Read on Twitter
Ok, I am sorry we are here, but here we are.
Many of you health care workers are where I was a few months ago.
Listen:
Many of you health care workers are where I was a few months ago.
Listen:
Testing will be quickly overwhelmed or is already.
Talk to your lab now. What form expedites, what's routine?
Who gets tested? Make yr protocol. Over-communicate the protocol to staff.
TELL THEM it's going to change as you go.
"No plan survives contact w the enemy."
Talk to your lab now. What form expedites, what's routine?
Who gets tested? Make yr protocol. Over-communicate the protocol to staff.
TELL THEM it's going to change as you go.
"No plan survives contact w the enemy."
Pulse oximetry is your triage.
Remember when we walked our "r/o PCP" pneumonia pts and got a post-exertion sat? Do that.
Don't need O2, o/w well? Great.
DC, preferably w POx.
They're comfortable but need O2? Great.
Admit, but they need reassess rounds. Things change fast.
Remember when we walked our "r/o PCP" pneumonia pts and got a post-exertion sat? Do that.
Don't need O2, o/w well? Great.
DC, preferably w POx.
They're comfortable but need O2? Great.
Admit, but they need reassess rounds. Things change fast.
If you had to position to get them stable? Proning works but remember, also temporary.
Those reassessment rounds are tough and if they're in the Emergency Dept, you will want to sign out all the admitted folks.
They are all of them your problem til they get a bed.
Those reassessment rounds are tough and if they're in the Emergency Dept, you will want to sign out all the admitted folks.
They are all of them your problem til they get a bed.
Speaking of beds, where are these folks gonna go?
Admin has to make rules about cohorting, transfers, testing prior to release to outside facilities, and on and on.
Call yr NYC people. We will share. I wish you didn't need to hear from them but you do.
Admin has to make rules about cohorting, transfers, testing prior to release to outside facilities, and on and on.
Call yr NYC people. We will share. I wish you didn't need to hear from them but you do.
Do not perseverate over rembeelsebub and enkarta and whatev.
Let the unit people do what they do. Want clarity over steroids, dimers, or colchicine? Make an algorithm for a very few interventions to get early in the ED.
Team recipe, no MVP personal cocktails.
Let the unit people do what they do. Want clarity over steroids, dimers, or colchicine? Make an algorithm for a very few interventions to get early in the ED.
Team recipe, no MVP personal cocktails.
Take care of each other.
Check in.
Be the PPE police.
Point out when I forgot my over-mask or need to gown up for a procedure.
I know how much the ear pain and mask fibers and nose lacs want to get that mask ripped off. Be safe when you remove.
Check in.
Be the PPE police.
Point out when I forgot my over-mask or need to gown up for a procedure.
I know how much the ear pain and mask fibers and nose lacs want to get that mask ripped off. Be safe when you remove.
I know you need to get into that room.
But in a pandemic, all the emergencies aren't so emergent.
On a plane, you put O2 on yrself before your child. Cuz if you go down, you're both screwed.
Doff and don, don and doff.
But in a pandemic, all the emergencies aren't so emergent.
On a plane, you put O2 on yrself before your child. Cuz if you go down, you're both screwed.
Doff and don, don and doff.
Check in with each other.
Take care of your people in every non-infectious category.
You know how people ask how's it going and you say all right? Don't. Take a second. Take a breath. Answer.
Take care of your people in every non-infectious category.
You know how people ask how's it going and you say all right? Don't. Take a second. Take a breath. Answer.
Good luck.
You CAN do this.
You can take care of patients and yourselves and each other.
It will require perseverance, toughness, and strength of will.
But when hasn't it?
We are tested, not to reveal our weakness, but to discover our strength.
You CAN do this.
You can take care of patients and yourselves and each other.
It will require perseverance, toughness, and strength of will.
But when hasn't it?
We are tested, not to reveal our weakness, but to discover our strength.
