With new interns starting next week here are some words of wisdom for us all in healthcare to consider. Don't wait for someone else to fix the system, we are the system - we all need to take a role. https://t.co/05XG2NWf0V
So when a Cochrane review comes up with highly significant difference across multiple outcomes, locations, blade types with huge effects it is reasonable to conclude that one device (here VL) is dramatically better than the other (DL)
This is our truth!
4/7
@PeterWark1710 Just need to enjoy the ‘slow’ travel vibe. The sleeer/day cabin is the best option. Great that we can park our car for free at the local train station and step onboard just 15 minutes before departure. Train arrives in centre of Melbourne with our hotel only a short walk.
Good review of the treatments that have been validated for Covid https://t.co/aavLANCV4A by @nymurakami@DavidLeaf9 and colleagues @BWHKidney @NatRevNeph
Measurement of exercise capacity is reduced in people with long COVID. VO2max reduced on cardiopulmonary exercise testing #LongCovid#exercise
https://t.co/6EzBSaZGud
Few older patients having elective surgery have a documented advanced care plan, even amongst those going to ICU postop. A missed opportunity. #surgery#geriatrics JAMA Surgery. https://t.co/5DMK0DX5kB
🆕 @NatureMedicine
Heart manifestations of #LongCovid
A prospective MRI study of 346 people with mild Covid, and controls, demonstrated myocardial inflammation at 3 months, worse w/ symptoms, and edema at ~1 year
by @v_puntmann and colleagues @GoetheCVI
https://t.co/TjrAJphYCh
Australian national cabinet scraps any COVID isolation requirements. Meanwhile in NSW, 1000 patients are in hospital with COVID, and 18,000 people are waiting to get into hospital to get their overdue surgery done. #COVID19#publichealth#surgery
Duration of COVID infectivity. Real world study of household contacts shows 2/3 of people are still infectious at five days. Implications for isolation of confirmed case of COVID. Australia has just shortened isolation period from 7 to 5 days. #COVID19 https://t.co/zNwTFNPN5c
Excellent review of the risk to healthcare workers exposed to airborne infection during patient care procedures (endotracheal intubation, mask ventilation). Highest risk is coughing and shouting. Risk at intubation seems overrated. #Anesthesia https://t.co/wXzHErSDnK
Paul Myles presents adverse effects of anaemia after surgery. 50% increased prevalence of death or disability by 90 days, more ICU admissions, longer length of hospitalisation. Need to find the best way to manage. #ASM22PER#Anesthesia#surgery#anaemia#transfusion@ANZCA
@rmoonesinghe speaks #ASM22PER NHS COVID surgery recovery plan (6 million patients waiting). Strategies: early optimisation, day surgery by default, exercise programs, nutrition, health coaching, reduce alcohol, smoking, ERAs lite. Public health process #surgery#COVID19@ANZCA