I very, very rarely swear on here, but Lawrence Fox is a colossal twat isn’t he?
Iain Beardsell
14.8K posts
Iain Beardsell
@docib
Consultant in Emergency Medicine and Associate Clinical Sub Dean @UHSFT. Honorary Principal Teaching Fellow @UoS_Medicine. @stemlyns #FOAMed
Hampshire
Joined August 2009
- I have been a doctor in emergency (A&E) medicine since 1999 (before the four hour target) and I can honestly say it has never been as bad as it is today. Right now. I have no idea how the clinicians, nurse and others will keep going to work everyday.
- Evening Abby. Finally a question I can answer! There are many causes of a tachycardia. Sometimes it’s just a physiological response to the body needing more oxygen in the tissues, but it could also be an arrhythmia like fast AF or even VT. I hope that helps. Yours aye. Iain.
- Hi Abby. It’s really kind of you to show such an interest. I think it’s probably getting an arterial line in under ultrasound guidance in a patient with no palpable pulse. There’s nothing like it. All best. Iain.
- The uncomfortable truth that dare not be said is that many do not need to see a GP or attend A&E. Society is now about the individual not the whole. We’ve seen it for years- “so what if there’s dying people in Resus? What about my sprained ankle?”.
- When you attend an A&E/Emergency Department. 1️⃣ We will see people in order of clinical urgency. 2️⃣Arriving by ambulance does not mean you will be seen quicker
- Just for fun I asked our night team of doctors how many had been Head Boy/Girl at school. Over 50%. Sometimes we forget just how high achieving our colleagues are. They are (literally) the academic top 1%. We need to empower them, not patronise them in their roles.
- I notice the #JuniorDoctorsStrike has dropped off the @BBCNews website front page and isn’t even the top health story. Press coverage often negative and patients undeterred from attending A&E. I fear HMG has no reason to negotiate. What’s the @TheBMA next move?
- He’s a farmer in A&E. Immediately refer to ITU.A 29-year-old farmer presents to your local ED with a bite mark over the upper left calf 🕷️ He is physiologically stable with a NEWS of 0. How do you manage this case? 🆓#FOAMed➡️ ow.ly/oU6S50H2K2w @HassanNassar90
- It is time for a national discussion about what it is reasonable to expect for emergency medical care from #NHS. We can no longer just see everybody and anyone who turns up at A&Es’ doors. It is just not possible. We have to be there for the acutely unwell and injured.
- Never underestimate the toll it takes on you walking into a hospital every day. Surrounded by the sick, injured and sad it’s hard to remember that the whole world isn’t like that. I genuinely don’t think the public (or politicians) have any understanding of how hard it can be.
- I have a confession to make. Please don’t judge me or think me less of a man or clinician. I really don’t mind when people call it ‘A&E’…
- To remove some of the cognitive burden I have scripts I use on each and every trauma call. In essence I am playing a part, and leaving as much brain space for the complex thinking as I can. This is the script I use prior to the patient arriving. #RCEMcpd
