Discover and read the best of Twitter Threads about #covidfoam

@EmoryMedicine

1/#COVID19 cohort study in ICU patients showing lower mortality rate than prior reports

Thx @EmoryMedicine students @justalisongrace & @AdamJamnik (creators), @chung_yg & @cg_coleman (editors) & ID fellow @DBhamidipatee (reviewer)

#EducationInTheTimeofCOVID #COVIDfoam

@EmoryMedicine

2/Here's a link to the pre-print (i.e. not peer-reviewed yet) from @EmoryMedicine faculty Sara Auld, @colleenkraftmd, @alfherrom, @hey_its_max, @jestjac, @gsmartinmd, and many more

doi.org/10.1101/2020.0…

3/And a link to our webpage that hosts the literature summaries from our #EmoryID fellows and visuals from our medical students
med.emory.edu/departments/me…

@EmoryMedicine

1/How does pre-symptomatic transmission contribute to #COVID19 spread in nursing facilities?

Thx @EmoryMedicine MS3s @_mkline_ & Jeff Rosenthal (creators), @chung_yg & @cg_coleman(editors) & @EmoryDeptofMed ID fellow Aaron Kofman (review)

#EducationInTheTimeofCOVID #COVIDfoam

https://twitter.com/JenniferSpicer4/status/1247505809128505344

2/This is a nice follow up to the prior visual abstract we created on an earlier version of the study that you can see here

https://twitter.com/JenniferSpicer4/status/1247505809128505344

Interestingly, you can see that most of the "asymptomatic" individuals were actually "pre-symptomatic" as many of us suspected

@NEJM

3/Here's a link to this new article in @NEJM
nejm.org/doi/10.1056/NE…

And a link to our webpage that hosts the literature summaries from our #EmoryID fellows and visuals from our medical students
med.emory.edu/departments/me…

@EmoryMedicine

High IL-6 may be predictive of respiratory failure in #COVID19

Thx @EmoryMedicine @EmoryMSTP students @ariellevaldez & @careyjans (creators), MS4s @tylerdau & @cg_coleman (editors), & @EmoryDeptofMed ID fellow @Dr_AmyKacin (reviewer)

#EducationInTheTimeOfCOVID #COVIDFOAM

Here's a link to the pre-print (i.e. not peer-reviewed yet):
doi.org/10.1101/2020.0…

And the link to our #EmoryID fellows' scholar blog w/ other lit summaries by our ID fellows; plus visual abstracts & infographics created by our medical students. scholarblogs.emory.edu/covid19roundup/

Tag the authors if you know their Twitter handles. I couldn't find them :)

San Raffaele Anesthesia and Intensive Care

@SRAnesthesiaICU

@CCRJournal

[THREAD]

We just published the largest, most detailed case series of mechanically ventilated #COVID19 patients with ARDS in a western country and with the longest follow-up.

Read our infographic & the article on @CCRJournal bit.ly/2SiXYgD

#COVIDFOAM #FOAMed #FOAMcc

2/7
Mortality of ICU mechanically ventilated patients with #COVID19 ARDS is as high as 23% at the 20 days follow-up.

#COVIDFOAM #FOAMed #FOAMcc

3/7
Acute kidney injury (75%) and secondary bacteremia (37%) are the most frequent complications of #COVID19 ARDS.

Also, pneumothorax, pneumomediastinum, and thromboembolic complications were relatively common.

#COVIDFOAM #FOAMed #FOAMcc

Read 7 tweets

Mark Ramzy DO, EMT-P

@MRamzyDO

@cameronks

The medical community is divided when it comes to treating #COVID19. Various debates/theories dominate #MedTwitter & #FOAMed. Im glad to see these discussions & our progress, however patients sometimes get caught in the middle….

@cameronks @srrezaie @emcrit @EMNerd @airwaycam

@sinaiem

This thread’s intention is to simply share observations & the experience of a #COVID19 patient code named “Halo” (yes consent received by mother) whose story might seem unique but sadly a common occurrence throughout many NYC hospitals

@sinaiem @jacobi_EM @LincolnEM @NYEmergency

@grepmeded

Halo, A mid 30 year old w/#COVID19 symptoms (Febrile/SOB) for a week presented to the ED & had this CXR👇
As ED physicians, the difficult decision of disposition has never haunted us more these days when they’re like Halo: alert, talking & do not appear clinically ill

@grepmeded

Read 15 tweets

Mark Ramzy DO, EMT-P

@MRamzyDO

@cameronks

More of our #COVID19 experience here in #NYC:

Most if not all ICUs are full & the ED is quickly becoming an ICU. There's been a push away from early intubation for those that may not need it

1/9 #COVIDfoam #FOAMed @cameronks @srrezaie @ThinkingCC @emcrit @19criticalcare

As a result, theres a very large number of “Happy Hypoxic” patients who have been tolerating HFNC for hours & sometimes for days. SpO2 continues to remain unreliable (as do certain "traditional" exam findings of respiratory distress). PaO2s continue to correlate

2/9 #COVIDfoam

https://twitter.com/cameronks/status/1248571039073873921?s=20

The oxygen requirement these patients need is very high. Hospitals w/lower volumes of #COVID19 patients should start from now in securing the appropriate resources and have contingency plans to accommodate for this

3/9 #COVIDfoam

https://twitter.com/cameronks/status/1248571039073873921?s=20

Read 9 tweets

Mark Ramzy DO, EMT-P

@MRamzyDO

@cameronks

From experience in our #COVID19 ICU so far:

What started as an HFNC ICU has quickly turned into an ARDS unit treating iatrogenic ALI from patients being intubated

#COVIDfoam #FOAMed #FOAMcc @cameronks @PulmCrit @ThinkingCC @srrezaie @First10EM @gattinon @precordialthump

1/12

As physicians we see a low SpO2 combined with a low PaO2 & the knee jerk reaction is early intubation instead of assessing patient's overall clinical picture including their work of breathing & mental status. Here's a walk through what happens after...

2/12 #COVIDfoam #Covid_19

Following intubation, patients are put on higher PEEPs which combined w/ACE-receptor effects of virus worsens their already slightly elevated creatinine. Higher PEEPs causing increased thoracic pressure understandably leads to hypotension so patients are then given fluids

3/12

Read 12 tweets

Dr. David Lyness

@Gas_Craic

@ESICM

Welcome to #COVIDMarathon from @ESICM - follow this thread for the content coming up over the next 7 hours. #FOAMed #FOAMcc #COVID19 #COVIDfoam

A general update #covidmarathon

Evolving insights into increasing cases over time, globally. Very few reported cases in Africa over time. #covidmarathon

Read 43 tweets