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#CafeScientifique - during recovery - the #patientvoice - Can I go outside? Drive my car? Return to work? What is safe? What can I expect? So much uncertainty and anxiety. How do I get back to my normal life? Will I be able? These extend long after ICU Critical Care Strategic Clinical Network Research @ahs_scn

Unfractionated heparin should be rare in pulmonary embolism! Why? 1) It takes too long to get it right 2) Inappropriate anticoagulation = worse outcomes 3) Most patients don't need a procedure 4) Heparin rarely delays procedures HT Geoff Barnes Christopher Kabrhel The PERT Consortium® #acc19

"In the past 50 years we have made impressive improvement in our ability to diagnose DVT and PE. However we have made little progress in the treatment of massive PE." Thanks for quoting us American Journal of Medicine amjmed.com/article/S0002-… Eric Secemsky MD MSc The PERT Consortium® #cardiotwitter

#COVIDー19 #Anesthesia Airway Mgmt (i) Reserved for the most experienced anaesthetist (ii) High-effic. hydrophobic filter b/w mask & circuit (iii) Thorough preoxygenation - avoid manual vent. (v) Avoid awake FOBi (vi) Intubation >> LMA (vii) Avoid noninvasive ventilation

I gave 4 rides tonight, all of them going to bars or clubs. After the 4th, I logged off, pulled into a parking lot, and sobbed. No one is quarantining. No one is listening. They don't know it yet, but they are killing each other. The sense of hopelessness is overwhelming.

we’ll be in hospitals w #ICU, #hospitalists, #EmergencyMedicine medicine, #Nursing colleagues for the next ?months. Also planned for 10-20% of us getting sick. Help us by #SocialDistancingNow, #selfisolating if sick, #StayHome, #WashYourHands. Alberta Medical Association (AMA) #YYC O'Brien Institute for Public Health

Most people staying home aren't doing so out of fear; they're trying to avoid becoming coronavirus vectors that could sicken and kill vulnerable others. Going out to bars and restaurants isn't "brave," it's selfish, the moral equivalent of deliberately coughing in someone's face

As someone expecting to see this on the front lines I am impressed by people's response. Thank you. However, we need to shut down non essential travel to the US. The US is Italy 2.0. We do not need the same experience of Italian neighbors: Germany, France, Austria and Switzerland

Time for a happy story: penguins get free range of closed aquarium

I am extremely impressed by Dr. Deena Hinshaw Alberta Chief Medical Officer of Health, and the Alberta response to #covid. My wife, a medical student, was called O/N to help with contact tracing. South Korea is an example of how test and trace can work. This needs to be to be considered across provinces.

A PLEA FOR HELP I have been working for 18 hours a day, like many others, to ensure we can protect all our patients and all or fabulous #NHS team #coronavirusuk is a serious illness and I want everyone to take care and stay safe and this requires for you to please stay inside

And this article provides a great example of the kind of community spirit that we need to get through this—a spirit that we can hopefully learn to instill more of into our lives, workplaces, civic institutions, and government once the crisis has passed. washingtonpost.com/opinions/2020/…

Thanks Paul Boiteau for sharing this webinar. A must watch for anyone providing ICU care for COVID-19 patients. esicm-tv.org/webinar1_live_…

Some of the most challenging times caring for ICU patients during #COVID19 has been the inability for families to be at the bedside of their loved ones during a very stressful/scary time in their life—focusing on creative ways to keep #familycentredcare possible.

Drs. Waleed Alhazzani, Cook, Ken Parhar, @StelfoxTom, @JasonWeatherald lead Canadian efforts to evaluate the #efficacy + #safety of awake prone positioning in non-intubated patients with #COVID19 hypoxemic respiratory failure The COVI-PRONE trial receives CIHR funding 👏