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s_r_constantin's profile
Sarah Constantin
Sarah Constantin
Sarah Constantin
@s_r_constantin

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Sarah Constantin

@s_r_constantin

Math/ML/data-science person now working on solving aging...and helping with COVID19?! Founder, LRI and Daphnia Labs. Married to @oscredwin

Be
srconstantin.posthaven.com
Joined February 2019

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    1. Sarah Constantin‏ @s_r_constantin Mar 15
      • Report Tweet
      • Report NetzDG Violation

      Sarah Constantin Retweeted Jack Gallagher

      Yeah, I’m still figuring it out, but this. An ICU is the most complex place in a hospital and probably the *hardest* for improvised emergency clinics to replicate. To reduce load on hospitals, maybe we *first* scale up the *other* stuff.https://twitter.com/gallabytes/status/1238744523548667905 …

      Sarah Constantin added,

      Jack Gallagher @gallabytes
      Everyone talking about #makeventilators is missing the point. Yes, we're going to run out. No, it won't be pretty. But we don't have labor capacity to care for that many more than we can ventilate. We need O2 concentrators so that 2/3 of hospital cases can switch to home care.
      Show this thread
      5 replies 12 retweets 60 likes
      Show this thread
    2. Sarah Constantin‏ @s_r_constantin Mar 15
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      What they do in India to make medical care available to the very poor without cutting quality of care is called *task-shifting*.

      1 reply 2 retweets 14 likes
      Show this thread
      Sarah Constantin‏ @s_r_constantin Mar 15
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      You take the *simplest* tasks which are usually done by skilled experts (doctors & nurses) and delegate them to non-credentialed workers or volunteers who go through a brief training course.

      10:49 AM - 15 Mar 2020
      • 1 Retweet
      • 19 Likes
      • dlr June “Wakalix”, [null] Åse (social-distancing for 38 yrs & counting) Jesper Ostman № Daniel Houck Peter Burns Henry michael vassar
      1 reply 1 retweet 19 likes
        1. New conversation
        2. Sarah Constantin‏ @s_r_constantin Mar 15
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          This increases the risk of those tasks being done wrong, but *carefully*, starting by delegating the lowest-risk, least-technical tasks first.

          1 reply 0 retweets 9 likes
          Show this thread
        3. Sarah Constantin‏ @s_r_constantin Mar 15
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          US hospitals are already used to triage: treating urgent, fixable cases ahead in line of mild and hopeless cases. Task-shifting is triage for tasks.

          1 reply 0 retweets 11 likes
          Show this thread
        4. Sarah Constantin‏ @s_r_constantin Mar 15
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          Medically skilled personnel are a scarce resource in a crisis like COVID19; the smart thing to do is to reserve them for those tasks that are most difficult to learn to perform safely.

          1 reply 0 retweets 10 likes
          Show this thread
        5. Sarah Constantin‏ @s_r_constantin Mar 15
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          When people have life-threatening cases of COVID19, the treatments they need are the *hardest* to task-shift to the untrained. Very invasive, very easy to accidentally kill someone by screwing up. It might be easier to scale up routine care instead.

          2 replies 3 retweets 14 likes
          Show this thread
        6. Sarah Constantin‏ @s_r_constantin Mar 15
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          What I’ve read from retrospectives of natural disasters and other emergencies is that there’s usually no shortage of volunteers and donations. People are actually very generous in a crisis. The bottleneck is more often getting those volunteers trained and organized.

          1 reply 3 retweets 17 likes
          Show this thread
        7. Sarah Constantin‏ @s_r_constantin Mar 15
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          Top priority is getting someone with experience task-shifting hospitals (perhaps in poor countries) to give guidance on how rich countries with overwhelmed medical systems can do something similar.

          1 reply 0 retweets 10 likes
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        8. Sarah Constantin‏ @s_r_constantin Mar 15
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          Perhaps someone from @NarayanaHealth or @MSF_USA

          1 reply 0 retweets 5 likes
          Show this thread
        9. End of conversation

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