Nate D
natedefelice.bsky.social
Nate D
@natedefelice.bsky.social
ID and CCM physician
Interests: family, friends, medicine, Kings basketball, track and field, and many other things
Reposted by Nate D
📊 #Ebola update (Kasai, #DRC)

- 42 suspected (38 Bulape, 4 Mweka)
- 5 confirmed (all Bulape)
- 15 deaths (CFR 38%)
- 9 patients in care, 0 recovered
- 157 contacts, only 19% under follow-up

⚠️ Ongoing risks:
- unsafe burials ⚰️
- weak contact tracing
- population movement ➡️ spread
September 10, 2025 at 3:32 AM
#medsky #idsky
I’m going to my kids career day at their K-8 school in a few weeks. Any suggestions for activities to do with them?
March 8, 2025 at 4:26 AM
#idboardreview patient admitted with #influenza virus respiratory infection & is in standard & #droplet isolation. There is plan for bronchoscopy. What additional precautions are needed? #idSky #idmeded #meded
February 19, 2025 at 12:41 AM
Reposted by Nate D
"[here we go] WHO plays a crucial role in protecting the health and security of the world's people, including Americans [who it should be obvious are members of the world community], by addressing..."
who.int WHO @who.int · Jan 21
WHO comments on United States announcement of intent to withdraw bit.ly/4hrbeJ7
January 22, 2025 at 3:38 PM
#EMIMCC

Does anyone on here work ICU nights and not have a call room or place to lie down when things quiet down?

How about those that work an electronic icu?
January 22, 2025 at 1:22 AM
Reposted by Nate D
It seems to me that the time is ripe for a Bluesky thread about how—and maybe even why—to befriend crows.

(1/n)
August 20, 2023 at 1:55 AM
Reposted by Nate D
It is important for people in countries like the U.S. - where we are so lucky to have measles elimination (for now) - to remember why measles is so important to keep eliminated

Most parents today have never seen measles

It is not good for many reasons

www.nytimes.com/2024/12/18/h...
Tiny Coffins: Measles Is Killing Thousands of Children in Congo
Problems with getting vaccines to families have left many children unvaccinated and in danger of contracting the virus.
www.nytimes.com
December 19, 2024 at 5:02 AM
#MedSky #EMIMCC #IDsky #cardiosky
@pulmcrit.bsky.social

What is the culture at your hospital for potassium replacement?

At most hospitals I'm at it seems to be a culture of replace to K 4.0 and the individual doctor makes the call.

This paper confirms my bias...
jamanetwork.com/journals/jam...
Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery
This randomized clinical trial examines whether a lower serum potassium concentration trigger for supplementation is noninferior to a high-normal trigger for the prevention of atrial fibrillation afte...
jamanetwork.com
December 17, 2024 at 12:11 AM
November 28, 2024 at 3:31 PM
Reposted by Nate D
ICU Hemodynamics:

What changed in this case between a and b?
November 24, 2024 at 2:44 AM