Tom Mallinson ⚕ @MallinsonT Twitter profile

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Tom Mallinson ⚕

@MallinsonT

7 months

Really great working with Ukrainian medics from Tactical Medicine North Consider donating to their work: #PHEM #EMS

Tactical medicine North

Support a Ukrainian volunteer medical subdivision. Contribute to the victory!

tacmednorth.com

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Last Seen Profiles

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Tom Mallinson ⚕

@MallinsonT

2 years

@StuMaitland That’s why you scour the internet for pre-prints already dated the coming year!

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Tom Mallinson ⚕

@MallinsonT

3 years

For anyone who is interested. London Ambulance 999 call volume: 1989: 950/day 2000: 1900/day 2015: 5000/day 2019: 6000/day 2019 NYE: ~7000 Now: 8000+/day

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Tom Mallinson ⚕

@MallinsonT

2 months

ChatGPT gets published in an Elsevier journal…

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Tom Mallinson ⚕

@MallinsonT

2 months

Why is the Royal College of PHYSICIANS, validating the training of PAs to work in: General Practice Surgery (any branch) Psychiatry Paediatrics Obstetrics Gynaecology ?

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Tom Mallinson ⚕

@MallinsonT

10 months

@JohnGreenwoodMD @AmericanAir @BayhealthDE @MaineMed TLDR: someone fainted.

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Tom Mallinson ⚕

@MallinsonT

3 years

Yesterday, I attended a man who’d overdosed on curry. . . 🚑 . He’ll be in a korma for weeks.

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Tom Mallinson ⚕

@MallinsonT

3 months

I don’t think it is appropriate to refer to #PAs as “Generalist Practitioners” & I believe this is too close to the protected term “General Practitioner” also exceedingly close to: “any name, title, or description implying that they are registered [the GMC]”

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Tom Mallinson ⚕

@MallinsonT

2 years

@DrMQureshi @ClareGerada @drmeenalviz @DrLindaDykes I wonder if the elf pays £5 a day to park at work. And has to register with the General Elf Council. And needs personal Elf-Indemnity

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Tom Mallinson ⚕

@MallinsonT

3 months

Interesting that Keele deleted their own promo video as many people pointed out poor clinical practice I poked fun at seeing them using geeky Medics as their teaching material: despite that, GeekyMedics are a great resource for revision, but not as the basis of your education

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Tom Mallinson ⚕

@MallinsonT

2 years

Should #ambulances have printers - so they can provide information leaflets to patients discharged on scene? If not, why not?

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Tom Mallinson ⚕

@MallinsonT

3 years

@_emelily_ I wasn’t issued an ID card at one hospital - so I wore my Costco card for 6 months

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Tom Mallinson ⚕

@MallinsonT

6 months

Do we have an NHS problem where doctors ID cards no longer say doctor on them? I’ve seen a few examples - anyone got more examples?

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Tom Mallinson ⚕

@MallinsonT

1 year

In the NHS, how senior do you have to be to get a colour printer?

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Tom Mallinson ⚕

@MallinsonT

11 months

Interesting development by RCEM; ACP can be given MCREM by nomination after 3 years EM. Doctors can too - after 12 years of EM.

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Tom Mallinson ⚕

@MallinsonT

3 years

@MrBenakaCJ @sophielevin11 @JuliaKollewe “Royal Attends Illegal Gathering” would be an awkward headline

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Tom Mallinson ⚕

@MallinsonT

2 months

Dear #paeds colleagues, If you’re seeing direct admissions you really need to be aware of the prehospital guidance for treating common conditions. This taken from a coroners report #paediatric @RCPCHtweets

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Tom Mallinson ⚕

@MallinsonT

2 years

@DrLindaDykes “You aren’t married so I’ve cancelled your AL tomorrow and put you on the long day” “No, we don’t need anyone trained to intubate covering ITU” “I reviewed your anonymous feedback on the department and I need you to change the thing you said which makes us look bad”

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Tom Mallinson ⚕

@MallinsonT

5 months

New paramedic textbook due out in the spring: It focuses on relating pathophysiology (the processes of disease) to day to day paramedic practice: Fundamentals of Applied Pathophysiology for Paramedics

Fundamentals of Applied Pathophysiology for Paramedics

www.amazon.co.uk

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Tom Mallinson ⚕

@MallinsonT

2 years

@KashifMD Firstly - sounds like she fainted. Secondly - this is a breech of confidentiality, please delete it.

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Tom Mallinson ⚕

@MallinsonT

3 months

@ExplosiveEnema2 @FPARCP @RCPhysicians

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Tom Mallinson ⚕

@MallinsonT

5 years

Paramedics Tweeting The Debate A Thread of Links #TreatNotTweet

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Tom Mallinson ⚕

@MallinsonT

6 months

@drcolinm @mjv__1 @UKFPO Really sad to see you instantly reject an offer to hear genuine concerns from trainees.

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Tom Mallinson ⚕

@MallinsonT

4 years

I found my IHCD certificates today. Looking back; while the Tech & Para courses had their faults, The curriculum was clear, The assessments were clear, & Once you’d passed, everyone knew exactly what to expect of you, and what you could and couldn’t do. 🚑 #EMT #PARAMEDIC

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Tom Mallinson ⚕

@MallinsonT

1 year

@AwanishSharan If he would like to undertake a Resuscitation Council life support course I’ll happily pay the course fees for him

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Tom Mallinson ⚕

@MallinsonT

6 years

@NYTHealth He’s got sudden kidney bad from his fast irregular pulse and bugs in the blood, he needs the medicine that makes the arms squeeze test better

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Tom Mallinson ⚕

@MallinsonT

3 years

@Rarcherarcher Paramedic then medschool, then some Anaes training, then GP, now a mix of academia, PHEM and Rural GP. Life isn’t a race 🤷🏽‍♂️

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Tom Mallinson ⚕

@MallinsonT

1 year

I think my answer would be… “please don’t do that” @Para_Practice #EMS #Toxicology #Antidote #emergencymedicine #PHEM

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Tom Mallinson ⚕

@MallinsonT

2 years

@ross_moy Several times a year…‽ Makes you wonder how often he crashes his car….

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Tom Mallinson ⚕

@MallinsonT

1 year

@annaephgrave Wait for them to arrive and ask each persons DRB certificate, issued in last 6 months. And a letter of good standing from a relevant professional, and send them away 👍🏼👍🏼👍🏼

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Tom Mallinson ⚕

@MallinsonT

2 years

@DocOnSkis @AnnYoungMD This implies…. You’ve tasted it

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Tom Mallinson ⚕

@MallinsonT

5 months

@DrEilidhMaria Who is he? Why is he lying?

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Tom Mallinson ⚕

@MallinsonT

6 months

@HealthRegLawyer Considering they’re aware of the suicide burden of a GMC investigation - why do they still do this?

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Tom Mallinson ⚕

@MallinsonT

5 months

@NHSE_WTE You can literally leave medical school - and do 5 years training to become a GP. That’s the current system

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Tom Mallinson ⚕

@MallinsonT

4 years

@vanillaseltzer @DGlaucomflecken @UniformCarla @LGlaucomflecken I always assumed she was an ER doc or something

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Tom Mallinson ⚕

@MallinsonT

2 years

@St7Summary @EmergencyMedDr Well known all NHS managers work for free 🤣

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Tom Mallinson ⚕

@MallinsonT

10 months

Should PAs be completing forms which specify : DOCTOR COMPLETING FORM (MUST BE FY2 OR ABOVE) ?

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Tom Mallinson ⚕

@MallinsonT

6 years

Excellent guidance from @aLittleMedic here on tweeting about patients/callouts. Food for thought for us all! #EMS #SoMe #PHEM #FOAMEd #MountainRescue #Medicine #RuralMedicine #SearchAndRescue #Nursing #Paramedic certainly #BSAC18 worthy!

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Tom Mallinson ⚕

@MallinsonT

5 years

When did “Non-cardiac chest pain” Become an appropriate diagnosis to ever make! Who started this‽ #diagnosis

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Tom Mallinson ⚕

@MallinsonT

9 months

Good to see the new MOCA Cognitive Test has been released. It’s been due an update for ages.

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Tom Mallinson ⚕

@MallinsonT

10 months

@ClareGerada @iDrSunny @DeanEggitt @TheBMA @BMA_GP AHPs all have a distinct knowledge and skillset from a doctor. PAs offer nothing unique, in essence they complete a short course in medicine-lite. How is in insulting to say they’re less qualified?

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Tom Mallinson ⚕

@MallinsonT

4 years

@PalGulbrandsen @trishgreenhalgh PM of Norway

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Tom Mallinson ⚕

@MallinsonT

1 year

@KateBurkeNHS IT that works, Free parking, Open letter to press acknowledging failing services, Lockers, Pillows & blankets, Simple single referral form for any referral, Payroll which pays you correctly, Free hospital accommodation, Stop with emails telling clinicians how to do their job

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Tom Mallinson ⚕

@MallinsonT

6 months

@medicalmich @DrEilidhMaria Bob Smith GMC 1234567 Associate Physician Bob Smith GMC 1234567 Physician Associate Bob Smith GMC 1234567 Associate Specialist Two are senior doctors. On isn’t a doctor. Not very clear is it?

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Tom Mallinson ⚕

@MallinsonT

4 years

@isitherightword @JeffSiracuse This is the issue - this is a multilevel failing. Senior authors Junior authors IRB Peer review Editorial team Editors

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Tom Mallinson ⚕

@MallinsonT

11 months

@CrashCall @RCollEM Makes you think… an FY2, could do a nursing MSc (2yr) Then ACP credentialling (3yr) Then work 3yrs Then get given MRCEM (PGY10) Which would be quicker than getting given MRCEM as a SAS doctor.

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Tom Mallinson ⚕

@MallinsonT

3 years

@DrPamChrispin @MHA_92_ They’re welcome to act down for SHO money and cover the rota themselves then. Or champion senior management for more money. This petty intimidation is pathetic and unprofessional.

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Tom Mallinson ⚕

@MallinsonT

1 year

@ParamedEducator @EducationPara If you look very closely, you’ll notice the patient is actually made of plastic too

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Tom Mallinson ⚕

@MallinsonT

10 months

I want to tell #PrimaryCare & #RuralGP #GeneralPractice people about the Diploma is Musculoskeletal Medicine from @RCSEd @FSEM_UK @pcrsociety #DipMSK #CPD 🏃🏽‍♀️🏃🏼🏃🏿‍♂️A Thread💪🏼🩺🩻

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Tom Mallinson ⚕

@MallinsonT

23 days

@DrEilidhMaria @MarkySaysThis @SharonCase28311 @jessica_annie97 This thread highlights (assuming responses are honest) that the NHS no longer employs cleaners

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Tom Mallinson ⚕

@MallinsonT

3 years

@Aidan_Baron I remember NYE London many years ago, Called to a huge house party for a female with lacerations, First Aider gave me the best handover I’ve ever heard - in an uncontrolled scene, Even had an extrication plan. Never got the chap’s name. Well done random First Aid dude!

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Tom Mallinson ⚕

@MallinsonT

3 years

@Slimbo32 @metpoliceuk Maybe They were protesting in a provocative manner 😐 That’s the traditional excuse for male violence right?

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Tom Mallinson ⚕

@MallinsonT

1 year

Merry Pictmas @HighlandPICT

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Tom Mallinson ⚕

@MallinsonT

5 months

@DrEilidhMaria @Nadeem_Moghal Maybe he’ll reply - Nadeem, what’s this about? Do you genuinely believe medical students aren’t taught how to prescribe? What’s this about?

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Tom Mallinson ⚕

@MallinsonT

9 months

@ShaunAbreu @NYCSanitation Has New York just discovered…. Bins?

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Tom Mallinson ⚕

@MallinsonT

2 years

@ClareGerada @EmergMedDr Because as GPs we are more than capable of looking after people. Stop trying to imply we’re ignorant or incompetent. Primary & Secondary Care have funding issues - pointing fingers at colleagues like this isn’t helpful

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Tom Mallinson ⚕

@MallinsonT

1 year

@Vix_turnock Illegal deduction of salary, classic NHS

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Tom Mallinson ⚕

@MallinsonT

3 years

@apjashley1 @oli_m_sims I highlighted this to some midwives years ago - “today I’m the MedStudent you don’t want seeing patients - next year I’m the ED doctor seeing your sister with her miscarriage/menorrhagia/retained tampon”....

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Tom Mallinson ⚕

@MallinsonT

11 months

@tamwhyte ACPs are viewed as a cheaper and more easy to control workforce than doctors. Blurring the lines between ACP and doctor stops public outcry at Deskilling if medicine

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Tom Mallinson ⚕

@MallinsonT

4 years

@garybrannan “Thou musteth keepeth open all areas for the young to climb, playe and frolick ~ even as the Black Death or other pestilence stalks these lands. So it is written”

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Tom Mallinson ⚕

@MallinsonT

1 year

@Peston Are you serious? Decades of underfunding, and the proposed solution is a bung of £1K. You don’t know how bad it’s become do you…?

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Tom Mallinson ⚕

@MallinsonT

11 months

Unsurprisingly, the further you are from hospital, the longer it takes to get there! But also - doctors didn’t delay on-scene times, Helicopters weren’t always quicker, & as always, more research is needed #PHEM #trauma #helimed #retrieval

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Tom Mallinson ⚕

@MallinsonT

4 years

@Aidan_Baron Probably shouldn’t discharge them after giving an RSI at home

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Tom Mallinson ⚕

@MallinsonT

6 months

@alisonleary1 The assumption in the tweet was that the junior doctor would do it, and that junior is wondering why the workload can’t be shared

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Tom Mallinson ⚕

@MallinsonT

1 year

@samgosling92 @suha_abdl Not sure the magic apron has any benefit if you don’t touch anything

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Tom Mallinson ⚕

@MallinsonT

1 year

@NHS_HealthEdEng Spending millions of pounds to chase Chris Day through the courts for whistleblowing? Decimating trainee numbers in understaffed specialties?

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Tom Mallinson ⚕

@MallinsonT

9 months

@Whitehouse_ICU @WelshGasDoc Are you familiar with paramedics?

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Tom Mallinson ⚕

@MallinsonT

1 year

@hamzah2506 And they say NHS managers aren’t out there making a difference on the frontline

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Tom Mallinson ⚕

@MallinsonT

5 months

@quackophage Is that £8MILLION that the govt has given the GMC..?! Wow

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Tom Mallinson ⚕

@MallinsonT

2 years

@Xeon4f145d96s1 @Master75272373 I very much enjoyed wearing my Costco card as an ID card for 6 months in a hospital who couldn't provide me with ID. One person noticed in 6 months...

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Tom Mallinson ⚕

@MallinsonT

9 months

@noodles_nood I mean…. This is homophobia in the workplace right…

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Tom Mallinson ⚕

@MallinsonT

6 months

@drcolinm You genuinely think a medical student or junior doctor feels free to speak up? If so, I wonder if it’s worth rereading some of the work on institutional bullying in the NHS, & usual outcomes for whistleblowers. If you think the anon accounts are fabricating this;why would they?

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Tom Mallinson ⚕

@MallinsonT

2 months

@ParaPaul78 If this is the level of quality accepted by journals, this makes academia a lot easier… “Hey, ChatGPT, write me a journal article for the lancet”

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Tom Mallinson ⚕

@MallinsonT

2 years

Out on the 17th March, but can be preordered beforehand! Fundamentals of Pharmacology for Paramedics

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Tom Mallinson ⚕

@MallinsonT

1 year

Coming soon from @classprofession #RuralGP #PrimaryCare #Paramedic #Paramedics #AdvancedPractice

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Tom Mallinson ⚕

@MallinsonT

4 years

@DrMattBurrage I suspect there’s a vaguely threatening email from management to end this story

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Tom Mallinson ⚕

@MallinsonT

3 years

I just published a small study: 🩺 An exploratory study into the teaching of clinical examination skills in advanced practice 🩺 British Journal of Nursing @BJNursing #AdvancedPractice #Paramedic #Nursing #Physiotherapy #MedEd

An exploratory study into the teaching of clinical examination skills in advanced practice

Clinical examination skills are vital for the accurate assessment and diagnosis of patients. These skills also allow clinicians to differentiate between pathology requiring investigation or treatment...

www.magonlinelibrary.com

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Tom Mallinson ⚕

@MallinsonT

3 years

New paramedic textbook: Clinical Cases in Paramedicine I know we all worked hard on it; any feedback from readers/students?

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Tom Mallinson ⚕

@MallinsonT

4 years

@nmcnews The Nursing Home policy stated you must do CPR in cases of “incidents of sudden or unexpected collapse”, I’d argue a frail multimorbid 89year old for whom the GP wanted a DNACPR, being treated for pneumonia who then becomes breathless and dies, Is neither sudden Not unexpected

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Tom Mallinson ⚕

@MallinsonT

28 days

Do you know how to obtain a posterior and right sided ECG for your patients? #ECG 18-lead 15-lead

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Tom Mallinson ⚕

@MallinsonT

2 years

Oh dear

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Tom Mallinson ⚕

@MallinsonT

4 years

I don’t want to panic anyone. But Guedel (OP) Airway colours are changing (near me) #EMS #Anaesthesia #RuralGP #Paramedic #resuscitation

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Tom Mallinson ⚕

@MallinsonT

1 year

@Dr_BellaR Dichotomy of medicine. During the day - too junior to do any medicine. Out of hours - senior enough to be the sole doctor for many many many patients

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Tom Mallinson ⚕

@MallinsonT

4 years

Thank you @BASICS_HQ for this! Certainly cheered me up during these strange times, this represents over a decade of prehospital care employment and volunteering. Stay safe everyone!

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Tom Mallinson ⚕

@MallinsonT

4 years

A human rights perspective on the use of social media by the ambulance services. #paramedic #ethics #ambulance #bioethics #EMT #FOAMed #HumanRights #EMS #EmergencyServices #HEMS

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Tom Mallinson ⚕

@MallinsonT

1 year

@EllieMRogers Never understood why appropriate pain relief isn’t offered. It’s not like short acting analgesia doesn’t exist

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Tom Mallinson ⚕

@MallinsonT

2 years

@thomaswoodcock @D_Rodders The thing is - 3 x 13hrs = 36hrs a week. That’s normal full time working for anyone else… Just need that message to reach the media

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Tom Mallinson ⚕

@MallinsonT

3 years

@Dr_KM_ If it’s “non-degree” But you cover the same things as an MBChB. Then you should get a degree at the end..... If you’re cutting the curriculum, then we need to be very very cautious...

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Tom Mallinson ⚕

@MallinsonT

2 months

@medicalmodelbri I mean. The cowboy emoji seems apt.

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Tom Mallinson ⚕

@MallinsonT

2 years

@Xe4f145d16s2 @Master75272373 Easy to not want a pay rise at the top of consultant pay, with a big pension to fall back on an presumably a mortgage paid, compared to the ST1 who can’t afford petrol heating and parking charges

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Tom Mallinson ⚕

@MallinsonT

11 months

@FPARCP @TorbaySDevonNHS “Work autonomously”…?

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Tom Mallinson ⚕

@MallinsonT

1 year

@josemehrinho Just pay with claps 🤣

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Tom Mallinson ⚕

@MallinsonT

2 months

@trishgreenhalgh Hard to comprehend how any MRCP or FRCP can allow such data manipulation to go unchallenged. Clearly something deeply wrong with the senior echelons of RCP to be lying to their own membership

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Tom Mallinson ⚕

@MallinsonT

4 years

“A human rights perspective on the use of social media by the ambulance services” @ChrisJ999 A thorough overview of this topic! Worth a read. Disappointing this still needs discussing though... #TreatNotTweet #Ethics #Paramedic #EMS

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Tom Mallinson ⚕

@MallinsonT

3 months

@NuffieldTrust @Billy_Palmer_ @LucinaRolewicz Not for doctors eh?

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Tom Mallinson ⚕

@MallinsonT

1 month

@Parody_RCGP @DrRaniKhatib @Megsenmumdr @hswapnil @WYpartnership @NHS_RobW @DrJamesThomas1 That’s a nicely Encapsulated list. Well done 👍🏼 I wonder if there was a “The GP will explain this” “See the GP if you have any problems or questions”

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Tom Mallinson ⚕

@MallinsonT

2 years

Hadn’t seen this until @TheResusRoom mentioned it, Guidance for pre-alerting ED about patients, Did everyone else know about this document?

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Tom Mallinson ⚕

@MallinsonT

3 years

New adult OP airway colours… just to confuse you #PHEM #paramedic #ruralGP #EMS

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Tom Mallinson ⚕

@MallinsonT

6 months

@drcolinm @mjv__1 @UKFPO Great, as per my other reply; When will you be meeting @mjv__1 and a cohort of concerned doctors? Great opportunity to get grassroots feedback

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Tom Mallinson ⚕

@MallinsonT

6 months

@ramey999 They can do the 4 year graduate programme. That is the fast track route.

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