Hack the Pandemic - Copper 3D | Antibacterial 3D Printing copper3d.com/hackthepandemi…

Boston Children's surgical innovation team has DIY mask using the regular anesthesia O2 mask. Did formal fit testing w safety officer, filtration stats, tested volunteers. Hospital leadership ok’ed this video. Pioneered by a fellow female surgeon (yes!) youtu.be/Es_iY5WJdmI

The FUSIC committee of the Intensive Care Society 💙 recognises that ultrasound training should ideally be delivered in the manner in which the FUSIC modules have been developed; with education, mentored learning… (link to PDF of the infographic at end of the thread) #POCUS #FOAMed #COVID19

Without sufficient basic supplies for protection of health care workers, some overwhelmed Italian hospitals became sources of spread. Lessons here push for treating as many as possible at home. statnews.com/2020/03/21/cor…

(With permission) Extubation #COVID19 patient inside a large plastic bag to contain cough. Bag prefilled with Heliox to keep it open. Pulled behind patient to below shoulders. Tavish mask in bag. ETT pulled from outside bag, kept inside bag, air evacuated by suction after.

The #COVID19 pandemic has stressed health care systems worldwide, requiring rationing of medical equipment and care. The authors discuss the ethical values relevant to health care rationing and provide six recommendations to guide fair allocation of scarce medical resources.

Protected Code Blue strategy based on available personnel in PPE In PPE Action 0 No ALS/BLS 1 HiOx mask on patient, compression-only CPR 2 As above, work to obtain IV access 3. As above, add airway operator >= 4: Add leader

Interesting issue in mechanical ventilation of #COVID19 patients, each one here after >10 days of mechanical ventilation. How might we monitor for development of this? Time to pay attention to resistance, oft neglected in the age of COVID #ARDS... #tweetorial #SoMe4MV

Case of mine: Young patient, O2sat <50% room air; 80% on 15 L NRM. Completely normal mental status, no shortness of breath, no increased WOB, no tachypnea. Pt feeling ok and looked happy. (1/4)

On April 10 and 13, the station orbited over the Indian Ocean southwest of Australia when these photos were captured of the aurora and Earth glow. flic.kr/s/aHskiySBdS

For those new to Critical Care suddenly concerned about lung damage caused by ventilators, I suggest this classic 2006 paper from Temerty Medicine U of T Department of Surgery Toronto Western Hospital Critical Care: pubmed.ncbi.nlm.nih.gov/16231069 or this review from 2013 pubmed.ncbi.nlm.nih.gov/24283226/

This is beyond alarming.

Yes, the mortality curve is flat and the young are the biggest source of cases unlike before. But hospital beds in these states are filling. And there's too little testing and tracing to find cases and isolate them from the general population.

COVID Update September 6: This bug is beatable. I talked to 3 lab directors, the FDA, 2 former FDA commish, 3 epis, 2 virologists & a senior White House scientist so I could give you a consensus on what we know. 1/

Now sending ICU patients to Kingston (as soon as we can secure a helicopter). This absolutely NOT our usual winter surge.

Long-term outcome of elderly (≥ 80y) #COVID19 pts admitted to #ICU: 6-month mortality ➡️ 72% (likely underestimated) at upper end of recent literature on older critical pts. Data supporting more informed goals-of-care decisions for this #SARSCoV2 cohort?rdcu.be/ciBaq

Everyday you make 3000 decisions. 50 of these will be wrong. This is because of how your brain is wired. Use Obama's Razor and others to reduce error 🧵

Probably the most important ninth goal I have ever seen. #IgniteTheNorth

ROSTER UPDATE - Keeghan Howdeshell has completed his OHL suspension and WILL be available to the club starting with Game 1 of their Western Conference Championship against Kitchener. #IgniteTheNorth