV-2-positiv getestet sind sowie jene, die wegen Nachwirkungen einer #COVID19-Erkrankung eingeliefert wurden …
2/7
… dies schließt ausdrücklich auch Personen mit ein, die "nur" einen positiven Test haben, aber nicht an C19 erkrankt sind, worauf DIVI explizit hinweist (intensivregister.de/#/faq). Dies betrifft aber die große Mehrheit der Fälle nicht.
3/7
Read 8 tweets
Today we cremated my father, who died this past weekend after suffering effects of #LongCovid accelerating his dementia & other health problems. He went from an adventurer to a cripple in a matter of months. A 🧵 1/
He got COVID spring of ‘21 before being fully immunized. Initially seemed like he recovered, but clearly more trouble with memory, weakness, motivation. thelancet.com/journals/lanps…
And then this sudden lack of desire to move became harder to overcome his weakness. @HeidiEngel4 @IcuPerme @ellenhillegass would have loved to have had PT prioritized for him. We knew he needed but he lacked motivation & resources

blog.rehabselect.net/life-after-cov…
Read 16 tweets
The latest United States COVID-19 wave is taking its toll on some states’ intensive-care units, with several parts of the country seeing outbreaks that are as bad as ever. #ICU #COVID19 #DeltaVariant #DeltaSurge bloomberg.com/news/articles/…
“Many of our physicians are at a breaking point,” IHME's @AliHMokdad told @business.

“It’s not easy to be day in and day out in an emergency room, in an ICU, looking at someone who is dying because he or she is not vaccinated.” #COVID19 #VaccinesSaveLives #DeltaVariant
In 15 states, patients with confirmed or suspected #COVID19 are taking up more ICU beds than a year earlier, according to @NIH_NIAMS data. These are top states with highest %s of ICU beds occupied by COVID-19 patients:

▪️ Colorado – 41%
▪️ Minnesota – 37%
▪️ Michigan – 34% Image
Read 5 tweets
Was gibt's Neues aus #Oberoesterreich und #Salzburg? Wie viele Impfstraßen sind offen? Testcenter? Haben alle Spar-Filialen und Apotheken ausreichend PCR-Tests?
Ich freue mich über Hinweise.
#covid19at #covid
So wars gestern. 1 Impfstraße offen und ansonsten... ooe.orf.at/stories/312917…
Info aus anderem Kanal: Im Bezirk #Perg haben sich zwei Ärzte für diese Woche für Popup-Impfungen gemeldet. Einer in #Waldhausen und einer in #Schwertberg
Read 9 tweets
📮 Letter from an intensive care physician. #ICU

German translation below. Deutsche Übersetzung unten.
📮 Brief einer Intensivmedizinerin. #Intensivstationen

via @andrewbostom
Read 8 tweets
#Florida has finally been seeing dramatic improvements in its #COVID19 numbers.

It's been a while since I've done this, but it's warranted, so here goes a Florida update 🧵

Viz using covid19florida.mystrikingly.com

1/ Image
New daily infections (cases) have been decreasing in September as rapidly as they increased during this #delta surge.

We're where we were in mid-July, with numbers also similar to where we were in early February.

Under 7,700 cases per day over the last 7 days.

2/ Image
The chart below highlighting the past 8 weeks tells the story. After plateauing for 2 weeks towards the end of August, it's been 4 straight weeks of considerable decreases in cases.

We don't want to be at 7,000+ cases per day, but moving in the right direction...fast.

3/ Image
Read 33 tweets
@NdsLandesReg hat neue #CoronaVO veröffentlicht.
(niedersachsen.de/Coronavirus/vo…)
#Schule größtenteils super👍
ABER die Höhe der #Warnstufen - das kann doch nicht Ernst sein?!
Häfte der #Notfallreserve mit eingepreist?
Warnstufe 2 erst bei mehr als #covidspezifisch-e Betten?➡️
2/
Ich hatte das ja schon bei den Entwürfen analysiert (⬇️ und vorherige).
Aber da war ich noch so dumm, davon auszugehen, dass @NdsLandesReg bei "Prozent Belegung Intensivbetten" nur die
__betreibbaren__
meint.
3/
Das ist aber offensichtlich nicht so.
In §2, Abs. 5 heißt es in Satz 2
"Die Intensivbettenkapazität beträgt 2 424 Betten"
(Vgl. unten rechts)
Findet man die irgendwo im @DIVI_eV Register?
Joa, bei "Aktuell betreibbbar + 47% Notfallreserve".
__NOTFALL__🔥__RESERVE__
Read 14 tweets
Today, @WHOWPRO held a press conference on #COVID19 across the Western Pacific.
WHO colleagues Drs Tamano Matsui, Socorro Escalante & I discussed sharp rises in cases, future scenarios, the people who give us hope and this critical moment.

My speech: bit.ly/3y9YeQY
More than 19 months into the pandemic, 6 million people in the Western Pacific have been infected and more than 83,000 have lost their lives.
Until a few weeks ago, our region had fared comparatively well, with around 2% of global cases and deaths.
But…
Now several countries in the Western Pacific are experiencing surges, in part driven by the Delta variant. Our share of global cases and deaths is rising sharply.

In the first 3 weeks of August, we reported over 10% of new global cases and more than 8% of new global deaths.
Read 15 tweets
#InzidenzAbschaffen und stattdessen #Hospitalisierungen betrachten?
Macht keinen Unterschied, zeigt auch der Bundesländer-Vergleich #NDS #NRW #HH
Doppelte, dreifache Inzidenz und Positivitätsrate führen zu doppelter, dreifacher #Hospitalisierung & #ITSBelastung.
Länger↔️ 5fach.
2/
Übrigens sind es seitdem Datenstand von Donnerstag auch schon wieder mehr Patienten geworden:
#NRW steht jetzt bei 1,42/100k auf #ITS statt 1,05 und
#HH bei 2,32 statt 1,95.
Beide grob +40% in 5 Tagen - und nur die Erwachsenen betrachtet. In #NRW kommen noch 2Kinder dazu
3/
Oft werde ich gefragt: Wieviele #KinderITS Betten haben wir denn?
Im Bundesschnitt 2,3 covidspez. Betten pro 100.000 Kinder, mit Schwankungen in den Bundesländern, 0 in #SH bis 4 in #HH (wenn die SH mitversorgen aber nur noch 1,7) bzw. 3,7 in #TH
Read 22 tweets
Ergänzend zum gestrigen #OktoberImAugust Thread heute noch ein paar weitere Einblicke in #Hospitalisierungen #Kinderdurchseuchung
TLR: #KeineEntkopplung:
Steigt Inzidenz, steigt #Belastung der Krankenhäuser - und der niedergelassenen sowieso.
Ausführlicher im Thread:➡️
1/x
2/
Betrachtet man die #Hospitalisierungsinzidenz-en für alle Altersgruppen über den Gesamtzeitraum, sieht erstmal alles #Tutti aus, weniger als KW44/20 bis 23/21.
Aber zu den Werten gehörten auch 90.000 Tote, das wollen wir ja auch nicht wiederholen.
Wie ist der Trend?
➡️
3/
Betrachtet man letzte 2 Monate, steigt nicht nur #Hospitalisierung bei #Kinderdurchseuchung, sondern auch bei 80+ sehr deutlich,
ebenfalls 60-79Jahre steigend, ähnliche Höhe wie #Hospitalisierungsinzidenz der 0-4Jährigen.
War das zu erwarten?➡️
Read 48 tweets
🧵 Ever want to make sure every patient who needs a bed, has a bed? Read on for this short Tweetorial on practical tips for make sure “No patient is left behind”. Thanks to my co-conspirators Lisa V, @medyr1, @DrDMIEMSS1, and @galvagnosam for their wisdom and friendship.
As COVID-19 cases and hospitalizations rise again, many cities/regions/states are running critically low on inpatient beds-especially specialized beds for highly complex care.

npr.org/2021/08/19/102…
In your hospital (or area if you know), how is the overall bed situation?
Read 22 tweets

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