Hello Reddit,
First off, I'm aware that if you put my name into pubmed, not a lot comes up (though I did publish on esophageal surgery as a med student...), but that will soon change. I'm the co-author of the Paediatric Mental Health section of the new edition of Tintinalli's Emergency Medicine (8th Ed in press), as well as a contributor of the Paediatric Mental Health Diagnoses of the Clinical Handbook of Psychotropic Drugs for Children and Adolescents. This year and the next I will be publishing some studies and review articles, on mental health utilization in paediatric emergency departments, Q-T prolongation in children on psychotropic medications, and the use of a new tool to assist emergency physician in navigating mental health cases.
My current positions:
- Medical Director, CAPE Unit, BC Children's Hospital and BCMHSUS
- Director of Continuing Education, BC Mental Health and Substance Use Services
- Chief Medical Information Officer, BC Children's/Women's/Mental Health and Substance Use Services
- Clinical Assistant Professor, Department of Psychiatry, University of British Columbia
I speak internationally on the following subjects: Suicide and Suicide Risk Assessment, Suicide Contagion, Paediatric Emergency Psychiatry, Video Games and Violence, Video Game/Technology Addiction, and Bullying/Cyberbullying. My audiences range from small parent/patient groups, physicians rounds, health conferences, and (my favourite) Penny Arcade Expo, where I get to both present AND get my geek on.
Because today is World Suicide Prevention Day, I'm hoping there are lots of questions about suicide, as well as its prevention, prediction, assessment, and treatment. I'm happy to discuss any other areas of child and adolescent psychiatry, or my other areas of interest!
With respect to my clinical work, I cannot share patient stories, and because of Reddit policies (and my own medicolegal protection) I cannot provide medical advice.
Are you having suicidal thinking or feeling hopeless about life? Suicide can be a distressing subject for some. If any of the responses, comments, or topics here is unsettling or triggers suicidal thinking, please know that there is help available; suicide is complex but there are many ways to approach it and there are people out there waiting to hear from you! Please consult [a local crisis line](http://en
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First off, from one ER nurse to all of my fellow healthcare workers. Hello, thank you, and I appreciate the hell out of all of you.
I think that it is pretty important to inform people of the dire situation that is currently afflicting Edmonton area hospitals (that of course, is being glazed over by both AHS/Covenant Health and the UCP Government).
While many people are focusing on the lower ICU numbers than the previous Delta wave, the sheer volume of people we are seeing in the hospital is astounding. Our record high of hospitalizations was 1100. We hit 1089 yesterday. So essentially, we have surpassed that number as I write this.
I receive probably 3-10 emails PER day that EMS in Edmonton is on a level 3, meaning there are NO EMS UNITS AVAILABLE for the community. This alerts each emergency department that EMS is to be released immediately and, if we are unable to do that in the ER department, EMS is able to place their patients on a stretcher in the back hallway and leave. This is what this has come to. We cannot blame them, they MUST be available for people in the community. That is what they are there for and our community shouldn’t have to worry whether or not they have an available ambulance if something were to happen to them or their loved one.
Additionally, the emergency departments are seeing SIGNIFICANT numbers in their ER departments, more than we have seen in the past. For example, on Monday night, an emergency department in Edmonton had 57 people in its waiting room. They had 100 people in their department for a department that has 26 funded beds. Thats right. 100 people and only 26 available beds.
Truly, I love nursing and I hate that people have to wait but we have no choice in the matter. We cannot treat you on the ground, nor do we want to. You know that bed we’ve been saving for you for 5 hours as you are the next to be seen? What you aren’t seeing is the level 3 activation in the community of no EMS available and low and behold, we must fill that bed with that patient (who maybe just arrived 5 minutes ago whilst you’ve been waiting for 9 hours). That is what we are forced to do at this time.
Additionally, the amount of inpatients waiting in the emergency department to get beds upstairs is what we have never seen before for volume and lack of bed availability. Patients are waiting in the periphery areas because the city hospitals cannot accept them due to capacity. This is a daily struggle.
AND, yes, there is an and. With
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I’ve just seen this happen at a junction. Two police cars seemingly heading to different incidents came across each other. They both came to a stop which seems obviously sensible.
But all things being equal (in this instance there were no lights, they arrived almost exactly together, and both would be crossing each others path), is there a protocol of sorts that dictates who has priority? Or as in this case do both units take a few seconds to agree who is going to go and who will wait?
Now I’ve typed it out it seems like a really daft question. But I’m going to post it anyway…
Ok so I had the firefighter, medic, and paramedic Nancy to get the synergy that gives medkits the ability to remove poison but when my medic threw down a medkit Nancy (who was poisoned somehow) was still poisoned even though she was in the medkit's healing radius any idea why this didn't work?
Three years ago, I got hit by a motorcycle and tried to call emergency services on my Pixel. My Pixel tried to send my location to emergency services, failed, and froze entirely. When I rebooted and tried again, the exact same thing happened. I couldn't call for an ambulance on my Pixel.
After I reported it on this subreddit, people advised me to report the issue in Google's Issue Tracker immediately. So I did. And u/dmziggy said that he had escalated the issue, and that "the right people know about it".
The sequence of events perfectly mirrors u/KitchenPicture5849's post Pixel prevented me from calling 911... three years later.
To this day, Google Pixels still have this critical, life-threatening issue that blocks you from placing emergency calls if the device fails to send your location.
Oh, and in response to Google's response blaming Microsoft Teams... I never had Microsoft Teams. I never got a response from Google, either.
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Here is my original post. (I deleted it after a while because I thought after u/dmziggy escalated it, the issue would be resolved. But, luckily, nothing on the internet is truly deleted — here is the backup with the text from the post.)
>I'm on vacation in Shanghai rn, and last week I got hit by a motorcycle. After sorting some initial things out, I tried to call 110 (the Chinese emergency number) on my Pixel. Apparently, when a Pixel calls an emergency number, it tries to send your location data. However, my Pixel just froze on the "sending location" screen and couldn't make the call. The entire system was unresponsive -- I couldn't hang up, press the home button (it would turn light gray showing I had pressed it, but nothing would happen), or do anything.
>
>I suspect that the system tried to use a Google service, which got blocked by the Chin
