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grepmeded's profile
GrepMed
GrepMed
GrepMed
@grepmeded

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GrepMed

@grepmeded

Image Based Medical Reference: Sharing crowd-sourced checklists, algorithms, decision aids, #PhysicalExam #POCUS, and more - by @GeraldMDMD + @k00bideh

Sacramento, CA
grepmed.com
Joined March 2018

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    1. C. Michael Gibson MD‏ @CMichaelGibson Mar 21
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      • Report NetzDG Violation

      Should we move away from single rooms to putting all the critically ill in one large room like recovery rooms where we can ventilate multiple patients at once with one vent, gown and mask up for a shit with one mask and gown, & pack in resources. Why or why not?

      54 replies 37 retweets 78 likes
      Show this thread
    2. GrepMed‏ @grepmeded Mar 21
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      Replying to @CMichaelGibson

      yes. in every video this is what they’re doing in italy. That way we can use NiV and not jump straight to intubating everyone.

      1 reply 0 retweets 4 likes
    3. franzpoppz‏ @franzpoppz Mar 21
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      Replying to @grepmeded @CMichaelGibson

      But this would be the exact concern is that all HCP are at risk at all times in a large room during NIV, intubation, and codes.

      1 reply 0 retweets 1 like
    4. Adam C Lake MD‏ @ACLakeMD Mar 21
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      Replying to @franzpoppz @grepmeded @CMichaelGibson

      problem is that BiPAP is much more aerosol generating where as vented patients are fine aside from intubation/extubation and puts HCW in higher risk.

      1 reply 0 retweets 1 like
    5. franzpoppz‏ @franzpoppz Mar 21
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      Replying to @ACLakeMD @grepmeded @CMichaelGibson

      That’s what I said... Large rooms would work for covid unit, not requiring more than 6LNC.

      1 reply 0 retweets 1 like
    6. Adam C Lake MD‏ @ACLakeMD Mar 21
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      Replying to @franzpoppz @grepmeded @CMichaelGibson

      agree with you, should have hit the reply button for the tweet above yours. It would be one thing if we all had plenty of bunny suits and PAPRs, quite another to have the same N95 for a whole week...

      1 reply 0 retweets 2 likes
      GrepMed‏ @grepmeded Mar 21
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      Replying to @ACLakeMD @franzpoppz @CMichaelGibson

      might there be a way to safely throw a drape/makeshift helmet /tent over CPAP patients? Personally I would hate to go straight to intubated+sedated (and then possibly dead) without at least a trial of NiV..

      6:23 PM - 21 Mar 2020
      1 reply 0 retweets 0 likes
        1. New conversation
        2. franzpoppz‏ @franzpoppz Mar 21
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          Replying to @grepmeded @ACLakeMD @CMichaelGibson

          In any other circumstance, you’re not wrong, this simply not worth the risk.

          1 reply 0 retweets 1 like
        3. GrepMed‏ @grepmeded Mar 21
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          Replying to @franzpoppz @ACLakeMD @CMichaelGibson

          i worry about the staffing ratios of all of these intubated +sedated patients... will we have the healthy bodies + meds to monitor them all safely in ICU? CPAP you can give them a mask and leave them alone for a bit...

          1 reply 0 retweets 0 likes
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