@SamAlfredED
Joined February 2014
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  • Following39
  • Followers76
2Media
Replying to @JudkinsSimon @abc730
Outsourcing is the underlying disease including commissioning of health care to private organisations (PHNs) @Mark_Butler_MP @abc730
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All Adult EDs in Adelaide are critically overcrowded (>125% of their capacity)! This dangerous situation requires urgent action @PictonChris @ANMFSA @SA_Ambulance @acemonline @amasamembers @sasmoa4doctors sahealth.sa.gov.au/wps/wcm/c…
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Sam Alfred retweeted
NEJM
@NEJM2 Nov 2022
A single 25-mg dose of psilocybin was more effective than a 1-mg dose at alleviating treatment-resistant depression over a period of 3 weeks. The effect was attenuated at 12 weeks. nej.md/3WcfLFp
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The system Australia is trying to emulate?
Shaun Lintern@ShaunLintern15 Jul 2022
BREAKING: All hospitals in England told to take "immediate steps" to find extra space for patients so that no ambulance waits longer than 30mins. This must be done despite the extra burden on hospital staff, say NHS chiefs.
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Sam Alfred retweeted
Nobody@bhanders20 Jun 2022
Let’s be clear… that’s 53 admitted patients at 8am on a Monday in an ED… which has a 65 bed capacity… how are we supposed to be emergency physicians and nurses in these conditions? #ifnotusthenwho #belikeus
SASMOA@sasmoa4doctors19 Jun 2022
Extraordinary circumstances at RAH Ed 53 patients now waiting for a bed in the ED how about @SAHealth come and review. Attending site for safety inspection.
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Except somewhat sadly this is not even considered extraordinary anymore, this is called “the ED after the weekend” and is entirely predictable
SASMOA@sasmoa4doctors19 Jun 2022
Extraordinary circumstances at RAH Ed 53 patients now waiting for a bed in the ED how about @SAHealth come and review. Attending site for safety inspection.
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Whole-of-system planning is required to face this wave and move beyond. Patients want to give up their hospital beds – politicians need to help them do it smh.com.au/national/patients…

Patients want to give up their hospital beds – politicians need to help them do it

Hundreds of patients turn up at our hospital’s emergency each day, many needing a bed. But we can’t give them one. This is why.

smh.com.au
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Only 3 months ago - that was an optimistic prediction. We still need improved GP and community resources that were called for to manage this adelaidenow.com.au/coronavir…
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“At the height of the surge, we’re looking at something like 4000 (active) cases here in South Australia. That is of course a number that would completely overwhelm any health system, so we need to get on and we need to plan for how the health system is going to manage that.”
SA Health
@SAHealth5 Jan 2022
South Australian COVID-19 update 5/1/22. For more information, go to sahealth.sa.gov.au/COVID2019 or contact the South Australia COVID-19 Information Line on 1800 253 787.
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😞
Sebastian Rosenberg@RosenbergSeb17 Dec 2021
69.2 Emergency Department mental health presentations for every 10,000 Australians in 2004-05. In 2019-20 there were 121.6. 138,729 presentations became 310,471. This is policy failure, Australia choosing to miss every opportunity for earlier, safer care in the community.
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If you're treating OA pain with opioids, take a good look at this image. Or just read the concluding sentence.
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tandfonline.com/eprint/UTGTY… #50freeprints @Clin_Tox @mcyarema Comparing liver injury despite early NAC treatment in paracetamol overdose.

Comparing development of liver injury using the two versus three bag acetylcysteine regimen despite...

Some studies have reported that early administration of acetylcysteine using a 3-bag regimen may not fully prevent development of liver injury in some patients. We compared the incidence of acute l...

tandfonline.com
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If you think the restrictions or getting vaccinated is hard, imagine being a patient or a HCW turning up to hospital and seeing this. This is what we are facing in parts of Melbourne at present. #COVID19Vic
dramynicho@DrAmyNicho27 Sep 2021
Ambulance ramping Northern Hospital Melbourne.
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The serious shortfalls in our COVID response give me no confidence our hospitals will cope smh.com.au/politics/nsw/the-…

The serious shortfalls in our COVID response give me no confidence our hospitals will cope

The government needs to stop backslapping about vaccination rates and gear up properly for COVID.

smh.com.au
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Latest paper from my PhD on snakebite associated thrombotic microangiopathy. Patients at risk of CKD and need long term follow up. Thanks to @MenziesResearch @geoff_isbister @KIsoardi Bart Currie and Simon Brown. doi.org/10.1080/15563650.202…
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Is piperacillin-tazobactam safe in patients with penicillin allergy? -by @PulmCrit emcrit.org/pulmcrit/piptazo-…

PulmCrit - Is piperacillin-tazobactam safe in patients with penicillin allergy?

Historically it was believed that allergic reactions could be mediated by the core structures. This would imply that a patient could be allergic to all penicillins, all cephalosporins, or even all...

emcrit.org
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Sam Alfred retweeted
The Shovel@TheShovel18 Jul 2021
Katie Hopkins being dumped from a reality tv show for breaking COVID restrictions and not for being a massive fucking racist is literally the most Australian thing imaginable
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Sounds familiar @acemonline @johnubonn @claski
Picard Tips
@PicardTips21 May 2021
Picard management tip: If you're on red alert every day, then red alert means nothing.
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Sam Alfred retweeted
Zeff@zeff6520 May 2021
Attitude and language perpetuates stigma and kills. Harm minimization (in all its forms) saves lives. The media cannot get away with this…
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The state's first toxicology service at the Royal Adelaide Hospital means that patients experiencing poisoning are seeing reduced time in hospital. You can read more about the new service here: centraladelaide.health.sa.go… #wearecentral #worldclasscare
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