Chair of Surgery, Trauma, Burn, Critical Care Surgeon Sri Lankan-American Buddhist
Usually lives Outside the Box.
Jul 4, 2022 • 4 tweets • 1 min read
If you hear gunfire, safest to assume that's what it is. As many did today, leave everything, grab kids & RUN. Take path w ⬆️buildings & trees (⬆️stuff in the way=⬇️chance of clear shot) Put as much distance between you & shooter as possible 1/
If hiding behind car (not ideal) crouch behind engine block. Carry a tourniquet/stop the bleed kit in your car, and if possible on your person at major events, where crowds make them a potential target. Know how to use it, & hold pressure on a wound. Take stop the bleed class 2/
Mar 8, 2020 • 4 tweets • 2 min read
I am a trauma, burn & emergency general surgeon who works in Lubbock TX. Chances of my catching #CoronavirusUSA are pretty low.
The problem is if we don't limit the human to human transmission of #COVID19 it will continue to spread. While most people will get a mild illness, a significant number (about 10x as many as with regular flu) will need ICU care, including ventilators & other advanced equipment 2/
Jul 20, 2019 • 4 tweets • 2 min read
Had 2 cases of Compartment Syndrome last week incl 1 from snakebite (rare in this era of antivenom!)
Reminded me it is often a delayed Dx, & consequently also a frequent cause for malpractice litigation #MedEd thread: Please do NOT look for the 5Ps which mean its much too late 1/
Instead, look for 1. Firm, tight muscle compartment (compare to other side) 2. Exquisite tenderness to even gentle squeeze
Most important, the sina qua non of compartment syndrome is: 3. SEVERE PAIN on PASSIVE STRETCH of Muscles in that Compartment 2/
