Andrew Blackmore

Consultant in Emergency Medicine | Deputy Director of Simulation @HullSimulation | Dad & Husband

[Andrew Blackmore @andy_bmore]

“A positive CTPA in a PERC negative patient is more likely to be...”

@EmergencyHull

[Andrew Blackmore @andy_bmore]

@AumGensokyo

[Andrew Blackmore @andy_bmore]

@quasistable @CanesDavid The problem:
People paying to have these scans want their results right away. What you are describing is a trial that the company won’t conduct (because they won’t risk proving their machine is garbage) and participants won’t consent to (because they’re consumers not patients)

[Andrew Blackmore @andy_bmore]

@PronouncedHare Sorry for you grandmothers experience. These conversations shouldn’t be:
“Want CPR?”
“Yes”
“…but it’s really nasty”

It takes a clinician who’s honest about what multiorgan support offers for patients and what the alternatives are.

Most people are scared of dying with symptoms.

[Andrew Blackmore @andy_bmore]

@xpmorgan @sidlowe They marked where they could feel a pulse, then every subsequent person was checking it could still be felt.

[Andrew Blackmore @andy_bmore]

@Microbedoc2 That depends on what you mean by “respond”.

“Ctrl A + Del” is a pretty quick response I guess…

[Andrew Blackmore @andy_bmore]

@JPGK_MD @fuqekgs Fuck off.

Not every resident will be doing out of hours surgery- they will find their niche. We need doctors in public health roles or day time outpatient roles.

[Andrew Blackmore @andy_bmore]

@DrDiGiorgio Fuck off.

Not all doctors operate at 2am.

We need doctors who fill primary care roles, public health roles, community roles, secondary care roles, which might be more in alignment with neurodivergent minds.

[SPARKnetwork @SPARKnetwork16]

Time for the live in situ simulation exercise now led by Dr Andrew Blackmore and live in our ED with Dr Chris Srinivasan #SPARK24

[Andrew Blackmore @andy_bmore]

@clare_eliza Fuuck.
This is awful to read. Made more awful by the shame of having thought and said some of these things a long time ago myself.
I hope that a lot of the people commenting are as junior as I was.
And that they have the role models I did.

[Andrew Blackmore @andy_bmore]

@jd220323 @TavernFootball Not many people know this but West Ham were his childhood team

[Andrew Blackmore @andy_bmore]

@Slasherrrr

[Andrew Blackmore @andy_bmore]

@AlexNevard As Ben has said, current advice against them. If I recall (when local schools looked at getting them), what little evidence the company put forward was in stroke/ MND patients with food boluses in pharynx occluding the laryngeal inlet, not in the larynx like a kid would.
Avoid

[Andrew Blackmore @andy_bmore]

@FFAFrances @armyemdoc I was going to say that yours is my favourite response to this clown, but this takes some beating:

[Andrew Blackmore @andy_bmore]

@clifford0584 https://t.co/ETvT6sHjUX

[Andrew Blackmore @andy_bmore]

@DrJSherrington I don’t give big doses of naloxone, not because I’m worried about them waking up and leaving but because around one in fifty will go into flash pulmonary oedema.

And there’s just no need for big doses when titrating works so well.

[Andrew Blackmore @andy_bmore]

@DrJSherrington I don’t give big doses of naloxone, not because I’m worried about them waking up and leaving but because around one in fifty will go into flash pulmonary oedema.

And there’s just no need for big doses when titrating works so well.

[Andrew Blackmore @andy_bmore]

@PaulAshYoung I remodelled the reg rota when I was a reg, then herded cats getting everyone into slots each rotation and helped those LTFT to drop a fair number of shifts.
For that I got time back - taken as additional shifts dropped when I did my 80% LTFT schedule - 2h per week IIRC

[Andrew Blackmore @andy_bmore]

@doctorcaldwell The ticking clock of the thrombolysis window led an otherwise good clinician to dismiss concerns raised by the radiographer as it didn’t fit their diagnosis in this young, healthy patient who came to the hospital because their arm was numb and hand was weak.

[Andrew Blackmore @andy_bmore]

@doctorcaldwell “…I told the reg but they didn’t listen”

The radiologist agreed to scan the thorax while we were on table and it showed an aortic dissection with contained rupture into the mediastinum.

We were in a non-tertiary centre and the patient died on the ICU less than an hour later.

[Andrew Blackmore @andy_bmore]

@HMRCcustomers They’ve done their bit but on my personal tax account it hasn’t been updated after more than a month. What’s the timescale that I should expect the change to show in my https://t.co/tMZkouTcho tax account?

[Andrew Blackmore @andy_bmore]

@HMRCcustomers My employer was underpaying me and when the matter was resolved, I received the payment as a single arrears payment in Oct 2022.
My employer then told me that they would update pension records and HMRC so that the tax was due in the years it should have been paid.