Showing posts with label PSA. Show all posts
Showing posts with label PSA. Show all posts

Thursday, March 5, 2020

Natzsofast...



Never done this? Then, like 90+% of those who bought N95s (when you still
could), you have no idea if yours works right for you. But you'll find out with
a live-fire test with Kung Flu, any day now. Well-played.                                
















A vivid, if unintentional, lesson in context from Borepatch's blog today, with a side-order of why Twatter isn't a good source for anything requiring more than 280 characters or two brain cells.
“Seriously people — STOP BUYING MASKS!” the surgeon general, Jerome M. Adams, said in a tweet on Saturday morning. “They are NOT effective in preventing general public from catching #Coronavirus, but if health care providers can’t get them to care for sick patients, it puts them and our communities at risk!” 
Now, either the masks don't help and there's no point in anyone wearing them or they do help and the surgeon general wants to keep available stocks for health care workers. It cannot be both. But if this is the response from the surgeon general, you can stick a fork in it.

When one oversimplifies, it can become an unintentional lie of omission.

An N95 mask is worthless if you haven't been fit-tested to assure it works for you. (And for 25-33% of people right off the bat, it doesn't). For probably 90% of everyone ever, that's shocking news they never knew.

An N95 (or anything else) won't work if you have facial hair that blocks a tight seal.
It requires a bit more than just slapping one on to use it properly.
That knowledge applies to 0% of the general public. If you did time with Uncle Sam, you had it beaten into you vividly during a visit probably annually - to the tear gas chamber with your M17 or M40
series protective mask. Last I looked, prior service applies to something like 3% of the general population. Be generous, and double that info for those who deal with PPE every day at work.
So 90-95% of people have no effing clue about any of this.

That's why it's beyond asinine for Joe Average to get a pallet-load of the things, when he doesn't know Jack or Squat about what's what or why or how or anything else.

You might as well buy him a slide rule, FFS.

I have to get fit-tested every year. When people pilfered the hospital's entire supply of N95 masks last month (yes, really), everyone in the hospital had to get fit-tested again with the new brand. Anyone who was a fail with either brand had to have alternative PPE available to substitute. And we all undergo about three hour's refresher training annually in all the PPE we use, up to and including fully-encapsulated hazmat gear.

So, how much of that have you done? (For most any value of "you", not the OP or bloghost there).
Probably zero seconds, ever, other than buying the box.
Well-played.

And you (times 330M of you) buying up metric buttloads of masks that you don't know how to wear properly, and which may be utterly worthless because of zero training in proper wear, whiskerpuss, or poor fit, and made extra-scarce by China seizing the 3M plant that makes the go-to model in China, and declaring all N95s made there a "strategic national resource" unavailable for exportation until further notice, means there are that many less available for purchase by every hospital in the U.S., for use by the people that need them, and know WTF they're doing.

Now, knowing the rest of the story, go back and read the SG's comments in context.

Because I saw his media appearances, and that's how it was presented by the better media outlets. If you're looking for Twatter to fully inform you, you're short-changing your brain. (Whether anyone on Twatter has one in the first place is an open question. Little worthwhile is conveyed in 280 characters. Great for punchlines for those with tiny minds, but for conveying news you can use, not so much.)

Let's try to tell the tale better than FakeNews, shall we?
Otherwise we're just CNN-lite.

And surgical masks do, indeed, protect other people from your germs. That's why they're cleverly called "surgical masks", and why we slap them on everybody coughing and sneezing in the ER, and why they're worthless as PPE, except to everyone else, to mitigate your slobber and sneeze particles flying everywhere.

N95s and better, by total contrast and design, are specifically to protect the wearer from other people's funk. TB, measles, Ebola, and Kung Flu, for specific examples.

And at least one commenter already posting there didn't know that fundamental difference in PPE, because it's outside their knowledge base.

QED

The surgeon general was spot-on, and his comments and those at the OP illustrate the problem perfectly.

This is the same reason buying any medical gear, or really just about anything, without knowing WTF you're doing with it, isn't helping anyone, least of all yourselves.
If you're going to buy gear, you have to learn how to use it properly.

Gear alone is just stuff.
Gear + training = prepared.
gear + training + experience = gold-star prepared.
Let's deal with this the right way.

Lacking the context of someone "in the biz", I understand why anyone could have missed the bigger picture, and don't expect for a minute poster ASM826 (who ocassionally comments here) meant to misinform anyone. And his further comments in the same post regarding the likely course of spread of this infection remain spot-on, IMHO. As usual, RTWT. There's a reason that blog is on my bloglist.

It also illustrates why, for most people, PPE is a dumb idea, and why you should be focusing on avoidance and self-quarantine, not trying to half-ass how to wade out amidst it. The shortage of N95s will probably save more lives than if we had them in abundance. Just like with Ebola, where 1 in 3 commenters wanted to know how to go out into it and come back home, and God forbid, just like it would be in any CBRN or hazmat event. You can buy a fire truck and an SCBA. It does not therefore make you a firefighter.

















If, OTOH, you managed to get N95s before they mostly became unobtanium, make sure yours works, fits, and you know how to use and wear it. Better yet, don't go out and play in it if you can help it in the first place. Otherwise, I'll see you in the ER. I have to play in it. You don't.

Other Business

Don't listen to what I've told you about Kung Flu.
Go read John Mosby's take on his Patreon site.
If you're inclined, sign up, and throw the guy a bone.
There's a reason his site is on my bloglist too.

Monday, September 23, 2019

Notes From The Trauma Bay



Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.
Motorcycles are not your friend.

Unless you want to be deader than disco before you're 25 years old.

In which case, please make sure your driver's license says "organ donor".
Thousands of people needing transplants await your demise.

Every few years, when I start to think about getting a bike, someone comes in really jacked up from a motorcycle accident, and beats the idea out of me in about one head-to-toe assessment.

Or, sometimes, a head-to-thigh assessment, because that's all the paramedics could find to bring in.

Motorcycle?
Don't.

Wednesday, April 13, 2016

PSA For Societal Miscreants

 

Two helpful bits of advice:

1) You can run from the cops, you can try to run from the police helicopter, but you cannot run away from the police dog.
Some cops are truly donut magnets, there are some places helicopters can't fly, but anywhere you can run, a dog can run faster.
He is more agile than Officer Friendly, he cannot be reasoned with, and in 100% of cases, if you're fleeing when he catches you, he's gonna bite your ass, multiple times, which hurts a lot.
And then, he'll get a Scooby Snack for his efforts from Officer Friendly.

And not to put too fine a point on it, please check yourself, especially guys, and notice exactly which of your bodily appendages are conveniently the exact same height off the ground as the teeth of the average police dog. And ponder the several hundred pounds of pressure that jaw and those sharp teeth will put onto your giblets. Srsly.
Enough said?

So, if the dog comes out, stay very, very still, and do exactly what they tell you.


2) In the ED, we have a really neat way of carefully medically removing those taser darts that get shot into your ass, according to the latest standards of care.
We take a set of Craftsman needlenose pliers, grab the dart(s), and yank them straight out as hard as possible.
And nota bene, those darts have opposing reverse barbs on them, like fishhooks, designed to make that rip hurt. A lot. (At least, judging solely by the high-pitched screams of your colleagues in similar circumstances.)

And then we put betadine and a Band-Aid on your boo-boos.
And I promise you, the cops will be laughing at you when you cry like a girl, almost as hard as they were laughing at you when they were tazing you, bro.
And, truth be told, it is pretty funny, for everyone who's not you.

So once again, maybe consider the benefits of not being an obnoxious jackass, fight the wisdom flowing upstream to your head from all those alcohol molecules, and avoid getting things ripped out of you, or stitches put into you.

If only for the sheer novelty of not doing the exact opposite of common sense, like you've probably done the entire rest of your life.

Oh, and it wouldn't hurt to maybe also keep your tetanus booster up to date, kids.

Tuesday, October 27, 2015

Financial Education For The Learning Impaired

Way too many shots of booze downtown on Saturday night:                       $167
Facial adjustment by Rocco and his 3 friends after lipping off:                  FREE
Ambulance ride to the E.D.:                                                                              $500
E.D. CT scan and lac repairs:                                                                         $4000
Admission to the ICU for subdural hematoma:                                         $12,000
Price for signing out of ICU AMA, going home, and waking up dead: LIFELESS

Scientific proof #3,467,882 that brain impulses cannot swim upstream against the current of alcohol.

Oh, and your Darwin Award nomination is in the mail.

I can tell people the truth, but no matter how hard I try, I can't make them smarter...

Wednesday, May 6, 2015

Emergency Vs. Not So Much

For the benefit of about 85% of those of you who visit Emergency Departments annually, this helpful guide:

Having a heart attack: Emergency
Not giving you a pillow during your heartburn: Not So Much

Having a stroke: Emergency
Not getting you a cup of ice: Not So Much

Having acute appendicitis: Emergency
Not letting you eat your flaming Cheetos while we rule out appendicitis: Not So Much

Having febrile seizures: Emergency
Not letting you have 27 warmed blankets with an oral temp of 103F: Not So Much

Admitting you for acute status asthmaticus: Emergency
Not fetching you OTC cough syrup during your asthma attack treatment: Not So Much

Your child having bacterial meningitis: Emergency
Not allowing you to bring in the seven not-sick siblings to the same room: Not So Much

Admitting you for suicidal ideation: Emergency
Not getting you a blanket, a pillow, two turkey sandwiches, three orders of juice, and two varieties of crackers while waiting for a transfer to a psychiatric facility for same: Not So Much

This is not intended as any sort of comprehensive list, but I offer it as a guideline, to assist you in deciding firstly whether or not to come to the Emergency Department at all, and secondy to further assist you in Shutting The Eff Up vs. complaining to my supervisor about my alleged attentions or failings regarding any of the above situations, and perhaps towards explaining why, after your piehole closes regarding such complaints, their response is hysterical laughter, and a hasty exit from your room to go deal with actually important things.

If afterwards you really feel peeved off about things, do what most people do: don't leave me any tip in the tip jar, and don't go back to that restaurant, m'kay?

As a bonus, if you think you might wish to elope from the ED at any point, I heartily suggest you do so while still in your car before even darkening the door mat on the lobby door, rather than after taking up 4 hours of valuable time when I and your doctor(s) could have been treating one of the other patients for actual emergent illnesses and injuries instead of wasting it on your drama queenery. For you, there's Oprah, not the ED. Just drive the eff through and go back home, and I won't mind a bit, pinkie swear.

And it's also why if I ever meet Mr. Press or Mr. Ganey alive and in person this side of the hereafter (or even beyond it), I'm going to tenderly and lovingly beat the ever-loving shit out of them with my bare hands until the desire to continue to do so passes away, and/or they do. Nothing less will suffice, and it will be worth the charges, I promise you. I'll probably only be able to raise several million dollars in legal defense funds, if I only get a dollar apiece just from my medical colleagues. (Seriously, you two, you're that evil and worthless, and you should kill yourselves now as a service to humanity, ideally by setting fire to yourselves inside your corporate offices with all your employees locked inside, and I'm not kidding about any of that one little bit.)

Hear me, God.