Watching ICUs around the world burn to the ground in 2021 makes it all the more bizarre we have not had a single COVID patient in @WellingtonICU. We have little idea of how 'lucky' we are.
But, of course, none of it was down to luck. Geography helped, but this year should end with New Zealanders thanking the public health experts & the contact tracers who stood between us and COVID and the politicians who listened to them.
And the District Health Boards that enabled rapid mass vaccination and the community leaders that encouraged and enabled this. But there was inequity; and undoubtedly it could have been done better.
health.govt.nz/our-work/disea…
But also we should recognise the media who ran 90% vaccination campaigns when it seemed unattainable and tried (mostly) to not report the <1% who shouted the loudest despite the virus not caring what their placard says. nzherald.co.nz/nz/covid-19-de…
And yes, ICU doctors and nurses have also been banging on about our ongoing paucity of ICU beds; and we've been accused of shroud waving. But our specialty attracts 'worst case scenario' people and we saw our overseas colleagues disappear under wave after wave after wave.
So whatever Omicron does to us in 2022, unlike 12 months ago, I'm tending toward very mild optimism. And for an Intensivist that is a very uncomfortable feeling.

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More from @psirides

2 Oct
On long car journeys I relax by browsing medical stock image libraries. Here's what I found...
Don't write patient details on the label; write the result of the test. Also, use the red vacutainer.
Pre-printed labels are available to help you if you are unsure what the result will be. Also, use the purple vacutainer.
Read 17 tweets
4 Feb
Coffee Cures Covid. This gloriously cynical French study proves beyond statistical doubt that coffee's active constituent (1,3,6-trimethylxanthine) is the Next Big Thing. mdpi.com/2077-0383/9/11…
Confirmed COVID patients were randomised to 65mg morning coffee vs control of those who refused it.

Is this the most French study ever conducted?
Coffee significantly reduced the use of antibiotics, % of lung-lesion abnormality on CT and reduced the hospital length of stay from 15 to 9.5 days in French COVID patients
Read 5 tweets
6 Apr 20
I’m just a jobbing intensivist but if there’s one thing I’ve learned from this it’s best expressed as a 10 metre high neon sign saying ‘do what you normally do’ backlit by fireworks.
And the more I read stuff on here I’m inclined to wonder whether social media isn’t part of the COVID solution but driving the anthesis of the neon sign.
I’ve read about Perspex boxes and COVID phenotypes and fish tank decontaminants and some very strong opinions (because who doesn’t right now) on face mask fitting and remain mostly baffled at people changing established practices based on a tweet from someone they’ve never met.
Read 5 tweets
14 Dec 19
I've been asked a few times about this slide so here's a thread about where it comes from, what it means, and why we should take it seriously.
My argument is that the patients we look after and their families that we talk to approach sudden bad events with expectations informed by what they have seen.
Our outcome expectations are also informed by what we have seen. The difference is they are likely to have seen it on TV; we are likely to have seen it in emergency departments & intensive care units.
Read 28 tweets
23 Nov 19
‘‘We Are Strangers Walking Into Their Life-Changing Event’’
This paper on paramedic experience of death is eminently quote-worthy. So I will:
jpsmjournal.com/article/S0885-…
'The importance of understanding a family’s perspective was described in
these words: ‘‘What might be considered routine in
EMS is the worst emergency in the whole world for
the family.’’ '
'The importance of understanding the environment was most
simply described by the participant who explained
‘‘We have to remember that we are in their zone.’’ '
Read 13 tweets

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