Share this page!

Enter URL or ID to Unroll

You can paste full URL like: https://x.com/threadreaderapp/status/1644127596119195649
or just the ID like: 1644127596119195649

How to get URL link on X (Twitter) App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
Jonathan Begley Profile picture
@SpontVentGA
May 1, 2019 • 4 tweets • 3 min read • Read on X
@doctorwozza Trauma Director at RCH:
“I really, really hate children getting injured.”
#ASM19KL Image
Image
“This is akin to giving a child a gun!!”
We’ve been saying ‘enough is enough’ since 2001 and nothing has happened.
#ASM19KL Image
Risk of leg fracture is increased 5-fold by “double bouncing”, and the injury can redefine the child’s development. (Unpublished data?)
#ASM19KL
mobile.abc.net.au/news/2015-09-1… Image

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with Jonathan Begley

Jonathan Begley Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @SpontVentGA

Jonathan Begley Profile picture
Sep 24, 2020
Random physiology / physics / HEMS / airway thread here! 🥳🧐😋
Everyone knows that as you go up in altitude the pressure in an ETT cuff, or a bag of chips, increases, right? But have you ever tried to explain why?
Hints:
- It's not Boyle's law, and
- Technically, it doesn't!
"😠 WHAT!?" I hear you exclaim. "Of course the pressure increases! Anyone who's taken a bag of chips on a plane can see that! Look; it's even been proven:"
doi.org/10.1111/j.1365…

Sure, OK, but then why?
This has confused a lot of people. Most papers and textbooks will 'explain' this by make a passing reference to Boyle's law and quickly moving on. But @drtlowes figured this out and published a nice explanation in 2004. (Give him a follow! 👍)
doi.org/10.1111/j.1365…
Read 21 tweets
Jonathan Begley Profile picture
Jun 22, 2020
THREAD!! 🥳😁
Why @josimpson11’s paper on intubation barrier devices (that is, aerosol boxes AND plastic drapes) is, by a good margin, the most important thing that’s been published on these devices.
@Anaes_Journal
onlinelibrary.wiley.com/doi/abs/10.111…
Here's the first thing I LOVE about this paper: an engineer is an author!
Doctors are so frequently happy to step into other fields (law, stats, engineering, etc) without ever asking the experts for their input. Not these guys- they actually got an engineer involved!
They used a quantitative technique to measure the actual aerosol levels (in five different sizes, no less) at the intubator's head. No exploding fluorescent balloons in this study! They obtained actual aerosol numbers, measured objectively, which were generated with a neb.
Read 17 tweets
Jonathan Begley Profile picture
Jun 18, 2020
Surely if the stakes are higher we should be more careful in our decision-making, not less. If you’re not willing to treat one patient based on a press-release, why would you be willing to treat one hundred?

(Thread...)
And while people who were involved in recruiting for the study may feel like they can evaluate it just from a 3-line summary, it shouldn’t surprise anyone that those of us elsewhere do not feel that a press release is enough for us to decide to safely change our practice.
And, it was only two weeks ago that we were burned by the retraction of a major peer-reviewed trial in a top-notch journal.
nytimes.com/reuters/2020/0…
Read 13 tweets
Jonathan Begley Profile picture
Jun 15, 2020
My thread on the @Anaes_Journal @IntubateCovid paper, and why it doesn't say what you might think it does.
There's also a really important finding that hasn't received anywhere near the attention it needs... but that's a teaser for the end of the thread!
@IntubateCovid used (and still uses) an online app to prospectively record clinicians' exposures to intubating suspected or actual COVID-19 patients, and then follow to see which developed symptoms and/or the disease.
Data is still being collected: link: intubatecovid.org/info
The authors must be congratulated for this novel and swift study! They’ve collected critical data prospectively, and as they continue to collect and publish more I think we'll gain a much better understanding of the risk of COVID-19 intubations.
You can contribute at link above!
Read 22 tweets
Jonathan Begley Profile picture
Apr 6, 2020
Let's do a 'deep dive' into this @NEJM intubation-box paper. Although it won't be too deep; the paper itself is only a page long!
nejm.org/doi/full/10.10…
The first thing is that this paper is not a 'study'; it's a Letter to the Editor. Letters are not peer-reviewed and it's not actually fair to the authors to critique it as a study either.
(It also means you may not get CPD points for reading it... if that's important to you! 😅)
Still, it's a very unusual letter with the page being visited almost every second of the day! It's not entirely surprising as this is the only journal publication in the world's literature to discuss intubation boxes. (Someone please correct me if I'm wrong).
Read 13 tweets
Jonathan Begley Profile picture
Mar 31, 2020
When this is all done, I think we Australian doctors need to write a joint letter to our public health specialists apologising for thinking that our three-months of reading and experience made us more qualified to respond to a pandemic than them.
A couple of points to clarify based on responses:
- Politicians are not public health physicians! My tweet wasn’t about politicians.
- While some PH specialists are not commenting publically, many are. Some agree with AHPPC and some don’t. That’s fine! Listen to their discussion, but don’t mistakenly think that qualifies you as a PH expert. Listening to two neurologists disagree doesn’t make you a neurologist.
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

Send Email!

:(