Summary 🧡 of last night's SHA "town hall" for MDs:

- Overall #SK test positivity ~14%
- Cases declining, but so is testing
- #SK has HIGHEST current case & death rates of all provinces
- HIGHEST ICU census per capita of ANY province at ANY point in pandemic.

1/ #COVID19SK
Vaccine & mask mandates have helped, but not enough. #SK remains in exponential growth & cases NOT coming down at this point.

Public health experts @SaskHealth recommend gathering restrictions, including limits on household gatherings, capacity limits, etc.

2/ #COVID19SK
As of 0730hrs yesterday AM (Oct 21), 117 persons in ICU. 57 persons on high-flow oxygen (Optiflow) normally in ICU, cared for on regular hospital wards.

ICU census now forcing out-of-province transfers, widespread service slowdowns, and informal triage.

3/ #COVID19SK
Noting once again that #SK has the WORST ICU census per capita of ANY Canadian province at ANY point in the pandemic.

Note specifically how #AB ICU curve finally coming down. Ours, no indication of such.

4/ #COVID19SK
Application of "Pandemic Crisis Care Principles" (aka formal triage) will support our current ICU dynamic. So YES, formal ICU triage is BOTH NECESSARY & UNAVOIDABLE in #SK.

We don't expect improvement in situation for at least 4-5 weeks, even *if* #SK locked down.

5/ #COVID19SK
To be blunt, #SK's pandemic situation remains a giant cluster f***. It's fair to say we're in the WORST situation of ANY province through the pandemic thus far.

The key problem is that despite how bad everything is, we've still somehow NOT reenacted basic PHOs.

6/ #COVID19SK
The longer we willingly choose to do NOTHING, the longer this will drag for, the more #SK citizens will suffer & die (both from COVID & *other* urgent unaddressed medical issues).

Sadly, we'll stay in media spotlight for weeks. Longer, even, if no action is taken.

7/ #COVID19SK
Kudos to @Carlainsask for tweeting out the screenshots from last evening for reference. Please give her a follow for updates like this.

Full presentation should be posted here in the near future for reference.

end/ #COVID19SK

saskhealthauthority.ca/intranet/medic…

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More from @awong37

21 Oct
This is an explanatory 🧡 on ICU capacity in Saskatchewan, the different levels of ICU care & support provided across #SK, and why freeing up ICU beds in Regina & Saskatoon is SO important right now for us.

Put plainly: "not all ICU beds are equal"

(1/n)

#COVID19SK
Not all ICU "beds" are created equal. There's different capability levels to provide support for complex patients depending on the expertise of available doctors, nurses, respiratory therapists, and specialist support. (2/n)

#COVID19SK
Let's divide "care levels" into 3 buckets:

βœ… 1. BASIC = ventilatory support, cardiac monitoring, IV blood pressure management, sedation, high-flow O2 support

βœ… 2. SPECIALIZED = BASIC + continuous renal therapy, complex ventilatory support (eg. proning)

(3/n)

#COVID19SK
Read 11 tweets
20 Oct
Some data slides released today @SKGov w/ accompanying discussion via Dr. Shahab.

Short 🧡 w/ commentary.

First, being unvaccinated in #SK = 28X risk of ICU admission, 13X risk of hospitalization, and 6X risk of getting COVID vs. being fully vaccinated. (1/6)

#COVID19SK
Second, ~50% of all persons admitted to hospital in October had 1st positive COVID test on/after being admitted. This informs approach to early therapy, monoclonal Abs, etc.

Earlier testing & identification of illness clearly ideal. (2/6)

#COVID19SK
Overall #SK ICU census numbers continue to rise dramatically, shown by the graph on the right, attached. This is what's killing us right now.

We need relief through combination of public health measures, more ICU staff, and out-of-province transfers. (3/6)

#COVID19SK
Read 6 tweets
2 Oct
Kudos to ALL #SK MLAs who have shown support for masks, vaccines & #SK HCWs via #SKMLAchallenge.

This 🧡 CELEBRATES our #SK MLAs by compiling their posts.

It's BOTH REFRESHING & EFFECTIVE to see unified public health messaging from our elected leaders. Thank you!

#COVID19SK
Read 7 tweets
6 Sep
#COVID19 in #SK still feels "abstract" to many. People angst about inconveniences to life, further restrictions, masks, mandates, etc.

I want to highlight the HUMAN impact of the pandemic in #SK. Warren & Ali. The burnout & suffering of #SK citizens.

🧡 below.

1/ #COVID19SK ImageImage
It's Labor Day in Canada, let's begin with our frontline HCWs. Amanda (@basicwitchRN) is an ICU RN in Saskatoon.

Below, she shares the struggles & heartbreak of her daily work. We can't expect people to carry on like this without burnout.

2/ #COVID19SK

@carolynstrom is a vocal, passionate public health RN here in #SK. She contact traces, vaccinates, does it all.

You can see the pain in her eyes as she encourages #SK citizens to make safe decisions. She's so tired. We're ALL so tired.

3/ #COVID19SK

Read 11 tweets
4 Sep
Our pandemic response in #SK is completely broken.

❌ Lowest vaccine uptake in πŸ‡¨πŸ‡¦
❌ Zero restrictions
❌ Overrun testing/contact tracing capacity
❌ Critical care capacity nearly maxed out

Our 4th wave has just begun. We're in BIG trouble.

🧡 πŸ‘‡

1/ #COVID19SK
To begin, #SK has the lowest vaccine uptake in Canada.

Despite similar political / geographical considerations as #MB, we're 8% behind in 1st doses, 12% behind in 2nd doses.

The only real difference b/w the 2 provinces? A functional vaccine certificate program.

2/ #COVID19SK
On July 11, we were the 1st place in NORTH AMERICA to remove all public health restrictions, including mandatory isolation for COVID+ persons.

#SK has no province-wide mask mandate. Schools are inconsistently masked.

cbc.ca/news/canada/sa…

3/ #COVID19SK
Read 14 tweets

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