Andrew Petrosoniak
14.5K posts
Andrew Petrosoniak
@petrosoniak
EM & trauma physician | #simulation & #design to improve care | speaker | high stakes decision making | Founding partner, @AdvPerformHD
Joined December 2012
- We keep hearing how our healthcare system is collapsing (which it is). But that does nothing to improve our understanding. Let’s use a hypothetical emergency department visit to highlight the disaster that is happening every day around the country. Here’s a thread 🧵:
- People ask me how is the emergency department these days, is there much #COVID19 anymore? My observations below in a short🧵 TL/DR = the healthcare system is a disaster and it will be years before it improves...so buckle up. 1/
- I just finished an emerg shift in rural Ontario today. I saw an elderly patient who didn’t have a family doctor. I asked the nurses if there’s a clinic accepting patients RN: No but they can put their name on the wait list. Me: How long is that? RN: About 4yrs. What?
- The Thai Cave Rescue might be one of the most impressive examples of high stakes decision making & human performance in recent memory. The exact details of what happened are truly amazing and warrant a deeper dive. What can we learn from this unbelievable success story? 🧵 1/
- As a fellow emerg doc, I'm extremely disappointed to see this inaccurate focus on COVID related illness as the main cause for incr ED wait times and staff shortages. Rather the link to COVID is that it exposed a system that has always been non functional, but now just more so.🧵'I’m a veteran ER doctor. I can’t believe what I'm seeing' -- There's a crisis in Canadian health care and a new wave of #COVID19 is making a dire situation worse, by @KashPrime macleans.ca/society/health… via @macleans @johnadams51677 #cdnhealth #CanadaWAITS
- I'm sad for the people of #ontario as they must get used to waiting >6-12hrs for emergency department visits for the foreseeable future. A friend visited a GTA hospital recently with chest pain....and left after 12hrs before seeing an MD. This is a problem.
- Make no mistake the recent words of the premier touting the strength of our healthcare system are not anchored in reality. The many amazing healthcare workers battle a dysfunctional system to continue to deliver care despite the govt Let me help the premier understand better 1/
- THREAD: Some thoughts on the 3rd wave... I'll be completely honest, I didn't think 3rd wave was a thing a few wks ago...and I work in the emergency dept. Full disclosure, it now appears I was very wrong (for anyone who knows me...i hate being wrong...)
- I’m watching this after my last shift when there were 12hr waits, we closed an entire section of our ED bc we didn’t have enough nurses and I’ve worked 3 shifts in the last 3wks in EDs that would’ve temporarily closed otherwise. This is not a system we should be proud of.When it comes to accountability and why the people of Ontario can trust this government, our track record speaks for itself.
00:00 - I woke up this morning and almost spit out my coffee... I was shocked that Nadia Surani, @ONThealth official had the audacity to put these thoughts in a formal request...and was actually serious.. My wife and my dad are both primary care docs. A 🧵 cbc.ca/news/canada/to… 1/
- Please tell me this is a joke. Let me rephrase… EDs that move people thru quicker and provide faster visits (regardless of quality) will get more funding. Oh good. This just represents a complete misunderstanding of ED care. I don’t even know where to start. 1/
- Might be time to start “bring a politician to work” days…so they can get a firsthand look at what’s happening in Canada’s emergency departments… Spoiler alert: it’s not good. @alandrummond2 @davidcarr333
- "Boosted" is the new fully vaccinated. It's time to change that narrative. We have ~30% fully vaccinated in #ontario.
