Discover and read the best of Twitter Threads about #PulmonaryEmbolism

Most recents (11)

Misdiagnosis and Cognitive Overload in the Clinical Workplace causing Morbidity and Mortality. Look at the notes pages in this PowerPoint. 10 Quality Indicators for Clinical Consultations

dropbox.com/s/niz0e1h1hc7k…

@HumanRiskLtd @nialldowney @TheIHI @AndrewElder @cuttingforstone
How to create conditions for Misdiagnosis that can kill or seriously harms patients.

#PulmonaryEmbolism

#AddisonsDisease

and Counter Measures

#DiagnosticCockpit dropbox.com/s/qkbpmcxe85b0…
Time is the Great Diagnostician

We must intervene before the patient dies
Read 7 tweets
ALWAYS refer to the original data source. Beware of misleading headlines. 🧵

A study by FDA’s Hui-Lee Wong et al is being referenced all over Twitter as:
“FDA now says Pfizer vaccine causes blood clots”.

This conclusion is inaccurate.
(Cont’d)
cc: @elonmusk
Here’s the link to the original paper: doi.org/10.1016/j.vacc…

The authors used Medicare/Medicaid data to analyze 14 different adverse outcomes after 34 million vaccine doses in recipients age >65. The controls used for comparison were HISTORIC controls, pre-COVID & peri-COVID.
When compared to the PRE-COVID population (2017-2019), #pulmonaryembolism met modest statistical significance (RR=1.48), the difference was lost when the peri-COVID (2020) comparator population was used instead. The difference remained when inpatient setting was used.
Read 7 tweets
It took my legs a few minutes to warm up this morning, but glad to report that long morning walks remain easy, in contrast to later in the day. #Totnes is waking up beautifully ☀️
5 miles walked this morning, with no adverse effects. Then strimmed & mowed a lawn. Great to not be worried about my heart and lungs as I got a real workout from the gardening. However, I'm mindful of the warnings of some with #LongCovid that I should continue to pace myself.
Read 73 tweets
🧵1/ JUST PUBLISHED: Association of COVID-19 with major arterial and venous thrombotic diseases: a population-wide cohort study of 48 million adults in England and Wales. ahajournals.org/doi/10.1161/CI…. An amazing team effort. Image
3/ Using the @NHSDigital Trusted Research Environment for England (bit.ly/3RfV5J7), which was established by @BHFDataScience, we analysed linked electronic health record data on 48 million adults in #England (nearly the whole population).
Read 16 tweets
1) How I cured my #LongCovid in 3mos after suffering for almost a year. This was my last hope. I researched what #Covid does to the body, came up with a list of "clinically studied" supplements and...
2) took them all. Firstly, I am not a MD. In March 2021 I caught Covid while working as a #frontline #healthcare worker. My symptoms of #brainfog, #fatigue, #jointpain, #muscleweakness, morning #stiffness happened after my recovery. At the time, this #postcovid #syndrome was...
3) was just starting to be discussed online. The the term #Longhauler was coined. Those in the #ME, #CFS, #Lyme #MCAS #community starting speaking out about the similarity of #symptoms with #LC. #Covidclinics started to sprout up, include one at the....
Read 48 tweets
1) Welcome to a new #accredited #tweetorial about an important complication of #pulmonaryembolism (#PE): chronic thromboembolic pulmonary hypertension #CTEPH. Follow this thread to earn 0.75h CE/#CME #physicians #physicianassociates #NPs #nurses #pharmacists.
2) I am Jason Weatherald @AlbertaPHdoc of @UAlberta and you may recall my previous tweetorial in this feed. It's still available for credit at cardiometabolic-ce.com/pah2/. @cardiomet_CE is your ONLY home for earning CE/#CME entirely on Twitter! Howdy to @vic_tapson @lauralynndonah1 Image
3) This program is intended for #healthcare providers and is supported by educational grants from Actelion, Bayer, Chiesi, & AstraZeneca. Faculty disclosures are listed at cardiometabolic-ce.com/disclosures/. Prior programs, still available for credit, are at cardiometabolic-ce.com
Read 49 tweets
Spent more time in the garden today. Insect populations are booming! A bit of sunshine really helps to lift the spirits.
#Hoverfly Image
Had a run of 3 good days, but just tried doing *some* of the things my lungs had allowed me to do over the weekend & over-did it by fixing the ball-cock in the toilet cistern! Lowered my guard; lungs are tight again (first time in 10 days) & I'm lightheaded. #PulmonaryEmbolism
Read 78 tweets
THREAD:5⃣things to know from 5 recent TI Therapeutics Letters👩🏽‍🔬

1/5: How to choose a good #mirtazapine dose? 🤔

Mirtazapine has a dose response 💊for harm but NOT for efficacy: harm ↗️ after 30mg/day but efficacy doesn't: bit.ly/361LU9E

#MedEd #deprescribing #ptsafety
2/5: Want to learn about recent @GovCanHealth #medsafety or international warnings for medications?

Read our Therapeutics Letter on international drug safety advisories: bit.ly/3wc0ar8 ⚠️ 💊

#drugsafety #SegPac #ptsafety
3/5: Do you like receiving feedback on your #prescribing?👩🏽‍⚕️💊

Read about Personal Prescribing Portraits: bit.ly/3hkf8WO

#MedEd #deprescribing
Read 6 tweets
Unfortunately #PulmonaryEmbolism is a common problem in the era of #COVID. Here's a brand new #OnePager summarizing my approach to PE, including hemodynamics, ventilation, #anticoagulation, and #thrombolysis. #FOAMed #FOAMcc
1/3 Image
Also, continuing the @POPCoRNetwork Series of Webinars to help pediatric intensivists adapt to the adult ICU, I will be giving a webinar about PE tomorrow. 4pm PST.

You can sign up here:
Finally, if you prefer you can download the PPT and PDF versions of the PE #OnePager here. Also please share your feedback and comments, so I can make it better.
➡️onepagericu.com
3/3
Read 3 tweets
Starting a series on clinical Pearls I am gathering in #COVID19 patients based on experiences of many experts

Will add as we go along

Feel free to add your own observations/experiences

#covidclinicalpearls /1
Anosmia is likely the most specific #COVID19 related symptom
30% of patients have anosmia as their 1st symptom
#covidclinicalpearls /2
Around 90% of patients have fever.
50% maybe afebrile at the time of presentation
Fever tends to be very resistant to routine measures in hospitalized patients
There is no consensus that NSAIDs are to be avoided in #COVID2019 patients

#covidclinicalpearls /3
Read 66 tweets
Tweeps: two weeks ago today, I nearly lost my life due to a very serious bilateral pulmonary embolism.

I had no symptoms at all, except for tiredness & a little breathlessness, which I attributed to other causes. When you're living with chronic mental ill health & ...1/
...on a very low income due to #UniversalCredit, you get used to feeling rubbish a lot of the time. Vague symptoms like fatigue are inevitably dismissed by GPs.

Over the course of about 8 hours on that Tues, tho, I started feeling faint & very weird. 2/
I got up to use the loo & collapsed, losing consciousness. When I came round, I couldn't breathe.

Luckily, I managed to reach my phone & paramedics from @Ldn_Ambulance came within 30 minutes.

Unluckily, I couldn't get to the door & ... 3/
Read 25 tweets

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