Parksy

@pfparks.bsky.social

Emergency Physician. HC advocate. Got to kick at the darkness until it bleeds daylight.

Another recent case AB: Pt collapses and is unresponsive in their home. Spouse calls EMS and >90mins for an ambulance to arrive ("no EMS available to respond") Pt unstable and witnessed cardiac arrest for EMS Pt transported to ED w resuscitation ongoing Pt does NOT survive 1/2

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As EDs get more overcrowded and blocked up, our EMS crews can't get back out to the community for the new emergencies. Current govt solution: don't fix flow downstream in the hospital, just add more EMS Hallway spaces outside of the ED There's no coordinated plan...

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AB - this is how we treat our seniors! Pt in late 60s, confused/delirious from an infection. Needs admission. INT med says admit to Fam Med bed, except no beds in hosp. Pt waiting >48hrs in a recliner CHAIR in the ED for transfer - no dignity, privacy, very little care. 1/2

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Take a look at this EIP (admitted pts in ED) data for the MIS ED before and after opening up their brand new ED! This is perfect constipation illustration: building a bigger rectum doesn't help fix constipation (and yes the ED has become the bunged-up rectum of our HC system) 1/2

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Danielle Smith and the UCP are experimenting with HC - fragmenting the system, neglecting workforce and capacity, and adding private care delivery and private pay options... The data is very clear the experiment is a failure...

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Calgary: you aren't going to escape the UCP Mount Everest of ED overcrowding either. EIP = admitted sick pt stranded in the ED = new emergency pts can't be seen = EMS can't drop off their pts to be available for new emergencies = delayed care for ALL threadreaderapp.com/... 1/2

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#Alberta BACKWARDS #DanielleSmith #abpoli #ableg Alberta’s population grew about 20% since 2016 While Emergency-department overcrowding grew more than 100%. Population growth matters but policy, staffing, hospital beds and continuing-care capacity matter far more More People are going to DIE

Parksy@pfparks.bsky.social · 2w ago

AB: Here is the EIP data (for ALL major EDs in the province) Indexed to Population growth. Obviously increased pop plays a role... but workforce, hospital and LTC capacity, complexity, technology, and GOVT POLICY make a massive impact. UCP GOVT POLICY has only made this worse! 1/2

AB: Here is the EIP data (for ALL major EDs in the province) Indexed to Population growth. Obviously increased pop plays a role... but workforce, hospital and LTC capacity, complexity, technology, and GOVT POLICY make a massive impact. UCP GOVT POLICY has only made this worse! 1/2

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Here's what these INSANE EIP (sick pts stranded in the ED) mean and why you should care: 4625 = the Equivalent of the UAH + RAH + Stollery EDs being permanently CLOSED to new emerg pts the ENTIRE MONTH Please share widely. Talk about this. It's a crisis and govt is MIA threadreaderapp.com/...

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Please HELP Alberta! This is real data from EDM EDs It shows the worsening trend of completely blocked EDs Share widely and talk about this! Help bring this to the Premier/govt's attention (maybe call into her radio show, as that seems to inform govt policy!!!) 1/4

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> 6 months since the tragic WR death of Mr. Sreekumar Govt has forgotten him. Public promises were made, but no progress has been made. No ACCOUNTABILITY. The Premier and Ministers have moved on... 1/6

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Hey AB: Our functional ED capacity in the Edmonton area has been devastated We have NEVER had overcrowding in our EDs that looks like this in our summer (typically we see admitted volumes decrease in the summer) > 6mnths since Mr. Sreekumar's tragic death, NOTHING is better 1/2

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