JP Lomas @jplomas Twitter profile

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JP Lomas

@jplomas

2 years

Sometimes typos can brighten your day 🤗

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JP Lomas

@jplomas

2 years

Posted without comment 🙈

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JP Lomas

@jplomas

4 years

It’s a war not a battle, long way to go. Look after yourself and those around you. 💙 #NHSheroes

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JP Lomas

@jplomas

2 years

Deafened by the noise of (some) senior registrars and consultants pulling the ladder up on their more junior colleagues. Some of the caring profession with no apparent empathy for their own. Come on, guys. 😢

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JP Lomas

@jplomas

3 years

"We were winning but for the new variant" seems to be the evolving narrative. Let's be absolutely clear: we were not winning, and to us a national lockdown announcement to try and rewrite history is abhorrent. 1/3

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JP Lomas

@jplomas

2 years

Sad day… no real desire to do this other than a need to protect my family from punitive taxation for working harder. @trussliz this is the antithesis of what you say you stand for. Doctors’ pension taxes need fixing NOW.

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JP Lomas

@jplomas

4 years

@mrjamesob NERVTAG minutes about loss of smell. Ear nose and throat specialists are outraged that their alarm bells were given the deaf ear: this “interesting observation” could have meant more self-isolation early on and greater containment overall.

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JP Lomas

@jplomas

3 years

To all the people who just stood up and mucked in, hearing about Dyson and his “what do I get in return” attitude is a reminder that while COVID has brought out the best of humanity, the absolute worst has been equally abundant.

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JP Lomas

@jplomas

5 months

0% pay rise with promise of jam tomorrow. No way. Multiple raids on pension pot, sub inflationary pay rises, worsening overall working conditions and chronic underinvestment. Any “jam tomorrow” clawed back in some other way. A terrible, divisive, ladder-pulling offer. No.

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JP Lomas

@jplomas

9 months

The very eloquent @dannyjnwong at talking about the future of anaesthesia models of care

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JP Lomas

@jplomas

3 years

Handed the job or not, anyone trying to turn the NHS into a small-island, small-minded xenophobic populist cess pit of hate will never be a leader of mine.

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JP Lomas

@jplomas

4 years

Excellent points made by @mrjamesob caller & Critical Care nurse. We need to talk about 'testing' in the context of an overall strategy and 'capacity' in the context of staffing ratios. Numbers make headlines but don't tell the full story.

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JP Lomas

@jplomas

3 years

Of course the real solution is a properly flexible and modular CCT programme: entry points at any grade, not just two fixed points, with appropriate recognition of OOP competence and experience without arbitrary time limits.

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JP Lomas

@jplomas

7 years

I’ve missed with a pink I’ve missed with a blue We’re all out of gauze So it’s sevo for you #GasValentines

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JP Lomas

@jplomas

2 years

The word is SORRY 🤦🏼‍♂️

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JP Lomas

@jplomas

3 years

BREAKING: London registrars doing Critical Care transfers ‘oop norf’ opt to stay there when they discover “consultants”, “teaching” and “appreciation”. (Only joking London 😘)

Alastair McLellan

@HSJEditor

3 years

BREAKING: London critical care patients could be sent to Yorkshire as capital's ICUs top 100pc occupancy FREE to read

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JP Lomas

@jplomas

7 months

Both topical and interesting from the analytical mind of Prof JJ Pandit at @RCoANews updates — economic proposition of AA vs SAS… do the NHS workforce plan numbers hold up?

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JP Lomas

@jplomas

3 years

Happy to buy any London NHS Critical Care doctors a pint when this is all over by means of apology for lazily abusing north/south divide stereotypes for irreverent joke. I’m only paying Northern prices though.

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JP Lomas

@jplomas

1 year

Congrats to everyone who managed a pass despite the required pass mark being >100% @RishiSunak #Maths

Royal College of Anaesthetists

@RCoANews

1 year

The results of the Final #FRCA Written taken in February 2023 have been sent by email. Please check your inboxes (and your junk folder).

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JP Lomas

@jplomas

2 years

Watching the VL/DL debate descend into and either/or issue with nuance lost. Train to master both, maintain skills with both. Pick the right tool for the job in a moment of difficulty. Patient selection critical.

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JP Lomas

@jplomas

2 years

Weekend project: Wordle-inspired daily FRCA syllabus MCQ quiz heading your way soon — free #FOAMed CPD 🥳

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JP Lomas

@jplomas

3 years

Seriously impressed with theatre recovery colleagues who have stepped up in the last 24 hrs to make an additional Critical Care area & our ICU staff supporting them. Comfort zones stretched but safe & effective care delivered with a smile. #teambolton 💙

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JP Lomas

@jplomas

4 years

London Critical Care bursting at the seams in Wave 1: National lockdown with furlough to keep food on the table, huge amount of NHS capital funding, Cabinet Office procurement of essential equipment, "clap for your NHS". Northern cities' Critical Care bursting at the seams...

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JP Lomas

@jplomas

2 years

Getting pretty sick of my taxes being used to fund NHS gynaecology services that I’ll never use. Like paediatric services: I should definitely not be paying for those. Kids should pay their own damn tax. #LicenceFee

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JP Lomas

@jplomas

8 years

#consultantcover - if you need us, we’ll be there Because everyone needs an aviation analogy & fear is bad for you

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JP Lomas

@jplomas

5 years

0 to app in <5 days… any gas board willing to test? DM please!

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JP Lomas

@jplomas

7 years

Relaxants are red Opioids blue If we mix that up It’s bad for you #GasValentines

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JP Lomas

@jplomas

1 year

@PippaCrerar This non-intervention shows the kind of leadership we have come to expect

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JP Lomas

@jplomas

4 years

These are fantastic and a resource all involved with should be proud of. Shame I didn't catch them in time for this round of viva practice! @eLANews @RCoANews @HEE_TEL

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JP Lomas

@jplomas

7 years

Staff morale can be bought for a Rich Tea knock-off & industrial sized tin of industrial “coffee”. Wonder how much this saves? #GuessWhere

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JP Lomas

@jplomas

8 years

Andrew Marr @AndrewMarr9 hitting nail after nail on the head. Political journalism of he highest quality.

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JP Lomas

@jplomas

6 years

#BawaGarba narrative seems to show a reaction to systemic failure that is the antithesis of a cultural shift towards safer healthcare provision. Urgent detoxification required.

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JP Lomas

@jplomas

2 years

Some fun this evening helping @NW_Anaesthesia make the ARCP requirements for new @RCoANews 2021 curriculum transparent for trainees and trainers alike...

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JP Lomas

@jplomas

1 year

@wesstreeting "Won't often be clinically appropriate" is a country mile away from the kind of access to specialists touted over the past couple of days. Have the humility to accept that your messaging over this has been woeful. Read the room.

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JP Lomas

@jplomas

4 years

If Joe Public can take anything away from Coronavirus so far it needs to be that (a) we need more — and better — critical care facilities (b) we need more — and better preserved — critical care staff (c) we need capital funding into the NHS to provide (a) and (b)

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JP Lomas

@jplomas

2 years

Happy #ODPday to all the brilliant ODPs out there! 💙

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JP Lomas

@jplomas

4 years

Honoured to have been elected Chair of @scata_uk in succession to the brilliant @DigitalGasDoc -- big boots to fill!

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JP Lomas

@jplomas

3 years

The degree of ineptitude it takes to ignore the link between professional performance and happiness is next level. Wondering what can be done for “Wellbeing?” Don’t bother until you’ve fixed everything that simmers beneath the surface.

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JP Lomas

@jplomas

3 years

0.3 mL of hope for 2021: earlier than expected but gratefully received.

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JP Lomas

@jplomas

2 years

AA over the threshold, request to drop PAs in 🤷‍♂️. @theresecoffey you need to work with @TheBMA to fix this NOW.

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JP Lomas

@jplomas

7 years

Lomas & Lomas trainee hierarchy of needs. Wellbeing is built on 4 fundamentals of training. Rotas underpin it all. @BmcLomas

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JP Lomas

@jplomas

5 months

👉 Top-heavy redistribution of the pay envelope 👉 When was this ever about DCC/SPA? 👉 Pulling of LCEAs 👉 Withdrawal of the rate card (a valid assessment of the value of extra-contractual work when viewed in context of other professional groups) …and more NO.

JP Lomas

@jplomas

5 months

0% 🤣🤣🤣

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JP Lomas

@jplomas

2 years

Manchester, 1 bedroom flat, average rent: £1,100. I lived in for free for a year… then stayed on for a few quid for another couple of years (grim but commute to work <5 min). Removal of hospital accommodation for those of all disciplines new to the NHS a massive blow.

JP Lomas

@jplomas

2 years

Deafened by the noise of (some) senior registrars and consultants pulling the ladder up on their more junior colleagues. Some of the caring profession with no apparent empathy for their own. Come on, guys. 😢

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JP Lomas

@jplomas

1 year

@NHS_HealthEdEng That time during MTAS when all the electronic applications were printed off — then large numbers were promptly lost leaving people without interviews in their first choice region

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JP Lomas

@jplomas

7 years

Delighted that @boltonnhsft anaesthetic department has met the requirements for @RCoANews ACSA accreditation - fantastic work #TeamBolton !

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JP Lomas

@jplomas

4 years

Disappointing messaging from NHS England here. 1000s of patients with care delayed to create *additional* capacity need to know this was part of a wider “war” effort, not “we had this covered”. We absolutely did not: Herculean team effort — including patients — required to cope.

Naaventhan

@navpalani

4 years

Again Deputy CMO saying our critical care bed capacity was always sufficient. It has been sufficient only because extra capacity was created which included stopping/postponing cancer surgeries. This never gets mentioned! @BBCNews @CMO_England @MattHancock @ICMdoc

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JP Lomas

@jplomas

1 year

@ShaunLintern Downing Street have squandered their opportunity to ride in as the voice of reason, put Barclay on the naughty step and negotiate an out 🤦

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JP Lomas

@jplomas

3 years

What makes this slow-burn, insidious wave of COVID so scary is the increased length of stay (reduced “turnover”). It means we are slowly moving to an equally precarious situation as at previous peaks but without an obvious “wave” effect. A slow-running tap can also cause a flood.

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JP Lomas

@jplomas

3 years

Off to work the last and first overnighters of 2020 and 2021 respectively. HNY to all who have made #teambolton a place of positivity and comradeship in the most terrible of circumstances, and thanks to the other 11 guys here for being my clinical anchors through it all.

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JP Lomas

@jplomas

1 year

Was in London so dropped in to this old haunt after a 3 and a half year absence ☑️

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JP Lomas

@jplomas

5 years

Risk assess laparotomy patients — PoRC: Perioperative Risk Calculator out now on iOS [] and Android [] (If you’re a nerd, the source code is at 🤓)

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JP Lomas

@jplomas

3 years

“And so what?” many uninformed 20 somethings may say. Well, aside from that there won’t be any capacity for granny/mum/dad when they get COVID — and I’m already going to assume you don’t care about them — there won’t be any space for you when you:

Shaun Lintern

@ShaunLintern

3 years

‘Very substantial risk’ that NHS will run out of intensive care beds, Boris Johnson warns

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JP Lomas

@jplomas

3 years

The highest risk healthcare staff aren’t those wearing FFP3s for patient contact who know the COVID status of everyone around them. Vaccination programmes are herd-based: protect the herd, protect yourself. Keep calm and wait your turn 💙

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JP Lomas

@jplomas

2 years

The words of @DanNethercott resonate in this thoughtful discussion with Nick Robinson on Radio 4.

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JP Lomas

@jplomas

8 months

No point being “in the room” if the only thing you say is “sure, no problem”. It’s okay to say NO. It’s okay to say NOT GOOD ENOUGH. Signed 👇

Anaesthetists United

@AnaesUnited

8 months

502 signatures! Thank you to everyone who has signed so far. Keep your signatures coming in, we'll keep the form open for 6 more days before sending our list to the College. Let's get to 1000! The more signatures we have, the louder our voice!

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JP Lomas

@jplomas

7 years

#gashack - live data pulled from CLWrota for a #hellomynameis display board

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JP Lomas

@jplomas

4 years

Would there been examples of poor practice: yes. Was the NHS as a whole institutionally cruel: no. Sensationalising the complex — and individualised — decision-making around benefits and harms of specific therapies helps neither the bereaved or public understanding.

Shaun Lintern

@ShaunLintern

4 years

Sunday Times report on intensive care will spark lots of debate, no doubt. But regards the claim no patient was denied critical care...

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JP Lomas

@jplomas

3 years

This is what Anaesthesia has always been about 👇 #teamNW

NW Anaesthesia

@NW_Anaesthesia

3 years

@coollyndz Template letter sent to @GaslingSarah

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JP Lomas

@jplomas

8 years

The most comprehensive source of FRCA learning now grouped by topic for revision goodness…

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JP Lomas

@jplomas

7 years

News in from ICNARC/ICS SOTA meeting: there is NO weekend effect in critical care #ICSSOA2016

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JP Lomas

@jplomas

2 years

Signal that TED stocking use is on the way out… all eyes on NICE 👀 as guidelines catch up with evidence #anaesthesia2022

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JP Lomas

@jplomas

4 years

Zoom-based viva practice. Constantly blown away by this generation of trainees: mucking in with COVID in the most amazing way, getting stuck into jumping through the FRCA hoop with good grace and levels of knowledge that I'm sure I never had.

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JP Lomas

@jplomas

5 years

Fun developing a new laparotomy risk calculator over the last couple of days. Now ready for app store submission and release… watch this space!

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JP Lomas

@jplomas

6 years

“Life is a hard teacher: first comes the exam, then the lesson” — @MartinBromiley #RcoAWinter

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JP Lomas

@jplomas

2 years

Proud that Anaesthesia & Intensive Care Medicine at @boltonnhsft gets such a resounding thumbs up from our trainees (even in the midst of a pandemic!) 💙

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JP Lomas

@jplomas

4 years

Turns out I’ve been using it without approval for the last 16 years.

Matt Hancock

@MattHancock

4 years

Today, we've approved Dexamethasone for immediate use across our NHS. This life-saving discovery was made in Britain and is a testament to the brilliant work of scientists & the national effort to save lives & protect our NHS.

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JP Lomas

@jplomas

7 years

Being asked to fill rota in a different specialty? Ask what induction into the workplace and the degree of supervision you’ll be receiving.

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JP Lomas

@jplomas

4 years

I have talked about the concept of one-in, one-out when it comes to hoops in training. Applications, curriculum, examinations, ARCP. You want to introduce a new hoop? Fine, tell me which one you are getting rid of. Want to see a token QI project at ARCP? What are we dropping?

Segun Olusanya (He/Him) [email protected]

@iceman_ex

4 years

This is just MTAS: The Sequel

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JP Lomas

@jplomas

5 years

Peri-operative Risk Calculator (PoRC) — Risk assess your laparotomy patients with NELA and P-POSSUM models: — iOS, Android and web, gloriously £FREE and open source

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JP Lomas

@jplomas

3 years

Thanks to the brilliant @boltonnhsft security team overnight for thwarting an attempted car theft that would have been the sting in 2020’s tail. Unsung NHS heroes! 💙

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JP Lomas

@jplomas

4 years

Thanks Simon. A big part of scaling up Critical Care will be making good quality information easily accessible for those with enough ICM knowledge to make a big difference but understandable anxieties about stepping up. Another #TeamBolton example:

Simon Carley

@EMManchester

4 years

Lots of Qs at work about this! Covid 19: A primer on ICU care for the non-intensivist. For those who may be redeployed to support critical care services during the pandemic @jplomas @traumagasdoc @andyneill @stemlyns #FOAMed …

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JP Lomas

@jplomas

3 years

The NHS has always been a bit crap round the edges for non-emergency care, but for emergencies it has, until now, been world-class. Capacity due to COVID has changed this and it makes us, the guys who pick up the pieces, worried. #dontbeadick

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JP Lomas

@jplomas

3 years

Excess deaths, NHS brought to its knees, millions wasted on inadequate PPE, failed pandemic response projects and botched decision making every step of the way: following the science but from a dangerous distance. We were not winning, we were being trounced. 3/3

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JP Lomas

@jplomas

8 years

I love #anaesthesia because I get to work with brilliant people like this every day! #RCoAWorldAnaesthesiaDay

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JP Lomas

@jplomas

7 years

History will remember those who warned of the dangers of hipster beards. Here’s Tom, basking in the glory of best ever letter to the editor.

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JP Lomas

@jplomas

7 months

Anaesthesia in the UK. There is a mish-mash of interests and agendas between government, NHSE, Trusts, Universities and the GMC. 🧵👇

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JP Lomas

@jplomas

3 years

Not sure a below inflation pay rise is going to bring back the exodus of ODPs heading to the private sector for better pay, conditions and prospects. COVID made an elective NHS untenable; the upcoming workforce storm could easily make urgent & emergency care untenable.

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JP Lomas

@jplomas

1 year

Sad to see chest drains being added to the unofficial “things (some) anaesthetists don’t do” list. Essential skill IMHO.

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JP Lomas

@jplomas

2 years

Go live 🚀

JP Lomas

@jplomas

2 years

Weekend project: Wordle-inspired daily FRCA syllabus MCQ quiz heading your way soon — free #FOAMed CPD 🥳

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JP Lomas

@jplomas

7 years

NELA app is now live: Android iOS

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JP Lomas

@jplomas

2 years

In the context of supply chain chaos and oxygen supplies incapable of delivering conventional CPAP on the scale needed, this story of innovation and sharing is one of the success stories of the pandemic 💙

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JP Lomas

@jplomas

4 years

It took ENT specialists to publicly call out medical leadership to get this added to the symptoms list

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JP Lomas

@jplomas

3 years

Giving anaesthetics today was enormous fun after an unanticipated 15 month break.

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JP Lomas

@jplomas

5 months

@dannyjnwong I wonder if the SPA will be stripped from the younger or the older first?

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JP Lomas

@jplomas

7 years

Received some interesting anonymous #GasValentines including this one. Who knew anaesthetists could be so darkly satirical?

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JP Lomas

@jplomas

4 years

RIP the #JointCCT — what could it have done for workforce since consigned to the bin? 🤷

Rosie C 💙

@gaswomancometh

4 years

Thoroughly enjoying my ITU block. It was not my plan to enjoy it this much. I had made career plans and they did not involve ITU. This is inconvenient

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JP Lomas

@jplomas

1 year

happy #ODPDay to ODPs past, present and future

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JP Lomas

@jplomas

4 years

It’s quite simple, anyone suggesting “anaesthetist” === “consultant” is talking bollocks.

Rob Fleming

@RobJimFleming

4 years

Med twitter is bad for my blood pressure. This morning I've been reading tweets declaring that unless you CCT you can't call yourself an anaesthetist. When it was a GP with this opinion, it was irritating. Other anaesthetists agreeing is making me seriously fractious.

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JP Lomas

@jplomas

7 years

If this is you, look after yourself If this is a colleague, look after them There is help:

JP Lomas

@jplomas

7 years

The rates of anaesthetists in specialty training suffering from a high risk of burnout are terrifying #RCoAWelfare

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@jplomas

4 years

@WelshGasDoc A crime only worsened by ignoring the “say when” reply and acting surprised when the patient’s nose touches the lights. “Oh, down a bit”.

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JP Lomas

@jplomas

4 years

This is not a game of poker. This is a national problem. If Andy Burnham doesn’t have the funds to fill potholes, why would he suddenly be able to support thousands of vulnerable people and SMBs through a second lockdown and enhance regional NHS capabilities?

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JP Lomas

@jplomas

4 years

When social distancing is over the man with the hats should get together with the man without the donuts and we can decide who knows how to best misread a room once and for all.

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JP Lomas

@jplomas

8 months

Dr Rosie Benneyworth, HSIB Chief Investigator describes education initiatives (mandatory training modules) as being the least effective patient safety intervention: they target individuals rather than systems. #hsjpatientsafety

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JP Lomas

@jplomas

3 years

Also fantastic for @NW_Anaesthesia to maintain a long tradition of representation — congratulations @Russell13434683 !

Royal College of Anaesthetists

@RCoANews

3 years

More good news to share... We are pleased to announce that Prof Will Harrop-Griffiths & Dr Russell Perkins have been elected (unopposed) as Vice-Presidents of @RCoANews . Both will take up office in Sept 2021. Congratulations to them! #TeamAnaesthesia

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JP Lomas

@jplomas

8 months

@doctorhelgi I’m a bit worried that there seems to be a senior leadership acceptance of “we are where we are” and redefining “safety” in the context of a resource-poor environment.

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JP Lomas

@jplomas

7 years

“Routine change” of cannula = adverse incident report. If there’s a policy, the policy needs updating. Stop hurting patients unnecessarily.

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JP Lomas

@jplomas

4 years

Local lockdown, briefing against mayors of the wrong political persuasion, no funding safety net for citizens, additional NHS funding pulled (back to cap in hand begging for essentials) and innovative central procurement mothballed.

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JP Lomas

@jplomas

8 years

Wonder if anyone told NHS Employers that this contract was meant to fix the alleged "weekend effect"?