Discover and read the best of Twitter Threads about #dftb22
Most recents (24)
I thought I would never run another in-person event again.
But I was wrong.
Here's why you should get out of your pyjamas and go to an actual in-person event:
But I was wrong.
Here's why you should get out of your pyjamas and go to an actual in-person event:
After DFTB20 was postponed due to COVID, it was a financial millstone around our necks.
I started to believe we could get everything we needed online.
We shouldn't bother with the risk of in-person events any more.
I was mistaken.
I started to believe we could get everything we needed online.
We shouldn't bother with the risk of in-person events any more.
I was mistaken.
I spent last week hanging out with my tribe at #DFTB22.
Seeing our community face-to-face was a thing of beauty.
I now feel:
• Connected
• Energised
• Inspired
Seeing our community face-to-face was a thing of beauty.
I now feel:
• Connected
• Energised
• Inspired
Making meaning
Liz suggests we need to be more political to make meaning of our knowledge
Liz suggests we need to be more political to make meaning of our knowledge
Reflection
It starts with one. Like tattoos. Many people have one or two published papers. Few stop at three…
Often start with a case study n=1.
Often start with a case study n=1.
Patient-centred approach to a power analysis.
“How few people can I enrol in this trial so the smallest number of people as possible are exposed to a less efficacious treatment?” #DFTB22
“How few people can I enrol in this trial so the smallest number of people as possible are exposed to a less efficacious treatment?” #DFTB22
New evidence from AoNZ
Good evidence either Strep A throat or skin sores precedes RHD
Good evidence either Strep A throat or skin sores precedes RHD
Actually more complex
*Recurrent infections
*Colonisation
*Recurrent infections
*Colonisation
Avoiding the delayed, wrong or missed diagnosis.
What is quality care?
Quality care doesn’t always happen
Nowhere is perfect
Harm to 1:10 hospitalised patients
$4b cost each year
Nowhere is perfect
Harm to 1:10 hospitalised patients
$4b cost each year
Most burns happen in the home. Most homes also have a tap. Less access in rural and remote locations.
🔑 20 min cool water (within 3 hours)
🔑 20 min cool water (within 3 hours)
70% get first aid. Is that enough? What’s an acceptable number?
Reminds us of the 80s when the hair was worn high and so were the pants!
As an intern, emergency response called only when a patient had stopped breathing or lost cardiac output.
1990s the MET call invented in Sydney. Hospital-wide patient-centred system. #DFTB22
1990s the MET call invented in Sydney. Hospital-wide patient-centred system. #DFTB22
Myths and misinformation are spread person-to-person within their networks.
10% of Australian parents think vaccines can cause autism.
And 30% not sure
And 30% not sure
Franz Babl opens Day 3 #DFTB22 with research roadmaps.
Involving Poobahs / local opinion leaders is important at all stages of research and effecting change.
Involving Poobahs / local opinion leaders is important at all stages of research and effecting change.
IV vs NG rehydration
As effective as each other
2ndry outcome key:
Much easier/less attempts to place an NGT
#DFTB22
As effective as each other
2ndry outcome key:
Much easier/less attempts to place an NGT
#DFTB22
The Hype cycle
Found her #tribe in paediatric emergency medicine.
Married an American. Moved to USA. Worked 80-100 hour weeks, while he was very supportive from a Navy submarine deployed for 6 months at a time.
Married an American. Moved to USA. Worked 80-100 hour weeks, while he was very supportive from a Navy submarine deployed for 6 months at a time.
Moved to Kenya for 8 years with 2 young kids.
Moved to Australia, RFDS, working with rural and remote people.
Moved to Australia, RFDS, working with rural and remote people.
Vicki Wade @vickiwade9, proud Noongar woman, passionate about improving disparity for her mob, talking about RHD.
Enjoyed the Welcome to Country yesterday, and reiterates it’s important to her to be welcomed to Country before she does business on Country.
#DFTB22
Enjoyed the Welcome to Country yesterday, and reiterates it’s important to her to be welcomed to Country before she does business on Country.
#DFTB22
@vickiwade9 talking about the stolen generation, “half-caste and quadroon children”, and whites choosing their favourite-looking child (most fair-skinned) from a group photo (but including a note that if that one was taken by someone else, a different one will be okay). 😳😔
Treat the patient, treat the environment they’re in.
@vickiwade9 gives the example of a kid who had 3-4 open heart surgeries, but each time returned to the same poor housing conditions.
Walking alongside someone: “Place Person Heart”
@vickiwade9 gives the example of a kid who had 3-4 open heart surgeries, but each time returned to the same poor housing conditions.
Walking alongside someone: “Place Person Heart”
Dennis “Moppy” Conlon from the institute for urban indigenous health with the topic Getting Deadly. #DFTB22
Gentle reminder that Welcomes to and Acknowledgements of Country not just political nicety - very important culture for indigenous peoples.
6 different organisations in SE Qld, all providing acute care, not getting to the root of the problems. Decided to form a network to achieve improvements. Took strong leadership to guide process.
Functional neurological disorders
Need to get people off the investigation bandwagon. And share some compassion.
Need to get people off the investigation bandwagon. And share some compassion.
Ben tells the story of a child who had apparently suddenly blindness, he demonstrated they weren’t blind, child discharged.
Set things up the same way every time.
Reflect on your practice.
Reflect on your practice.
Each additional intubation attempts in a prem newborn increases risk of IVH, developmental issues, and death. @jasmine_antoine #DFTB22
@claski dreamt of talking music and medicine on @ABCClassic but maybe @DFTBubbles #DFTB22 is even better.
Just like her medical role, Clare recognises she’s not the best musician. But she can help others shine.
Clare’s approach to medicine is similar to music. She can play almost any instrument to about Grade 2 standard. 😂
#DFTB22
Clare’s approach to medicine is similar to music. She can play almost any instrument to about Grade 2 standard. 😂
#DFTB22
Orchestras comfortably play in time at 94-96 bpm. Similar to a primary school child’s heart rate. At other tempos, there is a tendency to slow or quicken.
Burnout. Moral injury when we can’t perform our jobs.
“Distressed doctors don’t bend, so they break”
Loss of control, loss of meaning, compassion fatigue, moral injury, self-criticism #DFTB22
“Distressed doctors don’t bend, so they break”
Loss of control, loss of meaning, compassion fatigue, moral injury, self-criticism #DFTB22
Burnout. Not a mental health issue. An occupational disease.
So, should we have occupational health physicians working with our hospital staff?
So, should we have occupational health physicians working with our hospital staff?
@jproimos leads out on Day 2 #DFTB22 with maturing adolescent care.
Mid-20th-century, emergence of acute and developmental paediatrics.
Mid-20th-century, emergence of acute and developmental paediatrics.
How long has adolescence been around? Quite a while…
Adolescent medicine spread throughout the world. RACP joint adolescent medicine committee created a specific training program, including adolescent and young adult health, and transition to adult medicine.
#DFTB22 @OfficialBlueyTV
Joe Brumm: The idea of Bluey is “talking dogs”. It only took afternoon to come up with that idea.
But there’s more to it than that. If episodes aren’t beautifully written, a cynicism permeates the animation studio.
Joe Brumm: The idea of Bluey is “talking dogs”. It only took afternoon to come up with that idea.
But there’s more to it than that. If episodes aren’t beautifully written, a cynicism permeates the animation studio.
Shout out to the director and crew from Charlie and Lola, for fostering the supportive creative environment.
Making a pilot in his spare time. Pitched it and got funded. $6m for 52 episodes. “A very focussing moment.”
@j_stokesparish combatting disinformation. #DFTB22
Online information sometimes questionable, frustrating…
How do we communicate science?
Online information sometimes questionable, frustrating…
How do we communicate science?
Misinformation rarely comes with a warning label!
People have cognitive biases. They want to trust people that they know or respect, rather than people that they don’t (eg government officials at press conferences).
Jo Tully bringing to light the digital world of children. #DFTB22
However much parents would like it, the internet doesn’t turn on at age 18.
1:3 children say their closest friend is an online friend.
1:3 children say their closest friend is an online friend.
Children may present with physical injuries, acting out, self harm, or other signs.
@DrNina_TR speaking on the confronting issue of technology-facilitated sexual assault of children #DFTB22
Changing trends in digital technologies involved.
The perfect storm
@ShahinaBraganza speaking on surviving moral injury #DFTB22 @WRAPEMtweet
Are we invulnerable superheroes…?
Are we invulnerable superheroes…?
Burnout triad: exhaustion, cynicism, inefficiency. Suggests a personal failing?
Moral injury: recognises it’s a systemic issue. Individually we are resilient AF. We don’t need workplace individual wellbeing programs.
Moral injury: recognises it’s a systemic issue. Individually we are resilient AF. We don’t need workplace individual wellbeing programs.
#CivilitySaveLives
#DFTB22
@bethany_boulton and Melanie Rule covering research that multi-disciplinary teams helps break down silos. And the use of #sim to explore conflict management in teams.
#DFTB22
@bethany_boulton and Melanie Rule covering research that multi-disciplinary teams helps break down silos. And the use of #sim to explore conflict management in teams.
Conversations can be depersonalising. Phone calls in general. “Is that Paeds?”.
(Don’t get me started on emails…)
“Hey, Anaesthesia…!”
#DFTB22
(Don’t get me started on emails…)
“Hey, Anaesthesia…!”
#DFTB22
