jen macdonald (@MacDonaldJen) profile picture

#pedsICU. believer in putting in the effort to make a difference in this world. New England➡️Phl ➡️OH. #pccm **opinions my own, not medical advice**

Columbus, OH
Joined September 2011
Photo by jen macdonald (@MacDonaldJen)Photo by jen macdonald (@MacDonaldJen)Photo by jen macdonald (@MacDonaldJen)Photo by jen macdonald (@MacDonaldJen)Photo by jen macdonald (@MacDonaldJen)Photo by jen macdonald (@MacDonaldJen)Photo by jen macdonald (@MacDonaldJen)Photo by jen macdonald (@MacDonaldJen)Photo by jen macdonald (@MacDonaldJen)Photo by jen macdonald (@MacDonaldJen)
jen macdonald retweeted
This is the reality of being a female leader. God forbid you ask someone to be prepared and explain things...
In the latest article about Kamala Harris’ staff turnover in the Washington Post, former staffers complain that she expects her team to be just as prepared as she is, and to be able to explain everything they put in her briefings and schedule.
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jen macdonald retweeted
Proud to be part of this keta-team work from @ChildrensPhila, led by @MJacobwitz (now @ @ChildrensNatl) evaluating ketamine vs midaz for #PedsICU status epilepticus - seizure termination more likely and adverse events less likely with ketamine #NeuroPICU rb.gy/eayq3
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jen macdonald retweeted
As a parent or caregiver, do you know what questions to ask your child care provider about their emergency response plan? Use this checklist to guide you in having that conversation. #RCRCToolbox bit.ly/stc-chk-5
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🚨 A new study suggests opportunities to improve diagnosis in 37% of children with 🚑 emergency transfers to the ICU 🏥 bit.ly/43sEjwC @sanjivdmehta @CongdonMorgan @Phillips_C_A @naveenmuthu @JennyRuizMD @IritMd #VisualAbstract by @SuchitaSata
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Outside of intracranial pathology, 0.9% saline isn’t the best first line maintenance fluid choice in critically-ill children. Outstanding (and full) IV Fluid session at #PAS23 #ASPN23 By Drs. Jeff Fadrowski, @GCHPedsChair @slgold777 et al.
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A Review of Bicarbonate Use in Common Clinical Scenarios CCR Journal Watch criticalcarereviews.com/late…
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jen macdonald retweeted
Basic principles of lung #ultrasound with a schematic demonstrating the physics behind the images #POCUS “Lung Ultrasound: The Essentials” 🔗 doi.org/10.1148/ryct.2021200…
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jen macdonald retweeted
Check out the latest from N4K @CritCareMed @NEAR4KIDS
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To encourage families & communities to take an active role in protecting children from gun violence, we've joined healthcare systems nationwide in the “It Doesn’t Kill to Ask,” campaign which provides resources to help speak up about gun safety. More: ms.spr.ly/6010g6F30.
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Another fantastic Women in White Coats event 😊😊 Such an inspiring talk by @AmyMMooreMD👏🏽👏🏽 and intro by @DeanBradfordMD. @OhioStateWIMS, @nationwidekids and @OhioStateMed are so lucky to have great women leaders.
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Shivering Control during TTM🥶 Multimodal pharmacotherapy💊may provide ⤴️ shiver control compared to a single agent alone ⚠️Despite⬆️efficacy, meperidine use has largely fallen out of favor due to toxicities What’s your preferred combo? #PharmICU #NeuroICU #CritCare
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So humbled and excited to share our review on on neuromonitoring in critically ill patients. @aartisarwal 🧠 🏠 If the brain were a house, we describe techniques to look at structure, plumbing, electricity and air. #neuroicu #critcare #neuromonitoring journals.lww.com/ccmjournal/…
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⁉️⁉️But just how much DOES that IJ increase ICP? Come stop by RST 14 at 12:30 for some myth busting at #sccm2023 Honored to share @feras_akbik and @neuro_intensive’s work on the relation of ICP and CVL placement site.
peripheral 3% NaCl is safe 😃 (and no, in case anyone is asking, i'm NOT going to hang the patient upside down in order to place a jugular catheter for 3% saline to manage their ICP - because hanging upside down & jugular catheters may actually worsen the ICP).
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We track many important but low incidence events. It’s time to make #ICUliberation bundles part of these key performance indicators just like CLABSIs. Good point @karen_choong.
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Rapid 3% saline through a peripheral catheters appears to be safe with rates up to 1000cc/hr! Phenomenal work by @EDWieru @CBthePHARMD @MayoClinicNeuro @MayoPCCM @MayoAnesthesia @SCCM @neurocritical #SCCM2023
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Board Stuff: Problems w/ HCO3 in ACLS (short 🧵) -Metabolic alkalosis➡️ left shift o2-hgb curve➡️ less O2 delivery -Alkalosis➡️ H+ buffers off of albumin ➡️ Ca2+ takes H+ place on albumin ➡️ ionized hypocalcemia #MedTwitter #MedEd #Anesthesia #FOAMEd #Anesthesiology
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Calling all #PCCM fellows & PDs on #MedTwitter! Our research team @NCHforDocs is looking for #PICU fellows who are #URiM to participate in a study exploring influential factors on decision-making during recruitment. DM/message @SooreAkandeDO #PedsICU
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jen macdonald retweeted
Police have declined to share details into how a missing 5-month-old was found Turns out, 2 Black women not only hatched a place to lead police to the kidnapping suspect, they went looking for & found baby Kason Thomas indystar.com/story/news/crim…
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jen macdonald retweeted
Hot off the press - Implementation of a rSO2 Thought Algorithm and Association with Clinical Outcomes in Pediatric Patients Following Cardiac Surgery in Pediatr Cardiol by @DespiteTheTimes et al. @nachomamarn @vsurmzz @PedsOnAPlatter #PedsICU #CHD link.springer.com/article/10…
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Please join us for the Pharmacy Section Journal Club discussion on Monday, Dec. 12, from 2-3 PM EST. Also, follow along on Twitter using #NCSPharmJC. Read the two articles to prepare and find the Zoom link for the discussion here: ow.ly/mIQp50LZYJI