There are at least 5 hospitals in Maryland using “crisis protocols” and most others are on the brink. If you don’t understand what that means @FutureDocs gives one example - you could be stuck waiting in a hallway for a hospital bed for days. Here are a few more examples:
Instead of having one ICU nurse caring for you and maybe one other patient, he might be caring for 3 other patients.
And it turns out she might not even be an ICU nurse, she’s a regular med surg nurse who was pulled.
But if you aren’t in the ICU, you’re fine, right?
Well….turns out the nurses on the inpatient unit are caring for 6 patients instead of 4, and they have been pulled from non clinical roles like case management or outpatient.
But the doctors will catch problems, right?
Not necessarily in this scenario when there are too many patients in too many locations. Doctors rely on nurses to detect early deterioration. And oh, the usual hospitalist have been pulled to the newly minted hall ICU and now an outpatient doctor is in charge.
This just highlights the immediate staffing challenges. We can also discuss equipment, IV fluids, pharmaceuticals, and support staff like RTs. Everything is effected all over the hospital. But I’m vaccinated and won’t get #COVID19, I should be fine, right?
It doesn’t matter what you might come into the hospital for (stroke, appendicitis) you will in no way be getting the care you should be receiving or would have received last month. You will be impacted by all of these issues.
Please #MaskUp #StayHome and get your #CovidVaccine

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More from @Dr_ScottK

9 Nov 20
To parents of college students everywhere: Are you ready for the upcoming potential #COVID19 Super-spreader event of the year? Do you have a plan? Here is a thread🧵
Both Drs. Fauci and Birx have warned colleges to have a plan for Thanksgiving:…
But given how poorly many colleges have handled the fall, I am guessing that not many will actually adhere to a rational testing/isolation plan prior to dismissal.
Here is the scenario:
1. We are 2 weeks away from millions of college students crisscrossing the country to come home.
2. Many students will be coming from communities with high incidence rates of #COVID19 - check here for community and college rates:…
Read 8 tweets
9 Apr 19
#Measles grand rounds this AM. Responding to an outbreak....@LBHealth #Sinai in conjunction with the Baltimore Health Department.
History: once ubiquitous and deadly disease nearly eliminated by the vaccine because #VaccinesWork but because of elimination pockets of people especially in Europe oppose vaccines.
Most US cases are imported. Most were unvaccinated- personal belief exemptions the reason.
Here is what to look for (for those of us who haven’t seen it yet):
Read 15 tweets
15 Dec 17
I have a message for men in medicine, academia and science (a thread) after reading 3 articles about sexual misconduct at conferences and in offices - all must reads:
Here is the message: The young women you encounter at these conferences are not there for your entertainment. They are not provided as an escort service. They are not objects. #HeForShe
It turns out (shockingly) that they are there for the same reasons you are: to learn, to teach, to present their research. They are equally, if not more, qualified than you. They have overcome barriers just to get there. #HeForShe
Read 5 tweets

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