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Alan Garner

@garnalan.bsky.social
1K followers 427 following 734 posts

Clinical A/Professor, University of Sydney | Trauma Director, Nepean Hospital | Trauma Physician, Royal Hobart Hospital

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Reposted by Alan Garner
World Health Network @thewhn.bsky.social · 15h
Healthcare should not a place where you pick up another infection. Strong infection prevention measures, including clean air, masking, and other layered protections, help keep patients, visitors, and healthcare workers safer. Prevention belongs in every setting, healthcare included.
Graphic from the World Health Network (whn.global) on a black background with blue and white text. Large text reads: “Healthcare should not be a place where you pick up another infection.” Below, smaller text reads: “Strong infection prevention measures help protect patients, visitors, and healthcare workers.”
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Alan Garner @garnalan.bsky.social · 10h
Sydney had such a system, but shut it down.
onlinelibrary.wiley.com
<em>Emergency Medicine Australasia</em> | ACEM Journal | Wiley Online Library
Intubation within 45 min of injury has been proposed as a pre-hospital performance standard. We compared performance of two pre-hospital case identification systems: direct screening by helicopter em....
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Alan Garner @garnalan.bsky.social · 10h
Achieving earliest possible prehospital airway management in critically injured patients is highly dependent on the case identification system. The NICE 45min guideline recommendation is achievable if you get this right.
url.au.m.mimecastprotect.com
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Reposted by Alan Garner
Humor Satire Memes @funnysnarkyjoke.bsky.social · 04/10/2026
screenshot of a social media thread in dark mode.

    Top post by user jrj5926 (16h): "My daughter is a healthcare professional. It is mandatory for her to take the flu shot. 😡 make it make sense"

    Reply by user titanjibk (13h): "Wait until you find out firefighters are forced to wear flame-retardant gear and pilots are forced to stay awake. It's an absolute outrage."
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Reposted by Alan Garner
Patrick Barlow @patrick-barlow.bsky.social · 22/09/2026
Why A&E is broken Not enough hospital beds
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Alan Garner @garnalan.bsky.social · 02/10/2026
Fair chance she now has a severe hypoxic brain injury.
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Alan Garner @garnalan.bsky.social · 01/10/2026
I have been wondering how to achieve this without making landlords richer.
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Alan Garner @garnalan.bsky.social · 27/09/2026
Misdiagnosis and under diagnosis is rife so ME/CFS is going to be really hard to track
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Alan Garner @garnalan.bsky.social · 27/09/2026
Aussie here. I found Return to Paradise to be rather lame.
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Reposted by Alan Garner
C.H. Romatowski @chromatowski.bsky.social · 25/09/2026
Examples of researchers talking about how many people volunteering for studies as healthy controls turn out to have Long Covid:
Tweet from Putrino Lab @PutrinoLab

Of all the "COVID-recovered" people who are kindly emailing us to participate in our study (meaning they had COVID >12 weeks ago and feel recovered), only about 1 in 5 are actually passing our screening questionnaire. The rest actually have persistent symptoms. #LongCOVID

1:18 PM • 2/23/22 From EarthScreenshot from CNN Health

Putrino said they had the most difficult time, in some respects, recruiting people to their control groups. "We had all of these people saying, 'I had Covid, and I'm fully recovered. Can I be in your study?' "

Upon further questioning, however, Putrino says they'd tell him things that would suggest they weren't really back to normal. "They'd say, I'm fully recovered. I just don't go to the gym anymore.' " Why don't you go to the gym anymore? 'Well, when I exercise, I feel really terrible," he said. Disabling fatigue after exercise is a common symptom of long Covid called post-exertional malaise.

He says that ultimately, about 50% of participants who were screened to be part of the control group couldn't be included because of continuing symptoms.Tweet from Alba Azola, MD
@AzolaAlba

For those doing LC research... around you having trouble finding controls? We are experiencing that most of our "HC" volunteers, when further assessed, end up having post COVID symptoms

9:56 AM • 8/8/24 From Earth • 6.2K Views
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Reposted by Alan Garner
George Monbiot @georgemonbiot.bsky.social · 24/09/2026
Here's today's column on the astonishing, ongoing mistreatment of people with #ME/CFS. Please spread it far and wide: the only thing which can break the media's wall of indifference is seeing an article about the issue go viral. Thank you. 1/2 www.theguardian.com/commentisfre...
theguardian.com
Abandoned, dismissed and gaslighted: there is no excuse for the way ME sufferers have been betrayed | George Monbiot
Changes in guidance and science seem to have little impact on millions of devastated lives. It’s a social crisis playing out behind closed doors, says Guardian columnist George Monbiot
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Kristin Meekes @kmeekes.bsky.social · 24/09/2026
OMFG if I see one more person suggest that people talking about Covid in 2026 want permanent lockdowns I’m going to lose it The asks are clean air in public places, treatments for long covid, masks in places like healthcare + normalization of masking elsewhere, expanded vaccine access, sick leave
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Conor Browne @brownecfm.bsky.social · 19/09/2026
Articles like these are emblematic of the institutional amnesia surrounding Covid-19. A pathogen that emerged less than seven years ago, which can cause fatigue during the acute infection and as a common long-term effect, not even mentioned. Conspicuously absent. www.nbcnews.com/health/menta...
nbcnews.com
Why are Americans so tired? CDC report highlights who’s feeling it most
Fatigue is one of the most common concerns reported in primary care visits, yet not much attention is given to how often adults in the U.S. are coping with it.
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Prof Deborah Lupton, MPH PhD @dalupton.bsky.social · 18/09/2026
www.sbs.com.au/news/article... Not only does Australia not get updated vaccines in good time, the government has now limited free access. Based on the notion that we all have strong immunity due to infections and previous vax. So it’s basically relying on infections to protect people 😣 - huh?
sbs.com.au
This virus has evolved. Australia doesn't have a new vaccine
Australia is lagging behind the latest formulations being developed overseas.
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Denis - The COVID Info Guy @thecovidinfoguy.bsky.social · 19/09/2026
Scientists and experts warned COVID could spread through airborne aerosols, but infection-control leaders relied on outdated views of aerosol transmission. The assumption that COVID couldn’t be airborne was a mistake, based on thinking already described as illogical in a 2006 SARS Commission report.
A screenshot of a CTV News online article headline reads, "'Outdated' health policies surrounding Covid still pose a danger today, says U of C researcher." The byline attributes the piece to Tommy Osborne, published September 18, 2026, at 6:23 p.m. EDT.
Below the headline is a photograph of a male researcher, identified in the caption as Dr. Mark Ungin. He is wearing a white lab coat and a white face mask while walking through a brightly lit laboratory room. The lab environment is crowded with scientific instruments, including a complex robotic testing assembly with a Formlabs 3D printer sitting on a foreground workbench, storage shelving filled with cardboard boxes, and various desktop laboratory tools stretching into the background.
The caption text underneath the photograph reads: "Dr. Mark Ungin is raising concerns surrounding health policy and Canada’s COVID response."
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🇨🇦Joe Vipond🇨🇦 @jvipondmd.bsky.social · 19/09/2026
"The study found that most aerosol-generating procedures considered high risk produced fewer emissions than coughing or talking...This has effectively ended the use of the term "aerosol-generating procedure" in risk assessments, leading to a major change in how PPE is deployed in health care."
medicalxpress.com
Scottish infection control guidelines informed by evidence on aerosol-generating procedures
Scotland is the first country in the world to use evidence gathered during the pandemic to transform its guidelines on reducing the spread of respiratory disease in health care settings. The new appro...
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Alan Garner @garnalan.bsky.social · 18/09/2026
So weak
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Join the Mass Infection Resistance @spiritsofland.bsky.social · 17/09/2026
"Polymerase chain reaction (PCR) testing revealed SARS-CoV-2 in 98.3% of 463 air samples and influenza A in 17.2%." Wear a respirator, FFS. #MaskUp #CleanTheAir #CovidIsAirborne #FluIsAirborne
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Africanyak @tess45au.bsky.social · 17/09/2026
No ambulances immediately available almost 17,000 times in Tasmania in 2025-26 #auspol www.abc.net.au/news/2026-09...
abc.net.au
No ambulances immediately available almost 17,000 times in Tasmania in 2025-26
There were no immediately available ambulances for nearly 17,000 Triple Zero callers in 2025-26, new figures have revealed — around 46 times per day.
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Alan Garner @garnalan.bsky.social · 16/09/2026
The rostering stars aligned today and all the medical staff on the ward round this morning were male, including the student. Am pleased to report that it felt distinctly odd.
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Reposted by Alan Garner
Twang 🍉 @twangmaker.bsky.social · 14/09/2026
👇This is corruption. The transport minister accepts a gift from Qantas of free platinum status rewards membership for her lifetime. This is the company she's supposed to be regulating. www.afr.com/rear-window/... #auspol
afr.com
Transport minister given free Qantas platinum status for life
Catherine King accepted the airline’s top-tier membership, which gives the federal cabinet minister privileges and freebies until the day she dies.
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Dr Noor Bari @njbbari3.bsky.social · 15/09/2026
Good grief. Apparently infection prevention is possible. We just have to teach people how to do it, and then do it. I need to lie down.
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Alan Garner @garnalan.bsky.social · 13/09/2026
A place that demands respect. Seen some nasty injuries in surfers smashed onto the rock platform at the base of the cliff.
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Alan Garner @garnalan.bsky.social · 11/09/2026
Or is this is the intended effect?
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Alan Garner @garnalan.bsky.social · 08/09/2026
How do I sign?
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Reposted by Alan Garner
Dr Noor Bari @njbbari3.bsky.social · 06/09/2026
Um… 😶
Staffan
X.com
@kalvfond
@ Translated from Swedish by Grok
Norwegian data: 98% more doctor visits for memory problems and 150% more for concentration problems than the trend before the pandemic.
At the same time, an enormous increase in prescribed heart medications. Even in Sweden.
Precisely the things we know COVID infections cause. Why don't we want to see the connection?
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Mike Honey @mikehoney.bsky.social · 05/09/2026
Many children of a certain age band (too young to be vaccinated before 2023) will now go through their entire adult life unvaccinated. Plenty of scientific evidence pointing to that being a truly dumb approach, likely costing more in poor health than the federal department’s “savings” ffs …
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Alan Garner @garnalan.bsky.social · 02/09/2026
Same in Australia. Not recommended in pregnancy now either. Death is the only outcome metric considered.
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Alan Garner @garnalan.bsky.social · 01/09/2026
Not prepared to defend the advice they give. Integrity is clearly not in the job description.
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Alan Garner @garnalan.bsky.social · 01/09/2026
Oil company profits
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Alan Garner @garnalan.bsky.social · 27/08/2026
She was intensely political whilst holding the two parties at arms length. Masterful really.
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Reposted by Alan Garner
World Health Network @thewhn.bsky.social · 26/08/2026
For airborne infections, fit and filtration matter. A well-fitting N95 or better respirator is designed to filter airborne particles and provide stronger protection for the person wearing it. Better respiratory protection should be the standard. #COVID #COVID19 #PublicHealth #Masking #MaskUp
Graphic on a dark background with the World Health Network logo and the text: “Respirators should be the standard.” Below, an illustrated white respirator is marked with a green check, while a blue medical mask is marked with a red X. Additional text reads: “Medical masks are not designed to protect against airborne infectious particles. N95s or better should be the standard.”
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Alan Garner @garnalan.bsky.social · 27/08/2026
Canadian ice wines are amazing. Surely our countries can come up with something mutually agreeable.
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Alan Garner @garnalan.bsky.social · 26/08/2026
Australia would be more than happy to help out with some fine reds, if Canada could send some ice wine our way.
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Greg Jericho @grogsgamut.bsky.social · 26/08/2026
Just remember, the Reserve Bank is worried that wages might grow too fast and cause inflation
Chart showing growth of wages, inflation and Coles and Woolworths profits

Wages: 3.2%
Inflation: 4.0%
Coles profits: 13.7%
Woolworths profits: 18.1%
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The BMJ @bmj.com · 18/07/2025
Among the range of symptoms experienced by those with long covid, cognitive and mental health concerns are especially common. This review provides an assessment of the nature, severity, and trajectory of neuropsychiatric long covid sequelae www.bmj.com/content/390/...
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Alan Garner @garnalan.bsky.social · 21/08/2026
Yes I just saw a paper on foetal intraventricular haemorrhage associated with COVID infection
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Alan Garner @garnalan.bsky.social · 21/08/2026
What about pregnant women? There is lots of evidence for benefit.
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Alan Garner @garnalan.bsky.social · 21/08/2026
Can’t stop thinking about Lily Hooper. Her poor family.
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Alan Garner @garnalan.bsky.social · 21/08/2026
The answer to that question is to ask them about the cricket. If you are American, prepare to be educated.
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Alan Garner @garnalan.bsky.social · 20/08/2026
This is terrible. Both her death and the handling of the news. Speechless.
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Alan Garner @garnalan.bsky.social · 20/08/2026
So nice to get good news for change
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Alan Garner @garnalan.bsky.social · 18/08/2026
Algorithm said.
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Alan Garner @garnalan.bsky.social · 18/08/2026
Not a randomised controlled trial so the data is not valid.
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Dick Zoutman @dickzoutman.bsky.social · 17/08/2026
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Andrea Is Sick of Long Covid @andreastudiescovid.bsky.social · 17/08/2026
A virus that causes fetal brain bleeds is surely fine for babies and little kids to catch repeatedly. 😷 My 5 yo granddaughter starts Kindergarten on Wednesday. It should be an exciting, happy milestone, but it's not. 😢
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Alan Garner @garnalan.bsky.social · 16/08/2026
Winter is a known phenomena but they are never prepared for that either.
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Alan Garner @garnalan.bsky.social · 15/08/2026
I should add that caring is the problem. The cognitive dissonance required to continue in an environment that guarantees poor care and error when you personally strive to deliver excellent care to everyone is the core of the looming crisis.
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Alan Garner @garnalan.bsky.social · 15/08/2026
Exactly
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Alan Garner @garnalan.bsky.social · 15/08/2026
It is not sustainable. I have left ED practice - I’m old so maybe it matters less. But I know emergency physicians in their 30s who are much smarter than me who are actively planning their exits.
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