Drs. @AlhazzaniW, Cook, @KenParhar, @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_IRSC funding 👏

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.

Thanks @PaulBoiteau for sharing this webinar. A must watch for anyone providing ICU care for COVID-19 patients. esicm-tv.org/webinar1_live_2…

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/…

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

I am extremely impressed by Dr. Deena Hinshaw @CMOH_Alberta, 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.

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

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

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

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. @Albertadoctors #YYC @OBrien_IPH

While Italy is on quarantine, the Italian Air Force flies a single jet, representing the virus, to meet other jets that stream the colors of the Italian flag while Pavoratti's Nessun Dorma that has the lyrics "we shall overcome" plays. Breathtaking. 🇮🇹❤️

#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

"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 @amjmed amjmed.com/article/S0002-934… @EricSecemskyMD @PERTConsortium #cardiotwitter

Many centers with CV surgery will admit that they have little experience in dealing with such situations...What was the patient’s Bova score and his serum lactate? If score >or = 4 with an elevated lactate (>2.0 mmol/L) without a shock index >1.2, we would consider low dose TPA.

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 @GBarnesMD @chriskabrhel @PERTConsortium #acc19

Europe and Others Ground Boeing 737 Max 8s, nyti.ms/2TAGZcf Interesting contrast in response of aviation regulators to these events compared to response of healthcare regulators to Medical Error deemed to be the 3 rd - 5 th leading cause of death in hospital BMJ 2016;353.

#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 @cc_scn_research @ahs_scn