Declan Brady

ED keen doctor from Adelaide. Interested in medical simulation, soft skills, and disaster medicine.

[Alex Psirides @psirides]

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.

[ACEM President @ACEMPresident]

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.

[Ambulance Employees Association (SA) @aeasa1981]

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

[Peter Malinauskas @PMalinauskasMP]

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

[Ambulance Employees Association (SA) @aeasa1981]

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

[Amanda Bachmann @akbachmann]

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

[Laurie Garrett @Laurie_Garrett]

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.
😷😷

[David Hartin @davehartin]

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.

[Surgical SHO CT BNO (2019) @AbdoPainHotline]

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.

[Stefan Tigges @StefanTigges]

93 CT scans on the work list at at 7:51 am. Please send wellness modules.

[Dr Bec Szabo @inquisitiveGyn]

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 😔💔

[Declan Brady @MedDeclan]

@inglisjosh @DrTobyGilbert @rabihmgeha @DxRxEdu @medrants Thrombocytopenia - heparin

[Declan Brady @MedDeclan]

What an absolutely brillianty well told story, well done Dr Emily Granger #SMACC

[Declan Brady @MedDeclan]

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

[Declan Brady @MedDeclan]

The meaning of your communication is the response you get. #SMACC @EMManchester

[theantsyextrovert @Alina92209330]

Think of the difference between your intention and your impact #smacc @EMManchester

[Declan Brady @MedDeclan]

@tiramisukey @cianmcdermott Harsh doesn't necessarily mean accurate though. Maybe we're overly harsh, or focused on the wrong things. We don't know what we don't know.

[Eve Purdy @purdy_eve]

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
https://t.co/94OUfrjDNp

[Declan Brady @MedDeclan]

#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

[Ben Wingrove 🍃 @BenWingrove2]

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