Alli McClean

Physiotherapist | Stroke @ Royal Hospital Donnybrook | Always learning something new | Neurorehab | Running, Ashtanga, hiking | Views mine

[Alli McClean @Alli_McClean]

I’m so privileged to be a leading this exciting new service for North Queensland - not even a Tropical Cyclone got in the way of our launch celebration yesterday! #spinalcordinjury #rehabilitation @TownsvilleHHS

[7NEWS Townsville @7NewsTownsville]

North Queenslanders can now access care for spinal injuries closer to home. Townsville Hospital has opened the region's first specialist clinic providing intensive rehabilitation. https://t.co/Nvi91D1FDF @risa_utama #7NEWS

[Alli McClean @Alli_McClean]

@beth_armstrongg @RoyalDonnybrook @rosannestaveley @Eva_Barry97 Great work Beth! It was a fantastic project to be involved in and to be more person-centred in our communication!

[WHO in occupied Palestinian territory @WHOoPt]

WHO leads very high-risk joint humanitarian mission to Al-Shifa Hospital in Gaza

18 November 2023 - Earlier today, a joint UN humanitarian assessment team, led by WHO accessed Al-Shifa Hospital in northern Gaza to assess the situation on the ground and conduct a rapid situational analysis, assess medical priorities, and establish logistics options for further missions. The team included public health experts, logistics officers, and security staff from OCHA, UNDSS, UNMAS/UNOPS, UNRWA and WHO.

The mission was deconflicted with the Israel Defense Forces (IDF) to ensure safe passage along the agreed route. However, this was a high-risk operation in an active conflict zone, with heavy fighting ongoing in close proximity to the hospital.

Earlier in the day, the IDF had issued evacuation orders to the remaining 2,500 internally displaced people who had been seeking refuge on the hospital grounds. They, along with a number of mobile patients and hospital staff, had already vacated the facility by the time of the team's arrival.

Due to time limits associated with the security situation, the team was able to spend only one hour inside the hospital, which they described as a “death zone,” and the situation as “desperate.” Signs of shelling and gunfire were evident. The team saw a mass grave at the entrance of the hospital and were told more than 80 people were buried there.

Lack of clean water, fuel, medicines, food and other essential aid over the last six weeks have caused Al-Shifa Hospital—once the largest, most advanced, and best equipped referral hospital in Gaza—to essentially stop functioning as a medical facility. The team observed that due to the security situation, it has been impossible for the staff to carry out effective of waste management in the hospital. Corridors and the hospital grounds were filled with medical and solid waste, increasing the risk of infection. Patients and health staff with whom they spoke were terrified for their safety and health, and pleaded for evacuation. Al-Shifa Hospital can no longer admit patients, with the injured and sick now being directed to the seriously overwhelmed and barely functioning Indonesian Hospital.

There are 25 health workers and 291 patients remaining in Al-Shifa, with several patient deaths having occurred over the previous 2 to 3 days due to the shutting down of medical services. Patients include 32 babies in extremely critical condition, two people in intensive care without ventilation, and 22 dialysis patients whose access to life-saving treatment has been severely compromised. The vast majority of patients are victims of war trauma, including many with complex fractures and amputations, head injuries, burns, chest and abdominal trauma, and 29 patients with serious spinal injuries who are unable to move without medical assistance. Many trauma patients have severely infected wounds due to lack of infection control measures in the hospital and unavailability of antibiotics.

Given the current state of the hospital, which is no longer operational or admitting new patients, the team was requested to evacuate health workers and patients to other facilities. WHO and partners are urgently developing plans for the immediate evacuation of the remaining patients, staff and their families. Over the next 24–72 hours, pending guarantees of safe passage by parties to the conflict, additional missions are being arranged to urgently transport patients from Al-Shifa to Nasser Medical Complex and European Gaza Hospital in the south of Gaza. However, these hospitals are already working beyond capacity, and new referrals from Al-Shifa Hospital will further strain overburdened health staff and resources.

WHO is deeply concerned about the safety and health needs of patients, health workers and internally displaced people sheltering at the few remaining partially functional hospitals in the north, which are facing risk of closure due lack of fuel, water, medical supplies, food, and the intense hostilities. Immediate efforts must be made to restore the functionality of Al-Shifa and all other hospitals to provide urgently needed health services in Gaza.

WHO reiterates its plea for collective efforts to bring an end to the hostilities and humanitarian catastrophe in Gaza. We call for an immediate ceasefire, the sustained flow of humanitarian assistance at scale, unhindered humanitarian access to all of those in need, the unconditional release of all hostages, and the cessation of attacks on health care and other vital infrastructure. The extreme suffering of the people of Gaza demands that we respond immediately and concretely with humanity and compassion.

[WHO in occupied Palestinian territory @WHOoPt]

🚨2⃣2⃣ of 3⃣6⃣ - MORE THAN HALF the hospitals in Gaza are non-functional due to lack of fuel, damage, attacks and insecurity.

The 14 hospitals remaining open have barely enough supplies to sustain critical and lifesaving surgeries and provide inpatient care, including intensive care.

@WHO calls for:
🔹An immediate ceasefire
🔹Active protection of civilians and healthcare
🔹Respect for International Humanitarian Law

[Irish Rugby @IrishRugby]

Gutted.

#TeamOfUs

[Alli McClean @Alli_McClean]

So so gutted for this incredible team, but immensely proud at how bravely they played and gave it everything for 80mins - proud to be an Irish rugby fan ☘️

[Irish Rugby @IrishRugby]

Defeat in Paris.

#TeamOfUs

[Rugby World Cup @rugbyworldcup]

Everything to play for

We are all set for a blockbuster in Paris

#RWC2023 | #IREvSCO

[Alli McClean @Alli_McClean]

Even with the choral version of Ireland’s Call, I still have goosebumps 🇮🇪 ☘️ #IRE

[Irish Rugby @IrishRugby]

You cannot beat Match Day at home! 😍

#TeamOfUs

[Alli McClean @Alli_McClean]

Great QI day showcasing the super work being done in the physio dept:
@LaoiseTyndall shared her hard work on the exercise & music therapy class on the Stroke Ward,
Catherine presented on the Falls Education initiative in GRU,
And Fiona spoke about the Neuro rehab education day 🤓

[Elaine Barker @ElaineBarker77]

Clinical specialist physiotherapist-Vertigo/Vestibular Pathway is now advertised. #joinourteam #TUHWorkingTogether #proudphysiomanager https://t.co/ANN0iqQ19b @AineOBrien8 @eimearculligan @CPNG_ISCP @ISCP_CPMT @GillianAHarte @AliceODwyer4 @suzanneryan22 @SynnottEoin @Romy_Madden

[Alli McClean @Alli_McClean]

So important to emphasise to our stroke survivors, and all rehab patients, that all their efforts add up, and to stay as active as possible in the long term too #strokerehabilitation

[Brian A Beh. @brian_beh]

@kate_hayward_ @strokefdn @SimoneDorsch @gillyminn @KarlyZacharia @dsimpsonphysio @DinaPogrebnoy @Coralie_English @kscriv2013 @bigwelshdave @msjuliedavey @NatFiniPhysio @merry_burke

All the walking mounts up. and I was told "Brian it is unlikely you will ever walk again!'

[Vestibular First @VestibularFirst]

Gaze stability exercises are a cornerstone of #vestibularrehabilitation and address blurred vision associated with motion. You can modify the exercise parameters in various ways, and this list is not exhaustive! *Register at https://t.co/068x5Vhfzt for the next Journal Club*

[ACPIVR @acpivr]

🚨CPD ALERT🚨
The world renowned, 6 day intensive #vestibular rehabilitation competency based course is coming to London!
Course Date: 10th-15th July 2023
Link below 👇👇
https://t.co/mNlnqpEutQ

[Alli McClean @Alli_McClean]

This was very exciting news last weekend - 194 member states of the World Health Assembly resolved to strengthen #rehabilitation services - desperately needed worldwide and great to have made it official! Excellent thread from @antduttine explaining what it means:👇👀
#rehab2030

[Ant Duttine @antduttine]

This is a momentous occasion for the rehabilitation sector and, more importantly, for the approx. 2.4 billion people around the world who may have need of rehabilitation. Here is a thread with my reflections on what this means for the rehabilitation sector and global health a 🧵

[Alli McClean @Alli_McClean]

What a wonderful day of professional development from expert clinical specialist physiotherapists on spasticity management - great to have such a knowledgeable group of injectors in Ireland blazing the trail with this advanced practice physio service!

[Claire Prendergast @ClairePrenderg6]

Delighted to be contributing to a Spasticity Study Day here in Beaumont hospital with my fellow spasticity management colleagues @VanceRoisin @DeirdreMurray6a @osullivan_y @GillianAHarte . Colleagues countrywide meeting to learn and network.

[Alli McClean @Alli_McClean]

What a brilliant match - it’s pretty exciting to see ROG reincarnated too

[Inpho Photography @Inphosports]

We knew that looked familiar @Munsterrugby 😍@URCOfficial 🏉

[Alli McClean @Alli_McClean]

Free staff parking? ✅
No weekend work? ✅
No more on calls? ✅
A rewarding rehab caseload working as part amazing interdisciplinary teams? ✅
Join the team in @RoyalDonnybrook 🥰

[Royal Hospital Donnybrook @RoyalDonnybrook]

Exciting opportunity to join our Physiotherapy team ⬇️

[Alli McClean @Alli_McClean]

Can’t wait to see what Stroke Ed have in store in May, so many practical topics to apply straight to clinical practice #rehabilitation

[StrokeEd @stroke_ed]

May lecture series - free lectures that will be recorded and available on the website. Register to attend the live lecture https://t.co/s3Y87CT640

[Beth Armstrong @beth_armstrongg]

Last chance to apply!