I’m going to tag this as a little tutorial for @MichaelYeadon3 who keeps saying that there’s no problem from the suppliers of medical ‘gasses’

Most hospitals in the U.K. run their O2 supply from a Vacuum Insulated Evaporator (VIE)

https://t.co/Lu9ktGFSSm

1/n

This VIE is essentially a large thermos flask/ vacuum insulated cylinder at -180C
O2 is supplied from (typically) BOC in liquid form; when required, allowed to evaporate into gas, & supplied to hospital outlets.

Most hospitals have a VIE big enough to meet their needs

2/n
The problem is the pipes

Most ~12 bed ICUs have pipes that allow ~400L/min flow

This is Ok because most ventilators don’t use >20l/min; giving useful buffer capacity

Modern non invasive ventilation systems- CPAP, NIV, and High flow nasal Oxygen (HFNO), however, need more
3/n
A typical patient on HFNO will have 60-80Lmin flow. If they’re on 90% O2, that’s 60L O2 for 1 patient

6 of these patients will come very close to triggering the O2 flow alarm for this 12 bed unit.

4/n
Aside from breaking walls and re engineering the O2 supply for the whole hospital there’s no easy way of solving this problem
5/n
The next question being asked is ‘can’t we use ‘oxygen bottles’

A typical F cylinder has 1360 litres Oxygen. And weighs 18KG.
That will last ~22 minutes for a patient on HFNO

That’s 72 cylinders per patient per day.

That’s not how you can run a service.

6/n
Then you come to cost.

These 72 cylinders cost approx £2000. That’s ~20x more than liquid O2 in a VIE.

Typical ICU tariff for a L2 patient is <£1500!

7/n
many hospitals (including mine) have had to plan around O2 supply (flow) and scatter patients- this leads to inefficiencies of dispersal if you have say 3-4 areas with 6-8 patients in them rather than one area with 30

Leads to problems with staffing and cover for safety

8/n
So what I’ve tried to explain is that when hospitals report they’re running out of O2, the problem doesn’t lie with suppliers of liquid O2. Don’t ask them if there’s a shortage.

The problem is infrastructure and old estate.

Please stop this misinformation.

9/n
TLDR: there isn’t a problem with O2 supply from manufacturers. It’s a problem with old estate and infrastructure in the hospital buildings

10/10
@iceman_ex @rupert_pearse @ShaunLintern @BBCHughPym @sbattrawden @charlot_summers @SepsisUK

More from Health

No-regret #hydrogen:
Charting early steps for H₂ infrastructure in Europe.

👉Summary of conclusions of a new study by @AgoraEW @AFRY_global @Ma_Deutsch @gnievchenko (1/17)
https://t.co/YA50FA57Em


The idea behind this study is that future hydrogen demand is highly uncertain and we don’t want to spend tens of billions of euros to repurpose a network which won’t be needed. For instance, hydrogen in ground transport is a hotly debated topic
https://t.co/RlnqDYVzpr (2/17)

Similar things can be said about heat. 40% of today’s industrial natural gas use in the EU goes to heat below 100°C and therefore is within range of electric heat pumps – whose performance factors far exceed 100%. (3/17)


Even for higher temperatures, a range of power-to-heat (PtH) options can be more energy-efficient than hydrogen and should be considered first. Available PtH technologies can cover all temperature levels needed in industrial production (e.g. electric arc furnace: 3500°C). (4/17)


In our view, hydrogen use for feedstock and chemical reactions is the only inescapable source of industrial hydrogen demand in Europe that does not lend itself to electrification. Examples include ammonia, steel, and petrochemical industries. (5/17)

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12 TRADING SETUPS which experts are using.

These setups I found from the following 4 accounts:

1. @Pathik_Trader
2. @sourabhsiso19
3. @ITRADE191
4. @DillikiBiili

Share for the benefit of everyone.

Here are the setups from @Pathik_Trader Sir first.

1. Open Drive (Intraday Setup explained)


Bactesting results of Open Drive


2. Two Price Action setups to get good long side trade for intraday.

1. PDC Acts as Support
2. PDH Acts as


Example of PDC/PDH Setup given