Discover and read the best of Twitter Threads about #ppenow

Most recents (15)

#StopKillingBusDrivers THREAD "@TfL downplayed #COVID19 dangers to bus, rail & tube workers in critical early months" => Important @WSWS_Updates Report @MayorofLondon @CityHallLabour hope you never read. So I'll serve it up in bitesize pieces @therealdojj wsws.org/en/articles/20…
"@TfL deliberately minimised @COVID19 threat to bus & transport workers Jan-Feb, even as @WHO instructed urgent action. New documents released in @KeithPrinceAM June MQT reveal that TfL focused on operational efficiency at the expense of workers’ lives" london.gov.uk/questions/2020…
"@TfL bosses, incl. Chief Safety, Health & Environment Officer Lilli Matson, insisting #COVID19 risk to bus, rail & tube workers was “low” and that gloves and facemasks should not be worn."
Read 55 tweets
A week ago I completed my third week of #COVID19 inpatient service over a five-week period. I have been reflecting on this experience and wanted to share a few clinical insights and a great deal of gratitude. I'll start with the gratitude! 1/9
1st- thank you to @JBPritzker & @LoriLightfoot for their polices to #FlattenTheCurve allowing hospitals to have beds/resources needed for patient care. Thanks also to early/ongoing efforts of local advocates for #stayathome policies! cc @futuredocs @LJoyZ_MD @ShikhaJainMD 2/9
2nd- thanks to all that helped acquire & distribute #PPE. One of my greatest fears was no/limited #PPE during my laters service wks. This fear has not been realized thx to incredible efforts by: government (@JBPritzker & @LoriLightfoot), @UChicagoMed, & local #PPENow leaders 3/9
Read 9 tweets
Did Feb20 #COVID19 Scare after UK Bus Industry Conference at Westminster serve as warning to UK BusCo Executives to immediately conduct Risk Assessments & take Protective Measures like #PPENow to protect Bus Drivers? AFAIK @TfL did nothing until APRIL bbc.co.uk/news/uk-515032…
AFAIK @MayorofLondon instructed Bus Contractors to take protective action ONLY AFTER Bus Drivers started DYING and started making noise on Social Media!!!
TBH when I look at this list of #Covid19 Deaths of Bus Drivers working for @TfL ForProfit Bus Contractors, I am really shocked. Most Bus Operators part of Global Transport Giants whose owners/executives would have been well aware of what their subsidiaries were doing in Q1
Read 11 tweets
A doc colleague of mine (who works w/ homeless population) is asking:

So why is the YYC Drop-In Centre needing donations to obtain adequate PPE? Good question.

#PPENOW

cbc.ca/news/canada/ca…

@KathyDavies13 @ShastaMorgen @Christina_Suz @BSeqndluvnun @ember_november
A doc colleague of mine (who works w/ homeless pop) is asking:

So why is the YYC Drop-In Centre needing donations to obtain adequate PPE? Good question.

#PPENOW

cbc.ca/news/canada/ca…

@efringer @EveryAlbertan @HarttDj @Chris76017295 @Peislandergrrl @emgfind @AB_Parent2
A doc colleague of mine (who works w/ homeless pop) is asking:

So why is the YYC Drop-In Centre needing donations to obtain adequate PPE? Good question.

#PPENOW

cbc.ca/news/canada/ca…

@discourse_haver @shaymic1121 @AlbertaMondo @mijoroad @Frazzling @kate_ysenoj
Read 9 tweets
⚠️New #coronavirus deaths per day in the US have flattened, but are NOT yet declining.

@realDonaldTrump keeps pushing to reopen in defiance of experts, who advise that new #COVID19 cases must decline substantially BEFORE reopening. Otherwise, cases and deaths will soar again.
‼️>47,000 Americans have died from #COVID19 in *only 1 month*, and the real death toll is higher, because MANY #coronavirus deaths were not recorded due to lack of testing.

If Trump reopens too early without testing, MORE American lives will be lost.🤬

#WhereAreTheTests #PPENow
🚨Although new #coronavirus cases per day in the US have flattened, they are NOT declining substantially.

We still average >20,000 new #COVID19 cases every day, so if we reopen too early without sufficient testing, new #COVID19 cases will EXPLODE.

#WhereAreTheTests #StayHome
Read 7 tweets
Stopped for a sandwich a few days back & started conversation with guy in queue. He is an importer/supplier of #PPE.
He told me he has tried several times to make contact with government & never received any response despite having a large amount of #PPE in stock./1
This #PPE supplier was contacted by the Health service (HSE) in Dublin recently & sold them a large quantity of #PPE after just one quick call and an emailed photo of the pallet of stock. Again the UK government did not respond./2
This #PPE supplier sold stock to two intermediaries who sold some equipment on directly to 2 NHS Trusts at a profit. His further attempts to offer stock to local & national government/Trusts directly were unsuccessful./3
Read 21 tweets
I am Brooklyn, made, born and raised. When asked, I always say I'm American.
But the country I love, has left me and my fellow Healthcare workers desolate, and betrayed.
I am a mother, a wife, and pregnant. And because of that betrayal to keep us safe, I am also covid +
I got lucky, my symptoms are not that bad.
I've been cleared to go back to work tomorrow.
And because I know I won't be protected, and no one knows if once positive do I have immunity or not, I'm leaving my home.
I'm leaving my family behind.
Tonight will be the last night for a long time that I'll get to sing my 2yr old to sleep. He'll fall asleep in my arms, and not know that that's the last time for a very long time. I haven't touched my husband in over a week, and it will be weeks until I do again
Read 6 tweets
#COVID19 @MayorofLondon @Heidi_LDN: Death of another (1 of 5 @ComfortDelGro Metroline) Bus Drivers covered sensitively by @Noel_Phillips @SkyUK. Cluster of Fatals at 1 Bus Operator might suggest Unsafe (no PPE, No Social Distancing) Garage Level Working Practices. INVESTIGATE NOW
This tweet from a vulnerable Metroline Bus Worker who was denied the opportunity to self-isolate by Potters Bar Manager implies (at the Garage Level at least) Metroline Managers putting TfL Contract Performance requirements ahead of Bus Workers' welfare
I’d hope @TfL Commissioner Mike Brown, Chief Safety Officer Lilli Matson, Surface Transport MD Gareth Powell & Bus Director Claire Mann were among ‘colleagues’ who recieved letter from Metroline MD Sean O’Shea sent confirming 5 of the 9 TfL Bus Worker Deaths were ‘on his watch’
Read 18 tweets
Maybe if Trump hadn't fired the entire Executive Branch Pandemic response team 2 yrs ago without replacing them

If Trumps administration hadn't axed the experts,
maybe the stockpile would've been maintained

& maybe the Fed Govt wouldn't be shipping States BROKEN ventilators now
Maybe if we had an expert Executive Branch Pandemic team coordinating a response they would've strongly advised Pompeo NOT to collect donations of 17.8 tons of critical Medical #PPE & ship it OUT OF THE COUNTRY over a month AFTER the CDC warned this pandemic was coming to the US.
And of course after the US donated tons of medical supplies to China, we see China turn around & sell $467 MILLION in PPE equipment that we in the US DESPERATELY need to SPAIN despite the fact that our State Dept's now desperately trying to buy PPE overseas cause we need #PPENow
Read 10 tweets
I lost my best friend to Covid19 a few hours ago. ⁦@DrFrankGabrin⁩ was an ER Doctor in NYC. He planned to go back to work when he recovered. It took only five days from the first sign of symptoms. He leaves a husband of less than one year behind. We are devastated. #PPENow
2) Symptoms developed 9 days after he’d been forced to use the same mask for multiple shifts. He was told to self quarantine. He woke up this morning and couldn’t breathe. In less than two hours he was gone. He never made it to a hospital. His husband is sick too. #PPENow
3) This was Dr. Frank’s last post. He lived to make the lives of our healthcare heroes better. He taught satisfaction through compassion. He would want good to come even from his needless passing. #COVID19 #PPENow
Read 3 tweets
Back to basics public health measures IF only @POTUS would listen !
 
Rule 1: Listen to your scientists! Public Health experts should do daily briefings NOT @realDonaldTrump or @VP Politicians must step aside and let scientists lead the war against #COVID19 @DrDzul @ProfAdeeba ImageImage
Rule 2: Enforce extreme NOT slow and/or incremental #SocialDistancing like Italy!

eg Clear Florida’s beaches.

China lockdown the #COVID19 epicenter #Wuhan and sent 40,000 HealthCare Providers #HCP to assist Image
Rule 3: Like Malaysia lockdown dangerous #HotSpots.

#MCO enforces #StayHome orders.

Provide and ensure food, medicines etc delivery to quarantined, old, poor, infirmed and their families

Go into #freeze mode or risk overwhelmed and overburdened hospitals like Italy, Spain ImageImage
Read 23 tweets
Another case for universal PPE in hospital: "recommendations for separations of 3-6' may underestimate distance, timescale, & persistence over which the [respiratory] cloud and its pathogenic payload travel…' jamanetwork.com/journals/jama/… @JAMA_current #COVID19 #PPENow Image
@JAMA_current Also...'A 2020 report from China demonstrated that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus particles could be found in the ventilation systems in hospital rooms of patients with COVID-19’ [Are we checking for this?]
@JAMA_current 'For these and other reasons, wearing of appropriate personal protection equipment is vitally important for health care workers caring for patients who may be infected, even if they are farther than 6 feet away from a patient.’ [yes, I agree… until proven otherwise]
Read 4 tweets
#POCUS in #COVID19 - there is some controversy about its use- due to infection control issues. IMHO - in EM - the role is even bigger in undifferentiated dyspnea in this pandemic. How do you know if its COVID19 or even pneumonia in the beginning!
The EM question is: Can #POCUS add value to physical exam in Acute Dyspnea performed with full #PPENow - in resource limited setting? I think the question answers itself.
My favorite resource on Lung #POCUS for this by the fantastic @theSonoCave sonocave vimeo.com/400061273
Read 3 tweets
Hi 👋🏽- I have #COVID19.

Isolated at 🏠 away from my healthy & unexposed family.

Seeking ways to help as a research subject (take my serum!) & hope to be back on front lines soon w/my #ICU & #anesthesia colleagues as an🤞🏽immune #COVIDー19 fighter.

Oh & anosmia= 100% REAL. 1/
My #covid19 symptom timeline were:
Day 1: myalgia
Day 2: chills, coughing, malaise
Day 3: coughing continues, exhausted, intermittent nausea, myalgias
Day 4:myalgia, cough, nausea, decreased taste, fatigue
Day 5: myalgia, cough, malaise, ANOSMIA

Symptoms come & go in 🌊 2/
Anosmia. The strangest & most fascinating symptom of all. Discovered it when the brand new diffuser wasn’t working despite dumping several drops of strong scented oil in. Then a friend asked “so is that anosmia thing real?” Then it hit me. 3/
Read 11 tweets
1/4. The H1N1 (influenza) virus killed an estimated more than 50 million people in the period 1918-20 worldwide. We have to take Coronavirus seriously! The protection of Health personnel is paramount to the containment of the Coronavirus pandemic. #PPEnow
2/4. There is need for re-organisation of systems in place. We need hotline numbers that members of the public can call on for assistance. The sick will always rush to emergency centers in times of crisis unless there is alternative information readily available.
3/4. Dedicated ambulances with fully clad crew in protective gear should be in place to attend to suspected cases in their self quarantine environments or homes and move them to treatment centers. This way the sick would be given an alternative to going to their usual hospitals.
Read 4 tweets

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