Angus MacDonald
795 posts
Angus MacDonald
@CollaborativeEM
Emerge Physician. Clin Educator @DalEM, Sim Lead @MonctonMedEd. Co-Creator, @emcentered #FOAMed #MedEd. #HIPPO Contributor. Views my own; (He/Him)
New Brunswick, Canada เข้าร่วม Ocak 2012
302 กำลังติดตาม178 ผู้ติดตาม
Angus MacDonald รีทวีตแล้ว
We pay too much attention to the most confident voices—and too little attention to the most thoughtful ones.
Certainty is not a sign of credibility. Speaking assertively is not a substitute for thinking deeply.
It's better to learn from complex thinkers than smooth talkers.
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Angus MacDonald รีทวีตแล้ว
The first published evaluation of @zeropointsurvey by @erin_donnelly1 & @EMManchester
Thank you my friends for this important step!
@drbear13 @emcrit @HumanFact0rz @docpgb @ResusPadawan @HansvanSchuppen @KangarooBeach @resuscitology @EMSwami @SydneyHEMS
Simon Carley@EMManchester
More from @medicine_uom @MFT_UGME @mftnhs with @ @erin_donnelly1 at #rcemasc reporting two exploratory/pilot studies looking at standby calls - what are they really, and can the @zeropointsurvey help? (spoiler - yes it does) @cliffreid @emcrit @HumanFact0rz
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Angus MacDonald รีทวีตแล้ว
@christadakin Although that is true, I think we are just treating ourselves, while reinforcing medical myths
It is OK to discharge children home who still look sick, because, well, they are sick and they will likely look that way for the next few days
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Angus MacDonald รีทวีตแล้ว
Some really great things I have learnt thus far on the @SydneyHEMS induction course;
1. Closed loop communication is such a useful technique
2. Always look to be helpful, be part of the team not part of the problem
3. A pleasant friendly opening is the best way to engage
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Angus MacDonald รีทวีตแล้ว
This closure had little to do with Covid and a lot to do with ignoring our nurses pleas for help for years. Covid did not cause our hospital to lose over 50% of its staff within a few months. Covid is a convenient excuse.
Dr. Atul Kapur@Kapur_AK
And let's be clear: these closures and reductions due to covid are a result of premature lifting of protective measures (eg: masks) and a result of mixed messaging from political and public health leaders which cause the public to think that the pandemic is over.
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Angus MacDonald รีทวีตแล้ว
It’s helpful because it’s accurate. An undignified experience for patients, an unsafe environment for staff — wherein error is only avoided by chance, not by design.
The public has a right to know.
Dr. Brian Goldman@NightShiftMD
I worked in the ER yesterday and will again today. It's busy. A severe shortage of nurses makes it harder to process patients. But patients are being seen and treated. Can someone explain to me how it's helpful to say the system is "on the verge of collapse"?
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Angus MacDonald รีทวีตแล้ว
@grade1view @sjrhem It’s not just SJ; I do believe Moncton is in dire straits! I left to go to ICU which saddens me as emergency medicine is my passion, but needed for an abundant of reasons. I shall keep retweeting your comments as what you’re saying, I fully support!!
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Angus MacDonald รีทวีตแล้ว
At #CoPro2022 today and this slide communicates such an important message. What kind of table are you setting for collaboration? As researchers, are the seats for only tokenism or are they structural to guiding the work? @CodesignHub
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Angus MacDonald รีทวีตแล้ว
Great thread by @petrosoniak on design in care delivery. Glad to see more Canadian colleagues speaking and ideating with patient collaboration in mind during service design/improvement! #NurseTwitter
Andrew Petrosoniak@petrosoniak
For 10 years, I’ve been involved in the design of healthcare systems, spaces and products If you’re a designer, builder, clinician or user, here’s 10 insights to ensure that your healthcare product or space leads to outstanding clinical care 🧵: #design #UX #healthcare
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Angus MacDonald รีทวีตแล้ว
Great talk by @mehtas_007 on Trauma Resus
-1 - 2g TXA
-1g Ca++ for every 2 - 4 blood products
-Minimize crystalloids
-Permissive hypotension
-Early hemorrhage control
-PRBC/FFP/Plts 1:1:1 for MTP
@NWSeminars #Trauma
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Angus MacDonald รีทวีตแล้ว
@HumanFact0rz @DavidJuurlink @emupdates @painfreeED I don’t prescribe hydromorphone except for maybe the end stage palliative patient where some euphoric side effect maybe helpful. That’s not often. The other 99% of time it’s PO morphine IR or IM/IV - never percocet and never oxycodone.
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Angus MacDonald รีทวีตแล้ว
Influencing change in health and care is hard.
They don't teach you this in medical or nursing school.
Here are 10 things I have learned 🧵
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Angus MacDonald รีทวีตแล้ว
Fantastic #simulation project w/ @SickKidsNews
@HealthcareSSI bridges the worlds of architecture + clinical teams to ensure human centred #design of hospital spaces that are safer, patient centred and optimize efficiency
HealthcareSSI.com #ExcellenceinHospitalBuilds
Michaela Cada@DrMichaelaCada
Simulations for modular clinics have influenced registration and check-in area layouts, widths of doors, ideal locations of rooms on a floor and more. Incredible value of using simulation early in planning! Now onto our mental health outpatient work. #sktransforms @SickKidsNews
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Angus MacDonald รีทวีตแล้ว
Rethinking huddles, debriefing, simulation to counteract loss of connection, loss of meaning, Requires building psych safety & relationships that carry over into everyday practice. @purdy_eve @AmyCEdmondson @drlaurarock
Center for Medical Simulation@MedSimulation
“Build relationships. That is your foundation for any great simulation-based solution." bit.ly/3KiLDBI #MedEd #MedTwitter #simulation
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Angus MacDonald รีทวีตแล้ว
Had this very conversation last night @sjrhem with one of our seemingly impregnable ED nurses that’s seen and done it all before . Turns out they’ve never seen healthcare like it is at the moment . It’s scary. Just waiting for the moral injury when someone dies on my watch.
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Angus MacDonald รีทวีตแล้ว
@cliffreid The reality, at least where I am is a toxic organizational culture , a corporate structure that is decades out of date, leadership that is fearful and poorly developed perpetuating an authoritarian leadership style, and politics based decision making.
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Angus MacDonald รีทวีตแล้ว
ED closures too in New Brunswick . Sussex was closed last weekend . Half of our department in Saint John is closed most of the time secondary to nurse shortages . Multiple gaps on the physician roster this summer .
alan drummond@alandrummond2
Already happening. Most notably over the past year. BC interior and North, Alberta north. Saskatchewan. SW Manitoba. Ontario. Northern Quebec. NB. Western PEI. most of Nova Scotia!!!
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