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Selection or science dono he confusing hain! . . . . #T20WorldCup #SaeedAjmal #PakistanCricket

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Saeed Ajmal

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15,640 Aufrufe • vor 6 Monaten •via X (Twitter)

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This is exactly when conservatives turned Fauci into a political target. He could have taken the easy path, endorsing ivermectin, rejecting masks, social distancing, and vaccines, and many partisan voices would have celebrated him. Instead, he followed the best available medical evidence, knowing it would make powerful people his enemies. It would have been easier to agree when President Trump publicly suggested ideas like using light or disinfectants as potential COVID-19 treatments. Fauci didn't. He stuck to science. Was every decision perfect? No. Could some decisions have been different in hindsight? Of course. That's the reality of managing a once-in-a-century pandemic with limited and constantly evolving evidence. What hasn't changed is that COVID-19 vaccines saved millions of lives. The obsession with turning Fauci into the villain while many alleged Epstein associates still haven't been held accountable is a remarkable distortion of priorities.

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ED boarding is when a patient is admitted but physically remains in the ED. Unlike the floors or ICUs, there is no "capacity" in the ED. While nursing ratio recommendations exist, there is no method to enforce it given the nature of EM workflow. Is ED boarding really as big of a deal as he says? The short answer is: yes. My record for ED LOS exceeds a month, and the worst nursing ratios were 13 patients per nurse. The latter was in early COVID. One systematic review included 7 studies and over 75,000 patients. Here’s the gist of what they found: -higher rates of missing treatment interventions (9%) -higher rates of missing home medications (18%) -higher rates of missing lab studies (3%) -higher odds of orders not being filled on time (OR 1.84, 1.46-2.30) -higher odds of orders not being filled altogether (OR 2.58, 1.94-3.42 -higher odds of delirium in the elderly (OR 2.23, 1.13-4.41) -higher odds of drug-related adverse events (OR 1.04, 1.01-1.08) Another systematic review included 13 studies and focused on the elderly. Here’s the gist of what they found: -increased odds of death at 6 months (2.18, 1.10-4.31) #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #medx #medtwitter
0:15

ED boarding is when a patient is admitted but physically remains in the ED. Unlike the floors or ICUs, there is no "capacity" in the ED. While nursing ratio recommendations exist, there is no method to enforce it given the nature of EM workflow. Is ED boarding really as big of a deal as he says? The short answer is: yes. My record for ED LOS exceeds a month, and the worst nursing ratios were 13 patients per nurse. The latter was in early COVID. One systematic review included 7 studies and over 75,000 patients. Here’s the gist of what they found: -higher rates of missing treatment interventions (9%) -higher rates of missing home medications (18%) -higher rates of missing lab studies (3%) -higher odds of orders not being filled on time (OR 1.84, 1.46-2.30) -higher odds of orders not being filled altogether (OR 2.58, 1.94-3.42 -higher odds of delirium in the elderly (OR 2.23, 1.13-4.41) -higher odds of drug-related adverse events (OR 1.04, 1.01-1.08) Another systematic review included 13 studies and focused on the elderly. Here’s the gist of what they found: -increased odds of death at 6 months (2.18, 1.10-4.31) #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #medx #medtwitter

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