Discover and read the best of Twitter Threads about #goldenhour
Most recents (5)
Police brutality and white supremacy in #Uvalde, #Texas:
For me the greatest horror is that kkkops wasted the golden hour while kids bled out.
#goldenhour
#massshooting
#POTUS
For me the greatest horror is that kkkops wasted the golden hour while kids bled out.
#goldenhour
#massshooting
#POTUS
From a Portland youth:
Since when do police need a fkn key? Pretty damn sure every single cop that's busted through any door didn't have a key!
Since when do police need a fkn key? Pretty damn sure every single cop that's busted through any door didn't have a key!
After an amazing week in Bulgaria 🇧🇬 with @JoanMerinals, when I was too busy to tweet, it's time now for a travel thread 🚞🧵 of our trip
Sofia - Varna - Veliko Tarnovo - Sofia - Rodopi Railway - Blagoevgrad - Sofia
Spoiler: there will be plenty of trains, trams and epic views
Sofia - Varna - Veliko Tarnovo - Sofia - Rodopi Railway - Blagoevgrad - Sofia
Spoiler: there will be plenty of trains, trams and epic views
Here's the short thread of the first day with some cool tram pics and my attempt to ease communication with BDŽ ticket sellers.
The rest of the trip continues on this thread.
The rest of the trip continues on this thread.
Day 1️⃣ София - Sofia
Started the day walking to the centre through the "Women's Market".
The old baths is one of the mains sights, now a historical museum.
A reminder of the "thermal" past are the fountains of hot spring water, where people go to fill their bottles.
Started the day walking to the centre through the "Women's Market".
The old baths is one of the mains sights, now a historical museum.
A reminder of the "thermal" past are the fountains of hot spring water, where people go to fill their bottles.
🚨Crashing Patient Case🚨
72 yo ♀️ to ED with syncope, hypotension. Intubated for hypercap/hypox resp failure. Hypotensive post, tx to ICU.
A Tubed
B FiO2 1.0, 10 ml/kg Vt
❤️ MAP 70 -> 50 -> 30 in mins
D sedate, +cough
E Leaky 22g PIV
U n/a
L WBC 35k, lact 1.7, UA+CXR shown
72 yo ♀️ to ED with syncope, hypotension. Intubated for hypercap/hypox resp failure. Hypotensive post, tx to ICU.
A Tubed
B FiO2 1.0, 10 ml/kg Vt
❤️ MAP 70 -> 50 -> 30 in mins
D sedate, +cough
E Leaky 22g PIV
U n/a
L WBC 35k, lact 1.7, UA+CXR shown
First step?
My team is very adept at CVCs, but we go for the IO (1 min to insert vs 10, and much higher first past success doi.org/10.1097/ccm.00…)
More on IOs from LITFL litfl.com/intraosseous-a…
Also, the vent is alarming for high peak pressures (45 cm H2O consistently). What next?
More on IOs from LITFL litfl.com/intraosseous-a…
Also, the vent is alarming for high peak pressures (45 cm H2O consistently). What next?
1/#Ogitorial No21 Real Patient with Consent. 42M, previously healthy collapses upon entering ED
A ok
B clear, bag/maskFiO2
♥️ BP 60/, HR80 Epi drip
D avPu
E punctate skin marks, diaphoresis, ashen skin, L eyelid swell
U - dark ages
L Hb10, WBC6,K 2, Na146, HCO3 12, Lact 2.4-4.5
A ok
B clear, bag/maskFiO2
♥️ BP 60/, HR80 Epi drip
D avPu
E punctate skin marks, diaphoresis, ashen skin, L eyelid swell
U - dark ages
L Hb10, WBC6,K 2, Na146, HCO3 12, Lact 2.4-4.5
You place (just in case) DC pads, replace K/Mg. ED volunteer says: prior to collapsing, the patient mumbled “bees”. You speed up fluid (5LNS/1h), add steroid & H1/H2 blocker with ⬆️BP but severe rigors, anxiety & delirium. The risk of future PTSD is best ⬇️ by:
#FOAMed #FOAMcc
#FOAMed #FOAMcc
3/ #Ogitorial No21 answer
Psychological sequelae of critical illness are common & important
ncbi.nlm.nih.gov/pubmed/25449881
Dex is not safe in patients on Epi drip & no evidence it can help.
Diaries ncbi.nlm.nih.gov/pubmed/30431494 &
Post-ICU clinics ncbi.nlm.nih.gov/pubmed/25731633
are of limited help
Psychological sequelae of critical illness are common & important
ncbi.nlm.nih.gov/pubmed/25449881
Dex is not safe in patients on Epi drip & no evidence it can help.
Diaries ncbi.nlm.nih.gov/pubmed/30431494 &
Post-ICU clinics ncbi.nlm.nih.gov/pubmed/25731633
are of limited help
(1) #TeamTrump #PhotoThread from April 27, 2018. #MAGA
🇺🇸35+ previous threads like this one: godlessnz.wordpress.com/2017/10/27/lin… …
🇺🇸Unrolled versions: threadreaderapp.com/user/GodlessNZ
Below: #TakeYourChildToWorkDay White House press corps' and staffers' kids.
🇺🇸35+ previous threads like this one: godlessnz.wordpress.com/2017/10/27/lin… …
🇺🇸Unrolled versions: threadreaderapp.com/user/GodlessNZ
Below: #TakeYourChildToWorkDay White House press corps' and staffers' kids.
(2) Historic photos released on the day Mike Pompeo was finally confirmed by the Senate and sworn in as the 70th US Secretary of State. Pompeo then jumped on a plane for a 4-country trip.
As CIA Director, he met with Kim Jong Un secretly at Easter. No guarantees but its a start
As CIA Director, he met with Kim Jong Un secretly at Easter. No guarantees but its a start
(3) Cute photo of Sec Sonny Purdue with some of his grandkids a year ago. Family is what it's all about.
