Jessica Longmore @DrJlo29 Twitter profile

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Jessica Longmore

@DrJlo29

4 years

BOOM! Small victories. Thank you for believing in me, #medtwitter 🥳

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Jessica Longmore

@DrJlo29

2 years

Morning handover in #ED . Day team - it is beyond important to be positive, especially after the night team have had a busy, difficult shift. Think before you question - you weren’t there at 4am. Focus on the 99 positives, not the 1 negative. Smile, take over, say goodnight.

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Jessica Longmore

@DrJlo29

3 years

I’ve taken on a third specialty… This is Miles. I’ll be cutting up his grapes until he’s 30. #EM #ICM #motherhood #alltipswelcome

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Jessica Longmore

@DrJlo29

3 years

I don’t know why it annoys me so much, but it’s echo, not ECHO. It’s not an acronym. That’s all.

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Jessica Longmore

@DrJlo29

3 years

So in ED I wear a surgical mask & a plastic apron for a confirmed #Covid positive patient (provided no AGP). In my ICU full #PPE including FFP3 is mandatory for “amber” patients (negative swab, but have come through ED or inter-hospital). Seems slightly ludicrous, no? @PHE_uk

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Jessica Longmore

@DrJlo29

3 years

FRCEM ✅ 😁

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Jessica Longmore

@DrJlo29

5 years

“Look, Mummy, I can intubate as well as the boys!!” Seriously, it’s 2019! Shame on you, AJEM. Does physician gender have a significant impact on first-pass success rate of emergency endotracheal intubation? | Read by QxMD

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Jessica Longmore

@DrJlo29

1 year

Training complete, CCT achieved, an uneventful 20 years after starting medical school…. Thanks Twitter for all the #foamed , plenty more to come I hope. Excited for a new challenge 👀 #EM

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Jessica Longmore

@DrJlo29

3 years

Love how my reward for passing FRCEM is a tripling of RCEM membership fees...

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Jessica Longmore

@DrJlo29

4 years

. @SouthernRailUK Why are you still enforcing peak times? Charged an extra £34.30 from Chichester to London this morning because it’s before 8.15. There is no “peak”. People are at home. The train is empty. In the midst of a pandemic, you should be grateful I’m *on* the train.

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Jessica Longmore

@DrJlo29

5 years

What are people’s thoughts on being kept on after nights for teaching? In current climate of improving wellbeing/sleep, I just don’t think it’s appropriate. Plus my brain takes in *nothing* after 12 hours on #ICU (3rd night of 4 too). #nightshift #ICM #juniordoctors

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Jessica Longmore

@DrJlo29

4 years

@drandrewmackay Morning handover is not for teaching / debate / critique of decisions made overnight. I’m sure it was @cliffreid who once said to me that the job of the incoming morning boss, provided the ED is still standing, is to take a brief handover then say well done & sleep well.

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Jessica Longmore

@DrJlo29

4 years

Turned 38 last week. Just had 6 crackerbreads and half an Easter egg for dinner. #EDdoctor

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Jessica Longmore

@DrJlo29

4 years

I wonder what age I’ll get to before I can spell arrhythmia without having to say aloud “Rhythm Has Your Two Hips Moving”? Credit: Mrs Hughes, my secondary school music teacher.

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Jessica Longmore

@DrJlo29

5 years

@sbattrawden The most ludicrous paper. “Conclusion: females are not inferior to male physicians in performing intubation.” Cool. *slow clap*

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Jessica Longmore

@DrJlo29

4 years

And with today came the lowest Hb I’ve ever seen. #EM #resus (Patient doing well)

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Jessica Longmore

@DrJlo29

1 year

Finding my big girl pants for first day of new job today. It doesn’t get easier even after 14 years of rotations…. Hopefully the last change for a while though🤞🏼 #consultantlife #EM

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Jessica Longmore

@DrJlo29

4 years

When you think the #FFICM exam is bad and then you start revising for the #FRCEM and have to know everything from parrot bites to priapism oh and every detail of the MCA and suddenly you’re literally dreaming of the simplicity that is APRV. #dualtraining

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Jessica Longmore

@DrJlo29

6 months

Developing a role as consultant lead for IMGs in my London ED, brainstorming what this looks like / how to ensure the role leads to meaningful change. Grateful for any thoughts, #MedTwitter . Anyone do anything similar? Ping @parthaskar @chrisodedun @Hababhassan88 @apksachar

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Jessica Longmore

@DrJlo29

4 years

How often does someone you’re talking to slyly look down at your badge during the early part of the conversation to ascertain your grade before they respond to you? Every damn day.

Sarah Boyd

@SarahBoydH

4 years

Today someone basically said to me ‘oh sorry I wouldn’t have spoken to you like that if I knew you were so senior’ and that is the impact of our infatuation with NHS pay grades. People so bold to say out loud that treating people badly is ok depending on grade....

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Jessica Longmore

@DrJlo29

3 years

So we are redeployed, asked to come back from annual leave, covering extra shifts, taking on locums, *anything* to help, while the MPs get an extended holiday? SLOW CLAP.

Ashley Cowburn

@ashcowburn

3 years

MPs are to be given an extended Christmas recess until 11 January, Downing Street has confirmed.

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Jessica Longmore

@DrJlo29

4 years

Last day before exam. I never quite know what’s best... any advice, #MedTwitter ? Maybe endless flat whites and actually reading the plethora of small coloured cards I’ve made... #FRCEM

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Jessica Longmore

@DrJlo29

6 years

No, they aren't dropping. The system is failing us as we work harder than ever. And these kind of generalisations & unconstructive criticism are neither helpful nor welcome. Now, it's 6pm on my 12 hour Sunday shift - better have some lunch.... #juniordoctors #NHS #keepgoingteam

Dr Umesh Prabhu

@DrUmeshPrabhu

6 years

Standrads of #doctors we are preparing is dropping. We must improve hands on clinical experience and we must go back to basics and get #Clinical skills right for our doctors. Excellent suggestion #Bapio2018

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Jessica Longmore

@DrJlo29

5 years

Two tough days back at work, BUT already looked after two patients whom I could directly relate to last week’s #SMACC talks - one patient w anti-NMDA receptor encephalitis @davidcarr333 and one trauma patient w hypotension but NOT bleeding @LeechCaroline . Worth the jet lag!

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Jessica Longmore

@DrJlo29

3 months

@rahttled_doc @MattSnowsill -Review more patients in person than you need to start with. -Don’t say much at all in consultant meetings for ~ 3 months - listen. -Learn names. -Say (a polite) no to roles or projects you don’t want. -Keep learning. -Take breaks.

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Jessica Longmore

@DrJlo29

4 years

Come back to me @RealDeniseWelch after you’ve done a 12 hour day in full PPE, FaceTiming dying patient’s relatives. The end.

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Jessica Longmore

@DrJlo29

13 days

A hill I’m willing to die on. Can someone tell the med reg please?!

Iain Beardsell

@docib

13 days

Patients in the emergency department need either a venous blood gas or an arterial line. One off arterial blood gases are rarely necessary.

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Jessica Longmore

@DrJlo29

3 years

@Medic_Russell There’s only one acceptable scenario here. “Good morning. How was the night? What can I do to help you get out of here?” Allocating tasks to the night team at handover is ⛔️

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Jessica Longmore

@DrJlo29

2 years

So, no more #ICM and no more dual training for me, a single CCT in #EM approaching fast post mat leave. Sad / excited / wondering if there is any way to keep ICM skillset as (UK) EM consultant…

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Jessica Longmore

@DrJlo29

4 years

Civility saves lives, and there’s evidence to prove it. #ICSSOA

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Jessica Longmore

@DrJlo29

4 years

What I’d be really grateful for, now all the clapping has stopped, is a payroll department full of problem solvers, who might be able to actually put me on the correct tax code (3 months late) such that I don’t get paid half what I should. Too much to ask? #tuesdaymoan

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Jessica Longmore

@DrJlo29

3 years

The fact I feel spoilt by having basic needs met at the start of a rotation (rota pre starting, organised induction, locker) speaks volumes about training in general. PICU streets ahead of AICU already...

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Jessica Longmore

@DrJlo29

6 years

Heading into my first anaesthetic nightshifts for 5 years without any IT passwords or computer access. Don’t Trusts realise changeover time is stressful enough as it is? It’s not like it’s out of the blue - it happens EVERY YEAR. Can’t you just get it right?? #rantover

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Jessica Longmore

@DrJlo29

3 years

At least they’ve *tried* to create daylight in the ICU...

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Jessica Longmore

@DrJlo29

3 years

So good to see a solid female cast of brilliant scientists leading the way to the Oxford vaccine on #Panorama tonight. Including Professor Teresa Lambe who designed the vaccine over a “busy weekend” back in January. Literally in awe of these people. #CovidVaccine

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Jessica Longmore

@DrJlo29

5 years

If you see a “sternal fracture” on a trauma CT, check for a step in the skin and look on axial images for mediastinal haematoma behind the sternum. Motion artefact can look like a sternal fracture. Radiology pearls from @DrAndrewDixon at #smacctrauma #SMACC2019

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Jessica Longmore

@DrJlo29

3 years

@Poppy_1233 @rupert_pearse I *think* he’s a bit busy saving lives to care whether you think it’s BS.

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Jessica Longmore

@DrJlo29

4 years

Kind - yes, but why put this on social media? It makes it about YOU @iArnavAgarwal , not the poor family. It screams for mass appreciation. Kindness is our job.

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Jessica Longmore

@DrJlo29

5 years

When you work your arse off all night and still hand over a 7hr wait - only a McDonalds breakfast in bed will do. #ED #nightshift

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Jessica Longmore

@DrJlo29

5 years

Anti-NMDA receptor encephalitis - the commonest encephalitis in young ppl. 1. Prodrome 2. Psychosis / delusions 3. Catatonia 4. Autonomic phase Difficult to diagnose, do LP + send for anti-NMDA receptor antibodies. Fascinating from @davidcarr333 on a little known dx. #smacc

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Jessica Longmore

@DrJlo29

2 years

Junior doctors take another pay cut. Am about to return to the shit show that is the ED after a year of glorious mat leave. And the new PM will be voted for by old, white, rich men. SIGH.

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Jessica Longmore

@DrJlo29

5 years

The brilliant @LeechCaroline on why female trainees aren’t applying for PHEM training in the UK. Male-dominated? Imposter syndrome? Media depiction of an all male PHEM workforce? Tough for LTFT trainees? Definitely time for change. #SMACCforce

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Jessica Longmore

@DrJlo29

5 years

Avoid pre-hosp RSI in major trauma pts. Then consider AFOI (w atomised local, not nebs). Look carefully at your “haemothorax”- is it a diaphragmatic rupture? Early TXA saves lives. Bring Intensive Care forward, towards the “battlefield”. Some pearls from a 👌🏼 morn at #smacctrauma

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Jessica Longmore

@DrJlo29

4 months

Any other consultants quite enjoy the strikes? Fully aware not sustainable, I just quite enjoy quietly seeing my own patients in ED and the camaraderie of having lots of consultants from other teams around.

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Jessica Longmore

@DrJlo29

4 years

I’m going to put it out there - I think my male colleagues should be asked if they will shave their beard such that they will pass the PPE testing. I don’t see why me and my clean face should be disproportionately at risk! #coronavirus

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Jessica Longmore

@DrJlo29

4 years

Today’s problems include: - Minimal recollection of any paeds EM - Wishing I hadn’t stayed up until 3am watching crap on channel 4 - Continual 2/5 on FICM MCQs - Lost running gloves - I miss my Dad Otherwise - FINE. #asyouwere

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Jessica Longmore

@DrJlo29

3 months

@PatLynch93 Boring set of obs it is too. Spice it up with a fever at least…

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Jessica Longmore

@DrJlo29

5 years

What are you saying here, Twitter folk? BP 130/70, pain free, looks reasonably well.... Couple of different opinions going on in our resus. #ED #ECG #FOAMed

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Jessica Longmore

@DrJlo29

4 years

Would you let me off, #medtwitter ? #EM #medicalemergency

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Jessica Longmore

@DrJlo29

2 years

What I find most depressing in all of this- amongst the political mess, the mistakes & the promises - is that I can’t be the doctor I know I am at the moment, or provide the level of care I want to. Standards must slip to survive, which makes job satisfaction a thing of the past.

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Jessica Longmore

@DrJlo29

29 days

Wouldn’t normally retweet a DM article… but wholeheartedly agree with Prof G here: shining a light (with a £££ incentive) on the 4hr performance (i.e. the walking well), when sick, elderly people are dying in corridors, is disgraceful.

Rob Galloway

@DrRobgalloway

29 days

I am passionate about our NHS and have always wanted to get involved with @NHSEngland in a workforce or patients safety role. But I wrote this article knowing that publishing it would probably stop that happening as they are unlikely to appoint someone who is so openly…

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Jessica Longmore

@DrJlo29

3 years

The beans simply *must* go in a separate bowl. God FORBID they touch the egg. Anyone else? 😬

Tim Bolton

@TimBolton01

3 years

You have to get rid of ONE item. 😉

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Jessica Longmore

@DrJlo29

2 years

A day of interesting patients but frustrating failed dogmalysis in resus today. Where was @cliffreid to back me up?

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Jessica Longmore

@DrJlo29

3 months

Also just finished a brutal set of weekend nights as consultant in charge. Thankfully, @DrRobgalloway has articulated all my thoughts for me (except the fry-up). The system is broken.

Rob Galloway

@DrRobgalloway

3 months

I have just finished another set of incredibly difficult weekend nights as the A&E consultant incharge. Some thoughts: The NHS no longer provides unscheduled care - we provide treatment. Care is with dignity - that's impossible for our patients in corridors. The model of…

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Jessica Longmore

@DrJlo29

4 years

Positive exam morning affirmations (and not a card in sight) #FRCEM

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Jessica Longmore

@DrJlo29

3 years

@jim_crawfurd Jim, I wish I had better news for you. But unnecessary capitalisation is also entirely unacceptable.

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Jessica Longmore

@DrJlo29

6 years

@davehartin Absolutely. It’s only whilst currently wearing my “ICU reg” badge as opposed to my “ED reg” one that I have realised how much of a difference it makes to be respected by other specialties and treated as an equal. No wonder so many are dropping their EM training numbers.

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Jessica Longmore

@DrJlo29

7 years

So sad to have worked my last shift with this absolute legend. Always laughing, always learning. Until next time... @cliffreid

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Jessica Longmore

@DrJlo29

5 years

YAY!! £485 I’ll never see again! #ICM #sendhelp #christmasisgoingtorock

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Jessica Longmore

@DrJlo29

4 years

I really think all those kindly raising money for the #NHS should consider donating here instead... Donate to MSF's Coronavirus Appeal

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Jessica Longmore

@DrJlo29

5 years

Anyone else finish a set of nights and decide you definitely, 100% don’t want to be a doctor anymore?* #ICM #juniordoctors #NHS *decision not sustained - so far anyway

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Jessica Longmore

@DrJlo29

4 years

First year since I became a doctor in 2009 I’ve not worked the festive season. Well done to the #heroes carrying the Christmas baton in my absence, I couldn’t be prouder of you all. #NHSChristmas #NHSneverstops

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Jessica Longmore

@DrJlo29

5 years

@WhistlingDixie4

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Jessica Longmore

@DrJlo29

4 years

HR safely back down to 70. Thank you for inviting me to present, @EMTAevents - and what a lovely bunch of people you are #EMTA19

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Jessica Longmore

@DrJlo29

5 years

Not listened yet, I’m guessing • immediate • no. just no • maybe • quite Sounds like a juicy one @TheResusRoom

TheResusRoom

@TheResusRoom

5 years

August’s Papers Podcast •Immediate or delayed cardioversion in AF •Glucagon for food boluses •Prehospital intubation in trauma, are we meeting the need •Diagnostic accuracy in ED, how important is it for our patients #FOAMed

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Jessica Longmore

@DrJlo29

2 years

Probably my 10th induction and I ask again: Is it too much to ask to have an ID ready for you at a new hospital? It’s SO basic, and not having one is SO difficult. Why not make our lives a little easier? #sigh

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Jessica Longmore

@DrJlo29

1 year

Two shifts left as a registrar. Not that I’m counting… Night one, let’s go 🙌🏼

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Jessica Longmore

@DrJlo29

4 years

Just spent 20 mins trying to login... #ICSfail

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Jessica Longmore

@DrJlo29

2 years

Excited for my first day as a @Leaders_Plus Fellow today. Time to engage brain out of nappies mode! #leadership #EM

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Jessica Longmore

@DrJlo29

3 years

@Poppy_1233 Yes, of Covid. I am also an ICU doctor.

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Jessica Longmore

@DrJlo29

8 years

Love this new eye app. #ED #FOAMed Eye Emergency Manual by Agency for Clinical Innovation

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Jessica Longmore

@DrJlo29

4 years

24 hours till my presentation at #EMTA19 and HR already ~130. Mainlining camomile tea. Any other tips to manage the anxiety, #medtwitter ?

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Jessica Longmore

@DrJlo29

7 years

Wow, just watched the first episode of #hospital . So proud of my colleagues @ImperialNHS for working so hard for our patients & the #NHS .

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Jessica Longmore

@DrJlo29

3 years

Now just the small matter of the FFICM osce/viva... #dualtraining #doublethepain

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Jessica Longmore

@DrJlo29

4 years

Actual what?! Mind. Blown. #ecmo #imaginethattransfer

Jenna Miller, MD

@JennaMillerKC

4 years

Shared with permission. Another one of our patients... having a Saturday shooting hoops on #ecmo , enjoying a lollipop. Thank you for sharing your story of survival after Trimethroprim-Sulfamethoxazole exposure and Respiratory Failure. #medtwitter #pedsicu

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Jessica Longmore

@DrJlo29

3 years

#FRCEM OSCE ready.

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Jessica Longmore

@DrJlo29

4 years

“Being unable to access leave may well be the straw that breaks the camels back.” Dan Derbyshire talking about retention in EM. So true. Pleased we are trying to improve this at KCH by bringing in self rostering. #EMTA19

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Jessica Longmore

@DrJlo29

5 years

“You’ve got a choice of 2 shitty crystalloid or an even shittier colloid” The great @JAMyburgh 🤣 #SMACC

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Jessica Longmore

@DrJlo29

5 years

When you get home from a 10 hr ED shift at midnight and then spend 2 hours watching “Emergency Helicopter Medics”.... #guilty #EDlife #Busmansholiday

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Jessica Longmore

@DrJlo29

20 days

Nail hit on the head here, @docib . I find the constant outsourcing of decisions that used to be ours to ologists (because we can / “just in case”) very frustrating, but can’t see it will change. Practice is so much more risk averse now.

Iain Beardsell

@docib

20 days

This will come as absolutely no surprise to anyone working in emergency care. A few thoughts on why things have changed so much over the last decade (and why ‘attendance numbers’ are not comparable). 🧵

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Jessica Longmore

@DrJlo29

3 years

I have to say, having to get changed at work in an outside tent when it’s 1 degree outside is surely a breach of human rights... 🥶

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Jessica Longmore

@DrJlo29

2 years

The NHS is at breaking point, staff leaving in droves. And yet the basics - correct pay, an ID badge with your name spelled correctly that actually lets you into the staff room - are continuously overlooked. How hard is it to get it right?

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Jessica Longmore

@DrJlo29

2 years

My final hospital placement starts as all the others have - with a massive pay error. Except this time I have a mortgage and childcare to pay for. Does anyone know how tiring it is constantly having to fight for things that should just be a given?

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Jessica Longmore

@DrJlo29

6 years

Totally geeking out at home on a rainy Wednesday reading my free download of The Critical Care Reviews Book 2018. #happy #CCR18 #FOAMed

Critical Care Reviews

@CritCareReviews

6 years

The Critical Care Reviews Book 2018 will also be released this Friday at #CCR18 Free download at

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Jessica Longmore

@DrJlo29

5 years

If I had £1 for every time I was called nurse I would have long retired. Don't get me wrong -nurses are *the best*.They do a job I could never do & have dug me out of the sh*t >1000 times, it's just this archaic assumption that doctors are men and nurses are women that annoys me.

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Jessica Longmore

@DrJlo29

4 years

@RCEMLearning Speculum, remove clot from cervix, watch numbers improve.

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Jessica Longmore

@DrJlo29

7 years

Actual trauma patient who actually slipped on an actual banana skin. My life is complete. #ED

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Jessica Longmore

@DrJlo29

3 years

@Aidan_Baron Wow. I don’t agree at all and I wouldn’t generalise on behalf of all of us. Dicks come in all shapes, sizes and professions....

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Jessica Longmore

@DrJlo29

3 years

No rest for the wicked...

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Jessica Longmore

@DrJlo29

6 years

Performed successful modified Valsalva on a young patient with SVT yesterday. One of the resus nurses found it so emotional she cried! The power of the #resusroom ... #ED #loveyourjob

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Jessica Longmore

@DrJlo29

5 years

And the final result. Thanks @PJZolfaghari for making our ICU doctors office much brighter!

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Jessica Longmore

@DrJlo29

3 years

Last nightshift done & feeling grateful to be off for Christmas this year. So much ❤️ to those working over the festive season; #ICU is so busy, patients are so sick, & staff are so tired but still working really hard to provide excellent care. Hold tight, be kind, stay safe x

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Jessica Longmore

@DrJlo29

5 years

“What am I missing?” Will yield far more response from your trauma team than “anything else?” @HumanFact0rz #smacc

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Jessica Longmore

@DrJlo29

5 years

An emotional end to another incredible conference. Well done @OliFlower @RogerRdharris - you got everything right. Thank you #smacc for changing the way I learn, and making me a better doctor. Until we meet again... ✌🏼 #SMACC2019 #readyforCODA

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Jessica Longmore

@DrJlo29

6 years

So true. I have discovered a primary lung Ca and a bilateral pneumonia in “flu” patients in the last month... #ED

Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

Be bloody careful seeing patients labelled as "flu-like illness": so far this month I've found a big bilateral PE and a disseminated malignancy (different patients) presenting under the "flu" banner. Watch those cognitive biases! #FOAMed

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Jessica Longmore

@DrJlo29

4 years

Is there anything more ludicrous in all this than a member of the public moving their face mask to their chin in order to smoke a cigarette? #COVID19

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Jessica Longmore

@DrJlo29

6 years

First, a year’s subscription to Headspace for £7.50 (normally £72!), and now a mindfulness workshop for staff. Proud of @GSTTnhs for recognising that positive psychology and mindfulness make a real difference to our health and wellbeing. #NHS #mindfulness

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Jessica Longmore

@DrJlo29

4 years

10 years a #doctor and the first time a patient has projectile vomited in my face today (and hair, and all over my scrubs). Coincidentally also the day the new chief exec did an ED walk round... #ideal #smellydoctor #timeforwine #andashower

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Jessica Longmore

@DrJlo29

2 years

This. Also, they probably don’t need an ABG. Seriously.

Oli Sims

@oli_m_sims

2 years

THE BTS GUIDELINES CLEARLY STATE THAT LOCAL ANAESTHETIC SHOULD BE USED FOR ALL ARTERIAL BLOOD SAMPLES UNLESS IN EXTREMIS. ALL IT TAKES IS 0.5ML OF LIDOCAINE IN AN INSULIN SYRINGE ITS REALLY QUITE STRAIGHTFORWARD AND DOESNT MAKE THE PROCEDURE HARDER.

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Jessica Longmore

@DrJlo29

1 year

WHO IS GOING TO STAFF THEM? 🤔 #NHSCrisis

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