Miles Gandolfi
661 posts
@ABCaffeination
Emergency Medicine consultant. PHEM. Know your priorities during resuscitation. Airway, Breathing, Caffeination.
I am disappointed by today’s recommendation on prostate cancer screening from the National Committee. Targeted screening is a natural first step - but the recommendation today is far too targeted, not including black men or men with a family history, both high-risk groups. Prostate cancer is the most common cancer among British men. We are letting down too many men if we don’t push for a wider screening programme that includes all high-risk groups - and not just the men involved, but their families too, who risk losing a loved one unnecessarily. As I know all too well, prostate cancer can be symptomless early on. That’s why screening is so essential - catching the cancers early when they can be more effectively and successfully treated, like in my own case. I urge @wesstreeting and the government to be brave and bold on this crucial issue. Make the first step more significant than what’s being recommended. Put in place a proper, targeted screening programme that involves all those at higher-risk. Without it, more men will die, more families will lose a loved one. This is avoidable and can be done.
“I am not exaggerating when I say this is one of the most worrying sets of data that I have seen." The latest performance data for Northern Ireland reveals one in five patients (33,938) waited 12 hours or more to be admitted, transferred, or discharged from major EDs during the first quarter of 2025/26 (1 April to 30 June 2025). That’s the worst first quarter performance since records began in 2011. Read the full response from Dr Michael Perry, Vice President for Northern Ireland, here - rcem.ac.uk/press-release/…
Defib pad placement is important. Positioning them correctly can double someone’s chance of survival. Side A is correct. The key difference is that the pad on the left hand side of the chest has been placed on the side of the rib cage, closer to the armpit.
🎬 2nd chapter ...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care. ☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻. x.com/jackdeliuc/sta…
...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care. This the first part in a series of three about sodium bicarbonate 🧂in critical care: 🧐I will get in deep to complexities, benefits, risks and clinical implications of this (overused) drug.
