IcyEconomics

Incredible news on a logistic level but makes me want to do an advanced directive and tattoo “NOT FOR ECMO” on me if I ever get found OOHCA

@melsmedicines Doctors universally respect you and are grateful - know this is slim pickings when you see stuff like this but genuinely thanks for saving our hides

Don’t understand how strangers can be so disrespectful to an entire profession dedicated to helping people. It’s not just online that people abuse us. I became active online to bridge the gap between pharmacy and the public but it’s disheartening to see these misconceptions.

@DocDoLi That’s the UKMLA.

Would anyone oppose the UK adopting a USMLE style system to replace the PLAB? Exam fees would then go directly towards the funding for UK Medical Grads to improve education here, whilst simultaneously getting the very best IMGs out there

@ollieburtonmed I would make this clear at the beginning of the shift. Any deviation would be them acting out of supervision.

@ollieburtonmed In that case, if I’m the on call reg and there’s a PA on the team they will do nothing but scribe and cannulate/take bloods/catheterise.

Ah yes the 'throw the registrar under the bus' clause

I’m quite ashamed, as a woman, a gender which understands what it is to be vulnerable to attack, with plenty men intent on harm, that we would rather treat another vulnerable group as a threat, leaving them in harms way, than have empathy & compassion. Many women feel as I do

@kcisc “Vascular vessells” as opposed to???

Woman who's studied barely any anatomy, has never dissected, passed a written nor spot anatomy examination, teaching other people about facial anatomy so that they can shove needles into the public. *wonders why spent an entire term's mornings on head and neck anatomy alone*

@davehartin @LittlePersonDoc Bro she literally mentioned she was called the ED Consultant, how did you read that and think this was an appropriate reply?

@LittlePersonDoc I'm not trying to escalate this any further but I'm going to suggest, respectfully, that as a paediatrician you haven't been fully exposed to EM specialists trying to define what they do versus where they do it over decades and why it matters. A lot. Because it does.

To the ED Consultant that has permitted this, shame on you.

@doctorhelgi @DrFBE @ASiTofficial @Schoolofsurg And as a result thought it was easier for everyone involved if they just assisted. When you’re running around consenting 14 patients you also don’t want to tell them they’ve been cancelled because the list isn’t compatible with you taking a reasonable amount of time to do an op.

@doctorhelgi @DrFBE @ASiTofficial @Schoolofsurg Assisting for 1-2 hernias when you’ve done them before is a good use of time to learn by observation. Repeating that over 14 is not. I’ve been this trainee - probably took one look at the list and thought it was far too busy to accommodate their pace

Today we repaired 14 hernias. Started on time, finished on time. Even stopped briefly for lunch. One operating theatre, no expensive technology. Motivated team, standardised pathway, patients very happy. Annoyingly last list for a while as all extra lists to reduce the number of patients waiting for operations have been stopped for now due to lack of money. #nhs #waitinglists

@pa_StephenNash @Megsenmumdr @Caesarnots96696 @PhilipSteart @Anisocyte @ExplosiveEnema2 Loool why not, if everything a PA evidences needs to come from their supervisor (as it should - no resident doc should be shouldering the responsibility) I wish them luck. Takes me months to get consultants to sign off anything

For each pathology the pa needs to evidence case based discussions, minicex or dops for procedures, accredited courses, and their educational supervisor signs off the level of supervision. Therefore this is the current most robust way of evidencing scope in the field and if utilised properly negates all of the alleged criticisms. It also allows expansion of scope safely as it is done under robust supervision. The supervisor also sets the additional skills and proficiencies to be mapped. Supervisors can also then have a document that clinical supervisors can review when introduced to a new pa. It also enables the restriction of scope to level 2 when the pa joins a new team and is being reviewed by new supervisors. Where the tool really thrives is that it creates an audit trail for supervision that protects the employer by showing that if a pa is negligent it was not the educational supervision that was at fault. This recognises the training as per the curriculum and allows the dynamic management of the individuals scope rather than unnecessarily reduces it because of misinformation and fear mongering over an entire profession. It means employers can utilise the role as designed, show responsible supervision and develop their PA. It will also stop them being held liable for indirectly discriminating against their workforce due to ridiculous statements from colleges suffering from a bullying problem. The use of this tool ends the dispute alongside the relevant map employers guidelines and makes everyone safe as a result - unless of course those with vested interests want to continue punching down on another profession? I'd be happy to have your considered feedback once you review it.

💥CONFIRMED💥 UMAPs have *not* applied to become a registered Trade Union Over the last few days, UMAPs leadership have been given ample opportunity to clarify Instead we got rambling obfuscation The question is, if eligible, why have they not submitted their application yet?

'Content creators' who leave the UK claiming London is 'unsafe' while calling Dubai a crime-free utopia only see their privilege and wealth, never the stark reality... Dubai isn’t some progressive paradise. It’s a place where women can be jailed for reporting rape, punished for pregnancy outside marriage, and trapped in abusive marriages with no legal recourse. These 'creators' aren’t fleeing for safety, they’re fleeing tax bills. They build their wealth in the UK, then take it elsewhere to avoid contributing to the society that enabled their success. There’s nothing progressive about hoarding wealth while refusing to give back, especially when the 'utopia' they run to is built on exploited foreign labour with no rights.

This is why I would like to fill out an advanced directive at the age of 30. No one’s even attempting more than a single cycle of CPR on me, nevermind this mess.

@Jon_Barclay @KeepGoinEoin You’ve hit the nail on the head here

@KeepGoinEoin Everyone is missing the point. If he was a nursing home resident he would still have had valid insurance and/ or personal wealth. All of the stuff in the thread is billable, as is his ongoing ICU care etc.

@GoOnFlogMe @jabberwock951 @drjgutt @dopaminedocdave @oli_m_sims *2 shocks, not ROSCs.

@GoOnFlogMe @jabberwock951 @drjgutt @dopaminedocdave @oli_m_sims I don’t think you know what resuscitation entails if you’re not also cognisant of the consequences of prolonged downtime. I wouldn’t let myself be resuscitated beyond 1 cycle and 2 ROSCs

1/ Wild cardiac arrest with #POCUS playing a major role An elderly male was sent from the nursing home in cardiac arrest. Per the prehospital report that we got, the patient was in vfib and refractory to 5 defib attempts. The patient got amio as well as several doses of epi.

@lembitopik Shill harder. Make Daddy Russia proud ❤️

UK Prime Minister chooses Zelensky over Trump, making Starmer’s trip to Washington utterly pointless. Backing war above peace is British bad judgement at its very worst

@FreebasedTech @TchCrayon @JohnGar73508954 @ariellesophia @elonmusk The cope in this reply is so strong I genuinely think you need a hug

Hey! @elonmusk your doge minions just fired me and my colleagues at CMMI. We were working on improving maternal health outcomes AT LOWER COSTS so that less pregnant women would die in this county. I thought that would fit nicely into your agenda?

@JohnGar73508954 @ariellesophia @elonmusk Peak American. Your maternal mortality rates are terrible when compared to the rest of the developing world but you’ve just showcased the stereotype of your people beautifully

@ariellesophia @elonmusk Use of emotional language to garner sympathy without providing context on the scale of the issue, gee.. never seen that before. 22.3 deaths per 100,000 live births. What, specifically where you working on that was going to stem the tide of those deaths?

@DrMaxSayers @I_kh215 @Dr_Noman_Ali @DanBlackman7 @AMaznyczka @chris_malkin4 @Tinebop @LabsLtht Equating the anaesthetic risk of a TOE to a patient with severe aortic stenosis deemed not fit for open repair is kind of mind boggling

@I_kh215 @Dr_Noman_Ali @DanBlackman7 @AMaznyczka @chris_malkin4 @Tinebop @LabsLtht Do you want anaesthetists administering sedation for all other invasive cardiac procedures (stenosis, pacemakers, TOE etc) because that doesn't not happen anywhere in the UK?...

In September 2022 we tweeted our 1000th nurse-led sedation TAVI case. Today, we did our 2000th. We are hugely proud of our nurse-led programme which continues to go from strength to strength. Congrats to the whole team.