Alexandra Wick, MD

@DrDanRestrepo @mghmedres I’m here! 👋🏻

Join tomorrow's Grand Rounds and hear from @uw_IMresidency chief, Dr. @ScLaurenzo, with "Simulation-based Education in Internal Medicine: Past, Present, and Future." Watch: medicine.wisc.edu/department-med…

Exciting day for UW IM residents at the sim center! “Mock Code 201” pilot for senior residents in one room and POCUS training for interns across the hall. The manikin was lucky to be in the hands of these excellent doctors! @ScLaurenzo @uw_IMresidency @WIsimulation @uw_medicine

🩺There was no group in which treatment of inpatient hypertension helped. 🚨Inpatient treatment of hypertension = harm. #SHMConverge #UpdateinHospMed2022 pubmed.ncbi.nlm.nih.gov/33369614/ PMID: 33369614

Poster by Nicole Bonk—Despite caring for majority of hospitalized patients with COVID, hospitalists only 4% of COVID authors. Worry 4 those that volunteered for frontlines but then get promoted based on pubs. Let’s rethink how we thank our heroes @SocietyHospMed #ShmConverge22

🩸More data supporting a restrictive strategy for blood transfusion, now in patients with ACS. ❤️💕 #SHMConverge #UpdateinHospMed2022 pubmed.ncbi.nlm.nih.gov/33560322/ PMID: 33560322

“We’ve identified a large gap in care among patients with pacemaker and defibrillator infections,” said @sean_pokorney “I want to close that gap to save lives.” @JonPicciniSr @manesh_patelMD @DCRINews @DukeHealth #Treat2BeatCIEDinfection

Long way to go. Therapy gap is huge when we fail to detect. Awareness is key. #Treat2BeatCIEDinfection

Dr Sean Pokorney highlighting the critical importance of timely extraction for CIED infection #ACC22 #EPeeps #Cardiotwitter ⁦@BruceWilkoff⁩ ⁦@narrowQRS⁩ ⁦@rdschaller⁩ ⁦@DukeHeartCenter⁩

In double-blind RCT, ivermectin that was administered within 7 days after Covid-19 symptom onset was shown not to be of any clinical benefit. nej.md/3LtHLyh

Dr. John Andriulli talking about problems with delay in extraction when there is an infection. 3x less mortality if taken out within 7 to 10 days but often a delay between positive blood culture and extraction. #Treat2BeatCIEDinfection @AHAScience

‼️For patients with cardiac device infections, extraction saves lives. Antibiotics alone won’t cut it. Early referrals to ID and EP are critical. #Treat2BeatCIEDInfection

What does a CIED pocket infection look like in our melanated brothers and sisters? 🤔 I haven’t seen a picture in my cardiology fellowship textbooks/resources 🙋🏽‍♀️…have you?🧐 That’s a problem. Let’s change that. Now. Grateful for these conversations 🗣🗣#Treat2BeatCIEDInfection

Are we appropriately informing our patients about the risks of device implantation? ‼️the majority of patients don't recall being informed of the risk of infection associated with CIED implantation @KnowYourPulse @AHAScience #Treat2BeatCIEDInfection

Very honored to participate in such an important AHA initiative on awareness, early detection and treatment of cardiac implantable electronic device (CIED) infections. This is just the beginning… @AlexWickMD @UWMadison @uw_cvm @uw_medicine @AHAMeetings @ACCinTouch @HRSonline

“Gaps in care are not the exception, they are the rule” - @cbgranger 🤯 Let’s change that, shall we? Starting now. 🏃🏾‍♀️⏰ #ImplementationWorks #Treat2BeatCIEDInfection❤️‍🩹 @RizwanSohailMD @cbgranger @sean_pokorney @ElaineWanMD @BruceWilkoff @AHAScience @ecoromil @AlexWickMD

The PERCEPTION of the risk of CIED extraction is a barrier ⚠️ to referral for extraction in CIED infection-@BruceWilkoff 🤯🤯 Extraction misinformation is damaging and deadly. Risk of CIED extraction is & has always been LOW. Let’s get the word out! 🗣🗣#Treat2BeatCIEDInfection

🗣Let’s keep the conversation going! 🏥🫀So proud of the strong #UWSMPH representation at the National CIED Infection Summit today! #Treat2BeatCIEDInfection @DrMiguelLeal @uw_medicine @uw_cvm @uwsmph

Time to get practical! 💭 Breaking out into small groups to discuss 1️⃣ Driving Earlier Diagnosis 2️⃣ Improving Treatment/Management 3️⃣ Raising Awareness Quality Improvement 101:You can’t improve what you don’t measure. Let’s 📏 this! We’re on our way 💪🏾 #Treat2BeatCIEDInfection

This! We know that late removal >7 days after infection ➡️ decreased survival. We need to work to get our patients to extraction-capable centers ASAP 🚑🏥