Here’s how hospitals can heal through sustainability

  • According to a June 2016 study, if the U.S. health care industry were a nation, it would rank 13th in greenhouse gas emissions.
  • While a previous study found the health care industry caused 8% of the country’s carbon emissions, the new study found these emissions caused 12% of acid rain, 10% of smog formation and 9% of respiratory disease from particulate matter in 2013.
  • Moreover, hospitals are among the top 10 in their communities for water use and the single largest users of chemical agents. The volume of hospital waste is staggering — more than 2.3 million tons per year.
  • By taking steps to limit these environmental impacts, the health care industry can promote the long-term health of our communities, particularly the most vulnerable populations. Read more

In collaboration with Dignity Health

NHS hospitals across England hit by large-scale cyber-attack
Many hospitals having to divert emergency patients, with doctors reporting messages demanding money
By Alexandra Topping

Today (12/05/17), NHS computer systems in several hospitals have been hacked, forcing entire hospitls to shut down all their systems and driving already struggling hospitals into crisis.

If you do this, then you are the textbook definition of a ‘terrible person’. Instead of using your talents for good, or pointless glory, you’ve decided to attack hospitals. The places people go when they are sick, or dying. You actively compromised emergency care for thousads upon thousands of people. Where doctors and ures are already stuggling to keep people safe and look after patients, you have mae their job much harder and put their patients at risk.

This is affecting real people, people I know. People whose personal details are now also compromised because they work for these hospitals. This is very real, and it may well be having ery serious implications for the patients being cared for at affected hospitals. If you bring down a company, you affect profits but life goes on. If you bring down a hospital, people could die.

If you can’t help save lives, the very least you could do is not get in the bloody way of those of us who do. Yes, I’m absolutely livid. I don’t care if you thought it woul be funny. I don’t are if you wanted to make a point. I dont’t care if you thought the information would be lucrative.

If you are ever involved in something like this, then you have blood on your hands, and there is never any possible justification for this kind of behaviour.

anonymous asked:

I'm a big fan of the old show M*A*S*H, about a M*A*S*H unit in the Korean War. While a fair amount of the show takes place out of the OR, we see a lot of the OR, but it almost always involves the doctors quipping at each other from across the room, engaging in small talk, and lots of teasing and childish jokes, occasionally interrupted by requests for equipment from the nurses and fellow doctors. Do doctors ever have enough time/focus to spare for such a causal atmosphere in such situations?

So M*A*S*H is basically a sitcom, with the “situation” being “doctors in the Korean War.” It’s the same way House, MD is a detective show, with the “detective” being a medicalized Sherlock Holmes (Holmes = House), and the “criminal” being the disease du jour. Take its medical accuracy with a significantly enormous chunk of salt.

In fact, on MASH it’s basically played for irony. Here are these mangled teenagers coming back from war, with horrific wounds, and we’ve got doctors cracking wise to the sound of a laugh track.

That said, yes, sometimes surgeons goof around. Just the same way EMS and ER docs goof around, with the added benefit of the fact that the surgeon’s patient is unconscious and will not remember their antics.

Usually it’s restricted to bad jokes and talking about non-surgical things like vacations. It is also not unknown for anesthesiologists to read the paper during operations. 

The simple truth of the matter is this: most surgeries are routine, and medical staff have other things going on in their lives. And if the surgeon is comfortable with the procedure and they can have the headspace for the rest of  their lives to seep in, it will.

You’re also talking about a bunch of coworkers who are standing in a huddle, often for literally hours, many of whom will have little to do for the vast majority of the surgery. It can be extremely boring.

I’m going to argue that a little banter is not actually a bad thing. In the surgeries I’ve witnessed, it helps keep the mood relatively light, which is actually beneficial: it keeps everyone engaged. As long as the absolutely crucial moments are done seriously, such as the time-out and vascular surgeries, it’s typically not a problem.

(I’m not saying it’s never a problem, just that it isn’t a problem the vast majority of the time.)

I guess what I’m saying is: don’t judge it until you’ve been in it.

Good luck with your stories!

xoxo, Aunt Scripty


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“Needless to say I have never seen it before, nor has my more experienced colleague.”

Dr. Shadi Abdelrahman is a young surgeon from Cairo. he just finished his first mission with MSF, in a hospital in Agok, Abyei, an area with special administrative status located between Sudan and South Sudan. Even though this was his first mission for MSF, it was not his first foray into field work. He talks about his experience of delivering a miraculous baby girl in his first-ever Caesarean section.

Read more here: http://blogs.msf.org/en/staff/blogs/a-surgeon-in-the-field/a-pleasant-surprise

anonymous asked:

Hiya, Aunty! Has anyone ever asked yet what the differences between each ICU type is because I still get confused by them

Hey nonny! No, this is the first time this question is coming up, which means that I get to go off about one of my favorite topics!

An ICU (Intensive Care Unit) is a special unit in a hospital for a patient who is “critically ill”. There are a lot of reasons people can be admitted to an ICU. (In the UK I believe these units are called ITUs, Intensive Therapy Units.)

ICUs are areas where extremely sick patients get closely observed. Where an ER or medical-floor nurse might have 6 or more patients to attend, an ICU nurse has just one or maybe 2. They’ll get more frequent visits from doctors, have their intakes and outputs (”Is and Os”) monitored, medications adjusted, very frequently. If they’re on a ventilator or respiratory support, they’ll be in the ICU. Serious chemical and salt imbalances or extremes of blood sugar, blood pressure, and organ function are seen in the ICUs.

There are loads of different types. Some small hospitals may have only one “catchall” ICU, for the “really-sick” patients. Some may have dozens; I work for a hospital system with a great many ICUs. Generally, patients are sorted based on what service they primarily need.

The Medical ICU (MICU) is where generically medically-sick patients go. Issues like sepsis are handled here, as might asthma patients, patients with acute abdomen, etc.

Though this gets tricky: some hospitals also have a Respiratory Care Unit (RCU).

Many post-operative surgical patients are discharged to a Surgical ICU (SICU)  from the OR. SICU can also hold patients pre-op for observation and testing.

One type of SICU is a Cardiothoracic ICU (CTICU). This is for patients who have had their chests opened during surgery for whatever reason, as the possibility of re-bleeds requiring immediate surgery is high and the consequences can be rapidly fatal.

Critically ill heart patients – including those who’ve recovered from cardiac arrest or suffered heart attacks with significant damage – are admitted to a Cardiac Care Unit (CCU).

Neuro ICU (NICU) and Neonatal ICU (NICU) (which is separate from a Pediatric ICU (PICU)) share the same abbreviation but drastically different populations; Neuro ICUs treat patients suffering from strokes or hemorrhages in the brain, while Neonatal ICUs treat critically ill newborns. Some hospitals will call their Neuro ICU a Neuroscience ICU (NSICU) for clarity, but this is different when a hospital has a neuro ICU and a Neurosurgical ICU (NSICU).

There are also Burn ICUs, Trauma ICUs, Post-Anesthesia Care Units (PACUs) and more. (PACUs may or may not count as ICUs, actually). Then there are “step-down” units, where people are “de-medicalized”, weaned from their biggest interventions before being sent to a more routine kind of a floor.

Ultimately what each hospital chooses to call each ICU is up to them. One hospital I know calls their Trauma ICU their “Emergency Ward”. Our “mothership” hospital calls their neuro ICU their Neuroscience ICU.

Oh, and children’s hospitals may have…. honestly, at least a few of these ICUs, dedicated just for kids.

I hope that helps clear things up a little bit. Let me know if you still have questions, I’ll try to help answer them as best I can!

xoxo, Aunt Scripty


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Tuberculosis (TB) is one of the developing world’s biggest killers, with 9.4 million new cases and 1.7 million deaths each year. Swaziland, also, has one of the highest rates of TB and multi-drug resistant TB worldwide. 80%% of people in Swaziland who contract TB are also HIV-positive.

Tholaleke, 39, has drug-resistant tuberculosis (DR-TB) and stated treatment in May 2016 at the Moneni National TB Hospital, supported by MSF in central Swaziland. It was while receiving injections that she suffered from severe leg pains, which affected her ability to walk, that made her thankful that she could receive at-home treatment. However, because she lived alone and did not have anyone to help look after her, she was admitted to Moneni Hospital in November for two months.

For many DR-TB patients like Tholaleke, treatment is a long and grueling 2-year journey, taking multiple tablets and injections in some cases, treatment can last longer if the patient doesn’t respond to treatment. Side-effects include deafness, liver or kidney toxicity, and even psychosis. These effects often force patients to give up their jobs while on treatment. In countries like Swaziland, TB patients are often more likely to succumb to poverty more than the disease itself. 

In hopes of helping patients who have gone deaf, 11 DR-TB patients and 30 MSF staff members recently completed sign language training.

Becoming deaf and not knowing sign language sometimes forces patients to isolate themselves from their families, due to inability to communicate. By empowering them with the skill of sign language, MSF staff in Swaziland hopes to reintegrate them into society.

Full Story: http://www.doctorswithoutborders.org/article/swaziland-new-hope-drug-resistant-tb-patients 

pumpkin-piggy  asked:

Hi! So I have a character who was formerly dead (just lost his immortality), and he is suddenly stripped of his power and is human again. Since he is physically a minor (13-15), I was wondering what would the procedure be for both the hospital having an unknown minor with absolutely no record and for the emergency services that found him unconscious?

Hey there! Thanks for sending in your ask!

Okay. Your character is an unconscious 13-15 year old. He’s discovered (I assume by a bystander), 911 gets called. Police and EMS will respond. The two most likely causes (from an EMS perspective) of the unconsciousness are drugs and head trauma. He’ll be evaluated on scene, then transported, likely to a trauma center (or some center with neuroimaging available immediately).

Because EMS are not peace officers, they’ll be acting under implied consent, and police will escort them to the hospital. What happens after that in unclear, but an unconscious child who is unconscious will be watched, checked against missing persons registries, and the local child protective services will likely get involved. Police may get fingerprints for identification purposes.

They’ll be appointed a temporary legal guardian, who will make decisions about their care.

I don’t know how long your character will be unconscious for, so I’m not sure how things will go for them. Initially they’ll get a head CT, IV access, blood panels, fingerstick and more.

From there it will likely be a wait-and-see affair. When your child-god  wakes, they’ll likely be either in a pediatric ER, a Pediatric ICU, or a Neuro ICU; there will likely be nurses and doctors around (though not necessarily in the character’s room), and leaving undetected will be difficult (though certainly not impossible). Depending on the circumstances, and whether the medical staff believe he was abused or injured or even under ongoing threat, there may be a police officer in the room or in the hallway outside.

He’ll likely be wearing scrubs or a hospital gown, and even if he’s breathing well he will likely have a feeding tube down his nose, hooked up to a pump (called a Kangaroo pump). Everything associated with the Kangaroo pump is purple, by the way, the pump itself and the syringes used for it.  It’s a useful detail! He’ll also likely have an IV for fluids in place.

I hope this was helpful and worth the wait!

xoxo, Aunt Scripty


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Mad World
Summary: He knew he wasn’t crazy, he knew they were real.
     With every dream or nightmare or vision, they came to life, the people he’d known in a past life.
     He remembered the Titan’s and the war and all the death that had surrounded him. He remembered his friends and his soldiers but most of all he remembered one face. One Person.
     A boy with bright green eyes and a force of will to be reckoned with.
     He knew Eren was real.
     And he would find him.

ace-of-aoba-jousai  asked:

"I can't loose you again"

Hajime closes his eyes, face pressed against the cold sheets on the hospital bed.

It’s weird, really. It doesn’t seem to matter that they’ve been here all day. It doesn’t seem to matter that the bed has been occupied, or that Hajime has spent the better part of the day with his head pressed against them, or his hands fisted in them.

He tilts his head to the side, inhaling a sharp breath. His back hurts. He’s been in this uncomfortable chair for far too long, but he can’t even think about leaving. It’s hard enough for him to get up and walk down the hall to the vending machine to get drinks. He’s still grateful for Issei, who brought him sandwiches for dinner - even if right now they’re still sitting on the table, uneaten.

Hajime sighs, knowing that he’s not going to get even a few hours of sleep - and the hospital staff are breaking the rules in letting him stay here, all because of who Tooru is. 


It’s unfair that he looks so peaceful.

How can he look so peaceful when everything that Hajime knows is falling apart?

Hajime shfits his gaze, moving over to Tooru, who is lying in the hospital bed. His hair’s a mess - he’d no doubt be frantically trying to fix it, were he awake.

Were he awake… why isn’t he awake?

He’ll wake up anytime, the doctors had said. 

The surgery went fine, the doctors had said. He’s strong. He’ll recover.

Only now it’s been two days and there is no explanation as to why he’s still unconscious. Hajime hangs on to those words, though, needing them more than he’d like to admit. 

Raising a hand, Hajime moves to brush some hair from Tooru’s face. He rubs a thumb over his cheek. His skin is so soft. Unfairly so - yeah, Hajime knows that he swears by his expensive face cream, but it’s more than that. His skin always feels like this, even when he’s too busy for his morning beauty routines, even when they take their yearly summer camping trip, when they haven’t showered properly in a week and spend every early morning tangled together, slowly waking each other up with kisses.

Hajime’s never missed those trips quite as badly as he does now.

They haven’t had enough time together. They just haven’t. They’ve only been together properly for two years, after life ripped them apart once. Hajime’s not ready to give him up a second time.

The hours bleed away, the moon hanging low in the sky, just outside the window. Hajime rests his head in his hands, gaze dropping back to the bed. He can’t even bring himself to check his phone. It’s all that he can do to watch the clock, and think about Tooru, think about-


Hajime feels a shift, and his entire body immediately tenses. He rips his gaze back up to Tooru’s face, and everything starts to turn fuzzy when he sees him moving, twitching, eyes fluttering open-

“Hajime?” His voice is low and heavy, hardly discernible over the relentless thrumming of Hajime’s heart. “I…” He starts, confused, eyes trying to take everything in, frantically, “I, I-”

“Shhh, baby, it’s - it’s okay,” Hajime whispers, hands moving to cup Tooru’s face, thumbs brushing his jawline.. Tooru still looks dazed, but he nods, Hajime’s touch warm and familiar. “Oh-Tooru, thank god, baby, I… I can’t lose you again,” Hajime whispers, leaning in to press their foreheads together. Tooru’s forehead feels cold, and he reaches over to press the call button to alert the nurse that Tooru’s awake.

Tooru lets out a soft breath, pressing up a little into the touch. He lays his hands on top of Hajime’s, threading their fingers together. He’s a little shaky, but Hajime holds him strong. Keeps him whole. 

“You’re not getting rid of me that easily,” Tooru says, smiling into Hajime’s breathy laugh, happy to welcome the series of kisses that help warm his core and breathe life into his soul once again.

Super Angsty Starters (ask box open!) 


Residents in the city of Taiz must risk their lives to seek medical care. The conflict, which has been active since March 2015, has included the bombing of hospitals, gunfire directed at ambulances, and the harassment of health workers. Today, there are no public hospitals in Taiz city or its surroundings that are fully open and functioning.

Doctors Without Borders/Médecins Sans Frontières (MSF) works on both sides of the front lines in Taiz, running a trauma center for war-wounded and a mother and child hospital in the Al-Houban neighborhood. MSF also supports departments in four hospitals inside the city center, two of them for emergency treatment of the wounded and the others supporting maternal and pediatric health care.

Read Yemen: Health Care Under Siege at https://www.doctorswithoutborders.org

anonymous asked:

my character is bleeding out, and is found by someone who can teleport who takes them directly to inside a hospital and starts asking for help. how quickly would doctors respond? theres not been time to call ahead--they just appear in the reception area, covered in blood. would they be able to be taken into a room immediately? would someone try to stabilise them right where they are, then move them? would there be any delays while equipment/a room is prepared? thank you!

Very, very quickly, especially if the hospital isn’t a trauma center. They’ll likely call a code to the lobby, and a rapid response team will come from elsewhere in the building. They’ll get them on a bed, get them into the ER, likely into the trauma room (if they have one – most hospitals do). 

The biggest delay will be finding a physical bed to put them on, though someone – usually a junior team member – will just scamper off to the ER rto find one Of course, in a busy ER, they can be surprisingly hard to come by… 

Good luck with your story! 

xoxo, Aunt Scripty


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