Gateway 🚀

t+ 2sec…..

[Gateway 🚀 @Tigbe_]

@jnrjust_ice Just listened to him, he said patient was unresponsive right from scene.

I think the report says he was stable. Not sure what stable meant there.

Anyways, all I’m saying is, his unresponsiveness at the scene could have been due to a different cause other than shock.

[Gateway 🚀 @Tigbe_]

@jnrjust_ice Not sure the report mentioned it.

Was patient unconscious at the scene?? And when was the BP taken? Because, I believe the report says he was stable at the scene, and that was when his vitals were normal. Or??

[Gateway 🚀 @Tigbe_]

@jnrjust_ice The BP machine may have been faulty, or the patient has other causes of unresponsiveness. If the later is true, patient can have a normal BP.

[Gateway 🚀 @Tigbe_]

@jnrjust_ice Great point. That is provided unresponsiveness is due to shock.

An unresponsive trauma victim with normal BP may have suffered TBI.

I’m not sure what the patients pulse was, and when last the BP machine was calibrated.

[Gateway 🚀 @Tigbe_]

@jnrjust_ice Early stages of shock, BP can be normal. Don’t forget catecholamines are released as a response to trauma which can compensate for intravascular volume loss.

[Gateway 🚀 @Tigbe_]

Dear theist,
What if, after you die, you find out that, you were serving the wrong god all along?

You lose.

[Tokyo @otokyo]

Dear atheist,
What if, after you die, you find out that God is real all along?

You lose.

[Tony Breu @tony_breu]

1/14
Why can't you use direct oral anticoagulants (DOACs) in patients with mechanical valves (MVs)?

DOACs have been one of the most important advances in my career. And yet, the presence of a MV is one of the few contraindications.

The reason highlights the unique nature of thrombus formation in those with a MV and provides insights into the evolution of human hemostasis.

[Gateway 🚀 @Tigbe_]

@KS_Sedegah Lmao 😂

[Gateway 🚀 @Tigbe_]

@_nursing_guy @PhillipAnsah And, how will they perform defibrillation when they don’t know how a defibrillator looks like?

[Gateway 🚀 @Tigbe_]

@_nursing_guy @PhillipAnsah Trust me, lack of equipment does create a knowledge gap eventually. You may have learned how to use an AED once, but not having it at post and using it frequently will leave a gap. You’ll never be comfortable using one. Having the equipment is as important as the knowledge.

[Gateway 🚀 @Tigbe_]

@_nursing_guy The report mentioned our EMTs did not have ATLS training. My question is, how many of our doctors who work at the Emergency have BLS, ACLS, and ATLS? The whole system needs an overhaul.

[Gateway 🚀 @Tigbe_]

@_nursing_guy @___Eclampsia @Tbag__1 Ikr, I mean I get the point they may be trying to cut across. That it’s the textbook “normal” BP, hence it’s suspicious. But that doesn’t make it impossible.

[Gateway 🚀 @Tigbe_]

@___Eclampsia @Tbag__1 Why is it not possible?

[Gateway 🚀 @Tigbe_]

@serickson_jnr Publicly naming these officers and not dealing with the systemic deficiencies won’t solve the problem.
If we want to name, then the leaderships of the facilities, EMS, GHS, MOH should be touched as well.

[Gateway 🚀 @Tigbe_]

@serickson_jnr In no way do I think the officers on duty did no harm. I am not in support of how the case was managed. But the problem goes beyond that, and singling the individuals out won’t solve it. That’s all I’m saying. My point is for the systemic deficiencies to be fixed!!

[Gateway 🚀 @Tigbe_]

@serickson_jnr @yaron__zango I may not be able to predict my actions in such a situation considering there may be no policies in place for such at my facility- without policies and clear guidelines, my actions will be determined by the culture of the facility and how tired I am that day

[Gateway 🚀 @Tigbe_]

@serickson_jnr @yaron__zango I am a health worker. I have worked in resource limited settings in Ghana, and I’ve tasted healthcare in an “advanced” healthcare country. I can tell you the difference- it’s structures, systems thinking.

[Gateway 🚀 @Tigbe_]

@serickson_jnr @yaron__zango Charle, have a nice day.

[Gateway 🚀 @Tigbe_]

@serickson_jnr @yaron__zango Loool. I hope you realize most of these preventable deaths are due to the structural issues. Most cases of negligence are birthed from these systemic failures. Structural issues aren’t just buildings-It’s policies, it’s our EMS systems, trainings, its equipment.

[Gateway 🚀 @Tigbe_]

@serickson_jnr @yaron__zango Lmao. What makes you think it wasn’t due to that?? How would they have calculated his shock index?
In the advanced countries, they face similar problems of no bed. But you know what helps them??The issues you think should just be talked about and not tackled!!!