EM Consultant, Medical Examiner in Taunton. Runner, cyclist, remedial surfer. Always on for a cup of tea or a pint.... or both. ๐ฎ๐ช๐ฌ๐ง๐ฎ๐ณ
@drmhuss We pre-populate on-calls and weekend shifts, to ensure equity, then self roster the gaps (and swap on-calls/weekends if necessary). Sit in a room together for a couple of hours every 4 months or so to sort it. Works well for FT staff and LTFT colleagues with second jobs etc
@OrthopodReg This paper popularised Biers blocks:
Kendall JM et al. Haematoma block or Bierโs block for Colles' fracture.... J Accid Emerg Med 1997; 14(6): 352-6.
We don't use Biers now. Haematoma blocks work with good patient selection and operator skill. Otherwise sedation or ?penthrox
@gdcuk Thanks for this, good to have a rough idea! Will there be much impact on 1995 growth? Or might higher inflation reduce growth (do I recall that only the opening value is increased by CPI)?
@Lukeslifeonline Jealous. Prehospital notes extremely valuable. I can only access them on 1 PC in my ED and have to print them from this... no cut and paste! @NHSDigital
@bethicillin Presumably this means you won't be rotating away? Which is excellent news for us downstairs and our patients. Do let us know if we can help...
@gdcuk@goldstone_tony@JosephineCumbo Not just LTA and AA though. Workload volume and intensity, sub-inflation pay awards, 60% marginal income tax rate etc. Makes increasingly little sense for financial and health reasons to continue to retirement age.
@BBCNews This makes no sense. If they see 93,000 patients a year an average day is 250 patients - how can 180 patients be a busy day?
BBC News - Special measures Kettering hospital to expand A&E
https://t.co/0QKj1XqODB
Great inspirational talk on how paediatric outpatients has evolved by Dr Sarah Bridges at Musgrove Park Hospital during @HFMAsouthwest . Improvement in action! @improvementmph @MusgrovePark
@baby_dr_claire @TessaRDavis@Damian_Roland@RCPCHtweets@jamesgagg @carrie_langley @EstherWilson Expect we're better off than many DGHs as we have a PEM Consultant. Would be good to have more space for children to facilitate this and allow increased Paed SpR / consultant presence. ?Physio