Chris Wilde Profile picture
Aug 31 6 tweets 2 min read
Bronwyn Griffin @brongriffin presenting on improving burn care #DFTB22
Most burns happen in the home. Most homes also have a tap. Less access in rural and remote locations.

🔑 20 min cool water (within 3 hours)
70% get first aid. Is that enough? What’s an acceptable number?
Analgesia

Many painful times and procedures in the course of healing
Deep burns still hurt
Large burns hurt
Negative pressure wound therapy adjunct

Improved re-epithelialisation by 22%
Less chance of keloid scarring
Less need for scar revision
Negative pressure therapy:
Almost $1,000 saving

Lower cost, faster healing!
Aka win-win

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More from @cjwilde

Aug 31
The inimitable and inspiring @LizCrowe2 closes #DFTB22 with what matters in the end.
Making meaning

Liz suggests we need to be more political to make meaning of our knowledge
Reflection
Read 14 tweets
Aug 31
@PaedSurg speaking about who is research for? #DFTB22
It starts with one. Like tattoos. Many people have one or two published papers. Few stop at three…

Often start with a case study n=1.
Patient-centred approach to a power analysis.

“How few people can I enrol in this trial so the smallest number of people as possible are exposed to a less efficacious treatment?” #DFTB22
Read 8 tweets
Aug 31
@RosemaryWyber with Ending RHD #DFTB22
New evidence from AoNZ
Good evidence either Strep A throat or skin sores precedes RHD
Actually more complex
*Recurrent infections
*Colonisation
Read 5 tweets
Aug 31
Speed-diagnosing?

@SharonAMcAuley1 presenting on getting to the correct diagnosis quicker #DFTB22
Avoiding the delayed, wrong or missed diagnosis.
Read 13 tweets
Aug 31
Naomi Spotswood @NaomiSpot presenting on quality improvement #DFTB22
What is quality care?
Quality care doesn’t always happen

Nowhere is perfect

Harm to 1:10 hospitalised patients
$4b cost each year
Read 11 tweets
Aug 31
Jason Acworth @acworthj presenting on rapid response systems. #DFTB22
Reminds us of the 80s when the hair was worn high and so were the pants!
As an intern, emergency response called only when a patient had stopped breathing or lost cardiac output.

1990s the MET call invented in Sydney. Hospital-wide patient-centred system. #DFTB22
Read 12 tweets

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