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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 KingdomJoined June 2011
Dave 💙’s Tweets
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
·
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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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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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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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/hrQuote Tweet
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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Replying to
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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Great study - confirming what we already know about the importance of outreach teams
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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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Vaccination myth 1
“I don’t want an ‘untried drug’”
7.2 BILLION does WW
There is no more ‘tried’ drug
Nor ones who’s side effects have been more closely monitored
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NHS beds halved since 1990.
• Why are our ED’s struggling?
• Why are our ambulances queuing?
• Why are our 999 calls unanswered?
In 2017 beds per 1,000
Germany had 8
France had 6
UK had just 2.5
#rocketscience?
#dothemath?
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Exactly - we are seeing higher than expected numbers of pregnant ladies on critical care (15-20% admissions in the last ICNARC report). Getting vaccinated is the best thing you can do for yourself and your baby.
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Dr Teresa Kelly
@ztkelly
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This is the reality if you get sick with Covid. So many people are worried about vaccination in pregnancy. Covid vaccines don’t cross the placenta and are Mach safer to have than this #GetVaccinated Covid vaccination is safe in pregnancy Covid is not twitter.com/drfrocester/st…
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“Taz to the right of me, dexa to the left, here I am, stuck in the middle with Covid”.
Sorry. I’ll get me coat.
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“But I don’t know what’s in it!”
Well you *really* won’t know what’s in it when you’re in an induced coma and they’re pumping this lot into you 
#VaccinesSaveLives
#VaccinesSaveLivesQuote Tweet
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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