#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | ACPRC @TheACPRC We are keen to contribute to the discussions to and share our experiences #physiotalk |
 | Physiotherapy Association of Saint Lucia Inc. @pasl_pt Hi Everyone. Nice to be here tweeting from St. Lucia in Caribbean #physiotalk |
 | Physiophilip @physiophilip @TheACPRC GREAT!!! #physiotalk |
 | Prashna Singh @pshappymommy @physiotalk Hi from Toronto #physiotalk |
| Physiophilip @physiophilip @physiotalk #physiotalk no it is not something i have had to undertake. |
 | Janet Thomas @JanetThomas47 I've only seen #COVID19 patients in a rehab setting - so its a good job I'm just tweeting out the questions tonight :) #physiotalk |
 | Debbie Park @DebbieParkPT @physiotalk Not personally but we two ICUs where I am supporting staff that are treating these patients #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt @physiotalk Q1. Although some of the Caribbean islands are seeing in Critical care but St. Lucia so far has has smaller numbers and none in Resp. Distress #physiotalk |
 | Gemma McCraith @GMcELHT @physiotalk Yes both in a ward setting and on critical care #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt Indeed! Talk of possible 2nd wave when borders are opened...so preparing/learning. #physiotalk |
| ACPRC @TheACPRC @MossaMorris @SRigby92 @laura_mylott @ZoeWilligen @amyphysiosmith @CharlieHardaker @EveCorner @rachaelmoses Darn it #physiotalk |
| Debbie Park @DebbieParkPT @physiotalk Our docs are trying to avoid ventilation if possible with HFNO but if on the vent, using low volumes. #physiotalk |
 | Karen McIntosh @KEMmalus RT @physiotalk: |
| Debbie Park @DebbieParkPT @physiotalk Yes, sorry. Our organization is terrible for short forms. :) High Flow Nasal Oxygen. #physiotalk |
| Karen McIntosh @KEMmalus RT @emaroids1: |
| Gemma McCraith @GMcELHT @physiotalk Noticing each patient is different and requiring different modes of ventilation. Many starting on non invasive CPAP however some eventually requiring intubation needing APRV ventilation with high PEEP. Hard to categorise as all being affected differently #physiotalk |
| Debbie Park @DebbieParkPT @emaroids1 @physiotalk The use of high flow nasal oxygen is limited to an isolation room as it is an Aerosol General Procedure. #physiotalk |
| Debbie Park @DebbieParkPT @physiotalk @emaroids1 Not an issue so far, touch wood. We have prepared ~200 ICU beds but have only had ~25 patients in ICU at a time. #physiotalk |
| ACPRC @TheACPRC Some useful examples of ventilation experiences from a variety of clinicians https://t.co/acLmvNi6th #physiotalk |
 | Laura Byrne @physio_laura @physiotalk Laura from Dublin! #physiotalk |
| Laura Byrne @physio_laura @physiotalk #physiotalk |
| Gemma McCraith @GMcELHT @physiotalk Definitely! Both conscious proning and unconscious proning. We’ve yet to see if implementing conscious proning earlier is preventing escalation to ITU, something our fantastic acute care team are looking into #physiotalk |
 | Ruth wood @Ruthrespphysio @physiotalk We’ve had about 6 patients called to icu looking like need to intubate but have managed to prone and prevent intubation plus or minus niv. If needed intubation proned To improve ventilation /reduce fi02 req on aprv #physiotalk |
| Laura Byrne @physio_laura @physiotalk It has changed over the course of the few weeks. Seeing some very difficult to ventilate patients requiring very high settings. Others setting pretty normal just needing the time and supportive care to improve. High FiO2 definitely a common theme no matter the mode #physiotalk |
| Ruth wood @Ruthrespphysio @physiotalk Bearing in mind 8 bedded icu this has stopped us surging so far #physiotalk |
| Gemma McCraith @GMcELHT @rachaelmoses @physiotalk @Davido744 I think our acute care team have also noticed this, the physio team have been implementing conscious proning in the less acute type of patient, by the time they’re needing acute care with an EWS>6 and proning is implemented we’re noticing they get escalated to ITU #physiotalk |
| Ruth wood @Ruthrespphysio @physiotalk For Self prone we came up with a guideline as quickly as we could. How to do it/ end to do it and clear Guideline for when to contact icu of no progress. Happy to share. For icu intubated we use pasty technique and sop in place already #physiotalk |
| Gemma McCraith @GMcELHT @physiotalk @rachaelmoses @Davido744 Yes patients who can manage are self proning themselves at regular intervals and reporting reduced work of breathing once proned, also shown in their obs with improved SpO2 and RR #physiotalk |
 | Paula Manning Physio She/Her @Manning2Paula RT @rachaelmoses: |
| Paula Manning Physio She/Her @Manning2Paula RT @GemmaFordELHT: @physiotalk @rachaelmoses @Davido744 Yes patients who can manage are self proning themselves at regular intervals and reporting reduced work of breathing once proned, also shown in their obs with improved SpO2 and RR #physiotalk |
| Paula Manning Physio She/Her @Manning2Paula RT @cathedwards_1: |
| Debbie Park @DebbieParkPT @physiotalk @cathedwards_1 @Ruthrespphysio there are some helpful videos on YouTube and Lippincott has a procedure as well. #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt RT @cathedwards_1: |
| Gemma McCraith @GMcELHT @physiotalk Again very individual depending on the patient. Varying presentations responding differently. Multidisciplinary input looking at fatigue, delirium and secretion management as well as ventilation requirements #physiotalk |
| Debbie Park @DebbieParkPT @physiotalk @emaroids1 @sonophysio @Wilkinsonjonny Very curious about this as this is a new concept for me. #physiotalk |
 | Fiona Yung @DrFYung RT @rachaelmoses: |
| Ruth wood @Ruthrespphysio @emaroids1 @physiotalk @sonophysio @Wilkinsonjonny Fatigue had been a huge element to take into consideration. Ensure cuff leak as Some places reporting larangyeal swellling #physiotalk |
| Debbie Park @DebbieParkPT @rachaelmoses @physiotalk I think that pre-extubation it has been helpful to mobilize the patient to assess activity tolerance, almost as an assessment in readiness for extubation. #physiotalk |
| ACPRC @TheACPRC Some additional proning resources https://t.co/QqyYsHziuL #Physiotalk |
| Gemma McCraith @GMcELHT RT @cathedwards_1: |
| Paula Manning Physio She/Her @Manning2Paula RT @TheACPRC: Some additional proning resources https://t.co/QqyYsHziuL #Physiotalk |
| Paula Manning Physio She/Her @Manning2Paula RT @cathedwards_1: |
| Paula Manning Physio She/Her @Manning2Paula RT @physiotalk: |
| Gemma McCraith @GMcELHT @cathedwards_1 @physiotalk Completely agree! Finding early implementation of the CPAx assessment also useful in showing patients how far they’ve come as they progress through weaning and rehab #physiotalk - physios have plenty of wide ranging effective treatment with these patients |
| Debbie Park @DebbieParkPT @cathedwards_1 @physiotalk @emaroids1 I think it is our Cardio-resp assessment, critical thinking, communication and collaboration all coming together in support of these patients #physiotalk |
| Debbie Park @DebbieParkPT @DeeThePhysio @physiotalk Kudos to you for making such a big shift #physiotalk |
 | Anna Garner @AnnaGar62621386 RT @rachaelmoses: |
| Physiophilip @physiophilip @physiotalk #physiotalk Thanks all for the interesting insight and shared resources. As always most appreciated! |
| Ruth wood @Ruthrespphysio @emaroids1 @physiotalk ax and treatment of secretions/ breathlessness/ vq matching that weve always knopen about now hot topic/ weaning / early rehab/ fatigue management/ dc planning/ post icu support and classes/ follow up mdt #physiotalk |
| Laura Byrne @physio_laura @physiotalk Sorry keep forgetting😉! #physiotalk |
| Gemma McCraith @GMcELHT @physiotalk Anyone finding that this patient group are desaturating and experiencing high levels of fatigue therefore wary of too much too soon and having to find a balance of regular functional rehab with a reasonably paced activity #physiotalk |
| Janet Thomas @JanetThomas47 @GemmaFordELHT @physiotalk Can only comment on post COVID rehab patients (not been ventilated) but yes, some have considerable desaturation and fatigue initially #physiotalk |
 | Anthony Gilbert @awgilbert11 RT @RobynStiger: |
| Physiophilip @physiophilip @physiotalk #physiotalk I have not been treating this group but from what you have said, I think, it is the clinical reasoning skills we develop that takes the profession to the next level of problem solving. If that is in ICU with a fragile PT or in a team that needs support, it is crucial. |
 | Shauna Hanrahan @shauna_hanrahan RT @rachaelmoses: |
| Laura Byrne @physio_laura @physiotalk Ah not again!!! #physiotalk |
 | Suzanne Brown 💙 @suzeeyre @JanetThomas47 @GemmaFordELHT @physiotalk Some I’ve seen in the community are continuing to desaturate 3-4 weeks later. How much is due to the illness, how much is due to reduced activity levels, I’m not sure 🤷🏻♀️ #physiotalk |
#PhysioTalk content from Twitter.