Someone asked over there “where in a crowded ED do you put infectious patients, esp if they can’t tolerate masks”. Well, firstly, we would not have crowded EDs if we had better community precautions… but let’s say despite that it’s bad… - ThreadSky

njbbari3.bsky.social • 110 days ago

Someone asked over there “where in a crowded ED do you put infectious patients, esp if they can’t tolerate masks”.

Well, firstly, we would not have crowded EDs if we had better community precautions… but let’s say despite that it’s bad…

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novemberlunataj.bsky.social•109 days ago

My kid is a 3rd year EM resident at a large level 1 trauma hospital and ready to do a fellowship in critical medicine because EM as practiced today eats up and spits out docs, nurses and other ancillary staff at an alarming rate.

thelongcovidnurse.bsky.social•109 days ago

My local (tertiary) ED has 1 iso room. That’s it. The last time I had to attend there were still HEPAs that were turned on & running. I believe they’ve gone now. UV lamps would be helpful too. Every layer possible.

ykamenin.bsky.social•109 days ago

Seems like a mostly-already-solved problem just needing the will to do things differently to "normal" and use a bit of creativity. Where I was we had tents / gazebos which worked pretty well, just a bit chilly in winter and warm in summer.

njbbari3.bsky.social•110 days ago

We need *money* to fix hospitals so that every space, even corridor space, has near source air treatment, whether that’s filtering or something else…

smenor.com•110 days ago

Such a tragedy that we didn’t get emergency money for that :-/

njbbari3.bsky.social•110 days ago

Yes.

They have turned the waiting room into an infectious aerosol chamber.

And 1:7 C19 deaths are due to hospital acquired C19.

It’s definitely a tragedy, and negligent.

smenor.com•110 days ago

We’ve done so far backwards on infection control

Not only aren’t people wearing respirators as part of universal precautions, a lot aren’t even gelling in / out ( the dispensers are often not even loaded or charged :-/ )

If H5N1 gets serious we’re in such deep trouble ( not that we aren’t already)

smenor.com•110 days ago

Gah s/done/gone/ ugh

njbbari3.bsky.social•110 days ago

And we should not ignore physical distancing in these settings…

Plus all that are capable, should be wearing a respie.

njbbari3.bsky.social•110 days ago

Again, a letter was sent to every branch of government in Australia requesting for this matter to be attended to… and by that I mean *money spent on it*

BEFORE WE LET C19 LOOSE.

njbbari3.bsky.social•110 days ago

The letter.

https://healthcareworkersaustralia.com/wp-content/uploads/2020/08/Aerosol_Open_Letter_Final_4Feb2021.pdf

njbbari3.bsky.social•110 days ago

I would not discount the use of outdoor spaces either. Our weather is pretty mild most of the time (summer is the worst)… outdoors with privacy screens and shade sails would also work.

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