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Wendy Chang
@EM_NCC
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Emergency physician 🚑🚁 & Neuro #zentensivist 🧠👩🏻⚕️ #NeuroResuscitation #IPE #MedSim #WomenInMedicine Views ≠ employer’s ≠ advice
Baltimore, MD
Joined September 2012
Standing room only at #NCS2024 session on @brain_trauma penetrating #TBI guidelines. Long awaited with useful algorithms including tool for assessing futility. Most importantly, advocates for aggressive surgical treatment and acknowledges challenges with prognostication.
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RT @kelseyel_: Curious what concentration mannitol those who voted yes use? Mannitol 20% & 25% both higher osmolarity versus 3% NaCl 🤔
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Exploring Phoenix and learning about sex, gender and diversity through #SAEM24 @AWAEM @SAEM_ADIEM #SGEM scavenger hunt
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RT @neurocritical: #NCSTJC Q6: The authors also found that prophylactic ceftriaxone did not affect the incidence of late VAP in patients wi…
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RT @neurocritical: #NCSTJC Q5: The PROPHY-VAP trial found a single dose of ceftriaxone decreased the incidence of early VAP in patients wit…
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@neurocritical 4 of 9 PROPHY-VAP ICUs routinely screened for ESBL-producing bacteria on admission and discharge #NCSTJC
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@neurocritical Do you differentiate between ventilator-associated pneumonia vs tracheobronchitis? 🤔 #NCSTJC
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@neurocritical The PROPHY-VAP ICUs implemented preventive measures including: 🔹HOB elevation 🔹Monitoring tracheal cuff pressure 🔹Oral care 🔹Changing filters/circuits only when necessary 🔹Early enteral feeding 🔹Stress ulcer prophylaxis None of the sites used SOD/SDD #NCSTJC
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RT @neurocritical: #NCSTJC Q4: Do you routinely screen for antibiotic-resistant organisms in your ICU patients? If so, which organisms and…
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Do you prefer noninvasive vs invasive sampling? 🫁 Utilize biomarkers such as procalcitonin? 🩸 Use clinical decision tools like the Clinical Pulmonary Infection Score (CPIS)? 📋 #NCSTJC
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RT @neurocritical: #NCSTJC Q2: Do you use prolonged IV antibiotics to prevent ventilator-associated pneumonia (VAP)?
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@KeatonSmetana @neurocritical We also use chlorhexidine as part of our VAP prevention bundle #NCSTJC
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Kicking off #NCSTJC with a poll ⬇️ 🔹Where do you practice if you use SOD/SDD for VAP prevention? 🔹If you don't use SOD/SDD, why not?
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#NCSTJC on @ClaireDahyot and colleagues' PROPHY-VAP trial is starting! Join us for the conversation on ventilator-associated pneumonia prevention practices in brain injury patients
Our #NCSTJC discussion on @LancetRespirMed article begins at 9 AM CT today! Discussion questions will be posted hourly; connect with colleagues & discuss findings using #NCSTJC. 📑Read the article Moderator: Dr. Wendy Chang @EM_NCC
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