I agree about utilising proning in the ED - can make a big difference and even in those who require pressure support, extends the window to let it happen in a safer fashion.
I am glad that TARN continues but the returns we are submitting have decreased alongside the overall numbers.
However the flow from the ED is amazing!! If only that could last it would attract so many more people to the speciality as we are getting to teach, support, do extended care for patients etc. I have had the chance to do 3 or 4 WBPAs on this night shift alone.
Kind regards
Bryan
Sent from my iPhone
> On 14 Apr 2020, at 02:29, Coats Tim - Professor of Emergency Medicine <[log in to unmask]> wrote:
>
> Unfortunately HQIP / NHSE has suggested that the national clinical audits are suspended apart from the adult and peads ICU audits.
> I think that quality of care for non-covid patients is an interesting question that we need to continue to look at. TARN is carrying on and we are lobbying through RCEM for other national audits to carry on as well.
>
> Situation in Leicester is that activity is down by about 30% - but we have AMAZING access to flow into hospital which makes the ED feel disproportionately less busy than the reduction in numbers.
>
> The weekly RCEM Zoom conference seems an excellent source of info on what everyone else is experiencing - there is a video, I cannot find it immediately, but Ffion has it so I will post the url tomorrow.
>
> Self-prone positioning (or at least lying down on one side then the other) seems to have a great short term effect - sitting up in the usual 'respiratory' position does not seem to be right for these patients (but is instinctive position that SOB patients get put into by ED staff).
>
> Tim.
>
> -----Original Message-----
> From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of Jimconoly
> Sent: 13 April 2020 19:02
> To: [log in to unmask]
> Subject: Re: Covid
>
> Its across the board Rowley
> Surgical abdo/ ACS/ stroke etc etc
>
> What is interesting
> We are seeing classic stuff. NOFs / LVF who then spike temps
>
> Personal view - and I hope am right for the sake of herd immunity. - there is a lot of it out there. Anyone else thinking same?
>
> Sent from my iPhone
>
>> On 13 Apr 2020, at 18:39, Sue Mason <[log in to unmask]> wrote:
>>
>> ED attendances dropped off a cliff. Mostly twiddling our thumbs. Occasional burst of activity when someone poorly comes in - but that’s what we do anyway. Actually we can’t do much for these folks - oxygen and some decisions about escalation or not as the case maybe. It’s a bit tedious!!
>> Sue
>>
>> Sent from my iPhone
>>
>>>> On 13 Apr 2020, at 17:13, John Ryan <[log in to unmask]> wrote:
>>>
>>> So how about sharing experiences from Covid land ?
>>>
>>> John Ryan.
>>>
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