fifteenforty

8 ms·

61.
by fifteenforty 5y ago
If YouTube put as much effort into addressing the pandemic of health misinformation as they do into making your life difficult, the world would be a better place. Thank you for spreading such good information on masks.
62.
by fifteenforty 5y ago
What type of mask is she wearing?
63.
by fifteenforty 5y ago
> Mouth-to-mouth is not deemed particularly necessary these days (since the act of correct CPR will draw oxygen in anyway), better to focus on proper CPR and wait for the ambulance to turn up with high-flow oxygen from a tank. Not exactl
64.
by fifteenforty 5y ago
Have you heard of Fritz!box from AVM? That’s what I have setup for a few friends, with good success. Personally I use a Mikrotik hap ac 3 in my apartment. They have a ‘mesh’ product in the Audience line.
65.
by fifteenforty 5y ago
Please stop spreading misinformation. Vaccines prevent infection, as evidenced by the drastically lower COVID case numbers in the vaccinated. You can’t spread it if you don’t have it. If you do contract it, you are less infectious. This is
66.
by fifteenforty 5y ago
All tests have false positives and false negatives. Whether we explicitly say it or not, most clinical decision making algorithms are based on a Bayesian approach. If you have next to no risk of a disease, don’t get tested for it. You might
67.
by fifteenforty 5y ago
Can you suggest one that might pair well with the Contour RollerMouse Red? I both love and hate this mouse. It’s fixed my RSI but it has been unreliable and limited keyboard choices. Also, I can hear coil whine when I use it wirelessly!
68.
by fifteenforty 5y ago
You are describing an anaesthesia circle breathing system, otherwise known as a rebreather scuba set. :-) You would need to consider the occupant oxygen consumption. A typical human respiratory quotient is 0.8 (0.8 mole of CO2 produced for
69.
by fifteenforty 5y ago
Unfortunately, awareness during ‘competent’ general anaesthesia is not entirely avoidable. First, if we were to give all patients a dose of hypnotic agent that would absolutely prevent awareness, a not-insignificant number would die or be d
70.
by fifteenforty 5y ago
Please don’t bring a recorder. It puts you at risk because when we ask if you have any devices, we expect an honest answer. If it is discovered you will lose the trust of your treating team. You can get electrical burns if certain equipment
71.
by fifteenforty 5y ago
There is no such thing as ‘light’ general anaesthesia. It’s a terrible term used only by non-anaesthetists. Did you have sedation? Movement with sedation is extremely common and not a concern. With sedation, we aim to provide comfort and re
72.
by fifteenforty 6y ago
Oh no. I’m moving from Australia (zero cases after we eradicated COVID) to California soon, and this seriously worries me. You can’t seriously get on top of case numbers without maintaining restrictions well after case numbers have been cru
73.
by fifteenforty 6y ago
In Australia, we treat this very differently. My training as an anaesthesiologist has cost the taxpayer roughly 2 million AUD from medical school to specialist qualification. The direct cost to me? About $75,000 AUD. Some treatments are exp
74.
by fifteenforty 6y ago
We also don’t have the stress of bankrupting our patients. For all the difficulties we face at work; in public practice we are more worried about the parking fee for our elderly patients than the cost of treatment.
75.
by fifteenforty 6y ago
Basic respiratory physiology: one of the functions of the nose is to increase the humidity of the inhaled air to close to 100%. Breathing through the mouth defeats this apparatus. Whenever a patient has their upper airway bypassed due to a
76.
by fifteenforty 7y ago
As an anaesthesiologist, I’m fully aware of the published death rates. You will see that they vary from 50 to 95%. The former appears achievable.
77.
by fifteenforty 7y ago
Without these sorts of things, patients are dying. This is not business as usual. We are already using various hacks to overcome the shortages, any improvement is worthwhile in the very short term.
78.
by fifteenforty 7y ago
As you say, we have many patients already in our ICUs who need ventilation, but aren’t /difficult/ to ventilate. Perhaps they could get the split ventilators and the COVID-19 patients could get their own?
79.
by fifteenforty 7y ago
There are way too many different brands and types of CPAP machine for anyone to make any sort of sensible comment here. They aren’t all the same. Some of them do have a backup rate that could be used to mandatory mechanical ventilation, but
80.
by fifteenforty 7y ago
Thank you for pointing this out! I’m trying work out how to get in touch with this guy, unfortunately he has turned off all comments. I’m not sure I understand your question: do you mean if the one patient is getting hyperventilated? My sug
81.
by fifteenforty 7y ago
We are talking about negative pressure mechanical ventilation. Positive end expiratory pressure is just one way of splinting open alveoli. Maintaining recruitment and V/Q matching in ARDS can be achieved in multiple ways, including neg
82.
by fifteenforty 7y ago
Theoretically yes, in fact it may actually be better. We have largely abandoned negative pressure ventilatory support for a number of practical reasons. Not least is that once you have intubated a patient, they are less contagious!
83.
by fifteenforty 7y ago
On more than one occasion I have "broken the rules" or Macgyvered my way out of a life-threatening situation (for my patients), either with equipment or drugs. This is a crisis. Our systems aren't working fast enough to cope.
84.
by fifteenforty 7y ago
The flow direction issue is partly addressed by the unidirectional valves in many ventilators/anaesthesia machines. The bigger issue is staffing expertise, I fear.
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by fifteenforty 7y ago
There are lots of problems with this, but I think it is possibly a better move than some of the home-built ventilators you see floating around. I’m biased though: I’ve designed a 3D printed improvement on this idea that potentially allows y
86.
by fifteenforty 7y ago
Agreed. Anaesthesia machine control should be air-gapped. Unfortunately, in the modern world of electronic medical records, we do need access to a stream of measurement data. Historically this has been obtained using one-way serial port dat
87.
by fifteenforty 8y ago
You could buy a BenQ WiT for $180. Vastly more practical for most nerds, cheaper and has a replaceable DC transformer. The name isn’t as sexy though! https://www.benq.com/en/lighting/e-reading-lamp/wit.html
88.
by fifteenforty 8y ago
You probably (depending on your location) had so-called ‘deep sedation’ for your colonoscopies, which usually involves reasonable doses of anaesthetic drugs, likely leading to complete amnesia. The crucial point is that we don’t necessarily
89.
by fifteenforty 8y ago
As an anaesthesiologist (well, senior trainee), I hesitate to comment on this, but here goes nothing... I think it’s important to remember that the vast majority of anaesthesia delivered does not involve ‘general anaesthesia’ nor neuromuscu
90.
by fifteenforty 8y ago
My clinical training log (requirement for specalist board registration) is similarly frustrating, so I wrote some JavaScript hooks and then used Keyboard Maestro to mostly automate data entry. 9 clicks became Ctrl-9, for example.

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