Discover and read the best of Twitter Threads about #PPEShortage
Most recents (23)
@realDonaldTrump 1. @RealDonaldTrump What did you do yesterday? golf?watch TV? tweet AGAIN that you won? search for a 2012 tweet? sulk that you just keep loosing those feeble attempts by the #HasBeen @RudyGiuliani to #StealTheElection? Are you really paying him $20K a day? Did you remember.....
@realDonaldTrump 2.that millions of Americans need help to get thru the
#TrumpNightmare? Did you have a #Covid19TaskForce
meeting? How about working out a #BipartisanPlan to #DefeatCovid & then get the #Economy going? I could go on but I doubt that you did anything to help us!
#TrumpNightmare? Did you have a #Covid19TaskForce
meeting? How about working out a #BipartisanPlan to #DefeatCovid & then get the #Economy going? I could go on but I doubt that you did anything to help us!
@realDonaldTrump 3.Well I'm happy to report that my #PresidentElect did a least one thing yesterday to help him better understand how #RegularAmericans are faring these days! @JoeBiden met virtually w/a firefighter, a homecare worker, an ICU RN, & a teacher to talk about their experiences as...
Like many, I’ve had some extra fee time these days... After rebinging @theofficenbc and #theofficereunion I was inspired.
A thread of Trump’s handling of the #coronavirus (#COVID19) pandemic, as told by Michael Scott. #TheOffice
A thread of Trump’s handling of the #coronavirus (#COVID19) pandemic, as told by Michael Scott. #TheOffice
Way back in 2018, Trump decided it was a good idea to disassemble the #Pandemic Response Team – created by the Obama administration in case there was “an airborne disease that is deadly.” This can’t go wrong! #thiswaspreventable
Trump does nothing to replace this. He plays golf and insults people on Twitter – just the normal things that presidents do right?
Dr. Rick Bright: "Our window of opportunity is closing. If we fail to develop a national coordinated response, based in science, I fear the pandemic will get far worse and be prolonged, causing unprecedented illness and fatalities."
cnn.com/2020/05/13/pol…
cnn.com/2020/05/13/pol…
Cont: "The world is confronting a great public health emergency which has the potential to eclipse the devastation wrought by the 1918 influenza which globally claimed over 50 million lives." READ HERE: cnn.com/2020/05/13/pol…
Our "health care system is being taxed to the limit, our economy is spiraling downward – leading to mass unemployment & our population is being paralyzed by fear stemming from the lack of a coordinated response & a dearth of accurate, clear communication about the path forward."
I was feeling overwhelmed by all the laypress articles about #moralinjury and #burnout in frontline health care workers during #Covid_19 so I decided to do a deep dive into the literature on the mental health of workers during pandemics.
Here's what I found. #thread
1/
Here's what I found. #thread
1/
Seriously, so many laypress articles.
What evidence do we have on this, and further, what evidence do we have on strategies that mitigate these mental health issues in health care workers?
I presented these data the @UChicagoMed @UCCancerCenter grand rounds last week.
2/
What evidence do we have on this, and further, what evidence do we have on strategies that mitigate these mental health issues in health care workers?
I presented these data the @UChicagoMed @UCCancerCenter grand rounds last week.
2/
@UChicagoMed @UCCancerCenter But first, some definitions to set the stage:
Burnout, initially described by Dr. Maslach as the prolonged physical and psychological exhaustion related to a person's work. Not specific to medicine, although the definition has been honed for medicine (see slide). #burnout
3/x
Burnout, initially described by Dr. Maslach as the prolonged physical and psychological exhaustion related to a person's work. Not specific to medicine, although the definition has been honed for medicine (see slide). #burnout
3/x
Coronavirus: Concern over protective kit guidance change bbc.co.uk/news/uk-523355…
This got me thinking of a poem many of us know.
Here is my adaptation. How are we not protecting our only line of defence? We do not deserve these people because they deserve so much more 💙
This got me thinking of a poem many of us know.
Here is my adaptation. How are we not protecting our only line of defence? We do not deserve these people because they deserve so much more 💙
Dulce et Decorum Est Protegeretur
Working double shifts, dressed like old beggars wearing sacks,
Weak-kneed, coughing like hags, they do not curse or budge,
Till on the daily briefings they turned their backs,
And towards their much needed rest began to trudge.
Working double shifts, dressed like old beggars wearing sacks,
Weak-kneed, coughing like hags, they do not curse or budge,
Till on the daily briefings they turned their backs,
And towards their much needed rest began to trudge.
Heroes are marching asleep. Many have no PPE,
But carry on, unprotected. Ministers to blame; all blind;
Drunk with ignorance; deaf even to the cries
Of those on the front line dropping like flies.
Cough! Cough! Quick!—An ecstasy of fumbling
But carry on, unprotected. Ministers to blame; all blind;
Drunk with ignorance; deaf even to the cries
Of those on the front line dropping like flies.
Cough! Cough! Quick!—An ecstasy of fumbling
Time to resume elective surgery cases? A thread summarizing new guidance out today from the @AmCollSurgeons #COVID19
This document intro states that peak COVID rates have already been reached, or will be within a few weeks, depending on region...
[link at end of thread]
This document intro states that peak COVID rates have already been reached, or will be within a few weeks, depending on region...
[link at end of thread]
They offer four categories, each with specific issues that must be addressed locally before elective surgery may be safely resumed.
Categories:
1. COVID-19 Awareness
2. Preparedness
3. Patient Issues
4. Delivery of Safe High-Quality Care
Categories:
1. COVID-19 Awareness
2. Preparedness
3. Patient Issues
4. Delivery of Safe High-Quality Care
For the 'awareness' category, the specific issues are:
✅Knowing your local COVID-19 numbers, including prevalence and incidence
✅Knowing local isolation mandates
✅Knowing your diagnostic testing availability
✅Knowing testing policies for pts and HCWs
✅Knowing your local COVID-19 numbers, including prevalence and incidence
✅Knowing local isolation mandates
✅Knowing your diagnostic testing availability
✅Knowing testing policies for pts and HCWs
Mixed messages on personal masks, simplified (a #COVID19 thread):
Personal masks level up #socialdistancing.
When we absolutely can't #StayHome, my mask protects you a bit, and your mask protects me a bit.
As @Surgeon_General says, it's not a substitution. It's a boost.
Personal masks level up #socialdistancing.
When we absolutely can't #StayHome, my mask protects you a bit, and your mask protects me a bit.
As @Surgeon_General says, it's not a substitution. It's a boost.
A personal mask is not the same as a medical mask, and they have different purposes.
True, a bandana or cloth mask won't filter out airborne particles. Unless you are a healthcare professional taking care of someone with #COVID19, you probably don't need that.
True, a bandana or cloth mask won't filter out airborne particles. Unless you are a healthcare professional taking care of someone with #COVID19, you probably don't need that.
A regular medical/surgical mask is designed to protect the environment from the person wearing it.
It's to protect your wounds and surgical incisions from the nurses and doctors caring for you. It helps them keep their droplets to themselves.
If you're sick, same idea.
It's to protect your wounds and surgical incisions from the nurses and doctors caring for you. It helps them keep their droplets to themselves.
If you're sick, same idea.
A day in the life of a #COVID-19 #healthworker in India. A #Thread.
#indiafightscorona #healthwarriors
#indiafightscorona #healthwarriors
What does it mean to be a frontline warrior amid the #Coronavirus ( #COVID-19 ) pandemic? It means being away from home for weeks, staying awake for days and nights,
dealing with emotionally vulnerable patients and a sense of timelessness – when the clock ceases to exist and the patients’ recovery is all that matters.
Let’s pause for a second, and remember two major #stigma spreading around as contagiously as #COVID19. 🦠
1️⃣Ethnicity of the virus and
2️⃣wearing #PPE
I’m addressing 2️⃣ today, but for more guidance on 1️⃣, & more social Do’s and don’ts, please refer to 👉unicef.org/documents/soci…
1️⃣Ethnicity of the virus and
2️⃣wearing #PPE
I’m addressing 2️⃣ today, but for more guidance on 1️⃣, & more social Do’s and don’ts, please refer to 👉unicef.org/documents/soci…
To summarize the ongoing debate: “Absence of evidence is NOT evidence of absence”. A half full glass 😷 can be better than none at all. This 🏴&🏳️ system is leading to two issues:
1️⃣ opportunity to incentivize PPE production is lost
2️⃣ STIGMA against those who choose to don.
1️⃣ opportunity to incentivize PPE production is lost
2️⃣ STIGMA against those who choose to don.
If you have 12 minutes to spare, enjoy this well illustrated thesis on the topic, it might change your mind. @medpedshosp
INBOX from Mich:
👉Carhartt, the American workwear brand, is firing up its "Made in the USA" assembly line.
"2.5 million protective masks and 50,000 medical gowns will begin in April and will continue as long as these critical items are in short supply."
Fun historical note:
👉Carhartt, the American workwear brand, is firing up its "Made in the USA" assembly line.
"2.5 million protective masks and 50,000 medical gowns will begin in April and will continue as long as these critical items are in short supply."
Fun historical note:
"During World War II, the company produced coveralls for soldiers and support personnel, jungle suits for Marines in the Pacific, and workwear for women entering the factories on the home front."
carhartt.com/content/carhar…
Hometown shout out here:
carhartt.com/content/carhar…
Hometown shout out here:
DEARBORN, Mich. (March 31, 2020) – Carhartt, America’s most trusted workwear brand, has been committed to serving and protecting hardworking people since 1889.
"To the brave men and women still working on the frontlines, thank you. We've been serving and protecting hardworking
"To the brave men and women still working on the frontlines, thank you. We've been serving and protecting hardworking
My #PPE ritual, refined over service time:
1. Dedicated scrubs, shoes, mask for commuting.
2. Change into clean work scrubs, work shoes in office.
3. Put on N95, cover w surgical mask.
4. 3M safety glasses (plastic), 3D printed faceshield
5. Disposable nonwoven surg cap
1. Dedicated scrubs, shoes, mask for commuting.
2. Change into clean work scrubs, work shoes in office.
3. Put on N95, cover w surgical mask.
4. 3M safety glasses (plastic), 3D printed faceshield
5. Disposable nonwoven surg cap
6. Take stairs, not elevators.
7. Never touch doorknobs w bare hands. If unavoidable, use hand sanitizer immediately afterwards.
8. No longer wear white coat nor carry stethoscope
9. No jewelry- not my wedding band, earrings, watch - nothing.
7. Never touch doorknobs w bare hands. If unavoidable, use hand sanitizer immediately afterwards.
8. No longer wear white coat nor carry stethoscope
9. No jewelry- not my wedding band, earrings, watch - nothing.
10. When needed, I use clean disposable stethoscope or borrow & bleach wipe one and cover it w disposable glove.
11. Bleach wipe everything frequently - face shield, my laptop, iPhone.
12. Ziplock bags work well as phone protector.
13. Dispose surgical cap upon leaving CCU.
11. Bleach wipe everything frequently - face shield, my laptop, iPhone.
12. Ziplock bags work well as phone protector.
13. Dispose surgical cap upon leaving CCU.
⚡️THREAD ⚡️ On Friday, I told the story of a Northwestern Memorial Hospital psychiatrist whose unit did not use protective gear like masks and gowns, known as #PPE. She works in a communal space, where patients can mingle over board games. @WBEZ @WBEZpolitics @NPR
Here's how @RonkePedersonMD put it: 'It’s kind of like telling a soldier to go to war and bring back the enemy with them into their community, cause that’s what we’re doing without PPE.' #GetMePPE #GetMePPEChicago @GovPritzker
I'm hearing about this every day from health care workers on the front lines in the Chicago area -- that they don’t have enough #PPE. That nurses & doctors are reusing masks, and even gowns if they’re not soiled.
here’s the video of them loading up 17.8 tons of US medical equipment to send China back on Feb 7. Trump knew by Jan. 20 at the latest we had cases. Pompeo even tweeted about it 1/?
Then I started wondering what news was going on Feb. 7 to distract us... I always try that. App failure at Iowa caucus. Trumps hissy fit at the prayer breakfast. GOP wanted Hunter Biden info.... but that’s not all... 2/?
The White House said they had killed the leader of Al-Qaeda. Trump was pushing a jobs report. Trump was taking protected land in Utah. That’s a hell of a lot for one day. They did their best at distracting us even though it’s on record. 3/?
If you think it’s bad that there’s no toilet paper in the store, then imagine a hospital with no doctors.
Our doctors are putting their lives on the line to fight this deadly #coronavirus, and NO ONE is making sure they they’re protected.
Important thread by @drdanchoi.👇🏼
Our doctors are putting their lives on the line to fight this deadly #coronavirus, and NO ONE is making sure they they’re protected.
Important thread by @drdanchoi.👇🏼
I’ve spoken with doctors all over the country, and they are quietly echoing the same sentiments as Dr. Choi. While they want to help their patients, they are worried about being exposed—day after day—to this deadly #coronavirus.
Unfortunately, Donald Trump’s empty words once again haven’t led to any meaningful action. Lives are on the line, and Trump’s stubborn refusal to use the #DefenseProductionActNow to further ramp up production of #PersonalProtectiveEquipment & ventilators is a dereliction of duty.
Trump’s dithering response & refusal to exercise the #DefenseProductionAct to marshal a full-scale mobilization will result in fewer ventilators being produced. Bottom line: because of this, many Americans who otherwise could have been saved will die.
This isn’t fear-mongering, it’s math. We simply do not have enough #PPE and #Ventilators to protect healthcare workers on the front lines combating the #COVID19 pandemic AND keep Americans alive who suffer severe illness weeks after becoming infected.
👉NEWS:
U.S. docs, nurses & hospitals send letter to Trump:
"Immediately use the DPA to increase the domestic production of medical supplies and equipment that hospitals, health systems, physicians, nurses and all front line providers so desperately need. ...
U.S. docs, nurses & hospitals send letter to Trump:
"Immediately use the DPA to increase the domestic production of medical supplies and equipment that hospitals, health systems, physicians, nurses and all front line providers so desperately need. ...
American Hospital Association, the American Medical Association and the American Nurses Association
"have concerns that increasingly there are dwindling supplies of N95 respirators, isolation gowns, isolation masks, surgical masks, eye protection, intensive care unit equipment
"have concerns that increasingly there are dwindling supplies of N95 respirators, isolation gowns, isolation masks, surgical masks, eye protection, intensive care unit equipment
and diagnostic testing supplies in areas that had the first community outbreaks and in many other areas of the country.
Even with an infusion of supplies from the strategic stockpile and other federal resources, there will not be enough medical supplies, including ventilators,
Even with an infusion of supplies from the strategic stockpile and other federal resources, there will not be enough medical supplies, including ventilators,
IMARET-FASHION VALET #COVID2019Malaysia
Updates No.2
22/3/20
Since Selangor is worst affected by #COVID2019, the Pusat Kesihatan Daerah (PKD), Klinik Kesihatan (KK) & Emergency Dept (ED) Screening Centres, are overwhelmed and working overtime to triage the large numbers of cases
Updates No.2
22/3/20
Since Selangor is worst affected by #COVID2019, the Pusat Kesihatan Daerah (PKD), Klinik Kesihatan (KK) & Emergency Dept (ED) Screening Centres, are overwhelmed and working overtime to triage the large numbers of cases
Team IMARET-FASHION VALET have completed their needs assessment & addressing their specific requests.
Yesterday (21/3/2020) we distributed portable air conditioners and industrial fans to:
1. KK Sungai Buloh
2. KK Seksyen 7 Shah Alam
3. ED Tengku Ampuan Rahimah
4. PKD & KK Klang
Yesterday (21/3/2020) we distributed portable air conditioners and industrial fans to:
1. KK Sungai Buloh
2. KK Seksyen 7 Shah Alam
3. ED Tengku Ampuan Rahimah
4. PKD & KK Klang
Can you imagine the heat, sweat, discomfort & inconvenience trapped in space suits/masks/goggles, visors/gloves 4 many hours as part of their Personal Protection Equipment #PPEshortage @AmirudinShari
@DrDzul @ProfAdeeba @KKMPutrajaya @501Awani @nazrikh @FIMAweb @codebluenews
@DrDzul @ProfAdeeba @KKMPutrajaya @501Awani @nazrikh @FIMAweb @codebluenews
<Thread>
I just published with @mbendernyc:
Lots in here....
1. NEW: Hospital administrators in at least three states telling staff not to take precautions to prevent exposure to of #COVIDー19 (gloves, masks) due to #PPEshortage
#GetMePPE
justsecurity.org/69283/war-with…
I just published with @mbendernyc:
Lots in here....
1. NEW: Hospital administrators in at least three states telling staff not to take precautions to prevent exposure to of #COVIDー19 (gloves, masks) due to #PPEshortage
#GetMePPE
justsecurity.org/69283/war-with…
2. Trump administration itself KNEW long in advance there'd be #PPEshortage.
Read the #CrimsonContagion report of 2019👇
Read the National Biodefense Strategy of 2018👇
BOTH highlighted need to surge PPE capacity in event of pandemic. Trump team didn't follow through.
Read the #CrimsonContagion report of 2019👇
Read the National Biodefense Strategy of 2018👇
BOTH highlighted need to surge PPE capacity in event of pandemic. Trump team didn't follow through.
3. We quote interviews with top pandemic control experts @juliettekayyem @JeremyKonyndyk (on @deepstateradio podcast with @djrothkopf and me).
Kayyem and Konyndyk also explain how administration should have known of medical shortages well ahead of time.
podcasts.apple.com/us/podcast/wev…
Kayyem and Konyndyk also explain how administration should have known of medical shortages well ahead of time.
podcasts.apple.com/us/podcast/wev…
I'm seeing Twitter personalities urging readers to wear masks to protect themselves from #Covid_19. I'm sure they mean well, but how effective are masks, really?
Let's explore this topic from the perspective of Occupational Health and Safety (OHS).
/1
Let's explore this topic from the perspective of Occupational Health and Safety (OHS).
/1
In my day job, I draft, among other things, OHS manuals and procedures. These include instructions to control workplace hazards, including infectious disease.
I am NOT a certified ISO / OHSAS professional, but you learn a lot from osmosis, including the hierarchy of control. /2
I am NOT a certified ISO / OHSAS professional, but you learn a lot from osmosis, including the hierarchy of control. /2
The hierarchy of control describes measures to control risks. In order of most to least effective, they are:
1. Elimination
2. Substitution
3. Engineering Controls
4. Administrative Controls
5. Personal Protective Equipment
There's a reason #PPE, including masks, is last. /3
1. Elimination
2. Substitution
3. Engineering Controls
4. Administrative Controls
5. Personal Protective Equipment
There's a reason #PPE, including masks, is last. /3
I spent the afternoon with many @HopkinsMedicine colleagues making #ppe for the staff. I am sharing (with permission) the steps and materials for making faceshields of your own. We are all in this together. ❤️💪🏼 #PPEshortage #ppeisnotoptional #PedsICU #covid19 #ICU #healthcare
@AOC @BarackObama @HillaryClinton @SenSchumer @SenateDems @JoeBiden @3M we need your help! The #PPEshortage is real and many of us are helping make #ppe to keep our colleagues in #healthcare safe. #GetMePPE #ppeisnotoptional #WeNeedPPE
@RepAOC @GovLarryHogan @BenCardinforMD @ChrisVanHollen @RepAndyHarrisMD @Call_Me_Dutch @JohnSarbanes @RepAnthonyBrown @LeaderHoyer @RepDavidTrone @_jamieraskin Please help! The #PPEShortage is affecting our #HealthCareWorkers Many of us are making our own! #covid19 #GetMePPE
'This system is doomed': Doctors, nurses sound off in NBC News coronavirus survey
nbcnews.com/news/us-news/s… via @nbcnews
nbcnews.com/news/us-news/s… via @nbcnews
A hospital nurse in Michigan says she and her colleagues have discussed bringing in bleach to make their own disinfectant wipes.
A pregnant nurse in Ohio says she has no choice but to tend to critically ill patients without a specialized N95 mask.
And a health care worker
A pregnant nurse in Ohio says she has no choice but to tend to critically ill patients without a specialized N95 mask.
And a health care worker
in Georgia has resorted to scouring local hardware stores in an effort to secure the protective masks.
#PPEshortage
#PPEshortage
.@NBCNews Exclusive:
Amer. Medical Assoc. chief, in first national interview, says gear shortages are “unacceptable,” situation is “dire.”
“We need to see masks on their faces, gowns on their body,” Dr. Patrice Harris told NBC.
nbcnews.com/politics/congr…
Amer. Medical Assoc. chief, in first national interview, says gear shortages are “unacceptable,” situation is “dire.”
“We need to see masks on their faces, gowns on their body,” Dr. Patrice Harris told NBC.
nbcnews.com/politics/congr…
It was Harris's first national interview amid the #coronavirus pandemic.
This week Harris also told Trump personally that HE needs a (federal) “tracking system” to ensure American suppliers are meeting demand & the neediest hospitals r prioritized.
This week Harris also told Trump personally that HE needs a (federal) “tracking system” to ensure American suppliers are meeting demand & the neediest hospitals r prioritized.
Congress has passed two packages. Yet docs/nurses/hospitals remain on the frontlines & unarmed
Neither package has a direct funding pipeline to hospitals ab. to come under enormous strain.
McConnell just released his plan for a third one. *Also no big direct funding package*
Neither package has a direct funding pipeline to hospitals ab. to come under enormous strain.
McConnell just released his plan for a third one. *Also no big direct funding package*
EXCLUSIVE to @NBCNews:
👉Hospitals sound alarm on funding for supplies to treat patients, protect workers
This needs to happen and SOON, according to the nation's hospitals: THREAD
1. Direct funding: $100 billion (there is no direct funding yet).
nbcnews.com/politics/congr…
👉Hospitals sound alarm on funding for supplies to treat patients, protect workers
This needs to happen and SOON, according to the nation's hospitals: THREAD
1. Direct funding: $100 billion (there is no direct funding yet).
nbcnews.com/politics/congr…
"The past few days have made a dramatic difference
in the reality facing our nation due to the novel coronavirus," the American Hospital Association said in a letter to congressional leaders obtained by NBC.
Hospital Assoc Head in Washington state told NBC situation is 'dire'
in the reality facing our nation due to the novel coronavirus," the American Hospital Association said in a letter to congressional leaders obtained by NBC.
Hospital Assoc Head in Washington state told NBC situation is 'dire'
in some hospitals. One hospital, for instance, has 1 package of gloves left.
Trump also needs to *activate* the Defense Production Act NOW, they believe. Protective gear needs to be produced by manufacturers, then hospitals need the $$ to purchase it.
Trump also needs to *activate* the Defense Production Act NOW, they believe. Protective gear needs to be produced by manufacturers, then hospitals need the $$ to purchase it.
