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trishgreenhalgh's profile
Trisha Greenhalgh
Trisha Greenhalgh
Trisha Greenhalgh
Verified account
@trishgreenhalgh

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Trisha GreenhalghVerified account

@trishgreenhalgh

Prof of Prim Care, Oxford. Alert me if someone needs unblocking https://scholar.google.co.uk/citations?sortby=pubdate&hl=en&user=8KQwEGcAAAAJ&view_op=list_works …

Oxford, England
phc.ox.ac.uk/team/trish-gre…
Joined January 2012

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    Trisha Greenhalgh‏Verified account @trishgreenhalgh 6 Oct 2020

    Trisha Greenhalgh Retweeted Dr Helgi

    Well. Being coughed on is more of an aerosol-generator than intubating someone.https://twitter.com/traumagasdoc/status/1313517265443262465?s=20 …

    Trisha Greenhalgh added,

    Dr Helgi @doctorhelgi
    I never understood why placing an ET tube into a paralysed patient was high risk whereas having someone with COVID pneumonia cough on you wasn't. Looks like intubation could stop being an AGP - looking forward to the @Anaes_Journal article tonight! https://www.theguardian.com/society/2020/oct/06/covid-unnecessary-precautions-causing-nhs-surgery-backlog …
    9:41 AM - 6 Oct 2020
    • 10 Retweets
    • 35 Likes
    • Dr Tammy Davidson Thompson Cath Rennie 💙😷 Pyplate Michelle 💙 Docroddy 🏴󠁧󠁢󠁳󠁣󠁴󠁿🇮🇪🇪🇺 analyst Alan Jenkins Dr Robert Dickinson Lucas Rocha-Melogno, PhD
    3 replies 10 retweets 35 likes
      1. New conversation
      2. Emma Heron‏ @Nyrs_Emma 6 Oct 2020
        Replying to @trishgreenhalgh

        Intubation is one thing, but when the patient is then connected to a vent and the end of the vent tube pings off you get an expiratory breath plus the fluid inside the tubing, it would be hard to deny that is aerosol generating...

        1 reply 0 retweets 3 likes
      3. Sarah‏ @SarahP_Para 6 Oct 2020
        Replying to @Nyrs_Emma @receivingconsnt @trishgreenhalgh

        Don't the connections get taped to mitigate/lower this known risk?

        1 reply 0 retweets 0 likes
      4. Show replies
      1. New conversation
      2. Sarah‏ @SarahP_Para 6 Oct 2020
        Replying to @trishgreenhalgh

        Which is why I'd hope cough risk is considered if anyone is thinking of giving a neb in back of🚑for anything other than an expiratory wheeze. Some try to justify neb may loosen 'gunk' on someone's chest if none-productive wet cough*. Pts can have 2+resp infections simultaneously

        1 reply 0 retweets 1 like
      3. Sarah‏ @SarahP_Para 6 Oct 2020
        Replying to @SarahP_Para @trishgreenhalgh

        By which I'm most focused on risk from a cough thats brought on post neb in this scenario. Most pts remove😷to cough. I try to do nebs in pt house. 3m SpO2 leads finally come in handy for monitoring from distance. *where pulmonary oedema 2ndary to HF ruled out as most likely Dx

        0 replies 0 retweets 0 likes
      4. End of conversation
      1. Cosmopolitan Chica 💙‏ @sonia_chester 6 Oct 2020
        Replying to @trishgreenhalgh

        No surprise having assessed Covid 19 patients on home visits- I have felt very exposed & vulnerable in my non WHO standard PPE. Time for @PHE_uk & @MattHancock to review & update guidelines 🙏

        0 replies 0 retweets 3 likes
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