Angus MacDonald

Emerge Physician. Clin Educator @DalEM, Sim Lead @MonctonMedEd. Co-Creator, @emcentered #FOAMed #MedEd. #HIPPO Contributor. Views my own; (He/Him)

[Angus MacDonald @CollaborativeEM]

@TraumaSoapBoxes 11 days and counting…

[Adam Grant @AdamMGrant]

We pay too much attention to the most confident voices—and too little attention to the most thoughtful ones.

Certainty is not a sign of credibility. Speaking assertively is not a substitute for thinking deeply.

It's better to learn from complex thinkers than smooth talkers.

[Cliff Reid @cliffreid]

The first published evaluation of @zeropointsurvey by @erin_donnelly1 & @EMManchester

Thank you my friends for this important step!

@drbear13 @emcrit @HumanFact0rz @docpgb @ResusPadawan @HansvanSchuppen @KangarooBeach @resuscitology @EMSwami @SydneyHEMS

[Justin Morgenstern @First10EM]

@christadakin Although that is true, I think we are just treating ourselves, while reinforcing medical myths

It is OK to discharge children home who still look sick, because, well, they are sick and they will likely look that way for the next few days

[Angus MacDonald @CollaborativeEM]

@LArtdelInfusion 🤣

[Angus MacDonald @CollaborativeEM]

An excellent statement. Well said @nb_docs

[Michael Bright @thepasteurpoint]

Some really great things I have learnt thus far on the @SydneyHEMS induction course;

1. Closed loop communication is such a useful technique
2. Always look to be helpful, be part of the team not part of the problem
3. A pleasant friendly opening is the best way to engage

[alan drummond @alandrummond2]

This closure had little to do with Covid and a lot to do with ignoring our nurses pleas for help for years. Covid did not cause our hospital to lose over 50% of its staff within a few months. Covid is a convenient excuse.

[Christopher Hicks @HumanFact0rz]

It’s helpful because it’s accurate. An undignified experience for patients, an unsafe environment for staff — wherein error is only avoided by chance, not by design.

The public has a right to know.

[Jacquelynn Carter @JacCarter3]

@grade1view @sjrhem It’s not just SJ; I do believe Moncton is in dire straits! I left to go to ICU which saddens me as emergency medicine is my passion, but needed for an abundant of reasons. I shall keep retweeting your comments as what you’re saying, I fully support!!

[Rob Paquin @robpaquinRN]

At #CoPro2022 today and this slide communicates such an important message. What kind of table are you setting for collaboration? As researchers, are the seats for only tokenism or are they structural to guiding the work? @CodesignHub

[Rob Paquin @robpaquinRN]

Great thread by @petrosoniak on design in care delivery. Glad to see more Canadian colleagues speaking and ideating with patient collaboration in mind during service design/improvement! #NurseTwitter

[Salim R. Rezaie, MD @srrezaie]

Great talk by @mehtas_007 on Trauma Resus

-1 - 2g TXA
-1g Ca++ for every 2 - 4 blood products
-Minimize crystalloids
-Permissive hypotension
-Early hemorrhage control
-PRBC/FFP/Plts 1:1:1 for MTP

@NWSeminars #Trauma

[Raghu Venugopal MD @raghu_venugopal]

@HumanFact0rz @DavidJuurlink @emupdates @painfreeED I don’t prescribe hydromorphone except for maybe the end stage palliative patient where some euphoric side effect maybe helpful. That’s not often. The other 99% of time it’s PO morphine IR or IM/IV - never percocet and never oxycodone.

[Marlies van Dijk (she/her) @tweetvandijk]

Influencing change in health and care is hard.

They don't teach you this in medical or nursing school.

Here are 10 things I have learned 🧵

[Mirette Dube @MiretteDube]

Fantastic #simulation project w/ @SickKidsNews
@HealthcareSSI bridges the worlds of architecture + clinical teams to ensure human centred #design of hospital spaces that are safer, patient centred and optimize efficiency
https://t.co/Ym1kNavJQ6 #ExcellenceinHospitalBuilds

[Jenny Rudolph @GetCuriousNow]

Rethinking huddles, debriefing, simulation to counteract loss of connection, loss of meaning, Requires building psych safety & relationships that carry over into everyday practice. @purdy_eve @AmyCEdmondson @drlaurarock

[James French @grade1view]

Had this very conversation last night @sjrhem with one of our seemingly impregnable ED nurses that’s seen and done it all before . Turns out they’ve never seen healthcare like it is at the moment . It’s scary. Just waiting for the moral injury when someone dies on my watch.

[James French @grade1view]

@cliffreid The reality, at least where I am is a toxic organizational culture , a corporate structure that is decades out of date, leadership that is fearful and poorly developed perpetuating an authoritarian leadership style, and politics based decision making.

[James French @grade1view]

ED closures too in New Brunswick . Sussex was closed last weekend . Half of our department in Saint John is closed most of the time secondary to nurse shortages . Multiple gaps on the physician roster this summer .