Barrie Stevenson

EM Registrar working in UK

[Barrie Stevenson @TheBreachEM]

@EmergMedDr @mark_tehan @DrLindaDykes @Medic_Russell @AndyNeill @precordialthump @EMManchester @RCEMPolicyVP @EMTAcommittee @richardbody @LWestafer @docib @dnepo @srrezaie @First10EM Doing bloods on this cohort is hardly ever useful. I often find myself wondering which patients need as CT head, though

[Barrie Stevenson @TheBreachEM]

Can anyone share their hospital guideline for the ED management of hypertension?

Looking to simplify ours

@EmergMedDr @Medic_Russell @AndyNeill @precordialthump @EMManchester @RCEMPolicyVP @DrLindaDykes @EMTAcommittee @richardbody @LWestafer @docib @dnepo @srrezaie @First10EM

[Barrie Stevenson @TheBreachEM]

@srrezaie @EmergMedDr @Medic_Russell @AndyNeill @precordialthump @EMManchester @RCEMPolicyVP @DrLindaDykes @EMTAcommittee @richardbody @LWestafer @docib @dnepo @First10EM Thank you. I didn't know the US policy so that's really interesting

[Barrie Stevenson @TheBreachEM]

@DrJlo29 @EmergMedDr @Medic_Russell @AndyNeill @precordialthump @EMManchester @RCEMPolicyVP @DrLindaDykes @EMTAcommittee @richardbody @LWestafer @docib @dnepo @srrezaie @First10EM I'd love to have a policy like this, but I fear there would be an extreme reluctance from many patients to accept it.

Many of my colleagues are also very nervous about sending patients with BP >200 systolic home.

I think a pretty huge cultural change is needed in many hospitals

[Barrie Stevenson @TheBreachEM]

@Medic_Russell @EmergMedDr @AndyNeill @precordialthump @EMManchester @RCEMPolicyVP @DrLindaDykes @EMTAcommittee @richardbody @LWestafer @docib @dnepo @srrezaie @First10EM Would love that, but don't think management would 😂

[Core EM @Core_EM]

Dizziness is a notoriously tricky chief complaint to work up in the ED. Let’s review one of the most up to date guidelines on how to approach it.

🧵 1/8 #MedEd

[Barrie Stevenson @TheBreachEM]

What angle would you cast this fracture in?

90° or 45°?

Genuinely curious...

#ortho #emergencymed

@InvictaOrtho @traumaticum @FractureDoc @generalorthomd @StressHoop @NaanDerthaal @RCEMdean @DrLindaDykes @EmergMedDr @First10EM @srrezaie @EMSwami

[Barrie Stevenson @TheBreachEM]

@gfaronica I don't think so, sorry. How did you discover it?

[Barrie Stevenson @TheBreachEM]

Hi friends.

Just wanted to let everyone know that we're shutting down The BREACH blog and podcast. 😢

Please download any episodes you'd like to keep in the next few days before they're all taken down.

Thanks everyone for your support and encouragement. It's been a blast!

[Barrie Stevenson @TheBreachEM]

@DrDavidWarriner A patient of mine claimed to be a retired gynaechiatrist

[Barrie Stevenson @TheBreachEM]

@lexiehats @DrLindaDykes Lovely, thank you

[Barrie Stevenson @TheBreachEM]

Does anyone know of a good infographic advising patients with covid when to contact a healthcare professional?
@DrLindaDykes

[Barrie Stevenson @TheBreachEM]

@DrNads77 @DrLindaDykes Wow, this sounds great

[Barrie Stevenson @TheBreachEM]

@First10EM @chrischirp @srrezaie @drphiliplee1 @EmergMedDr Ah, yes. To clarify, I'm thinking of health care workers who probably have some immunity (already had covid) but who have ongoing exposure at work. Is there minimal risk of transmission to their families because of this immunity?

[Barrie Stevenson @TheBreachEM]

Are there any studies looking at how infectious someone is if they are several months post-covid (and have antibodies)?
@chrischirp @First10EM @srrezaie @drphiliplee1 @EmergMedDr

[Prof. Christina Pagel - @chrischirp.bsky.social @chrischirp]

this is an incredibly important paper from LSHTM @AdamJKucharski on the new variant. @IndependentSage just met as well to discuss the new situation we find ourselves in. Stay tuned.

https://t.co/u8QHE1pGUD

[Barrie Stevenson @TheBreachEM]

@mforlin Workload was getting extreme on top of other commitments. My life was becoming medicine, medicine, medicine. Something had to go, and I need my day job!

[Barrie Stevenson @TheBreachEM]

@bobbykansara I thought above knee slab was only necessary for proximal or middle third fractures... Am I wrong?

[Barrie Stevenson @TheBreachEM]

@apsmunro Can you recommend a good summary of the evidence for the general public?

I loved the post and podcast, but think the language is too 'medical' for the concerned parents at my daughter's school...