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Critical Care #Ontario Apr 1📈:

2012 crit care beds w/ 1602 crit care pts (79.6% capacity)
162 confirmed #COVID19 (10.1%)
345 suspected #Covid_19 (21.5%)

276 confirmed+suspected #Covid_19 w/ invasive ventilation

Take #SocialDistancing seriously: #StayHome & #FlattenTheCurve!
@janephilpott @YoniFreedhoff @NeilMaha @DFisman @owenlyons @NightShiftMD @KashPrime @hswapnil
Researchers/clinicians: covid19resources.ca for useful resources/initiatives @MoriartyLab

A centralized data analytics & visualization hub for #COVID19ON: howsmyflattening.ca @obenfine

Spare #PPE to donate? Pls consider donating to hospitals⤵️
Critical Care #Ontario Apr 1:
*Greater Toronto Area*

587 crit care beds w/ 474 crit care pts (80.7% capacity)
39 confirmed #COVID19 (8.2%)
83 suspected #Covid_19 (17.5%)

75 confirmed+suspected #Covid_19 w/ invasive ventilation

#COVIDー19 #COVID19toronto #covidontario #Toronto
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#Ontario #COVID19 #Covid_19 #SocialDistancing #StayHome #FlattenTheCurve #COVID19ON #PPE #COVIDー19 #COVID19toronto #covidontario #Toronto

More from @jkwan_md see all

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Dr. Jennifer Kwan
@jkwan_md
A short story [featuring you!] on the importance #SocialDistancingNow, why you must #StayHomeSaveLives, & why official ‘cases’ are a delayed version of the true numbers. (1/10)

#FlattenTheCuve #PlankTheCurve #COVIDー19 #COVID19 #COVID19outbreak #COVID19Ontario
[Day 0] You go to the video game store today & the person ahead of you coughs (mildly symptomatic #COVID19) & touches the pinpad on the credit card machine. You touch it too, maybe rub your nose later on the way to your car. Congratulations, you are now infected. (2/10)
[Day 1-4] The incubation period of #COVID19 is up to 14 days, average 5 days. No symptoms - means you go to work, then have coffee with your neighbour & babysit your niece. Everyone is healthy, so it’s fine, right? (3/10)
Read 12 tweets

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Suzanne Crowe
@itsthatgirlsuzi
#COVIDー19 This is a ventilator. It is not intensive care. Intensive care is medical care delivered by trained and experienced staff. #weareintensivecare @WFPICCS @SvuhIcu @ICU_Ireland @PedsICU @COAIrl
#coronavirus ICU is staffing, trained in the application of tech and equipment. Supported by Laboratory Medicine, Anaesthesia, Radiology, Surgery, Medicine. @CcoHse @roinnslainte @McCormackCEO @mringster #muchmorethanaventilator @sleepypedsdoc @kfinmccarthy
#zeitgeist Intensive care is a team with actively engaged and experienced dieticians, physiotherapists and pharmacists. @DSemple5 @MoninneHowlett @SapnaKmd Everyone contributes to the care of the patient, every day. #weareintensivecare
Read 14 tweets
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C4 News FactCheck
@FactCheck
As @FactCheck reported yesterday, the independent @ONS is now publishing data on deaths in England and Wales where #Covid-19 is mentioned by the doctor on the death certificate. ons.gov.uk/peoplepopulati…
Unlike the death toll the @DHSCgovuk publishes every day, these figures include people dying outside hospital - in care homes, for example - and cases where the diagnosis of #coronavirus has not been confirmed by a test.
So the ONS data captures more deaths. We learn today that ONS is aware of 210 deaths involving Covid-19 occurring before 20 March, 40 more than the 170 announced by DHSC by that date.
Read 6 tweets
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Nathan Stall 🇨🇦
@NathanStall
1/7 What is the max daily number of incident #COVIDー19 cases a healthcare system could manage?

@vasilepi @BreslowDay @mattwrkntn @BogochIsaac and I made an interactive tool modelling the capacity of acute and critical care resources during the pandemic: caic-rt.shinyapps.io/CAIC-RT/?utm_s…
2/7 The tool determines the max daily number of incident #COVIDー19 cases where the rate of #COVIDー19 patients being admitted to acute care, critical care or requiring mechanical ventilation ("patients in") equals the max daily turnover rate of those resources ("patients out").
3/7 Data from the @CDCgov @CDCMMWR on age-based case distribution and severity (cdc.gov/mmwr/volumes/6…) are used to estimate the population-weighted proportion of #COVIDー19 patients requiring acute and critical care resources ("patients in").
Read 7 tweets
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Melinda Mills
@melindacmills
UK & US 2.5-2.8 hospital beds per 1000, Germany 8, South Korea 12. Will this matter? We look at differences for general & critical care hospital beds in England and Wales #COVIDー19 #CovidUK @MarkDVerhagen David Brazel @drjenndowd @ikashnitsky osf.io/g8s96/
Estimating hospitalization rates of #COVIDー19 & taking #demographics into account, we estimate coming high pressures in certain regions such as #powys (#Wales) and #IsleofWight (England) #CovidUK See our new paper: osf.io/g8s96/
Using recently published infection rates and demographic age-structure we estimated ‘hospital deserts’ where #COVIDー19 pressures will likely overwhelm the #NHSCovidHeroes #powys, #Northumberland, Rutland, #IsleofWight & #Suffolk osf.io/g8s96/
Read 6 tweets
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El internista.
@MediCasos
HILO.

Revisión de artículos e información CIENTIFICA que hay hoy en día sobre el manejo, prevención diagnóstico y tratamiento de #COVIDー19

Atentos.
1. Kings Critical Care.

Fisiopatología:, Xu et al 2/17

SIRA: Caracterizado por daño alveolar difiuso (membranas hialinas).
Se observa daño viral citopatico en los neumocitos, lo que implica daño viral directo, mas que "solo" inflamación.
- Tormenta de citoquinas:
Parecido a sepsis bacteriana o linfohistiocitosis hemofagocitica.

Clínicamente esto se ve con aumento de la PCR y ferritina que aparentemente sirve de seguimiento de severidad y mortyalidad.

Kings Critical Care.
Read 72 tweets
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Helmy Haja Mydin
@dochelmy
My fellow Malaysians 🇲🇾

Pls RT if you can.

I want this message re #COVIDー19 to go out.

Many of the people in power are too afraid of making the difficult but right decisions. They are thinking as politicians, not as leaders.

#SocialDistancingNow
COVID19 cases will increase. A lot. Although the virus itself hasn’t changed, people will start dying if there are insufficient critical care beds.

There are less than 1000 ICU beds in all of Malaysia. If the numbers spike, our healthcare system will be overwhelmed.
We will start to convert wards to ICUs, doctors and nurses will drop from exhaustion, choices will have to be made re who gets life support and who doesn’t.

That’s why social distancing is essential - it will slow growth & buy us time. In some cases, enough time to save lives
Read 5 tweets

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