-Focus on Task Zero NOT Inbox Zero
-Email for me falls into 4 categories:
1 Actionable item (>5min to accomplish)->Task manager
2 Junk->Delete
3 Reference->Evernote
4 Quick action (<5min to accomplish)->Answer right then
Goal isn't zero emails but zero tasks in ur email
Time Management
-Schedule things into your calendar
-Review your calendar the night before for next day
-Review your calendar Sunday night for upcoming week
-Make sure you schedule downtime for yourself
Distractions
-Kill push notifications on your phone
-Use sleep mode to not be distracted during deep work
Task Management
-I use OmniFocus
-Allows you to break tasks into actionable items
-Action = Single task
-Project = Multiple tasks
-Can set deadlines/reminders for yourself
How to Choose Projects
-Ask 4 questions:
1 Does it benefit society?
2 Am I passionate about it?
3 Will I be compensated (Not always about money)?
4 Am I free during that time?
1/4 = can't do 2/4 = consider 3/4 or 4/4 = yes
If you can't do it consider delegating it someone else
Philosophies and Books
-Busyness ≠ Productivity
-High Quality Work + Intensity of Focus + Time Spent in that Intensity
-Books to Read: Deep Work by Cal Newport & Getting Things Done by David Allen
Work/Life Balance
-Does not exist
-This is a lack of priorities
-Decide what your big priorities are in life (For me family, friends, personal health) and make everything else revolve around those priorities NOT the other way around
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Fully Vaccinated is ≥2weeks after 2nd dose of Moderna/Pfizer
Fully Vaccinated is ≥2weeks after 1 dose of J&J
Fully vaccinated ppl can:
-Visit w/other fully vaccinated ppl w/o wearing masks/physical distancing
-Visit w/unvaccinated ppl from single household who are low risk for severe COVID19 dz w/o wearing masks/physical distancing
-No need for quarantine & testing if asymptomatic
-Admitted pts = weight based prophylaxis (unless contraindications)
-IMV = therapeutic anticoagulation
-Intermediate dosing has ZERO evidence base
-Thrombolysis --> Only if other indication (i.e. MI, PE, CVA)
-Will not work on everyone
-Longer duration is better than shorter duration
-Pts require frequent assessments as they can become prone and O2 dependent (DO NOT ADMIT to Regular Floor)
Expedited thirst for info & rapidity of pandemic lead to abbreviated peer review, publication of unvalidated data, retraction, and dissemination through press release
When to change = multidisciplinary discussion to set standard care at each institution
N95 Decontamination and Reuse
Make sure technique kills virus BUT doesn't affect filtration or fit
Best options: Vaporized H202, UV Light 260 - 285nm, or Time based strategy
2nd Best options: Autoclave 121C or Dry Heat 70C
Not an Option: 70% Ethanol
High-Pulmonary Compliance: Hypoxic vasoconstriction. Major issue is lung perfusion. Increasing PEEP and prone positioning are of minimal help with recruitment of collapsed lungs. In these patients high PEEP (>15cmH20) may compromise right cardiac filling
Oxygen Alone vs Ventilation: High FiO2 more important in the short run, other interventions (i.e. intubation) may be more harmful than buying time
In pts with suspected COVID-19, airborne precautions, hand hygiene, & donning of PPE is recommended
Double gloving, as standard practice might provide extra protection & minimize spreading via fomite contamination to surrounding equipment after intubation
Have a backup airway plan ready to go prior to intubation
Most skilled person at intubation should perform the procedure to minimize attempts