Alex Mc

ACP in EM and Clinical Advisor to a number of different industries.

Expressed views are my own, no one else is to blame 😂

[Alex Mc @al_mce_89]

@SianyCross @NMTNGUK @MikeSheffy sure someone will have tagged you already

[Alex Mc @al_mce_89]

@MidoriOtoko1 @geeky_gillon It becomes why a question of why are we doing it, can we do it safely, can we manage the post reduction if needed/any complications, what about follow up etc.

[Alex Mc @al_mce_89]

@MidoriOtoko1 @geeky_gillon Reduced dislocated elbows with penthrox in the ED, some including fractures but that was obviously post x-ray. The reality is that, if there is the underlying fracture, you may find that elbow is unstable post reduction and you will need someway of securing (POP)

[Alex Mc @al_mce_89]

@georgebellstarr Than changing an already robust gem path. Two separate professional groups that work together in the right setting with the right support in place, each bringing something different. In the ED I belonged to, our ACP's worked like "f3's".imho, it was the right level to work at.

[Alex Mc @al_mce_89]

@georgebellstarr I'm an ACP, sister's a GP, we've had a similar discussion. Just do GEM if you want to be a doctor. All this talk about foundation years etc, let's be honest, doctors a shit life until you're a consultant. Focus should be on improving their training pathway rather for retention/..

[Alex Mc @al_mce_89]

@lesyoung01 @wmcareteam Hoping one day there'll be a similar scheme up my way! Best of luck with the recruiting!!

[Alex Mc @al_mce_89]

@donotcallmemike @Mat_J_B This was also likely written for ED patients, not speciality patients stuck in ED waiting for beds. My experience, iv paracetamol/iv morphine for analgesia initially and then PRN codeine/oramorph if pain managed in the admitted patient awaiting a bed.

[Alex Mc @al_mce_89]

@georgebellstarr There's a magic clothes shrinking wardrobe in my house.

[Alex Mc @al_mce_89]

@Chris_medicpara Big call without knowing that history though 😂

[Alex Mc @al_mce_89]

@RichM83 Is it more money or better job plans that would keep people in these type of services do you think? Motivation for leaving needs to be assessed properly at the leaving stage.

[Alex Mc @al_mce_89]

@mfann90 @theRCN Or is it because we've pushed this Florence Nightingale-esque "angels" nonsense for generations and now can't understand why the public/politicians don't understand the varied nursing rules?

[Alex Mc @al_mce_89]

@drgandalf52 Agreed. If everyone digs out covering for a couple of days, it lessens the impact of these groups not being there. Therefore reducing the overall effect of the strike.

But easy for me to say as I don't have any horses in the race. The obvious being patient safety etc

[Alex Mc @al_mce_89]

@jfletch2012 @lesyoung01 I'm the same! North West seems to be a difficult place to get into it so would be great to see what opportunities there are!

[Alex Mc @al_mce_89]

@thegradmedic This poster reads like a twitter outrage which isn't what you'd expect from a formal body. Can't fault the message, just the manner in which it's being passed.

[Alex Mc @al_mce_89]

@kelvmackenzie "ambulance drivers"?? Good work on understanding medical professionals. What kind of creep are you? What have you done for this society outside of spreading absolute shit in your dross rag that you call a newspaper

[Alex Mc @al_mce_89]

@RNSuperHero As an ED nurse, that's a good handover that 😂 and I'll throw in some obs leads and iv lines that look like a snakes wedding

[Alex Mc @al_mce_89]

@NGParkes83 @Pipes_n_pumps @WelshGasDoc @cliffreid Seen in the CANLEAD trial. Better off leaving the algorithmic approach to ALS with someone else as the clever stuff happens separately. Improved time for defib, drugs etc

[Alex Mc @al_mce_89]

@georgebellstarr Tbh I did a dissertation and it was garbage. Have ended up going back to do different modules in areas I feel my clinical knowledge is lacking. Think dissertation and the likes is great if you're looking at further academics, but taught modules are better if clinically focussed

[Alex Mc @al_mce_89]

@georgebellstarr Not 100%, but all the MSc peeps I know have had to do a research module and dissertation. And modules/dissertation were specific to that MSc aswell.