2020-07-12: Family bike ride on the Paul Bunyon State Trail this morning, followed by shopping and lunch in …

2020-07-12: In Nisswa, MN on vacation. 2 kids up on waterskis and 1 now able to slalom. Success, after lots of …

2020-06-06: #BlackLivesMatter #GeorgeFloyd

2020-06-06:

2020-06-06:

2020-06-06:

2020-06-06: #Blacklivesmatter

2020-06-06: Just returned from the capital in St. Paul. Thousands of healthcare workers came together to honor …

2020-05-04: ED visits are still down 30-40% in Minneapolis, despite COVID. Many typical ED patients are not …

2020-05-04: MDH is reporting: 85,941 tests completed 7,234 + cases 428 deaths 396 hospitalized 166 in ICUs …

2020-04-30: Cookies sent to the ED from a family friend. The nurses and doctors are very thankful! ❤️

2020-04-27: Lots of meat on the smoker yesterday.

2020-04-26: Couldn’t resist this beautiful day for grilling. Just put a small brisket on the smoker and …

2020-04-26: Just got my Solaire Infrared grill ready for another season (did the deep clean), then moved on to …

2020-04-26: Poke bowls for lunch, as we had lots of fresh ingredients prepared from our sushi session last …

2020-04-26: Made sushi rolls last night with the family; everyone had his/her own bamboo roll. Tuna, salmon, …

2020-04-25: Just installed a Netgear Nighthawk CM1200 cable modem and tripled our speed. Hopefully the thirst …

2020-04-22: ED volumes in Minneapolis are down an average of 40% compared with last April. Many patients who …

2020-04-22: We are starting to hear that more testing for COVID-19 will be available at our hospitals in MN. …

2020-04-22: We are starting to use UV-C radiation to disinfect our N95 masks, which will allow us to reuse them …

2020-04-22: Recommendations from IDSA in order to reduce social distancing during COVID19. We have a long way to …

2020-04-18: Hosting a “happy hour” via Zoom with 20+ medical school classmates from the around the country this …

2020-04-12: Yikes, major snow storm in Minneapolis currently. Almost 60F yesterday. Crazy.

2020-04-12: Snowing today in Minneapolis, despite a beautiful Spring day yesterday. Time for Twin Cites-opoly …

2020-04-12: The Easter Bunny, fond of scavenger hunts, decided to use QR code “clues” inside of plastic eggs to …

2020-04-07: MDH list continued (2/2): Ill health care workers and their ill household contacts, ill patients 65 …

2020-04-07: MDH suggests that commercial laboratories prioritize: Ill individuals (residents or staff) in …

2020-04-07: MDH has updated their suggestions for testing and it now distinguishes priority at the MDH lab. …

2020-04-07: MN’s COVID-19 Response and Prep Capacity: mn.gov/covid19/d… MN’s COVID-10 Public …

2020-04-06: White House Briefings: Spoke too soon. Bummer.

2020-04-06: Nice to see the networks will wait for the medical professionals before covering the White House …

2020-04-04: My Chimichurri sauce: Fresh: Italian Parsley Cilantro Marjoram Thyme Oregano Tarragon Shallots …

2020-04-04: My good friend jthingelstad just dropped off some delicious breakfast treats on my front deck. …

2020-04-03: We are piloting pulling our medical scribes out of the ED and placing them in safe nearby spaces …

2020-04-03: Increasingly, if you come to the ED, expect some part of the interview to occur via phone and/or …

2020-04-03: Our group has developed small intubation kits, medication packs, and mapped out smaller teams (in …

2020-04-03: We are working on Traffic Control Bundling for ED prep. Cohorts: Green (low risk), yellow …

2020-04-03: Tips from the frontline #3: 10. One patient at a time. Know the moral lens. 11. Patients can do well …

2020-04-03: Tips from the front line #2: 6. Operate ED command center continuously, 24/7 availability. 7. Don’t …

2020-04-03: Tips from the COVID front line in NYC, courtesy of Dr. McGreevy (via webinar): 1. Over prepare, 2. …

2020-04-03: Good ideas for COVID19 ED Operations: 9. Prepare intubation kids and meds, use video laryngoscopy, …

2020-04-03: Good ideas for COVID19 ED Operations: 6. Decant low acuity patients away from the ED (tents, etc.). …

2020-04-03: Good ideas for COVID19 ED Operations: 1. Daily emails. 2. Frequent Zoom meetings. 3. …

2020-04-02: It’s difficult to watch press briefings noting the wide availability of COVID testing when …

2020-04-02: Here a good page that Minnesota Department of Health that updates frequently. It shows total …

2020-04-01: COVID-19 outcomes in the Seattle Cohort. Note the # of days on mechanical ventilation. The mortality …

2020-04-01: CXR and CT findings in COVID-19 (NEJM source). Bilateral ground glass infiltrates. This leads to low …

2020-04-01: Many thanks to Medtronic for helping our hospital teams with critical flow work to prepare for this …

2020-04-01: Benefits of Traffic Control Bundling and Risk Zone Strategy: 1. COVID19 patients are housed in the …

2020-04-01: The goal of Traffic Control Bundling is: 1. Reduce/Eliminate Health Care Worker infection, 2. …

2020-04-01: Traffic Control Bundling: 4. Clear signage reminding you that you are in one zone, transitioning to …

2020-04-01: We are instituting Traffic Control Bundling in many EDs (as implemented in Taiwan). 1. Triaging and …

2020-03-31: Great interview today by Dr. Amy Cho (Minneapolis) with Anderson Cooper on CNN. The lack of COVID …

2020-03-31: COVID19 Minnesota: 629 confirmed. 12 deaths.

2020-03-31: Aerosol and Surface Stability of SARS-CoV2. www.dropbox.com/s/c1t3vuf…

2020-03-30: COVID-19 Minnesota: 18,822 tests. 576 positive cases. 10 deaths. 92 hospitalizations. 56 currently …

2020-03-30: Great page from Johns Hopkins constantly updated on cases, deaths, recoveries, etc. …

2020-03-30: Great resource for COVID-19 for providers: www.nebraskamed.com/for-provi…

2020-03-30: COVID-19 in kids: 13% of virologically confirmed kids were Asymptomatic, the true rate is likely …

2020-03-30: A very good review of COVID-19 Characteristics in China. www.dropbox.com/s/pjt53op…

2020-03-30: A good friend and partner of mine, Dr. Cho, talks about PPE Masks with Kare 11. …

2020-03-30: COVID-19: Ibuprofen vs. Tylenol: There have been some reports linking Ibuprofen to worsening renal …

2020-03-30: Some COVID-19 anecdotes so far: 1. Average onset after exposure: around 5 days 2. Prodromal flu-like …

2020-03-30: Another metro policy on PPE Mask (N95) extended use vs. re-use. www.dropbox.com/s/jc5n6q7…

2020-03-30: PPE mask conservation: extended use, re-use. www.dropbox.com/s/4m6ho70…

2020-03-30: Here is our Rapid Sequence Intubation Protocol for COVID-19. www.dropbox.com/s/dzotui4…

2020-03-30: Great FaceTime session over coffee with @jthingelstad yesterday. A new weekend tradition, …

2020-03-30: COVID 19

2020-03-30: COVID 19

2020-03-30: COVID 19

2020-03-30: COVID 19 Treatment

2020-03-30: Flatten the Curve!

2020-03-30: Radiology: Ground glass infiltrates, bilateral

2020-03-30: COVID 19 Labs: Leukopenia and lymphopenia Thrombocytopenia Elevated BUN/Creatinine Elevated LFTs …

2020-03-30: COVID 19 symptoms: 60-89% cough 45% fever on presentation 85% fever during illness 20-40% shortness …

2019-08-06: Getting excited to co-host 30+ neighbors for National Night Out. Tons of pulled pork, ribs, and …

2019-05-31: Heading to Baltimore for 25th med school reunion. Should be fun to reconnect with old friends

2018-12-16: A nice review article regarding the use Direct Oral Anticoagulants and reversal of bleeding …

2018-12-13: A new review of ECLS (Extracorporeal Life Support) in Emergency Department patients. …

2018-03-12: A new paper on 12 Lead EKG in Acute MI by Steve Smith and colleagues. …

2018-03-12: Here are some notes on E-CPR (ECMO) for reference. www.dropbox.com/s/7phbyoi…

2018-01-21: This EKG can represent multivessel coronary artery disease, Left Main coronary artery …

2018-01-21: Normal EKG: www.dropbox.com/s/xi6qvco… Abnormal EKG: www.dropbox.com/s/hdxhvay… ST …

2018-01-10: Sepsis Antibiotics and IV fluid compatibility. www.dropbox.com/s/9e77dd2…

2018-01-10: Antibiotics appropriate in Severe Sepsis and Septic Shock. www.dropbox.com/s/ip0r46a…

2018-01-09: Septic shock: Every hour in delay to antibiotics increases mortality by ~7%

2018-01-09: A good sepsis summary, which takes into account many of the recent large randomized trials. …

2018-01-08: New SEP-1 (Sepsis) changes from CMS effective this month. Here is a nice summary by one of my EM …

2018-01-08: In Sepsis, early broad spectrum IV antibiotics is critically important, ideally within an hour, …

2018-01-08: We are expanding the time window for stroke intervention in selected patients, now out to 24 hours. …

2018-01-06: Influenza is peaking in MN. EDs and hospitals are packed!

2017-11-13: First day at LEAN Healthcare conference at U of Michigan was pretty solid.

2017-09-30: ACCESS trial coming soon–Early Cath Lab vs. Early ICU for VT/VF. Here is an important study …

2017-09-30: Small study, yet impressive. Protocol for ECLS (refractory VT/VF) on arrival to cath lab is in this …

2017-09-30: Incredible results for ECLS by Yannopoulos and team in Minneapolis. Recent paper in JACC. …

2017-09-24: Schwag gift from #reanimate4. ECPR is traditional CPR augmented by ECMO.

2017-09-22: Just finished #reanimate4. A very solid meeting, pushing the envelope in ED resuscitation— cardiac …

2017-09-22: 75% through Reanimate4 in San Diego, very good simulation course for ECMO cannulation.

2017-09-18: Heading to San Diego on Thursday/Friday for Reanimate 4, hands-on ECMO/REBOA training. Very excited …