@ConwyCBC Is marine drive closed to cyclists for a genuine reason? I had a rare day off work, feeling burnt out, needing to clear my mind so cycled, alone, from my doorstep (in Conwy) to Marine Drive to do a circuit around the Orme, but find it is closed to cyclists 😔
@JenOnTheMoveUK@CalSleeper Very interesting because that’s exactly what’s happened. And now call centre is closed so no further negotiating possible. We’ve had to abandon our whole plans 😔
@CalSleeper Hi Mark, obviously not you personally but shameful on your company for not honouring all of the train’s stops. Can I confirm I will get a full refund of both outward and return journeys I now can’t take?
@drrob22 Great, thanks for your reply. So VBG maybe more useful for the clinically mild-severe cases to rule out hypercapnia, and if CO2 high, then progress to ABG? And ABG initially for all life threatening cases. Would that be a reasonable approach for us going into F1?
@drrob22 interested by your comment yesterday to always ABG asthmatics. What are your thoughts on VBG at time of other bloods, and if CO2 normal/low, no need to ABG? My personal view is that ABG as standard in an often young population may delay future presentations. Thanks
Dr asks if I want to do their specialty
I say “I’m actually quite keen on EM”
Response goes one of two ways:
1. Lecture me how I’ll regret EM and how much better their specialty is.
2. “Cool! Let me teach you the relevant bits of my speciality you’ll need to be a great EM doc.”
The spotlights on Elliot 💫
Meet our brand NEW staff psychologist.
Elliott is here to provide long awaited psychological support to our team
We work in an environment with known stressors and are at high risk of mental health issues. Limited support has been in place... til now
I had a Cadbury’s Double Decker for the first time EVER yesterday. I always assumed it had raisins and orange in it. It doesn’t. It’s glorious. It’s like a Toffee Crisp had sex with a Boost.
And now I have to come to terms with the fact that I’ve basically wasted my life.
https://t.co/ptDkYji0Jo The authors argue that traditional 'either-or' solutions to assessment problems need to be replaced with 'both-and' strategies if we are to advance our efforts to transform assessment in the era of competency-based education @asmeofficial#MedEd
You're blocking a rapid response car from the @GSTTnhs ECMO Retrieval Team, that delivers critical care personnel and gear to very unwell patients needing external heart and lung support.
Someone could be dying and one of your supporters is giving them the finger. Classy.
@RilesinWales I can see how it being used as part of summarise assessments creates problems with reliability in terms of duration of contact tho. Maybe formative feedback could be a start? 😊
This placement is the first where I’ve needed to do Team Assessment of Behaviour (TABs). I’m surprised that we don’t need feedback from patients. Surely they are the most important ‘team member’ to give feedback about our performance. Do any TABs include patients? #patientcentred
@RilesinWales Great to hear it’s in the pipeline. It’s something I would actually like to receive feedback about, so perhaps more of a formative viewpoint would be useful. Even brief encounters with patients can provide useful feedback e.g introductions, rapport, comms skills etc