@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

This profile is from a federated server and may be incomplete. Browse more on the original instance.

osma, to random
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This is how healthcare should care for the health of its staff and patients. 1) fit-tested FFP2 masks 2) HEPA-filtered air in enclosed spaces 3) ventilation 4) measure those actions.
Clean air is clean air. It doesn't need RCT studies. h/t @PieterPeach
https://mastodon.social/@PieterPeach/110272839400293885

PieterPeach,
@PieterPeach@mastodon.social avatar

@chowderman @osma Here is a cost benefit analysis for cleaner air interventions in the general community.
Where healthcare facilities have a higher frequency of presentations of infectious people (eg family doctors, emergency departments, respiratory wards) this is likely to be even more significant.
https://nepc.raeng.org.uk/media/fupdixju/nera-social-cost-benefit-analysis.pdf

john_brown_jovi, to fediverse

Is there any instance or app that supports ?

PieterPeach,
@PieterPeach@mastodon.social avatar

@john_brown_jovi on iOS Ice Cubes allows quoting of a post with a preview that other users of Ice Cube see as a preview. It does essentially the same as a quote toot but at the client level. Not sure about Android

image/jpeg

PieterPeach,
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@john_brown_jovi agreed. The original poster’s username is included so they receive a notification, but it would be good to hide it so it doesn’t take up characters

PieterPeach, (edited ) to random
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Prior to the pandemic our hospitals in Victoria Australia never fit-tested their staff for respirators.
Now we have fit testers employed full time at the Royal Children’s Hospital and staff that were fit tested at the beginning of the pandemic are being retested to ensure their face shape hasn’t changed, and that new Australian made models fit. 🧵(1/n)

PieterPeach, (edited )
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We also just wheeled in a portable HEPA filter (Samsung AX90T ~ $500 bulk purchase) into a birth suite in labour ward in another hospital for a COVID-19 patient adding 16 air changes per hr when run on level 2. These are the same devices installed in every public school class in the state of Victoria.
Portable , fit tested respirators, these are all sustainable long term solutions to reduce the risk of nosocomial and workplace acquired infection with viruses like (2/n)

PieterPeach,
@PieterPeach@mastodon.social avatar

Do I feel more protected walking in to insert an epidural today with a heavily vocalising patient in a poorly ventilated birth suite with an extra 16 air changes per hour? Absolutely. We know that a portable can augment the effectiveness of a fitted respirator as demonstrated in this study below. (3/n)

https://doi.org/10.1093/infdis/jiac195

image/jpeg

jerry, to random
PieterPeach,
@PieterPeach@mastodon.social avatar

@sickmatter @jerry Resurrect wave

enirenberg, to random

Me, thinking hyperventilation was synonymous with tachypnea and not understanding how you could hyperventilate and have an unchanged respiratory rate

aziz ansari snl GIF by Saturday Night Live

PieterPeach,
@PieterPeach@mastodon.social avatar

@enirenberg What’s the context here? It would be very unusual for someone to hyperventilate with a normal respiratory rate and larger tidal volumes.

PieterPeach,
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@enirenberg yes, pregnancy would be one example

PieterPeach, (edited ) to fediverse
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It’s great seeing content on the from different servers on my feed. Social media platforms should always have been like email, i.e. no one centralised entity, just multiple servers passing on messages.

PieterPeach, to random
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Spot the hazard

https://twitter.com/AlifiaChakera/status/1648052281508593666?s=20

@Hypoxicchicken

PieterPeach, to random
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@Aparachick the other website relies on the transition costs being high to keep you there. Whether you’re 60 or 20 it will take a little time and effort to transition but it’s worth it.

PieterPeach,
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@Aparachick try a better client. What operating system do you use? iOS, android?

PieterPeach, to Microbiology
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Who are the on Mastodon you can add to a / list?
Favouriting this toot will allow you to be notified of updates 🧵1/2

@mackayim2022
@eddieholmes
@florian_krammer
@trvrb
@firefoxx66
@Angie_rasmussen
@marionkoopmans
@EckerleIsabella
@KindrachukJason
@ariskatzourakis
@K_G_Andersen
@macroliter
@meyer

PieterPeach, (edited ) to random
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Who are the and infectious disease on Mastodon?
Will update this list as I come across them & if you “favourite” or “boost” this toot you will be updated every time there is an addition.
This helps create an “Epidemiology/Modellers” list on mastodon to browse their focused stream.
List so far:
@famulare
@enenbee
@aetiology
@DrZoeHyde
@dgbassani
@doxy_cycling
@adamjkucharski
@dgurdasani1
@epiellie
@mlipsitch
@deonandan
@seabbs

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

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