Tim

Inaugural North of England Trauma Conference. 20th Nov St James Park, Newcastle Last few spaces left. Get booked ⬇️ tinyurl.com/bdzhbdw5

Programme for North of England Trauma Confernce. 20th Nov

With thanks to our sponsors ⬇️

After the great success of the Robotic HPB conference in Coventry, please share/join this webinar for further discussion on biodegradable stents. lnkd.in/e3at9Vdi I would attend just to watch the great Edoardo Rosso in action. @GBIHPBAnews @AhmadAbouAbbas8 @GuildfordHpb

Not long now! londontraumaconference.co.uk

@jerrytheamboman @vc_medic We say access can be achieved with in 10 seconds. Humeral IO flow rates average 105 ml/min under pressure. Takes 3 seconds to get to the heart.

@vc_medic Access can be achieved in under 30 seconds but flow rate is reduced. Some advocate for Intravaenous acess after the IO (when the resus is running)

Please stop reaching for cannulas in cardiac arrests…. Go for the Intra osseous kit Access can be achieved in under 30 seconds for skilled users, & all drugs can be put through it. NB: don’t take blood samples, as it will often trash your analyser!

@vc_medic @NatashaMDay Hi Andy, this finished on the 1st July for recruiting patients and is likely to published towards the end of the year.

@NatashaMDay 31st March 2025 trial runs until

@wwl_ecc @RebeccaSomers10 Good luck Rebecca in your new job 😃

Best of luck to our wonderful Resus Trauma Lead @RebeccaSomers10 as she sets off on her new adventure 🥰 We will miss you so much! Go smash it! Thank you for all you have done for the department and the team x

Great few days with the Teleflex Team with the launch of QuikClot Control Plus. An amazing product that is going to preserve blood and improve patient outcome in Polytrauma, General Surgery and Orthopedics.

@DaveLBywater @MartinREsposito @Scotambservice @TraumaSas @ScotTraumaNwk Massive Congratulations Martin.

After a few years on secondment & a competitive process, we are delighted to appoint @MartinREsposito as @Scotambservice’s Consultant Paramedic for Major Trauma. Congratulations Martin. 🏴󠁧󠁢󠁳󠁣󠁴󠁿🚑

Huge thank you Tim @teleflex who facilitated EZ IO training to Team ED staff & students this morning. The training will greatly enhance our team's skills and confidence in using intraosseous access, ultimately improving patient care 💙

I have just finished another set of incredibly difficult weekend nights as the A&E consultant incharge. Some thoughts: The NHS no longer provides unscheduled care - we provide treatment. Care is with dignity - that's impossible for our patients in corridors. The model of acute care is not working or sustainable. We need a completely different approach - with long term investment in prevention and community care 111 need to change risk thresholds as far too many come to a&e when they don't need to. There needs to be alternative pathways to get care overnight for those who don't have accidents or emergencies. A&E shouldn't be anything and everything Staff are broke - supporting staff is just as vital as looking after patients This government have totally decimated our the NHS. They are the ones who should be apologising to our patients not our staff. Hundreds are dying each week because of lack of hospital capacity and corridor care in a&e, yet it's not on the news and no public uproar. As staff and patients we have accepted the unacceptable. Everyone needs to know the reality of what is happening - so that politicians offer a different solution and patients get the care they deserve. Sadly most of the public have no idea of what is genuinely going on. And finally, a post night fry up is the best antidote for the stresses of the weekend. Goodnight!

💣🚨 Why will City’s case be decided so long after Everton’s case? It’s easy, #MCFC has delayed the PL’s investigation with pure stalling tactics resulting in that the investigation that started in 2018 couldn’t really proceed before July 2021. And the below excellent summary by @mjshrimper doesn’t even include the latest claim that the head of the panel to try MCFC’s case wasn’t impartial. There has been a big MCFC propaganda push lately claiming that the case is “different” than Everton’s case, is “very complicated” and must be given time. ⚠️But it’s a fact that the investigation against MCFC has been more or less delayed over — three years — due to ridiculous claims about impartiality among the extremely experienced lawyers appointed to decide on which documents MCFC should hand over to the PL; whether certain information about the proceedings could be made public etc etc etc — leading to no less than FOUR known court rulings to date (there could be many more), which ultimately led to a High Court Judge (Lord Moulder) describing City’s delaying tactic and arguments with words like “surprising”, “remarkable”, “unconvincing”, “fanciful” (lawyerish for “you [Lord Pannick, who City pay more than KDB] should be ashamed of yourself”). See below summary. ✅ So why have MCFC resorted to these ridiculous stalling tactics? Doesn’t it make them look guilty? It is — very — simple, it’s the ONLY CHANCE they have. It is true that both UEFA and, it seems, the PL have gone after MCFC with very serious allegations — based on the Football Leaks documents, which comes across as utterly damning — but that could be hard to prove. But the PL didn’t charge MCFC on these accounts alone, it went after the club with the “Al Capone” play, ie the mafia boss who after years of investigation regarding numerous murders, could be brought down, on tax charges... The charges doesn’t seem to have been made before the PL had so much on MCFC, that the outcome seemed to be a given. ⚽️So what chance does MCFC have? Simply a change of landscape. If someone told me that the current PL Rule Book in the relevant sections have been written to have MCFC expelled — I wouldn’t protest. The PL doesn’t have to prove anything beyond reasonable doubt, the lowest possible evidence standard applies instead. If the PL can show an email that suggests something — it’s up to MCFC to prove that they are “innocent”. Nothing is time barred as a rule. Etc etc etc. If the PL implement a 10 year statute of limitations MCFC escapes then oldest charges that seems to be the easiest to prove. Clear pay day loans from the owner, off the books payments to Mancini etc. Everything that was time barred in the UEFA cases. This combined with refusal to hand over documents they are obliged to share with the PL — over a long period of time — should alone be enough for being relegated. Anyway, both Tottenham and CFC is subject to very old incidents — could a majority be had? We also know that Abu Dahbi is described to be heavily involved in the Qatar Gate drama, regarding several members of the EU parliament being bribed. A lot can happen in the coming 2 years. ⚠️Why is this important to point out? City deserves a fair hearing even if the evidence against them comes across as utterly damming. But everyone should be aware of how MCFC will do what it said it would do, spend enormous resources to prevent such hearing from taking place.

@WhoScored Ashley Young

❌ G̵r̵a̵n̵i̵t̵ ̵X̵h̵a̵k̵a̵ ❌ D̵a̵v̵i̵d̵ ̵L̵u̵i̵z̵ ❌ C̵r̵i̵s̵t̵i̵a̵n̵ ̵R̵o̵m̵e̵r̵o̵ 👀 Nobody has guessed correctly as yet! ⏲️ We’ll reveal the correct answer at 5pm #WhoScoredTrivia

@fpl_tactician They should be going Rashford or Saka if that's the case.

Haaland playing on the opening night means they’ll be about 100k Triple Captains on him as lots try and get to OR1 on Friday night.

Doing a small giveaway as a thank you for 50k followers! What would you guys want? You have to be a follower and like or retweet this tweet. I’ll pick a winner after 3M

@wr_ghty I agree what a superb player when he plays. BUT to injury prone we need to back to our values when we buy nothing over the age of 25.

Veratti would be the dream.

@GNev2 He has Wenger at Arsenal.

Errrrr? You missed a team out my friend 👍🏻

@piersmorgan You will get Raphinha instead who is superb and proven in the prem!

0-2!!!!! Brilliant by Odegaard… who needs Mudryk? 🔥🔥🔥🔥

@Charlie_Brake 120 mil easy. If he carries on the way he is in the next 4 or 5 years he will be talked about the same way as De Bruyne is.