Critical Care Medicine, Emergency Medicine
New York, NY
Joined April 2011
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Cameron Kyle-Sidell, MD retweeted
Great video from @cameronks covering these concepts
emin5.com/2016/04/24/ultraso…
Med peeps: Seeing a lot of precious IV US lines blow. Quick tip when placing: Look for the V-ARTERY (turn that vein into an artery)🤔
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after insertion, take off tourniquet, move probe up arm past catheter, compress and pump the flush
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if you see the VARTERY - all good! 🙌
For trainees:
Some keys for success:
1. Use long catheter
2. Most important: DON'T look for flash (u should know u are in)
3. Follow catheter in ("see the lantern in the cave")
4. Check your work: find and pump the VARTERY
emin5.com/2016/04/24/ultraso…
Yesterday I was called to place an IV in a dying lady with a bad heart. She was old and thin and lay still through the pain and I thought of things I think about when I’m alone. Then she opened her eyes and said thank you, god bless and I realized my eyes had also been closed.
I agree. I fear we are facing a large wave of thrombotic vascular complications from omecron. This variant may well uncover the true nature of the virus — and perhaps make clear the potential driving factor for severe disease — the hyper-activated platelet. @farid__jalali
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Just saying what I’m (still) seeing: It’s (still) MOSTLY unvaccinated folks dying. And there’s A LOT more vaccinated folks where I live. If you haven’t gotten it, please do. I don’t believe in the job mandates, but there are far more important hills for me and you to die on.
Cameron Kyle-Sidell, MD retweeted
Have u read the following study that Gattinoni discusses? I truly don’t understand why there is such insistence on saying “there’s nothing new here.” ?? 🤔🤷
COVID-19 pneumonia: dissociation between oxygenation and lung pathoanatomy and association between total lung stress and disease time course. @yourICM link.springer.com/content/pd…
We’ve moved from an alveolar-centric view of COVID19 to a vascular microthrombotic-centric view (it comes first!). Is it now time to ask what precipitates the vascular injury and move to a platelet mediated vasoconstrictive-centric view of the inciting vascular injury??? 👇🔥
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Cameron Kyle-Sidell, MD retweeted
COVID-19 pneumonia is an evolving disease
err.ersjournals.com/content/…
From data available, every patient admitted to the medical wards for early COVID should be anti-coagulated w/ HEPARIN based AC if no contraindication. Benefit seems to far outweigh risk (as opposed to in the ICU - late disease). With COVID, timing is everything.
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There seems to be some strange movement within the “liberal”medical community (good people!) promoting the notion that opposing viewpoints (ie. anti-booster, anti-toddler masking, ie @VPrasadMDMPH) should be censored. Raised as a lifelong “leftist” this is absolutely insane. 1/8
These are dark times in many ways and we will get through them. But let us hope that on the other side, we have not sacrificed our values (and eroded our protections) in the name of getting to that bright future we hope to see. 7/8