24 hour row complete ✅. We rowed from Exmouth to Bridport this weekend 💪🏼. It was our first time trialling the 2 hours on 2 hours off schedule for the row. The conditions were challenging with very flat seas and baking sunshine making for heavy work on the oars…
(Ad has 21 separate blisters on his hands) 🙈. It was a great opportunity to play around with our @TORQfitness nutrition and @supersapiensinc monitors. Here’s one last little sneak peak of Percy’s new wrap before the full reveal coming soon! #taliskerwhiskyatlanticchallenge
Really excited to share our paper published in @EmergencyMedBMJ!
https://t.co/4NKhVSMLVo
A 20-year review of 72 prehospital scalpel cricothyroidotomies (SC) conducted by @LDNairamb.
Co-authors: Elizabeth Foster, Prof. David Lockey and @DrMikeChristian. 1/14
Just finished reviewing ED Thoracotomy. An invasive procedure, for a rare event, complicated by ever-so-slightly conflicting guidelines😳 Here is my attempt to simplify. #FOAMed#EmergencyMedicine Feedback and thoughts welcome please!
You knew this already - but spinal cord injury or unstable spinal fracture in casualties we extricate in the UK is really quite rare... often will have other time critical needs.
Our paper for free at @sjtrem
https://t.co/waimzYHk6a
With thanks: @RoadSafetyTruUK @TARNaudit
1/17
How does calcium "stabilize the cardiac membrane" in hyperkalemia?
I learned early in my intern year to use calcium in the setting of severe hyperkalemia.
I never really learned how it works. The answer requires some history. And uncovers a forgotten alternative treatment.
My last #tweetorial focused on the GCS. Now let's look at another hugely important clinical window into the brain: the pupil. What does a 'blown pupil' really imply? What about small fixed pupils? To understand this, we need to see how pupil size is governed. #FOAMed 1/20
List of things your on call ophthalmologist should come in to see immediately day or night:
open globe
endophthalmitis
angle closure glaucoma
hyphema with high eye pressure
visine emergency
extraocular muscle entrapment
orbital compartment syndrome
On a perpetual quest to simplify ICH/ICP physiology and management for the R3s (and myself!). Would love some feedback from the #FOAMed#MedEd twitter world to ensure this is up to date and practical 🤓
RCEM outlines actions needed to tackle ‘dangerous’ crowding as it returns to A&Es:
“Essential action must be taken to forge real, vital change that will significantly improve urgent & emergency care & make it even safer while we are dealing with covid."
https://t.co/o123Cr1Fne