Declan Brady

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.

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.

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

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

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

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

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. 😷😷

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.

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.

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

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 😔💔

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

Playing a game with my team. Name a blood abnormality and the first drug you check for. Eg. Hyponatraemia - thiazides #MedEd @DrTobyGilbert @rabihmgeha @DxRxEdu @medrants

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

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

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

@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.

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 heller.brandeis.edu/relational-coo…

#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

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