Lazarus Long Profile picture
Nov 12, 2021 16 tweets 9 min read Read on X
A thread on ambulance ventilation.

And why you are going to see more staffing EMS staffing shortages - resulting in you laying forever next to your wrecked car.

Waiting to be picked up by CoVid+ EMT's in surgical masks.
Study is here - click the PDF button....or just ride along in this clown car.
researchgate.net/publication/33…

Looks like in the USA, there are no standards for ventilation in ambulances.

Used to be 30 ACH..which would be amazing.
In the UK, they recommend not using the recirculating air during AGP's, during pandemics.

assets.publishing.service.gov.uk/government/upl…

Currently, surgical masks as long as within 6 feet of the CoVid+. No recirculating.
gov.uk/government/pub…

All based on WHO guidance. (Foreshadow.)
The default ventilation of the ambulance is 5 ACH, IF the exhaust blower was on.

They replaced the default ventilation tho with the below HEPA filter, so they could get accurate measurements, avoiding external aerosols, and reset quickly.

Quite clever.
americanlaboratorytrading.com/lab-equipment-…
Here's the rest:

"For each test, four optical particle counters
(OPCs) were placed in locations representing possible positions for a seated EMS worker treating the
patient. OPCs were placed in the positions labeled OPC 1-4 when the cot was at 0° or 30°, and positions ..."
Before going on, let's touch on the 5 ACH that all of you will be hit with in surgical masks.

Even with surgical masks on, we have certainly seen a huge number of outbreaks in hospitals with 6 ACH (better) ventilation
and continuous surgical masking.

For example, Alberta Health Services, @AHS_media, which is the embodiment of the @WHO's IPC guidance.

Stands to reason as Dr. Conly rules over AHS AND the WHO with a very clean fist.

Back to our clown car, Lindsley (yep, the famous one) found that a single cough resulted at least some worker exposure.

Given that Delta is everywhere, and we now know it takes under 3 virii to successfully infect?

Not good.

Might not be a bad idea to buy a @FixTheMask brace
in case you have to go to the hospital or even ride in an ambulance.

Or make the 3 rubber band version and keep it in your wallet or purse:


Why would there still be exposure?

"Air circulation pattern in the ambulance patient compartment generated by...
the ventilation
system. The jet of air created by the air inlet causes a clockwise recirculation pattern to form which
circulates aerosol particles throughout the compartment. Even if the cough is directed toward the rear
of the ambulance, aerosol particles are carried
toward the front by the recirculation. Thus, a worker
anywhere in the ambulance is exposed to the cough aerosol particles."

Thus, you will be exposed to the same.

But does it have to be this way?

No. Or I should say, N100.

The same solution as in this thread that was
slightly viral about 25 years of no infection in the Texas TB hospital:


And the same solution being used today by NYC's EMS:
nydailynews.com/new-york/ny-fd…
But the story does not end there.
Did you know that someone tried putting a HEPA filter into an ambulance?

cdc.gov/niosh/hhe/repo…

"The effective
air change rates ranged from about 43 to 46 ACH in
the HEPA ambulance, and from 26 to 32 ACH in the
non–HEPA ambulance."

This provides further proof that
portable air cleaners such as the Corsi/Rosenthal Box are additive to any current air cleaning infrastructure.

And...they help remove aerosols much faster.

The message is the same because this is NOT rocket science.

Vax.
N100.
HEPA if you can afford it.
CR Box if you can't
A very cool simulation model study confirming what Dr. Noakes shared below. Thank you!

1 - An ambulance transport with a patient actively emitting a virus.
2 - A subsequent transport with an uninfected patient <- very interesting setup here.

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More from @LazarusLong13

Jul 7
@MatthewJDalby keeps popping up on my feed. Not because I follow them. Why? The engagement algorithm must have them as an antimasker. So, I dove deep.

Matthew Dalby is an emotional "snake in the grass" antimasker.

Let me cut away the grass.

🧵
Matthew Dalby likes to attack the actual act of mask advocacy.

If you make people think their advocacy is not effective? They won't advocate. Which means people won't mask.

And it is framed as "arguably" "I think" - just asking questions here!, folks.

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Here Dalby is attacking advocacy for masking in the context of LongCovid.

Universal mask wearing to reduce LongCovid is NEVER going to happen. It's just not possible.

(So just don't advocate for it.)

But they are not an antimasker.
(Because they said so.)


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Read 21 tweets
Jul 6
This is not directed at Dr. Beckman. No way would I dare to teach her something

This is for you, the casual passer-by. You think, "That study was from 2022. Did someone cite it?

🧵 On how to do a little research.
Paste the URL into the search field.

Beep boop bop. Click on the cited by.

Click on Year, then since 2024. Puts all the newest stuff at top.

Grab a paper bag, and take a few huffs. Sweet unholy organoid brains, what awaits us? scholar.google.com/scholar?hl=en&…

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Read 8 tweets
Jul 5
This 👇is analyzing the 4 Christo-fascist promises of Trump Project 2025.

My mind is blown...this affects everyone alive as we could all get LongCovid and become homeless.

It affects YOU.

It couples the "good (Christian) life" with private religious charities.

/1
Image
Some examples.

Mixing religion and state is just not a good idea. It is literally enshrined in the First Amendment.

"Congress shall make no law respecting an establishment of religion."

Anyway, Project 2025 is being set up by SCOTUS. Image
The biggest one is the Grants Pass, Oregon homeless verdict.

Criminalizing sleeping in public.

The author linked that to religious beds going empty.

Strange - I, like you, heard about the $239/ night fine. The 30 days jail.

But religious shelter? Could that be true? Image
Read 23 tweets
Jun 28
Hi Mr. Shapiro, @ishapiro of @ManhattanInst.

I am an immunocompromised Clean Air Advocate in my spare time, and I'd like to walk through your provided statement, and address your valid concerns. Image
Unless I am reading you incorrectly, you firmly support free speech, including that of wishing to listen. (I love that - so often overlooked).

Roughly 12% of America is still masking per the latest poll.




. city-journal.org/article/from-h…
manhattan.institute/article/amicus…
yahoo.com/lifestyle/only…
Image
That poll is the latest poll from September 2023. You probably would not have thought that less than a year ago, right? That's because the Covid Cautious tend to avoid crowds.

But we have a first amendment right to go and protest, or listen - as you have pointed out.
Read 26 tweets
Jun 27
The USDA is going with fomites, @Alexander_Tin @RickABright

Notice that word 👇- masks.

Masks are for droplets and fomites. Respirators are for aerosols.

Is there a possibility of this being an incorrect usage of the word mask? Could be. I doubt it.

Too many eyes on
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this.

Let me point out for new followers that a dirty surface is called a fomite. The contaminating particles can also be called fomites.

Until they are sprayed/splashed up and become aerosols.

Fomites are just aerosols waiting to happen. And visa versa.
In this most recent study, recommending masks, they gave no discussion of the immune system of the udder - truly formidable, and a fascinating read.

Nor compared it to the relatively defenseless LRT immune system. ("Relatively" stressed due to alveoli macrophages, etc).
Read 16 tweets
Jun 23
Black head-straps on a black respirator.

Black shirt, black tie, black belt, black shoes.

A black Luca Mosca suit, and John Wick is back.

We can't all afford to wear Luca Mosca.

But most of us can afford the respirator. 🧵

thegentlemansjournal.com/article/story-…
Image
The respirator is the black Laianzhi HYX1002, an excellent Chinese KN100 and FFP3 (think N99).

There are no Amazon knock-off issues here as the online store has a direct line to the manufacturer - evidently, a reputable company.
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I am immunocompromised, so I take what I breathe in as seriously as Mr. Wick takes his suits and guns.

This is an excellent respirator with an amazingly wide nose latex foam that makes each one almost a bespoke respirator.

The nose wire is luxuriously thick.
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Read 16 tweets

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