SarahMCooke

55 Followers
113 Following
34 Posts
Advanced Pharmacist Practitioner ICU/ECMO; ICS Pharmacy PAG Member; FICM Pharmacist Member; Mummy (mini-me and the pup)
@matdesgro @cathymac40 we only use it for refractory asthma and bronchospasm, mostly under the direct supervision of our ECMO team, and recently with inreach support from them, as part of the work up once referred. If ECMO cannulation and full anticoagulation are avoided, then I suspect this "may" be the sweet spot? With a paucity of evidence in the context of high demand for services and staffing/skillmix challenges, we need to be careful of drift.......

#Blood #Clots in COVID:🩸

Blood thinner Apixaban given as prevention (not treatment) vs placebo to >400 #COVID pts leaving hospital did not ⬇️ rehospitalization.

Awaiting full trial results
bit.ly/3uhlHQC

This HEAL study
📍Micro-clots remain a leading theory as to why millions suffer #LongCovid
📍These excellent investigators were not testing that theory but rather the idea that preventing overt clotting might help
📍This study did not aim to test neuro cognitive benefits of anticoagulants.

Gravity Shift - Sensas, London

Photography of Andreya, Julie & Marie playing around in the gravity defying sideways London Underground tube room at the Sensas Sensory Labs near Nine Elms Station.

#mastoart #photography #london #londonunderground #art #dance #dancer #uk #photo #potd #fun #railway #dancephotography #vauxhall #nineelms #space #gravity

The answer is: a lot more common than you think!

One retrospective case series found fever occurred in 3-10% of ICU patients on dexmedetomidine!
https://journals.sagepub.com/doi/pdf/10.1177/0310057X1704500613

Another retrospective cohort study found a 15% incidence of fever in those on Dex!
https://pubmed.ncbi.nlm.nih.gov/33813941/

Drug fever due to dexmedetomidine appears to be both a dose and time dependent side effect.

Bottom line: Dexmedetomidine induced fevers are a horse 🐎 not a zebra 🦓!

Be an #upstander & speak up when you hear a #microaggression using #GRIT
G: Gather your thoughts
R: Restate "Did I hear you say..."
I: Inquire "What did you mean?"
T: Talk it out "A comment like that could be perceived as..."

https://jamanetwork.com/journals/jamasurgery/fullarticle/2756198

The GRIT Framework for Addressing Microaggressions

To the Editor We applaud Torres et al1 and JAMA Surgery for highlighting microaggression in health care. We addressed microaggression during a Mayo Clinic–sponsored continuing medical education conference: “GRIT (Growth, Resilience, Inspiration, and Tenacity) for Women in Medicine” in September...

Uh, the always amazing @Charlotte_Summers being amazing:

“Am giving evidence to @UKHouseofLords Science & Technology Committee regarding role of clinical academics in NHS on Tues, so would love to hear what #MedTwitter thinks they need to hear.”

#MedMastodon

Charlotte Summers on Twitter

“Am giving evidence to @UKHouseofLords Science & Technology Committee regarding role of clinical academics in NHS on Tues, so would love to hear what #MedTwitter thinks they need to hear. https://t.co/vqE5ofMfLP”

Twitter
@Gretchemaben meanwhile in the UK....... https://www.rpharms.com/scotland/best-practice-scotland/your-best-practice/saving-life-with-naloxone
My friend had to get her community pharmacy opened back up and administer IM, risking a sharps injury.
Saving life with naloxone

Life is short. Do good in the world, be true to your friends, help others, and make every day count. If in academia, stop racism and injustice. Promote equity, diversity and inclusiveness. So again, remember, life is short: do your best to make every day count.