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NetWorks & Institutes

March 10, 2010
Cardiovascular Medicine and Surgery NetWork Puzzler - March 2010

A 68–year–old man previously diagnosed with a "heart-murmur," but otherwise considered healthy, was transferred to our hospital with a 3–day history of fever, back pain and confusion.

March 10, 2010
Interventional Chest/Diagnostic Procedures Recommended Reading List
A selection of recommended articles from the Interventional Chest/Diagnostic Procedures NetWork.
March 09, 2010
NetWork Special Presentations from CHEST 2009
All presentations are in read-only PDF format. Printing is restricted. To download a presentation to your computer, click on the presentation title.
March 04, 2010
March is DVT Awareness Month
March is DVT Awareness Month.
March 01, 2010
March Is DVT Awareness Month
March is DVT Awareness Month. Learn more.
February 28, 2010
Chest Infections NetWork Puzzler - February 28, 2010
A 55-year-old man presented with fevers, cough, and confusion.  He has a history of an idiopathic dilated cardiomyopathy and had a cardiac transplant 3 years ago (cytomegalovirus status is donor-negative, recipient-positive).
February 19, 2010
FDA Announcement on LABAs

On February 18, 2010, the ACCP participated in a teleconference hosted by the FDA to explain new information about long-acting beta-agonists (LABAs). This new safety information for consumers and health-care professionals has been posted on the FDA Web site.

February 18, 2010
ASAA Sleep Apnea and Trucking Conference
ASAA Sleep Apnea and Trucking Conference
February 11, 2010
Life has evolved somewhat.

Life has evolved somewhat, both on the ground and on the ship.

February 07, 2010
Down on new admits other then post-ops.

Actually just got up from an hour nap! We have been essentially down on new admits other then post-ops. It’s very cagie what cases come in so they can get medical personnel out.

February 05, 2010
Overload and Backlog

Day 3 of the attempt at decreasing the overload and backlog.

February 02, 2010
We’re still operating 24 hours a day.

The ship took on over 350 patients and the backlog for surgery was about a week long for reconstructive and limb salvage surgery. Each day we get more surgical staff and the operating rooms fly.

February 01, 2010
Follow-Up to the October 2008 Updated Early Communication About an Ongoing Safety Review of Tiotropium (marketed as Spiriva HandiHaler)
This is a follow-up to previous Early Communications issued in 2008 by the US Food and Drug Administration (FDA) describing a potential increase in the risk of stroke, heart attack, or death from a cardiovascular cause related to the use of tiotropium, which is marketed as Spiriva HandiHaler.
January 30, 2010
Critical Care NetWork Puzzler - January 2010

A 64-year-old man is transferred to the ICU for acute onset of confusion, septic shock, acute renal failure and disseminated intravascular coagulation.

January 27, 2010
A photo inside one of the ICUs on board.

This is dialysis row. We have 4 lined up for scrubbing in this picture. We have 2 machines and they run around the clock. We usually wait until some event pushes us.

January 27, 2010
Long day—about 3 hours of sleep last night.

Long day—about 3 hours of sleep last night and now on the go with the team at 7:30 pm. I need to go to bed.

There were two pediatric infant deaths today, one adult death in the unit, and two on the floor. The morgue is getting full. We found 2 cases of acinetobacter baumannii today, so will need to spread out a little and rethink infection control and spacing.

January 26, 2010
Everyday we advance.

We now have 35 active beds—one nurse to four beds (all full) and moving about 40 patients through a day. There are 125 operations to go, and sepsis and tetanus now rampant.

January 26, 2010
Tuesday, January 26th, 10PM

So, 10pm and will be rounding on the crew in a few. Not a bad day, perhaps 4 patients to us and some to peds. So far the wards, with our current 400 patients, have not been too bad in terms of calls or codes.

January 24, 2010
Sunday.

We are now serving as a tertiary care facility (the only one). It is remarkable to see what has happened on the ground—emergent access used and field amputations galore, many now with stump infections and complications. How many more are alive and ok out there, I do not know, but believe there are many.

January 22, 2010
End of a long day

End of a long day—over 500 inpatients and 30 to the ICU.

January 22, 2010
Friday. Did not know what day it was.

We got a third critical care doc and are now able to do shifts. We have about 500 patients on board now and have slowed to 20 in the ICU. Surgeries are on-going, but we are doing resupply for the ship and then will continue with the patient load.

January 21, 2010
Day 2 on site.

Patients are rolling in via helicopter and now by ship.

January 20, 2010
The Onslaught Continues

Our casualty receiving center is full and more are on the way.

January 20, 2010
We are Now in the Thick of It!

The Carl Vinson is steaming toward us.

January 19, 2010
Busy Day as We Approach Helicopter Distance

Patients are waiting in makeshift shelters. What facilities exist are overwhelmed and intend to discharge patients to us to alleviate their stress and allow for resupply.