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This is the “Nazi bar” problem

We can't wait for the next generation of gynaecologists to give effective pain control for OP gynae procedures like IUD fitting and hysteroscopy. Here's a wonderful response from ObGyn student Agnieszka Steiner to Stephanie O'Donohue's BMJ article about agonising IUD fitting.

Does the use of intraoperative ketamine affect the incidence of postoperative delirium? Does the dose matter? Compared with patients not receiving ketamine, a low dose (≤ 0.35 mg.kg-1) was associated with lower risks of postoperative delirium. #anaesthesia #pain #MedTwitter

RN ratios~ 14% ⬇️ hosp mortality, a 20% improvement in infection prevention, ⬇️ ICU stay reduction ~1.5 days. Enhanced patient satisfaction ⬆️ 18% in units with adequate staffing. ⬇️ ratios assoc 25% increase in adverse events, nurse fatigue, and diminished pt safety outcomes.

"Echocardiography should be viewed, not as one person or one department's responsibility - but as the expected fabric in all our clinical settings." Dr Emire Meone-Maefiti General physician National Referral Hospital Solomon Islands youtube.com/watch?v=c9bJB7…

Nigel Edwards 2. If clinical professionals only work "at the top of their grade" with the most complex/challenging cases, it is a recipe for burnout, with no respite whilst some more straightforward cases give breathing space

Yes. This! This is exactly what the 10YP and Wes Streeting entirely missed. People aren't just diagnoses. The job of a doctor isn't just to order a test or write a script. Medicine is NOT transactional. It is relational.

Since I am giving you my two cents central lines, I will cover what to do in the event of inadvertent arterial cannulation. Management of complications of all types is important to learn. 1. Take a deep breath and remember that procedural complications happen to everyone that

A case of clot in transit 😱 🔗European Heart Journal - Case Reports, Volume 9, Issue 2, February 2025 doi 10.1093/ehjcr/ytaf034 #POCUS #FOAMed #FOAMcc

Interesting learning from Dr Patrick Davies…. There is such a thing as reheating too quickly in hypothermic cardiac arrest 🥶 Rapid rewarming can lead to neuro inflammation & metabolic disturbances. #NEPTUNE25

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⚠️RESULTS PUBLISHED⚠️ "Modelling the potential clinical benefit of mobile stroke units in England" 🧠🚑💉 bmcemergmed.biomedcentral.com/articles/10.11…

huge moment for Sarah

Whilst I am resharing this thread I wrote in 2024, please do also read the recent reports led by Patrick Chinnery (medics) and Jessica Corner (NMAHPs) highlighting some of the actions that need to be taken to improve the situation. Both can be found at ukri.org/publications/c…

🚨Future Docs Demand More #POCUS🚨 New study: Med students❤️#ultrasound - it's crucial for clinical skills & dx They want it integrated EARLY with more hands-on time to close the "skill-do-gap" 👩‍🎓Educators, time to step up! Teach like Zedu👍 Read more 👇 facebook.com/groups/2320595…

Dr Matt Kneale (🦋drmk.link) I read the rest of the review coloured by Prof Leng’s forward which I thought was exceptional Not least because she is quite clear that resident training is broken and she’s the first in a position of true authority to admit it Powis and Whitty ignore this at their peril

Timing and triggers are essential. But quality is worse than imperfect, we know that pts flip categories routinely during the same episode. Ask away, but absolutely feel free to ignore category. Not all that spins is vertigo and plenty of near syncope is vestibular.

I have. I've met people with down syndrome, cancer, MS, alzheimers, paraplegics - all living on the streets. They die. Very soon after they stop being able to access medical care, people with disabilities on the streets just die.

repost from Reddit. A Trust in the U.K. tonight, without any strikes taking place. Wes Streeting Shaun Lintern Sky News LBC News

I’m an English professor at William & Mary & for the first writing assignment in all my classes, I tell students to give me their version & a version written by AI. I tell them not to indicate which is which & I grade them both & make a guess. it’s never been hard to tell.