Emergency departments are at the brink of collapse. Nights are the worst. No unit clerks on, no cleaning staff. No to mention no social workers among others. Worked from midnight to 8:30 am, zero extra hands for simply things like applying pressure to an area of bleeding so I could manage other critical issues.

Emergency medicine in Canada is in crisis. Here are 11 reasons from someone in the trenches. 1/11 Care has become more complex. What we do for stroke is greater now than 20 or even 10 yrs ago. Previously diagnosis based on symptoms and admitted to hospital required less than 30 min. Now cases are sent to regional centers to determine if tPA or EVT is needed.

Right now, the number of people reading about Ukraine on Wikipedia is at an unprecedented high—spiking to more than 22 million English page views in the past month versus roughly 290,000 in Feb. 2021. Meanwhile, Russia is coupling its lethal military campaign with a Goebbels-like propaganda blitz. The lies from Moscow put pressure on Wikipedia to maintain the site’s disinformation countermeasures.

1x When cases spike, the "mild COVID" folks shouted "only hospitalizations" matter... 2x When hospitalizations spiked, the "mild COVID" folks screams, only those in ICU are important...

1x For those who struggle with opioids buprenorphine/naloxone (Suboxone) can change your life. It has a number of benefits over other options: 2x It is substantially easier to get than methadone. No special license needed to prescribe. ERs and health clinics in BC have it to give out. In fact we will provide your first three days any time of the day or night.

If you're arguing that the current surge in deaths in Canada is due to Delta rather than Omicron you should at least come with evidence that Delta is also increasing... Even if we assume, as some claim, that half of COVID cases in hospital have an incidental infection... We have still surpassed our highest's hospitalization numbers...

1x COVID is not inevitable but it has become substantially harder to avoid. The efforts required are now harder than most can or are willing to put in. 2x Multiple measures are required to have a chance:
a) Always wearing an N95 and eye protection when outside your home,
b) This means no eating out, in fact it means long periods of no eating/drinking
c) And your kids not going to school
d) Also requires being fully vaccinated

Have managed to avoid COVID by continually wearing an N95 and googles at work plus being triple vaxxed. It has worked so far despite being with people with COVID ever day. Wear the same grocery shopping... Haven't eaten out in more than 6 months, and no indoor sports for last 2 yrs. Still planning not to get COVID despite all those who claim it is inevitable.

Trying to find the evidence behind this claim by Bloomberg... bloomberg.com/news/articles/… We have a quote here "If we have a strategy in which we give boosters every four months, we will end up POTENTIALLY having problems with immune response," the EMA's Cavaleri said. So no evidence than? And is this an official position of the European Medicines Agency?

1x With a number of folks in IPAC pushing back against proper masks and booster shots, with claims of insufficient RCTs... I decided to look at one of the foundations of their profession... Removing nail polish. 2x Now of course I excepted to find mountains of high quality RCTs showing significant improvements in patient oriented outcomes... Nah who am I kidding, there is nothing.

1/x Those arguing against vaccine passports, are not pushing for the right to refuse the vaccine... no one is talking about mandating them. They are pushing for the right to refuse the vaccine without consequences. 2/x We already have vaccine passports for yellow fever. Yes you can refuse that vaccine but than you cannot fly between certain pairs of countries.