@PieterPeach@mastodon.social
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PieterPeach

@PieterPeach@mastodon.social

Anaesthetist/Anesthesiologist | Previously virology | MPH | Cabrini Health, Royal Childrens Hospital Melbourne | https://mas.to/@cleanairstars
#Anaesthesia #Anesthesia #CleanAir #PublicHealth

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PieterPeach, (edited ) to random
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Everyone at home is sick with fevers & coughs except me today. It would be completely irresponsible & a dereliction of duty for me as a close contact for whatever it is my family are carrying to not reduce the potential exposure to my patients by 100 fold by wearing a fit-tested particulate filtering respirator whilst at work.
This is a permanent change to my practice & should be for all healthcare workers going forward.

PieterPeach, to random
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This video demonstrates how well fit-tested respirators work as source control vs no masks vs loose fitting medical masks.
No complicated modelling required.
We can achieve higher levels of risk reduction by having our healthcare workers wear these when looking after vulnerable patients, particularly at times where staff are at higher risk of infection (recently symptomatic, close contact of someone unwell at home, or high community prevalence)
Screenshots in the next post.

video/mp4

PieterPeach, to random
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It’s takes around 3mm of stubble growth to significantly impact fit of particulate filtering respirators.
https://doi.org/10.1038/s41370-021-00337-1

PieterPeach, (edited ) to classicalmusic
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Raise your hand if, like me, you grew up thinking this was .

PieterPeach, to random
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The only way we can adequately manage risk in healthcare in a pandemic with an airborne pathogen is by having sustainable processes & resources in place to cope with a high volume of cases.

Stockpiles of disposable PPE expire & run out quickly, ramping up processes/skills takes too long, & we can’t rely on building infrastructure being brought up to scratch in a hurry.

Airborne precautions for respiratory tract pathogens needs to be an increasing part of our healthcare routine.

PieterPeach, (edited ) to Anesthesia
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I often wonder if any other anaesthetists tape over drugs the patient is allergic to (or in which a drug is contraindicated) in the drug trolley to reduce the risk of accidental administration.

PieterPeach, to random
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Many hospitals I work in have a policy that for a few days after returning from a SARS-CoV2 infection staff need to wear a fit-tested respirator as source control whilst at work.
This recognition of respirators’ utility as source control should be considered to help reduce nosocomial transmission from staff of other pathogens found in the respiratory tract.
#MasksWork

PieterPeach, (edited ) to random
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Growing up I recall the feeling of bemusement when visiting “shoes off” households.

Having been a “shoes off” household for 15 years I can’t believe I grew up wearing shoes inside the house.

PieterPeach, (edited ) to random
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At the @Webairs workshop at learning how to frame the learnings from an adverse or near adverse event into a .
Another way doctors and are learning from aircraft safety.

1/n

PieterPeach, to random
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Today a theatre nurse instructed a surgeon to swap out of a medical mask to an N95 when the surgeon admitted to having tonsillitis. Great to see the patient advocacy and understanding that fit tested respirators protect patients.
This should be the standard going forward.

PieterPeach, to coffee
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Have not been brave enough to press this button in the 4 years this hospital tea room machine has stared at me daring to press it.

PieterPeach, to random
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“Where have Rio Verde Foothills’ inhabitants been getting water to drink, wash and brush their teeth? They’ve been doing what usually do: they rely on other people who planned better than they did.”
From: @Jeramee
https://mastodon.social/@Jeramee/110571445188190273

PieterPeach, to Parenting
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Going through a phase of encouraging our son to be more self reliant at home.

This morning’s self-prepared breakfast was drumroll

Pineapple on toast.

Me - Staring in curiosity
Son - “I made a big mistake”

video/mp4

PieterPeach, to random
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Today I learned that in the 80’s, bank branch managers in Australia often had guns under their desks and were expected to use them in the event of a robbery.

PieterPeach, to random
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@AndrewMeffan I’m replying here rather than on the other site. The functionality is almost on par except for the ability to quote toot which will hopefully come at some point. Worth trying Mammoth beta app to see the quality of the clients appearing https://testflight.apple.com/join/66c1wW8y

PieterPeach, to random
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Boring Report is an app that makes news boring to read. It uses AI to process exciting articles into focused content, helping readers get facts without sensationalism.

https://www.boringreport.org

PieterPeach, to random
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Is there a Mastodon client that does account discovery as well as the Bluesky app?
The ability to be offered a list of accounts that are followed by your network is very effective for onboarding.

PieterPeach, to random
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We rely on the generosity of blood, plasma, and platelet donors to look after our patients.
It’s the one thing you can do to genuinely save lives that couldn’t be saved otherwise.

Australians can book here https://my.donateblood.com.au/app/appointments/location

PieterPeach, (edited ) to random
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It’s that time of year @mackayim2022

PieterPeach, to llm
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Just came across a POE bot (custom prompt) that takes a YouTube video (<20mins) and creates a summary of the video within seconds.
No more time wasted watching people get to the point in lengthy videos.
Does an amazing job too.
https://poe.com/YouTubeSummarizer

PieterPeach, to random
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B is ripping through our household. Fevers and misery all around

PieterPeach, to random
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Is there a way to change setting to load most recent posts first on @IceCubesApp rather than having to scroll up while old posts are being loaded?

PieterPeach, (edited ) to llm
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While driving, my iPhone not only read aloud a text message, but also accurately described an attached photo.
That was unexpected

PieterPeach, to Parenting
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How did we survive as kids without a water bottle following us around everywhere we went?

#parenting

PieterPeach, to H5N1
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“The cats were found dead with no apparent signs of injury and were from a resident population of ≈24 domestic cats that had been fed [unpasteurised] milk from sick cows. Clinical disease in cows on that farm was first noted on March 16; the cats became sick on March 17, and several cats died in a cluster during March 19–20. In total, >50% of the cats at that dairy became ill and died.”

Emerg Infect Dis. 2024 Jul https://wwwnc.cdc.gov/eid/article/30/7/24-0508_article?ACSTrackingID=USCDC_333-DM127233&ACSTrackingLabel=Latest%20Expedited%20Articles%20-%20Emerging%20Infectious%20Diseases%20Journal%20-%20April%2029%2C%202024&deliveryName=USCDC_333-DM127233

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