Lauren 💙

ED Nurse. Cynical and sarcastic. Makes a decent brew. Views are my own.

[Lauren 💙 @lmh_rn]

My teacher and mentor.
So proud of her!

[Gagandeep kaur @gaganterrific]

PG cert in medical Ultrasound

[Lauren 💙 @lmh_rn]

@gaganterrific Congratulations!!!! So proud of you ♥️ x

[Ron Hekier @ronhekier]

Yesterday I completed my once every four years refresher course of ATLS (Advanced Trauma Life Support System.)
I am one of over 1 million health care providers who have taken the course, a course borne of a tragic private plane crash almost 50 years ago.

ATLS is systematic approach to treating injured patients when they arrive in an emergency room, whether it’s a rural hospital in Haiti or a top trauma center in Houston. It has been taught in over 65 countries. It’s a common language, a universal protocol. A method to insure that severely injured patients get the same proper care wherever they are.

But care of the injured patient was not always systemized in a universal fashion. The origins of ATLS were born in Lincoln, Nebraska nearly 50 years ago.

In 1976, an orthopedic surgeon from Lincoln, Dr. James Styner, was piloting his small propeller plane carrying his wife and four children back from a wedding they attended in California. As they got closer to home on their long trek, the weather deteriorated over rural parts of Kansas.

With weather worsening and darkness approaching, Styner had to choose between turning around and flying away from home, landing in the middle of nowhere, or forging ahead. Styner pushed forward.

After flying over 1,000 miles and only 60 miles from home, tragedy struck. With decreased visibility due to clouds, fog, and darkness, James Styner become disoriented and crashed the plane. They flew through trees at around 160 miles per hours, shredding off both wings, and crashed into a corn field.

Styner survived the crash. His wife was ejected from the cockpit and died instantly when a piece of the propeller hit her head. His four children were in back of the plane and survived but three of them suffered head injuries and were unconscious. After waiting for help for hours in the desolate field, Styner decided he had to look for help. He left his oldest child behind to watch his three siblings, and walked in the direction of distantly appearing headlights from passing cars.

He eventually reached a nearby road, flagged down a car for help, and they returned to the field to retrieve his children.

Styner learned he had crashed near a small town called Hebron, Nebraska, a town he would soon learn which had a small hospital not well equipped to handle severely ill or injured patients. Only two doctors staffed the small hospital and they had little experience with severe trauma.

House after the crash and in the Emergency Room at Hebron with his 4 injured children, Styner was shocked at the care, or perhaps better said, lack of appropriate care given to his injured children.

Later he would say: “When I can provide better care in the field with limited resources than what my children and I received at the primary care facility, there is something wrong with the system, and the system has to be changed.”

He demanded the he and his children be transferred out of that hospital to the the large hospital at which he practiced, 60 miles away in Lincoln, Nebraska.

Over the course of time, Styner and his children had complete physical recoveries, but he remained troubled by his experience at the small hospital. Dr. Styner would vocally complain about the small town hospital.

One of his medical colleagues, an ER doc, grew tired of his complaining and told him to change the system. Well in this case there was no system. As Styner said: “You have to train them before you can blame them.”
So Styner together with the help of colleagues created a protocol for the treatment of severely injured patients with the goal of teaching it to health care providers in rural settings. Their system was called ATLS, and first debuted in Nebraska in 1978.
Their little course was picked up the University of Nebraska, and eventually the American College of Surgeons, and by global institutions.
Since it’s humble beginnings in a class in a small town in Nebraska, it was been taught in thousands of classes in over 60 countries to over 1 million providers.

From a personal tragedy to a global protocol which has saved countless lives over decades, James Styner proved several things.

• One person can change the world.
• Humble beginnings don’t reduce the chance of massive succes.
• The solution to complex problems is often to have a systemized protocol in place.
• You have to train them before you can blame them.

#ship30for30

[Naseer Ahmad @nas_vascular]

Today is the first day I have ever known NHS consultants to strike.

Here’s the top 5 reasons…

[Matthias Mueller💙 🇩🇪🇬🇧🇪🇺 @MatthiasMuell15]

Dear @RishiSunak

I passed a restaurant the other day while I was working in one of my three side jobs (which I had to take on in addition to my main work as an NHS Nurse because of your refusal to lift the salaries above inflation) and I saw people sitting in there eating and I thought:

“Oh, that’s where we went before the mini budget and energy price hikes and interest rate hikes and food price hikes . But now I am working.”

Today - while I was working - I could hear the music of a nearby music festival in London and I thought:

“Oh, that’s where we went before the mini budget and energy price hikes and interest rate hikes. But now I am working.”

Yesterday, while some of my family were at home I had to leave for work and leave them behind, like so many weekends and evenings now instead of spending time with them, precious time and I thought:

“Oh, that’s what I did before the mini budget and energy price hikes and interest rate hikes and food price hikes . But now I am working.”

And guess what I’ll do tomorrow after this weekend of work and the evenings of work?

Correct, @RishiSunak , I’m going to my full time work.

We will never forgive you and your reckless government for destroying families, health, millions of family finances, causing people having to sell their houses, causing people to work until they are completely chronically ill - just for the sake of your awful Party-politics, shameful and disgusting plans to sell off the NHS to your American mates for your mates’ and your own financial gain.

In my world you call this treason, traitor, destroyer.
You’re acting in the worst possible way towards us NHS staff and the population of this country. Can’t you see this?

I think you can.

And you’re doing it anyway.

And that’s shameful and the opposite of statesmanship and patriotism.

Please never talk about integrity or accountability again.

All that you seem to be serving is:
Your party,
Your wallet,
Your destruction of the NHS in order to burn us out and down so you can privatise and profit.

This is the the most shameful point in the history of the 75years of the NHS .
And YOU are at the centre of it, Mr Sunak.

I’m going home soon after working all Sunday in my third side job as a Nurse. That means four jobs. To pay the bills.

Maybe I’ll see other family members still before they go to bed or go out.
Maybe not.

I will never forgive what you and your government have done to all of us.
You’re not worthy of that office you’re holding. Not like that.
Think about that for a minute.

Regards,
an NHS Nurse

PS:
Your NHS workforce plan … a joke.
300000 new staff. Wow.

Funny how I can’t believe you.

How about this:
Make studying Nursing and Medicine free again like it was 25 years ago. Or still is now in other countries.
But no, you won’t because Non-Tory-voters would then be able to study.

You know the money is there for this . Billions - that you want to give to your private health company mates.
So you won’t.
You’re happy to sacrifice all our Health for the sake of your ideology.
Shame on you.

@RishiSunak
@EveryDoctorUK
@JujuliaGrace
@supertanskiii
@PeterStefanovi2
@mrjamesob
@mattgreencomedy
#GetTheToriesOut

[Johnathan E @jonnieAElliott]

Calling all multi-professional ACPs! Would you like to be part of a great team in Emergency Medicine @MFT_MRI working across all areas of the specialty. You will be supported by a dedicated Consultant to meet your development needs via the RCEM Portfolio👇 https://t.co/7lqhCZFSIF

[Sarah Owen MFT @SarahOwenRM]

Congratulations to our first #Coronation babies. Thank you for entrusting @MFT_SaintMarys to care for you in your pregnancy journey. @mftchiefnurse @kathymurphy0

[Lauren 💙 @lmh_rn]

Next #Coronation can we have some lyrics and a bouncing crown to clarify tunes? At one point I thought they were singing the lyrics “five hats”

[Lauren 💙 @lmh_rn]

No words.

[Woke Lefty 🫣 @SalfordMe2023]

I put a photo up of me holding my dog - I was practically begging for it 🫤

[Lauren 💙 @lmh_rn]

@CoeKeighlan I hope you sought consent from him for this personal information to be shared

[Ebah-L @l_ebah]

During a Leadership walk round in @eaa_mri @MRI_ED it was good to get some valuable insights from some of the amazing staff-The two Laurens in RAU, John & Gary, and Maxwell
It is relentless but they do it with a smile, the @MFT_MRI way 👏🏿🙌🏿

[@medicperspecti1 @medicperspecti1]

A short story:

[Lauren 💙 @lmh_rn]

@fesshole Plot twist: it was Steve who added you to the group chat so he didn’t have to participate

[Sophie Blakemore @editor_sophie]

Emergency triage is short-duration high-volume, so small reductions in time taken to triage 1 patient can have a big impact on overall triage

@mackway_jones @RachaelHornby8 describe a project @MFT_MRI to reduce triage time&optimise triage nurses’ time

https://t.co/ZTabrpYk6i

[Lauren 💙 @lmh_rn]

You know where there’s a gap for your market @Frylighthq : truffle oil spray. Can we make this happen?

[Lauren 💙 @lmh_rn]

@senegal292993 @Brightlands77 @RishiSunak Hey fishy fishy 🎣

[Lauren 💙 @lmh_rn]

Thank you to the team @MSSSC_ as it wouldn’t have happened without you

[GM MTN @GMMajorTrauma]

Great day at the Resus Procedures Skills course yesterday.

Impressive MDT faculty covering cadaveric work on FONA, thoracotomy, max fax, traumatic amputation, & resuscitative hysterotomy

Thanks to all who attended a fantastic day of MDT education

[Lauren 💙 @lmh_rn]

Some of the @MRI_ED nursing team on Manchester Advanced Trauma Training resuscitative procedures today, thanks team! @GMMajorTrauma @Jayharr68140564 @StellaSmithSurg @EMManchester @MFT_MRI

[Lauren 💙 @lmh_rn]

@KatrinaSheikh @BritishRetro1 number?

[Patrick Jones @DyslexicEnglish]

At a wedding. Can you see who had the best signal?
#BBCFootball