GPs: were over capacity
Wards: Sorry we're full
Ambulance service: we can't help people who need us, we're leaving hospital after 45 minutes
Police: we can't help people who need us, we're leaving the S136 patient after an hour.
Government: A&E need to work harder
4hr target
@NHS_HealthEdEng
I wouldn't know, you deliberately made it impossible to contact anyone at HEE except by web portal that could take days for a response.
@ShaunLintern
A&E doctor here. I've had 3 targeted ads just this week inviting me to move to Australia or New Zealand for substantially better pay. People are going. This is why there are gaps that need filling.
@Medic_Russell
Once told an elderly lady who asked what CPR was that I would involve all 16 stone of me pressing hard on the chest.
She said, looking me up and down: "You ought to be ashamed of yourself"
I love paediatric EM
Yesterday a nurse gave a croupy toddler an ice lolly to help with rehydration and this is exactly the kind of medicine I can get on board with.
13 years ago I got my first ever medical school interview which resulted in a place at medical school.
This week I was offered my absolute dream job doing PHEM training.
Not bad.
@anaglyph32
@RNLI
@MailOnline
@thetimes
Hi Katie, please let me know how much you have donated to the RNLI in the last year. I'd be keen to replace this. Of course I strongly suspect that the amount is a big fat zero - in which case I'll donate something anyway.
Fellow EM Physicians
1) pls do not interrupt handovers.
2) pls do not criticise decisions* to blue call
3) if you were not there on scene pls don't quibble.
4) the ambulance service are your colleagues!
*the "decisions" are often out of the hands of the ambulance crew.
extremely disappointed today to be humiliated infront of a room of clinicians over a GCS score (that was correctly assessed) π I do wonder if we as pre-hospital clinicians will ever get the full recognition and respect for our abilities, skill and knowledge
#NotJustADriver
π
Me to frail but sharp lady in mid 90s:
"CPR involves all 17 Stone of me pressing hard on your chest."
Her, only half joking.
"you ought to be ashamed of yourself"
@ross_moy
Fastbleep her to ED, tell her there's a patient who's only just emerged, less than an hour old that is very hot and completely flat.
Present her with pizza when she gets there.
@Not4Twos
This 100% needs to be a complaint. Discrimination against you (i am inferring) and potentially putting someone sick in danger by refusing your help!
@jmugele
Lab: we can't report these results, they're haemolysed.
Me: the patient is having intravascular haemolysis
Lab: yes but the results haemolysed so we can't report it.
Me: the haemolysis happened inside the patient before it got into the bottle....
Lab: I can't report this...
@BizSportCSR
Hi Barry. I have been qualified as a doctor for 8 years. Currently when I am on night shifts I am in charge of running A&E overnight, seeing the sickest adults and children and supervising the other A&E doctors. I am still a junior doctor. I am not worth 25% less than in 2008.
@RachelT1722
Migrants who have already been born and educated in their own country and are coming here to work (including thousands in the NHS) and pay tax directly into the system? To buy things and pay VAT?
Yes, actually. Let's bring in more migrants.
@zackferguson
Managed to refer a pregnant (first trimester) patient directly to a surgeon without a gynae review recently. I'm available to give motivational talks.
@Edwina_Currie
Dear Ms Currie,
We have a reasonable demand, to restore pay in line with inflation. MPs seem to have managed it! This is our starting position. We are open to discussing a sensible counter offer. Why would we call off strikes if Mr Barclay has indicated zero desire to negotiate?
Today, after I'd explained my discharge plan to my injured young (mid single figures) patient I asked, as is my custom, if they had any questions.
"How do babies get inside mummies tummies?"
@DGlaucomflecken
I've worn contacts for 21 years.
I'll let you sit uncomfortably while you debate whether that ambiguity meant I'm still wearing the same pair from 1999.
@GHMansfield
In the UK this was the subject of a supreme court case that says that the wheelchair space MUST be vacated to allow for a wheelchair user.
@HorsleyCarl
This patient presented with symptomatic bradycardia and very nearly ended up with a pacemaker before an Eagle-eyed pharmacy tech spotted it.
@TurtonsOther
I did walk a colleague having a hypo to paeds the other day "because they always have sugar in some baked form". We were not disappointed.
@drkeithsiau
The joke goes that if you don't know who a syndrome is named after just say "turn of the century European Physician" which is sort of true. William Dressler was a Polish American born in 1890, discovered the syndrome in 1950s and died in 1969.
@drphiliplee1
@BuxtedFC
It's hard to believe what I'm seeing. Especially so soon after Christian Eriksen's very public illness. How can humans be so.... There isn't even the word.
This evening I took my first steps without the use of crutches since mid January. Seems like a lifetime ago. Small victories.
Ready to get back to the front line next week.
@daveranko1
@Luiseach
Hi David. Please will you explain how to differentiate a male from a female? Because I'm a doctor and I don't know the answer to this. It's not a political question but a biological one.
@TurtonsOther
Was once phoned on a night shift from one end of the hospital to another because of a hypo. Paper drug charts. I got datixed because I told the caller to give 10% or 20% dextrose IV while I made my way directly to the ward (good 10-15 min walk).
@HarleyQuinnRN
Reminds me of my manager in a retail job years ago
Boss: the manager? certainly, I'll pass you over...
*takes handset by the cord, swings it deftly in a circle catching it with the other hand bringing it gracefully to the opposite ear*
Boss: Hi I'm the manager how can I help?
@SageSussex
@MrsGunnison
I Don't understand your reply. The comment is aimed at the ortho SHO who claims they can't manage a common medical problem. The point is they absolutely can. On that basis I stand by it.
It's the rollout of the
@RainbowNHSBadge
at my trust today.
The badge means inclusion and equality for all when accessing NHS services, without judgement. I'm proud to sign a pledge to that effect.
Thanks to the great work of
@royal_lgbt
@BartsLGBT_Group
@DrMikeFarquhar
I'm very lucky that working in
@RLHPED
occasionally allows me to combine my love of emergency medicine with my love of magic! Great way to engage with young people. My pleasure
@TessaRDavis
!
@theBSNR
So interestingly the RCEM have just published guidelines saying no need to automatically scan if platelets >150 and no other pathology suspected. How does one reconcile the two guidelines?
@RCEMpresident
@theBSNR
@Dr_JRogers
@be_nMD
Depends who asks me. I usually politely explain that memories of the worst things I've seen will stay with me until my dying day. Then I tell them the answer always involves suffering or death. They usually shut up and apologise.