Daniel Day

EM Consultant. Interested in Critical Care in the ED, Med Ed, PoCUS and remote & expedition medicine. Mainly here for the #FOAMed

[Luke Flower @LukeFlower1]

🧵3/6

This builds on NEAT-ECHO’s 1st paper that investigated echo in shock & found:

⏱️ 7% of shocked patients received an echo <1h

⏰ 54% received one in <72h

🫀Echo altered management in >50% of cases

📋 25% of scans adhered to governance standards

https://t.co/TosEWm7wdD

[Daniel Day @_danielday]

@cliffreid @EMManchester @RCollEM @EmergencyMedBMJ @RCEMevents https://t.co/l6hYkujC5O

[Karin Purshouse @KarinPurshouse]

Congratulations to the @VHK_FifeEM team on a fantastic piece of work! So pleased for you all that it's out 😍

- Nettle-induced Urticaria Treatment Study (NUTS): demonstrating the joy of research through a randomised, blinded, placebo-controlled trial
https://t.co/RCOZf2InoG

[Tim Cook @doctimcook]

Great!!
We can add it to the list of recommended reasons to use a VL

-if you’re in Canada
https://t.co/toGHO4yKkk

-if you wish to prevent undetected oesophageal intubation
https://t.co/eQmHILvJlM

-in critical care
https://t.co/TfQ2z3MNOa

-for neonates
https://t.co/zONLGDSMdP

-for infants
https://t.co/j4XBiXzLs4

-if you’re experienced and have a predicted difficult airway
https://t.co/mZbmeM0VD1

-to better place a nerve monitoring tube for thyroid surgery
https://t.co/jGbJLbPDG0

But of course most evidence comes from everyday adults
https://t.co/MVKttjpAG7

Indications for a DL
TBC…..

(please no one mention the soiled airway again https://t.co/ykSdr0sgtJ)

[Ian Higginson @RCEMpresident]

This seems short sighted, pennywise and poundfoolish. I haven't seen the financial arguments and justification, but I have heard that lots of staff have found this invaluable. We recommended tailored pathway for support as part retaining staff in Jan 24. https://t.co/xnAXlv750Y

[Bob Jarman @bob_jarman]

Excellent news that @sono_uk will be back to provide another festival of PoCUS by the banks of the iconic Tyne (and overlooking the Tyne bridge too!). 4-5th June 24. Its a not for profit event - for the love of PoCUS! #POCUS #SonoUK24

[Simon Carley @EMManchester]

Link to my #tbs24 talk this morning and the FREE live link to the whole conference 😀😀😀😀

Please share widely #FOAMed https://t.co/rmc2JhiCJG

[Cliff Reid @cliffreid]

Let's review an intubation together - a 🧵

[Daniel Day @_danielday]

@Misterbodd @PaulWat5 @smithsmm @jonnybid @MissC_1717 @BookSuperhero2 @MissNCleveland https://t.co/xKm4KeP5QH

'Little Tiger, Get Well Soon' is both lovely and surgery specific - his stripe slips and needs an operation...

[Emergency Medicine Journal @EmergencyMedBMJ]

#October2023 #Commentary

Plan A’ for ultrasound-guided regional anaesthesia in the Emergency Department

https://t.co/VzEBoUzBjw

@TraumaDataDoc @casualtysrus @Oxford_Trauma

[Devan Sinha @DevanSinha]

Change in real pay (CPI adjusted) over last 14 yrs:

🔼4.9% Fin & business
🔼2.8% Professional, science, tech

🔻3.5% All workers

🔻8.4% Nurses
🔻24.3% Consultants
🔻26.3% Junior docs

No wonder retention of medical talent in UK & NHS is a challenge vs overseas or UK industry.

[Dr Tony Goldstone @goldstone_tony]

1/ NEW & IMPORTANT: OK on the eve of junior/consultant strikes, we need to talk about these charts (NEW data just in!) 👇

We need to look at them to fix waiting lists & its increasingly clear next GE will be won or lost on the NHS

Please read the whole 🧵 & share widely / RT

[Royal College of Emergency Medicine @RCollEM]

Hear below from @EMDrSandy , Chair of our Environmental Special Interest Group and co-Clinical Lead of @GreenED_uk.

Sandy is at the GreenED stand at #RCEMasc if anyone wants to get involved or hear more!

[Edgardo Alania @Ed_Alania]

🫁 Echocardiographic Evaluation of Pulmonary Embolism: A Review @ASE360 #CardioEd #Cardiology #echofirst #POCUS #ENARM

[Alex Psirides @psirides]

This New Yorker article on CPR is brutal.

https://t.co/bZm748BJMp

[Prof. Gabrielle Finn @gabs_finn]

With ⁦@ClinEdResearch⁩, we have published a lexicon of clinical education terminology- each with a definition and a foundational paper too. ⁦@Megan_EL_Brown⁩ ⁦@ollieburtonmed⁩ @ClinicalTeacher⁩ ⁦@AquaAsif⁩ ⁦@mhvbyrne⁩ https://t.co/xZgvT1DADu

[Ashley Miller @icmteaching]

Post holiday season, @ICUltrasonica, @wilkinsonjonny & I are back to take you through the most most critical clinical questions on #haemodynamics that ultrasound can answer

We’re now on to question 3 of FUSIC HD

’Is the aorta abnormal?’

#FUSIC #echofirst #POCUS #FOAMus

[Dr Tony Goldstone @goldstone_tony]

1/ Short 🧵 on lies, damned lies, & statistics

I've seen some rather misleading use of statistics on the BBC / Sky today, its not clear whether they dont understand the differences, or they are trying to mislead

Please read all & share / RT

[NHS Fife @nhsfife]

Good luck to our A&E staff nurse, Maria Garcia, in the new series of #SewingBee, which starts next Wednesday on BBC One.

Maria is from Costa Rica but moved to Scotland when she was 8. She often uses sewing to help her to unwind after a hectic shift.

Good luck, Maria! 💙

[Lucas Oliveira J. e Silva (Lucas Silva) @lucasojesilva12]

GRACE-3 is out 🔥 🔥 🔥

First evidence-based clinical practice guideline on the diagnosis and management of acute dizziness and vertigo in the emergency department

https://t.co/FBVmMZCjuY