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This is the power of research. My son, two photos - 9 years apart. Sparks funded treatment for hypoxic brain injury #howcanthankyoubeenough
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Dave 
Dave
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Dave
@drfrocester
Husband of 1, father of 2. Passionate about ICU, patients and the NHS.
United Kingdom2011年6月からTwitterを利用しています
Dave 💙さんのツイート
返信先: さん
Correct. There is no cure. There are a few treatments that improve outcome eg dex, toci
Every other medication is merely to support the body while we take over ventilation and hope for recovery,
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返信先: さん
Synergy… work in different ways and paracetamol will also ‘spare’ amount of alfentanil required
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Wins the internet today.
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Now add the pile of other consumables: drapes, tapes, gowns, tubing, etc. Then add the crowd of people needed to keep the patient alive, including clinicians, nurses, cooks and cleaners, administrators and social workers and therapists. It's atrocious. Get your vaccine!
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Dave
@drfrocester
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This all medicines required to keep ONE covid patient safe for ONE day one critical care….
Or just ONE vaccine?
#getthejab
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引用ツイート
Tim Cook
@doctimcook
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A short thread on ICU stress. As ever leaning on the excellent @ICNARC data
icnarc.org/DataServices/A
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返信先: さん
Yes please do! If we can even prevent 1 admission, or death that would make it all worth it
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返信先: さん
This is an average covid patient. Medications complied by myself and senior sister. Source is critical care in Gloucestershire, UK. Please see today’s tweet for detail.
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返信先: さん, さん
if you mix 60 parts of black paint with 1 part of white the resulting color is hardly gray. So yeah it's black and white
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Feed
•1000ml NG feed
Dilutions for infusion/fluids
•Plasmalyte 2000ml
•Normal saline 1-500ml
•Dextrose 5% 1-500ml
Plus we will use bowel medications, electrolytes and often fluid for kidney support.
I think that’s it but I’m sure people will let me know!
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Analgesia
• Paracetamol 1g QDS
• Alfentanil 0.5mg/ml -2-10ml/hr
Blood pressure support
• Noradrenaline 80mcg/ml
Anticoagulation (enhanced)
• Fragmin 5000 units BD
Anti inflammatory
• Dexamethasone 6.6mg OD
Antibiotics (if bacterial infn too- common)
•Tazocin 4.5g TDS
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このスレッドを表示
For clarification -as requested - this is for an av. ventilated ICU patient
Sedation (often need several)
• Propofol 2% - 10-30ml/hr
• Midazolam 1mg/ml -2-10/hr
• Clonidine 15mcg/ml -2-10ml/hr
Paralysis (for severe ventilatory failure)
• Atracurium 10mg/ml 2-10ml/hr引用ツイート
Dave
@drfrocester
·
This all medicines required to keep ONE covid patient safe for ONE day one critical care….
Or just ONE vaccine?
#getthejab
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このスレッドを表示
返信先: さん
I think it is both to protect yourself and others. I have seen a number of people in ICU in their 20s, 30s and 40s who thought they would be fine and turn out not to be. They and their families might also need other services that are impacted by high demand from COVID
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Vaccination myth 2
“I'm young, I'll take MY chances”
Vaccination has never been about YOU it is about OTHERS
We get vaccinated to protect the vulnerable, reduce the spread & protect the NHS*
*1000 Covid patients - means 1/3 UK ICU beds NOT available for others, op's cancelled
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You are 32x more likely to DIE from Covid if you are UNvaccinated.
Let’s leave the statistics to the experts and share #realfacts not myths.
ow.ly/xaaY50GC9RH
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返信先: さん
No.
All the patients received all available treatments prior to ICU - dexamethasone, tocilizimab, oxygen, cpap etc
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Great study - confirming what we already know about the importance of outreach teams
引用ツイート
Phil Wilson MSc, LLB (Hons), RGN, RN Child
@ph_wilson1
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Good research examining the role of Critical Care Outreach Teams through the pandemic. Association with patient safety, and lower incidence of needing to intubate patients on the ward.
#patientsafety #criticalcareoutreach #hospitalatnight
pubmed.ncbi.nlm.nih.gov/33850047/
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