Billy Doyle

Educator-researcher:human factors,error, CRM & emergencies. Spec: Paramedicine-lifeguards-teams under duress:
MD@ Resuscitation Skills Ltd.
Opinions are my own.

[Billy Doyle @BRJDoyle]

It's not the absolute 'number' of people in government. Cut them, and it will get worse. It's a structurally flawed, "birds nest" of complexity. Far too many ministries, departments, and over-lap.
Complexity first. Trying for simplicity.
Instead, how about simplicity first. Complexity arises from simplicity. Order to disorder. Not the other way around. Complexity first=quagmire second. Sometimes, you have to admit failure and start fresh. Kiwis used to be good at this. WTF happened?

[Billy Doyle @BRJDoyle]

Meet this amazing man who brings joy and happiness to sick kids, autistic kids in hospital, their homes, and anywhere else he's called upon.
He gives BATMAN merch away to bring joy to those having a tough time.
All at his own expense on his own time....because he's BATMAN.
Bravo Zulu sir!
You can find him on facebook:'Random Acts of Batman'

[Billy Doyle @BRJDoyle]

@MckieAllan @GaryPayinda He's an Emergency Medicine Specialist.

[Billy Doyle @BRJDoyle]

Yeah..nah..our government can't fix potholes or worry more about offending people by being effective and spend more time shuffling meaningless paper in a bloated bureaucracy. There's certainly more technological surveillance here than my younger years, but if you run a red light, rip off a gas station, you'll probably get snapped on a camera somewhere and deserve it.

[Billy Doyle @BRJDoyle]

Peter, so cool you're in NZ.
Within my lifetime (I'm mid 50s), I've seen NZ go from almost everyone slept sound with unlocked doors, open windows, kids walked to school and we roamed the neighborhood with no supervision (very Gen X), leaving keys in car ignition or you could ask a stranger for help to change a car tyre or if you left your wallet somewhere, it would be returned with 0$ cash taken to a less 'high trust' society, although it is MOSTLY still that way outside known high crime areas in bigger cities, nowhere as bad as places Ive been Get outside of Auckland etc, into smaller towns/country and most of the SthIsland, you experience the way NZ was. There are two very different NZs.

[Billy Doyle @BRJDoyle]

@Arizonal87 @IRanMediaco You are an egg. Scrambled.

[Billy Doyle @BRJDoyle]

@Morrigain2 @ross_prager Yes, no midazolam. Not for this. Some add a small amount of midaz for procedural disassociation or sedation to reduce emergence hallucations, etc. A quiet dark room works too if you can find one (the linen cupboard is out of bounds, though)

[Billy Doyle @BRJDoyle]

I have friends & colleagues in Iran. Very courageous people.
One of them is desperately trying to plan to supply Tehran and surrounding cities of 14-16million population with water as Tehran's supply runs out. Yes, a major city in 2026 is days or weeks away from having no water.
This was predicted years ago, and in the past 4-6 months, dire warnings were intensely renewed.
A more accurate timeline predicted Tehran would be out of water by the end of January. Nothing was done. It will be a catastrophic sequence of events. Potentially millions dead and millions of refugees, if the current regime continues to do nothing.
This is more than a political uprising. It might be an absolute fight for the people of Iran to survive.

[Billy Doyle @BRJDoyle]

@Wisdom_HQ 9

[Billy Doyle @BRJDoyle]

@TheZeitgeistNZ If you can make it to NZ in a small boat alive, you might be exactly the type of person we need....

[Billy Doyle @BRJDoyle]

@elonmuskTN 20

[Billy Doyle @BRJDoyle]

@sciencegirl Shadowfax

[Billy Doyle @BRJDoyle]

A long list of people who visited an island once upon a time just overwhelmed poor old Yoda....

[Billy Doyle @BRJDoyle]

If you were serious about improving health for the masses, you would stop denying poor countries from industrialization by burning lower emissions fossil fuels instead of burning wood or cow dung. Life in these countries is short and brutal. You wouldn't excuse China and India from burning coal, a seriously dirty fuel, although not all coal is equal in this regard.
Air quality is improving all the time EXCEPT in poorer countries without an electrical grid or generation infrastructure.

[Billy Doyle @BRJDoyle]

@PhysInHistory Fascism

[Billy Doyle @BRJDoyle]

@sciencegirl Never surrender, ever.

[Leo Molloy @LeoMolloyNZ]

Ian Taylor: Dear Jacinda, this is the most difficult letter I have written to you | Stuff https://t.co/XeVS4GXa0v

[Billy Doyle @BRJDoyle]

@armyemdoc Be curious to know if hypotension with Ketamine due to other drug interactions. Its not uncommon for RSI pts to receive opiates (Fentanyl mainly) for injuries and I could imagine the difficulty of controlling for this as a researcher.

[Billy Doyle @BRJDoyle]

@armyemdoc I have one of these. A Patil device. It is tremendously helpful for blind oral or nasal intubation). BTW, your fingers go way further down the tongue to locate the epiglottis.
I never got the opportunity, but a tube with directional tip increases success.