Declan Brady retweeted
I don’t know who wrote this in the lift I just got into but if you wanted to sum up international approaches to healthcare safety or staff wellbeing, this would be it.
Declan Brady retweeted
Challenging several weeks ahead.
A few questions.
How will these hospital and ICU beds be staffed? What about primary care? What about ED?
We need a workforce plan. We need coordination between state and federal governments.
We need honest, courageous leadership.
Declan Brady retweeted
Today the RAH is needing to increase COVID capacity - however they are unable to do so due to ambulance shortages. Transfers out of the RAH are still waiting over 20hrs for an available ambulance. #saparli
Declan Brady retweeted
It’s now clear his government was not ready. We’ve seen the pictures of the long queues for COVID testing. Today there were reports of interstate travellers giving up waiting nearly 5 hours for their obligatory test on arrival and just going to the cricket without having the test – at Adelaide, South Australia
Declan Brady retweeted
Today is the first day of SA Health’s no ramping direction. Multiple crews ramped. An 89yo patient was ramped for almost 3 hours. A direction without a Govt willing to provide additional capacity, funding or resources will not resolve ramping. #saparli #stopramping – at Adelaide, South Australia
Declan Brady retweeted
Husband in motorbike accident this morn. Taken by excellent @SA_Ambulance to Murray Bridge. Sees Dr. Needs transfer to RAH for internal scans. No ambulances can do today. No beds in Murray Bridge. Night ahead in ER there. Broken system @SAHealth @marshall_steven
Declan Brady retweeted
3/ A wee bit of poison is worse then none, but better than a big gulp of the stuff.
Masks, social distancing may not take #SARSCoV2 exposure to zero in all circumstances, but they reduce how many viruses a person inhales -- and that is literally a matter of life, or death.
😷😷
Declan Brady retweeted
For anyone who wasn't listening at the back...
EM management of hypertension:
1) The only step in the EM management of HTN is referral to primary care.
2) A safe blood pressure is a BP with no symptoms.
3) If you are going to treat HTN it should be in resus, intravenously.
Do not use amlodipine acutely - it takes too long. It doesn't work (shades of regular phone calls to me as the med reg at 2am)
#bgsconf
Declan Brady retweeted
We don't want wellbeing rooms or yoga sessions, we want:
Car parking spaces.
Lockers.
Desks.
Access to computers.
Rotas in advance.
A place to rest.
Respect.
Declan Brady retweeted
This was shared by someone on FaceBook from Reddit. A healthcare worker’s perspective of working the frontline on Sydney. Please read the entire thing. #COVID19nsw 😔💔
What an absolutely brillianty well told story, well done Dr Emily Granger #SMACC
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Inspiring panel this morning. Having a cause to champion other than our clinical work I think goes a long way to maintain our wellbeing.
@gracie_leo @choo_ek @Siriema22
The meaning of your communication is the response you get. #SMACC @EMManchester
Think of the difference between your intention and your impact #smacc @EMManchester
Declan Brady retweeted
Relational coordination theory suggests high functioning teams have shared goals, shared knowledge, and mutual respect.
Reflection on these relational foundations help us identify unique ways to get just 1% better.
@GetCuriousNow
@SocraticEM #smacc
heller.brandeis.edu/relation…
#SMACC Learning and culture session echoing the work of cybernetics - if you want to improve the system, don't focus on improving the parts, improve the interaction between the parts. @cianmcdermott @smaccteam @SocraticEM @purdy_eve
Declan Brady retweeted
Tips for managing the dying #asthmatic 🌬 from @CriticalCareNow:
- ketamine to settle
- epi to bronchodilate
- early NIV to avoid fatigue
- gentle vents to avoid breath stacking
#SMACC
What is the best use of script guided mental rehearsal? Initial learning, improving skills, or maintaining competence? @smaccteam @riggsy @MazurStef I'm sure you've got some thoughts on this #SMACC
What ratio of mental rehearsal to simulations rehearsal is optimal? #smacc @riggsy @smaccteam @SmaccForce

























