What should you be considering when you see a post-#COVID19 patient? med rec, as always, is critical-- but often relegated to bottom of the list. Key role for pharmacist assistance too. @hopealuko highlights how covid can cause homelessness b/c of vulnerable family #CHEST2020
Peer support can be so important for patients.
(and also for clinicians, right @JoShapiro3)
love the variety of models presented- accessibility issues can be overcome! #chest2020#COVID19
Now @hopealuko is speaking right to my heart. Use qualitative methods to find new targets for quality improvement in the ICU 🔥🔥🔥 #CHEST2020
@hopealuko Now @RanaAwdish (it is pronounced WREN-ah, I was saying it wrong 😅) is up - author of In Shock, which is incredible so please close twitter and go get it if you have not read it yet! Excited to hear her speak on the "restoration of identity post-COVID" #chest2020
'Meet the patient as a whole being where they are, speak to them as an equal' @RanaAwdish#CHEST2020
Reminding me of what a patient told me once as they recovered from the ICU. We can't ignore what we are doing to people, even if it is necessary, even if it is right. #CHEST2020
#COVID19 'reminded me a lot of my prior deployments as a military physician' - @niven_alex
This feels more accurate than the usual military analogies - deployed _as a clinician_ #CHEST2020
Dr. Sessler highlighting this important framework: An Official Critical Care Societies Collaborative Statement-Burnout Syndrome in Critical Care Health-care Professionals: A Call for Action #CHEST2020
Wide variation in incidence of VTE in COVID-ICU patients. Meta-analysis in middle -- about 30% #CHEST2020
'at least in sick ICU patients, the incidence of thrombosis in #COVID19 is probably higher than other diseases like influenza' @sameepsehgal9#chest2020
THREAD PART 2: DIAGNOSES/ COMPLICATIONS! Patient interpretations of ICU jargon @Saramerwin1 & I are writing for @CritCareGame- feedback welcome!
🔑Must be concise to fit on the cards
🔑Pt-centered clarity more important than accuracy
🔑ICU focused
Please share & comment!
Acute Myelogenous Leukemia/AML
“Blood Cancer”
Rapid growth of blood cells that don’t work properly in the bone marrow, crowding out healthy cells.
THREAD: Patient interpretations of ICU jargon that @Saramerwin1 & I are writing for @CritCareGame - would love your feedback!
🔑these have to be REALLY short to fit on the cards
🔑 pt-centered clarity is more important 💯 accuracy
🔑Setting: general ICU
Please share & comment!
Do Not Resuscitate
An order that prohibits CPR & restarting the heart when it stops beating. Often paired with Do Not Intubate (DNI), prohibiting the use of a breathing tube. Ordered after discussion with patient/family.
Sedation Vacation
For patients on the ventilator, we routinely stop sedatives (medications which keep the patient asleep) to allow patients to wake up and try to breathe on their own, getting them off of life support faster.