James Midda

ED nurse, interests in simulation and education, particularly in students and preceptees.

[James Midda @JamesMidda]

@RespiratoryUHP @matron_mike @harrietsarahhh Hello :) we are looking to upskill some of our senior nursing staff in ED to do ABGs also. Would you consider sharing your training material and competency packs to save reinventing the wheel and to ensure consistency in the Peninsula? :)

[James Midda @JamesMidda]

@RNChristinaH Nice! We have a HCA holding a bleep that reception will activate when booking a patient in which is helpful too

[Cliff Reid @cliffreid]

The iGel is a great supraglottic airway device

But like other supraglottic airway devices (SAD) it's not foolproof

Here's how to maximise your success with the iGel - a thread 🧵

[Ian Higginson 🌈 @RCEM_VP]

Hearing that ED teams are under direct and at times unreasonable pressure to achieve NHSE's articifically low 4-hour standard. This is currently set at 76%. We risk hitting new lows in terms of crowding, and behaviours, in the face of sustained pressure on EDs. @RCollEM 1/3

[James Midda @JamesMidda]

@blacksladder I’ll check it out, thanks Els! Paramedics and all AHPs were involved in our job advert. 1x ODP took the bait so far and we’re currently fully staffed but will absolutely include all when we next recruit. Lovely to hear from you!

[James Midda @JamesMidda]

ED hive mind: we have a relatively new group of Resus Practitioners (RN/ODPs at present), senior staff who have enhanced skills and maintain training and standards in our Resus.

Who else has this role and would be willing to share some training portfolio/requirements etc?!

[James Midda @JamesMidda]

@RNChristinaH We do the same for all our registered staff, we’re just developing this role for senior staff with enhanced airway, anaesthetic and trauma skills to support junior colleagues and assure quality in our resus :)

[James Midda @JamesMidda]

@ed_itu Been hoping to get a rotation going for a while so hopefully this will help pave the way too! Thanks for sharing :)

[James Midda @JamesMidda]

@ed_itu Totally, next challenge is getting the two to play nicely! If you have a skills log or anything of that sort from your previous life that you’d be happy to share, that would be amazing :)

[James Midda @JamesMidda]

@ashleighlowther @EDPractitioner Thanks so much :)

[James Midda @JamesMidda]

@drkeithsiau @MarkBagnallSurg For what it’s worth I’ll be your NIC in ED those nights so see you at the coal-face and hope that I meet the bill! Thanks in advance for your help in supporting our colleagues and keeping our patients safe!

[James Midda @JamesMidda]

@d_w_connor Headed to Bali in August, Dave. Any other recommendations on dive sites/shops?!

[James Midda @JamesMidda]

Come on down and join an expanding senior team in beautiful Cornwall!

[Emma Wise @wiseemmielou]

We have a very exciting vacancy in our Emergency Department. Come and join our amazing ED team.

[James Midda @JamesMidda]

@mykitcheck @bthftresus Looking forward to having you down to demo in @RchtED!

[James Midda @JamesMidda]

@PaulR_ED @EducationDivB @UHSFT Oh absolutely, and on our staff too. It’s a sure fire way to make people feel undervalued and underconfident in their skills and abilities, when we’ve never needed to lean on them more!

[Kaleb Lachenicht @epicEMC]

Reflections and lessons learned from my first surgical airway in 13 years of ALS practice:
1. The performance of the skill is the easy part, the decision to perform the skill is less easy. Make the decision NOW when the line will be drawn and stick to it IRL: CICO

[A Journey Through Transfer Medicine @NclActs]

Thank you everyone who has joined our online transfer medicine course so far. It is amazing to see interaction from all over the world!

You can access the course for free for 4 more weeks here:
https://t.co/cIhDYsN1N6

[James Midda @JamesMidda]

This is important! And something we can easily fall victim of in ED as we are so keen to find a fix. Thanks for the reminder!

[Lailah Peel @lailahpeel]

Lots of chat right now about reducing pressure on A&E seems to be focussing on “unnecessary attendances” to A&E.

This shows a lack of understanding of the current crisis.

Exit block is the problem in A&E - the lack of flow through our EDs. NOT the number of people turning up.

[James Midda @JamesMidda]

@BrokeKneeADHD As an ED perspective, any life support courses on we try to send students over for until their truck is released, and more than happy to have paramedic students in to observe but it needs clearance from the local trust and university for insurance reasons!