Ciara Ní Tuathail

| Advanced Paramedic 🚑 | Ireland ☘️ |

[National Ambulance Service @AmbulanceNAS]

Are you interested in joining NAS?

Over the next few weeks we'll be holding a number of Ambulance Station Open Evenings, so if you'd like to find out more about working for us, make sure you have it in your calendar!

[National Ambulance Service @AmbulanceNAS]

Recruitment for @PHECC Registered Paramedics ends later this week!

If you interested, or know anyone who would like to join NAS following an induction programme, go to https://t.co/DRHOppgdfj

[Ciara Ní Tuathail @ciaraleeot]

@jbrannan23 Ireland 🇮🇪 🙋‍♀️

[MrBeast @MrBeast]

I’m gonna give 10 random people that repost this and follow me $25,000 for fun (the $250,000 my X video made)

I’ll pick the winners in 72 hours

[TheJournal.ie @thejournal_ie]

Deliveroo dirver Caio Benicio was on his motorbike this afternoon when he saw a man with a knife attacking a young girl in Parnell Square.
The 43-year-old Brazilian dismounted his bike, took off his helmet, and hit the attacker with it.
Read more here:
https://t.co/L7CRfb61pJ

[Catherine Nix @NixLimerick]

Fantastic post pandemic lecture on the value of uncertainty in modern medicine today from Ronan Glynn. Grand rounds, UHL. “Not making a decision…is a decision in itself”. “Hindsight is the foresight of the gobshite”…⁦@CERC_UHL⁩ ⁦@austingstack⁩ ⁦@MaiMannix⁩

[Ciara Ní Tuathail @ciaraleeot]

Emmmm…… 🙃🤷🏼‍♀️😂🫠😨

[Ciara Ní Tuathail @ciaraleeot]

Well done #SouthAfrica 🇿🇦 #RWC2023

[Sandra Cogan Williamson @cogan_sandra1]

Less than 5% of the global health research budget is spent on women's health inspite of the fact we make up 50% of the population & drive 70-80% of household consumer purchasing #nationalmenopausesummit

[Sandra Cogan Williamson @cogan_sandra1]

Excellent knowledge sharing & discussions in the stunning concert hall for #nationalmenopausesummit this morning so important to break the stigma & talk about perimenopause & menopausal symptoms

[Ciara Ní Tuathail @ciaraleeot]

Listening to Goretti Sheridan from @GardaTraffic talk about women in their workplace definitely resonates with the way things are in @AmbulanceNAS - conversations are key #nationalmenopausesummit

[Ciara Ní Tuathail @ciaraleeot]

I recently undertook my MSc in Specialist Paramedicine. My research proposal looked into how the ambulance service can support staff with menopause symptoms. It sparked a real interest in women’s health! I’m now here to learn more 😊 #nationalmenopausesummit

[CPDme Portfolio Building Made Easy @cpdme]

Pre-Hospital Maternity Emergency Symposium with the amazing @LeechCaroline - Share this post and tag us 😀 🏷️ https://t.co/LxbjyEAnHU
#maternity #hospital #CPDme #share #tickets #trending #baby #trend #january #emergency #socialmedia #virtual #online #ticket #HCPC #nowlive

[DocXus @docxusofficial]

Dermatitis Herpetiformis (DH) associated with celiac disease.

Differential Diagnosis:

1. Irritable bowel syndrome (IBS): A common gastrointestinal disorder characterized by abdominal pain, bloating, and changes in bowel habits.

2. Allergic contact dermatitis: An allergic skin reaction caused by contact with certain substances.

3. Atopic dermatitis: A chronic inflammatory skin condition characterized by dry, itchy, and inflamed skin.

4. Inflammatory bowel disease (IBD): A group of chronic inflammatory conditions of the gastrointestinal tract, including Crohn's disease and ulcerative colitis.

Clinical Findings:

Dermatitis Herpetiformis (DH) is a chronic, autoimmune skin condition associated with celiac disease.

It is characterized by a severely itchy, blistering rash that typically appears symmetrically on the elbows, knees, buttocks, and scalp.

The rash is often accompanied by digestive symptoms such as diarrhea and abdominal pain.

Etiology:

DH is strongly associated with celiac disease, an autoimmune disorder triggered by gluten ingestion.

Gluten is a protein found in wheat, barley, and rye. In individuals with celiac disease, the immune system reacts abnormally to gluten, leading to inflammation and damage to the small intestine.

DH occurs when the immune system deposits antibodies (IgA) beneath the skin, causing the characteristic blistering rash.

Pathogenesis:

The exact pathogenesis of DH is not fully understood. However, it is believed that the immune system's response to gluten triggers an inflammatory response in the small intestine, leading to the production of IgA antibodies.

These antibodies then deposit in the skin, causing the characteristic rash and blister formation.

Treatment:

The primary treatment for DH is a strict gluten-free diet. This involves avoiding all foods and products that contain gluten.

Additionally, medication may be prescribed to help alleviate symptoms and control the autoimmune response. Commonly used medications include dapsone, which helps reduce inflammation and itching, and oral corticosteroids for more severe cases.

It is important for patients to work closely with a healthcare professional, such as a gastroenterologist or dermatologist, to manage both the skin and digestive symptoms.

FAQs:

1. Can DH occur without celiac disease? Yes, DH is strongly associated with celiac disease, but it can rarely occur in individuals without celiac disease. In such cases, it is referred to as "DH without celiac disease" or "DH-like eruption."

2. Can DH be diagnosed without a skin biopsy? While a skin biopsy is the gold standard for diagnosing DH, it can sometimes be challenging to access this diagnostic tool in limited-resource settings. In such cases, a clinical diagnosis based on the characteristic rash and associated symptoms may be made, and a gluten-free diet can be initiated.

3. How long does it take for the rash to improve with a gluten-free diet? The rash of DH can take several weeks or even months to improve after starting a gluten-free diet. This is because the antibodies deposited in the skin take time to clear. Strict adherence to a gluten-free diet is crucial for long-term management.

4. Is DH a lifelong condition? DH is a chronic condition, but it can be effectively managed with a gluten-free diet. With strict adherence to the diet, the rash and associated symptoms can be controlled, and the risk of complications, such as intestinal damage, can be minimized.

5. Can DH be mistaken for other skin conditions? Yes, the rash of DH can sometimes be mistaken for other skin conditions, such as eczema or herpes simplex. A skin biopsy and consultation with a dermatologist can help confirm the diagnosis.

Try - https://t.co/3XKwhCuWoV

[Journal of Brown Hospital Medicine @BrownJHM]

Flail chest @ingPocilgasx @TLHM_MD https://t.co/oAGnpaYrsE

[Mohamad Safa @mhdksafa]

“In one of the most notable moments in sports history, Kenyan runner Abel Mutai was just a few feet from the finish line, but became confused with the signage and stopped thinking he had completed the race.

A Spanish athlete, Ivan Fernandez, was right behind him, and after realizing what was happening, he started shouting at the Kenyan for him to continue running; but Mutai didn't understand his Spanish.

Fernandez eventually caught up to him and instead of passing him, he pushed him to victory.

A journalist asked Ivan, "Why did you do that?"
Ivan replied, “My dream is that someday we can have a kind of community life where we push and help each other to win.” The journalist insisted “But why did you let the Kenyan win?" Ivan replied, "I didn't let him win, he was going to win.” The journalist insisted again, “But you could have won!”Ivan looked at him & replied, “But what would be the merit of my victory? What would be the honor of that medal?
What would my Mom think of that?”

Values are transmitted from generation to generation.

What values are we teaching our children?

Let us not teach our kids the wrong ways to WIN.”

Calltoactivism

[Tim Coats @TJCoats]

Poster at #ICEM2023 new for me - Salbutamol associated lactic acidosis. Asthmatic patient increasingly breathless, lots salbutamol given. High lactate , no wheeze, normal/high pH.
Easy mistake clinically = worse asthma leading to more salbutamol. Treat = stop salbutamol. @ ICEM23

[James Yates @heli_med_james]

Final bit of prep going in for this months Roadside to Resus episode. Quick question for U.K. paramedics:

is TXA currently indicated for head injury with GCS <12?

It is within SWAST but I can’t see the wider JRCALC version, so just checking it’s the same…

Thanks!

#paramedic