Nick Heath

Antibiotics take time to work - someone remaining febrile and septic after 2 doses isn't antibiotic failure and doesn't require a switch. I rarely switch antibiotics with <48 hrs unless microbiology suggest a switch needed. I do though frequently add an aminoglycoside. So

Study about GP working hours. GPs work in half day sessions not hours. This is used to criticise GPs as PT workers. A sessional length has ⬆️ from 4.2 to 6.2 hrs. So, 6 sessions or 3 days in GP is full time for other workers, but seen as PT for GPs. bjgp.org/content/early/…

Really good opportunity for @ScotGEMStories to get involved! Any students up in NHS highland just now have a look 😎

I’ll take infection control policies a bit more seriously when they decide whether lanyards are mandatory to wear or the physical embodiment of MRSA transmission

Piece in today’s @thecourieruk about all things @BigRockNewport. Thanks @rebeccabaird_! thecourier.co.uk/fp/entertainme…

Limited spaces remain for our one-day TP MIMMS course. The course is designed for medical professionals who may be involved in a major incident. Get in touch at courses@basics-scotland.org.uk @NHS_Education @CSMEN1 @Scotambservice @Sandpiper_Trust @_ALSG_

This weekend's ALS course was a resounding success, preparing another 12 individuals to contribute to patient care in Scotland. Our upcoming course is scheduled for the 30th November - 1st December 2024. courses@basics-scotland.org.uk @NHS_Education @rcuk @CSMEN1

@slav_metalurges So besides learning a little HVAC, what I also was schooled in: 1. Even if you can’t help, listen. 2. Your knowledge is invaluable and when you teach it, so are you. 3. Follow up prevents fumbling in the end zone. 4. Kindness earns respect.

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I tweet quite a bit - but this one is different and perhaps the most important I’ve ever written I hope it gets shared as much as possible, so new parents don't make the same mistake I nearly made (even as a dad of five, having worked in A&E for 23 years and someone who teaches about not missing a diagnosis because of cognitive biases). Our 6 week old baby is getting discharged today from @TheAlexBrighton @UHSussex after receiving the best possible care for meningitis. She is doing really well and as a family we can't begin to express our gratitude to all involved. The day she came in, she was not herself but nothing which particularly worried us. But my wife did her temperature, and it was over 38C. As she was under 3 months, it meant she needed to be seen in A&E ASAP. By the time we got to A&E she was really quite sick even though it was only 30mins after taking her temperature. I initially dismissed her signs and initially even questioned why my wife did her temperature. I had a cognitive bias, twisting my thinking to believing she was ok because that is what I wanted her to be, when she wasn't- a positivity bias. Please if you are worried about your new baby - be like my wife and not me, check their temperature, use your gut instinct and don't delay getting the help your baby needs. @M_R_F

Thanks to @DaleEaton_ for covering this important safety message, and for @WildShoreDundee for having us today.

What I’m wondering when a team tells me that a patient or family is “in denial” about serious illness or dying…. #hapc #palliativecare #graphicmedicine

Spaces are available for our one-day TP MIMMS course at our Aberuthven, Perthshire office. If you wish to attend, please contact us at courses@basics-scotland.org.uk. @_ALSG_ @Scotambservice @NHS_Education @BCP1967 @DaveLBywater @Sandpiper_Trust

♦️Fractures healing follows a few overlapping phases (see the attached). ✔️Most fractures heal in 6-8 weeks, but this varies from bone to bone & depends on many factors. ✔️Hand & wrist Fx often heal in 4-6 weeks whereas a tibia Fx may take 20 weeks or more

GPs & ED Consultants. A week left to closing date! If you are looking for clinical challenge, huge variety, working with a great team in a rural location and friendly community this could be the job for you. Get in touch to hear more.

We are delighted to announce the first speaker of our conference weekend Duncan Tripp. Please take advantage of the last few weeks of our early bird rates by booking now. basicsscotland.org.uk/conferences/

Exciting news from NHS Education for Scotland. To apply for funding from NES for this programme please click on this link to complete the questionnaire forms.office.com/e/LAn8tRX61r