James Middleworth

Advanced Critical Care Practitioner - King’s College Hospital.
ALS Instructor.
Special interests: patient transfer, human factors, vascular access, steak.

[Katie Wiskar @katiewiskar]

1/
One of the BIGGEST #POCUS misconceptions is that B lines 🟰 pulmonary edema 🤦‍♀️

Did you know that there is actually a wide DDx for B lines?

Check out the latest @ubcimpocus video about #LungUltrasound for interstitial syndromes 👀; or read on for the highlights 👇 🧵

https://t.co/2gpg5CzSah

[James Middleworth @Spartan_RN]

I'm very happy to answer any questions or share my experience with anyone interested.

[London's Air Ambulance Charity @LDNairamb]

Our Medical Director, Dr. Tom Hurst, recently joined Dr @Adam_Szulewski on the KeyLIME+ podcast to discuss the unique challenges and operations of trauma response in London.

🎧 Listen now: https://t.co/I4093SuIaG

[James Middleworth @Spartan_RN]

@ChrisRootMD @MDtheDO @ResusPadawan @jstgeorgemd I always thought a group of anaesthetists was called a Dalton...

[James Middleworth @Spartan_RN]

@MDtheDO @ChrisRootMD @ResusPadawan @jstgeorgemd Y'all got any more of them human factors?

[Autism care and share @autcareandshare]

Some autistic people are non verbal, Non verbal absolutely does not mean non intelligent. It also doesn't mean they can't hear every single word you are saying.

[James Middleworth @Spartan_RN]

@HumansNoContext Forest fire, causing the evacuation of the whole community for 2-3 weeks. It happened suddenly while some of us were away on a school trip, at a time when it was uncommon for HS kids to have cell phones. It took some of us 1-2 weeks to reconnect with our families.

[James Middleworth @Spartan_RN]

@Rachel39515988 @waveylooto @enyaville @TvZim3 @Morbidful That's the state of the internet; Twitter/X being the worst for it!

[James Middleworth @Spartan_RN]

@GenerallyUnwell @CitySprint_UK I'd say this is proof that we are safe from the AI job takeover for a while, but truth is, it still seems more productive than some of the conversations I've had at work this week....

[James Middleworth @Spartan_RN]

@doctorwibble @hasyourregtried @silv24 Maybe with a few more adjuncts...

[James Middleworth @Spartan_RN]

@Amrashidmd @armyemdoc @nickmmark Older NPAs had smaller flanges; if you're still ordering these ones they usually come with the safety pin in the packaging. Newer models *usually* have a wide enough flange you wouldn't need it.

[Ben Lovell @DrBenLovell]

Quiet leadership can be very powerful and people tend to respond to it very positively.

Even when leading at a medical emergency, the soft spoken leader who observes much & speaks only when needed is a powerful presence

Check out ‘Quiet’ by Susan Cain
https://t.co/99T2uR0xVa

[James Middleworth @Spartan_RN]

@silv24 Very well deserved! 👏👏🥂

[James Middleworth @Spartan_RN]

@CathyAnneDye @drkeithsiau @Dr_M_Alsayid Trying to avoid the magic trick of turning burgers into a messy SALAD.

I'll see myself out...

[James Middleworth @Spartan_RN]

@srrezaie With *effective* and *safe* BVM ventilation, or with the average operator? I'd wager that the latter is close to double what it should be, assuming an effective seal.

[James Middleworth @Spartan_RN]

@harryclax @AndrewJD His ego

[Cliff Reid @cliffreid]

The iGel is a great supraglottic airway device

But like other supraglottic airway devices (SAD) it's not foolproof

Here's how to maximise your success with the iGel - a thread 🧵

[James Middleworth @Spartan_RN]

@Whitehouse_ICU I think there's a big difference between "anyone can do what a doctor does," and "some of the tasks we traditionally associate with doctors could be offloaded to someone else." Blurring those lines is what damages working relationships.

[James Middleworth @Spartan_RN]

@WelshGasDoc 💯 agree. And some of the best Med Reg/Consultants I've worked with are those who have enough self-awareness to admit that they make better judgements when someone else is "leading" the arrest, allowing them space to process. Utilise the skills in the room, not the job titles.