The document criticizes hospital systems, likening them to prisons and highlighting their outdated structures from the 17th century that fail to meet 21st-century clinical needs. It discusses the dangers of siloed healthcare practices, the ineffectiveness of current patient treatment approaches, and raises questions about the decision-making processes in critical care. The text emphasizes the need for a patient-centered approach and the importance of timely intervention in healthcare settings.

1. YOUR HOSPITAL IS
@psirides
Thu June 16th

2. Florence
Nightingale
from ‘Notes on
Hospitals’
1863
#FloNi

3. IconsfromTheNounProject
ZOE
X
X
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43

4. WATERBOARDING THE CRITICALLY ILL

5. When all you have is a hammer
Everything you see is a nail.

6. HOSPITAL
SYSTEMS

7. “Hospitals are horrible places, like prisons.
When you go to prison you’re given a
number. Your clothes are taken away &
you’re made to wear a uniform. Then
you’re put in a confined space, not allowed
to leave & have to obey orders. Finally
you’re subjected to a rectal exam.
What’s the difference?”
Henry Marsh

9. Hospitals systems developed in the
17th century are completely
inappropriate for 21st century
clinical practice

10. SOD VS MOD

11. ORTHOPOD
Hammer
Jesus Thor
Bob
The
Builder
God
Complex
Desire
To Help
People

13. ED
ICU
Operating
Theatres
In-Patient
Wards

14. SILO FAILURE
Healthcare is grouped by silos
•Professional silos
•Geographic silos
•The solar-powered silo
SILOS ARE NOT BUILT AROUND PATIENTS

15. “There’s no such thing
as the ‘surgical’ patient;
there is only a medical
patient with a scar”
Rinaldo
Bellomo

16. Why do hospital systems
only make staff call for
help when the patient is
already dead?

17. M
E
T

19. You can’t die
without
passing
through MET-

20. World Mortality
% Dead
*data extrapolated from current trends

21. How People Die
Murray et al, BMJ 2008

22. METDECISIONTREE

23. 1 in 3 will have treatment
limited by the MET
1 in 4 will die during this
hospital admission
1 in 5 will be admitted to a
critical care area

24. The treatment
for dying is
probably not
CPR

25. Be a patient in
your own hospital

26. Q: WHY DO DOCTORS &
NURSES IGNORE WARNING
SIGNS BUT PILOTS DON’T?
A: THE PILOT IS
ALSO ON THE
PLANE

28. @psirides
wellingtonicu.com
AlliconstakenfromTheNounProject