fresh letter on lung US in COVID19: 🦇 sono correlates with CT findings 🦇 typical sono pattern may obviate need for CT scan (avoiding logistic delays & infection risks) (letter: bit.ly/38NrpMS) (IBCC section: bit.ly/2Q703uM) #COVID19foam

Critically important & right on time - AABIP Statment: Bronchoscopy carries substantial risk & has a limited role in the diagnosis of #COVID19 #MustRead aabronchology.org/2020/03/12/202…

IBCC correction: Procalcitonin in COVID-19 😬. Initially the IBCC stated that COVID-19 didn't generally increase procalcitonin, based on several studies👇... but intubated COVID patients in my unit are routinely showing procalcitonin elevations in the range of 1-10 🤔 #MeaCulpa

#8/ updated approach to respiratory support incorporating awake proning. perhaps this is a wee bit desperate, but these aren't exactly normal times. as we run out of vents, the noninvasive strategies will become increasingly appealing 😬 (more in IBCC: bit.ly/2QR57nA)

Many people who have recovered from #SARSCoV2 infection are expressing interest in serving as donors of plasma to people who are currently ill with #COVID19. If you have recovered & want to donate plasma, go to openhealth.cc to register. 😉👇

HCQ can cause cardiac arrest, low blood pressure, hypoglycemia, seizures, and an altered mental state, and it is unproven to have an effect in treating the coronavirus. President Trump continues to recommend it. nyer.cm/n0Kdctp

we talk a lot about gear that we are missing (massive problem!!), but we are also lacking optimal prognostic tools. this post explores how a COVID Severity Index could help us clinically & and how it might be designed. (blog: bit.ly/3dNeoqy)

Marco Baciarello 💯 agree, I speculate that there is a relationship between severe disease, insulin resistance / metabolic syndrome, and impaired innate immunity

How to ventilate the intubated COVID patient? Reviewed outcomes of first 9 patient today with my group. Still early days, but initial outcomes promising (6/9 extubated). Some thoughts on (limited) experiences thus far...(1/6)

11 reasons the fresh NEJM paper on remdesivir is some hot garbage (blog: bit.ly/3b2sQcv)

Sunday’s Boston Globe ran out of room for its obituaries. To me - all of the people lost in #COVID19 shall be celebrated as heroes.

Characterization of ventilated patients with #COVID19 cared for in our ICU MassGeneral Medicine BIDMC Harvard Pulmonary & Critical Care Fellowship from @david_ziehr & @jehanalladina Respiratory Pathophysiology of Mechanically Ventilated Patients with COVID-19: A Cohort Study | AJRCCM atsjournals.org/doi/abs/10.116…

New article in Therapeutic Advances in Respiratory Disease: Inhaled nitric oxide treatment in spontaneously breathing COVID-19 patients zpr.io/HPqhy #respiratory #pulmonary #OpenAccess Inhaled nitric oxide treatment in spontaneously breathing COVID-19 patients

"The undermining of science – and the unprecedented attacks on scientists and public health officials – risk lives in every corner of our country."

professionalism is an evolving social construct. what are important components of modern professionalism? a few to get started: 🦸‍♀️clinical excellence 🦸‍♀️honorable intentions 🦸‍♀️promoting equity & inclusiveness 🦸‍♀️advocacy 🦸‍♀️not abusing power 🦸‍♀️curiosity, ongoing learning #MedBikini

New article in Therapeutic Advances in Respiratory Disease: ICU outcomes in Covid-19 patients with obesity zpr.io/HrW6q #respiratory #pulmonary #OpenAccess ICU outcomes in Covid-19 patients with obesity

👏terrific to see WHO recommending against remdesivir. i've been skeptical about remdesivir, but felt pressure to give it as a "standard of care." WHO guidelines open the door for further scientific consideration & give us latitude to use our judgement🙏 bmj.com/content/370/bm…