Quick tweetorial on perioperative care of the frail patient. You might do things differently, I would love to know what you do!
@TomVargheseJr @aoglasser @KurtPfeifer @SPAQIedu @ASER_hq @Jeanna_BlitzMD @BobbieJeanSwei1 @afedwardMD @uabmedicine @UABSurgery @UAB_Anesthesia
1/ Older patients and frail patients require adjustments in perioperative care.
2/

There's been a lot of talk about us being at war with #COVID19 and that is true in many ways, but it is somewhat unfair to healthcare workers. (thread) 1/

@Docbasia @somedocs @aoglasser @afedwardMD @dr_rajgupta @kari_jerge @karenerrichetti Military: there is clear command and control that is ALWAYS present. You walk around with rank on your sleeve.

Hospitals: there are silos, departments, employees, faculty, etc. A pandemic command center pops up with the facility manager and ID Doc as leaders.

Not the same. 2/

How do you enhance recovery before surgery? Let's talk about preoperative #optimization initiatives with goal of #prehabilitation! #EB4S 1/

#MedThread #Tweetorial
@aoglasser @TomVargheseJr @KurtPfeifer @afedwardMD @Docbasia @dremilym @tony_breu @ruthi_landau 1st, goal is optimization for everyone, but that may not be possible in your place. You want to risk stratify your patients. We use the NSQIP Surgical Risk Calculator, Gupta MICA Calculator, and the Duke Activity Status Index DASI. 2/
riskcalculator.facs.org/RiskCalculator/

#TRAUMA: #medthread on the coagulopathic changes in severe trauma.

This is the WHY behind trauma resuscitation efforts.
#traumaanesthesia #damagecontrol #resuscitation
@UABSurgery @UAB_Anesthesia @uabmedicine 1/ Post-trauma hemorrhage and hypotension leads to a unique physiologic derangement called Acute Traumatic Coagulopathy. Resuscitation requires management of both hemodynamics and coagulation status. 2/