First thing that jumps out is the mm/mV is very out!
04.04.2025 10:20
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First thing that jumps out is the mm/mV is very out!
It’s been far too long with life getting busy, but tomorrow I’ll be back to join the ATACC Faculty in Lincoln. Looking forward to it!
Funny story
#Medsky #EMedsky
Stabbings. Very few GSWs in the UK. GSWs do have a much worse prognosis
“Give me a lever long enough and a fulcrum on which to place it, and I shall move the world.”
Archimedes
"Give me appropriate levels of staffing and an Emergency Department with clinical space, and I shall meet your 4 hour target."
Farbod
I’m pretty sure the lawyers get paid either way
Alright, first real test of the #MedSky community. Planning on doing the #FRCEM in the autumn (with two small kids in tow). Best tips for preparation?
America went batshit again. But I’m guessing you already saw that
Trump has withdrawn from the Paris Climate Agreement.
An old man encouraging the world to burn for his children.
‼️This paper flips the resuscitative hysterotomy paradigm on its head ‼️
Previously we’ve said that RH is for maternal survival
This paper shows #NEWBORN survival of 45% v maternal survival of 4.5%. With newborn survivors up to 46mins after arrest!
Change your mindset
⭐️Just published⭐️
Maternal and neonatal outcomes following resuscitative hysterotomy for out of hospital
cardiac arrest: A systematic review
www.sciencedirect.com/science/arti...
Black writing on a white background Kindness Loaning someone your strength instead of reminding them of their weakness
“A single act of kindness throws out roots in all directions, and the roots spring up and make new trees.”
🧡🧡🧡
#kindness #KindnessMatters #BeKind
Has anyone discovered the right combination of words to coax the endoscopist out of bed for an unstable GI bleed? Telling me to resuscitate the patient when I’ve already done that and they are continuing to bleed is never very helpful. I appreciate it’s very individual dependent but seems common
Through in programmes not taking your chosen specialty that year and suddenly you may not have much to choose from
Very limited time frame for applications. E.g. EM is 6 years long. If you have to post ST4 but not post CCT that really limits to post ST4/5 only. Not easy if trying to do exams and progress in training as well as collect enough supporting evidence to get >46/50
I think the real difficulty is picking out ischaemia as the concern and specifically requesting a CTA not just standard portal venous
www.rcr.ac.uk/news-policy/...
Or maybe, just don’t worry about contrast in the ED at all!
Another barrier is the withdrawal of training places for those who are post-CCT and variations of available training schemes around the UK
Apparently this year the cut off for IBTPHEM interviews was 46/50. Locally employed jobs vary wildly depends on geography. Lots reliant on extracurricular undertakings that may be impossible for those in inflexible training programmes or with caring commitments
Ah, get you. Thought clinical lead was like medical director or similar. Still a bit far for me but I’m envious!
All Doctors? Site says just Clinical Lead
I stopped at an RTC while post nights. Very glad when the paramedic arrived so I could get away to my bottomless brunch. Tried to leave but instead got invited to cannulate the patient. I had to politely decline but hung over to help package them
Graphs like this are helpful because public policymakers, government health depts, the treasury etc routinely try to gaslight UK healthcare professionals into believing that asking for more beds/more capacity is somehow a form of ungrateful special pleading
Then you look at the graph again
Can’t imagine why people are leaving Twitter
Another delightful read from the Christmas BMJ
www.bmj.com/content/387/...
One very anxious ICU Consultant reading the reports and quietly counting the ventilators and checking the oxygen supply while the others chuckled at him. The first drops of the monsoon
As depressing as the season is for a Man United fan, watching this from City is incredibly hilarious
Not immediately apparent but evolved with dynamic changes to look fairly classical. Good to know about as it doesn’t follow the classically taught contiguous leads!
Shamelessly shared from @litfl.bsky.social
First time I saw the South African sign this week.
High lateral STEMI is associated with a pattern of ST elevation caused by acute occlusion of the first diagonal branch of the left anterior descending coronary artery
ST Elevation: Lead I, aVL, V2
ST Depression: Lead III (and inferior leads)