Chris Wearmouth @CCWearmouth Twitter profile

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Chris Wearmouth

@CCWearmouth

7 years

South Africa Where your critical care transfers must be done with blazing sun, stunning views and banging tunes 🇿🇦🚁🏥☀️😎

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Last Seen Profiles

@Dano_27171

@GT_Protocol

@Mr_Sempere

@BriObeng

@tatibana_sada

@PublicSanj16661

@Bangni2222

@stwmaniax

@nayao

@Bitbull3_0

@BruceMsgbw96ret

@Dumpies

@blp_city

@catsmelted

@iHJAB_

@rldus0607

@olejnik_lukasz1

@BWeezy50748

@Finkerton

@MeetWhale

@findmycure

@tiktok_France

@baechlesteve58

@ssnoopyupdates

@krissjayo

@ChxxzBrxxd

@aguerosergiokun

@fusefusekinoko

@45Baskarra

@donnaseto

@unproxified

@mitsy_balofa

@MonikaSanthoshg

@gabrielacoutos

@tameile

@miu_furuno

Chris Wearmouth

@CCWearmouth

3 years

Recently spent 4 hours in full PPE for a prolonged cardiac arrest with ongoing CPR Zero sympathy for people who complain about having to wear a mask when going to the shops

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Chris Wearmouth

@CCWearmouth

2 years

I saw staff crying I saw staff terrified I saw staff asking how to look after their hands that were literally red raw I saw redeployed consultants sleeping on office floors I saw the very best of a lot of people None of them were having a fucking drink at work 🖕

BBC Politics

@BBCPolitics

2 years

"I don't think at any time he thought he was breaking the law... he thought just like many teachers and nurses who after a very long shift would go back to the staff room and have a quiet drink" Tory MP Michael Fabricant urges Boris Johnson to apologise

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Chris Wearmouth

@CCWearmouth

3 years

If you want the Twitter exchange of the day, here you go

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Chris Wearmouth

@CCWearmouth

4 years

The NHS does not have a ‘breaking point’; the quality of care and the services it can deliver safely just gradually deteriorate. Things are really bad right now, please stay at home.

Covid-19: What happens if hospitals are overwhelmed?

How do hospitals become overwhelmed and what can be done to stop it from happening.

www.bbc.co.uk

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Chris Wearmouth

@CCWearmouth

3 years

I just don’t understand how anyone who has looked after hospitalised Covid patients can look at the vaccines and be like “nah thanks I’m good”

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Chris Wearmouth

@CCWearmouth

2 years

Been trying to get this into our child for the last 4 days. I feel like I need to apologise to every child and parent I’ve ever prescribed Pen V for in the past

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Chris Wearmouth

@CCWearmouth

3 years

I found out today that this young, fit, healthy person died on ITU and left behind a young family. They had chosen not to get a vaccine because they thought they weren’t at risk 😥 Tell me again why we’re cancelling all Covid restrictions?

Chris Wearmouth

@CCWearmouth

3 years

Had my first Covid ITU admission in months last week. I forgot the awful feeling in the pit of your stomach when you have to tell someone they will probably be intubated in the next few days, and know inside that they may not get out of hospital Please get your vaccine everyone

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Chris Wearmouth

@CCWearmouth

4 years

I love that Matt is planning on giving the NHS the rest of 2020 off as a thank you for all our hard work so far. Last one out hit the lights

NursingNotes

@NursingNotesUK

4 years

Health and social care workers should self-isolate if any colleague tests positive, says Hancock.

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Chris Wearmouth

@CCWearmouth

3 years

Datix inbox: - Pressure sore - Pressure sore - Urology SHO didn’t answer bleep while scrubbed in theatre - Pressure sore - Cannula documentation not completed - Foreign Armed Forces destroy hospital infrastructure ?retaliatory strike required - Pressure sore

ITV News Anglia

@itvanglia

3 years

Air ambulances unable to land at Addenbrooke's Hospital after helipad destroyed. (Video by Trailspotter)

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Chris Wearmouth

@CCWearmouth

2 years

72hrs of anything is knackering, but labour especially so Epidurals are magical NHS tea and toast is more resuscitating than IV fluids I have never felt so grateful for the NHS and everyone who works in it I can now legitimately tell Dad jokes ✅

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Chris Wearmouth

@CCWearmouth

3 years

This is the kind of thing that will keep me weirdly satisfied for the rest of the shift

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Chris Wearmouth

@CCWearmouth

4 years

Looked in my stocking for an early present. Would have preferred a lump of coal to be honest

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Chris Wearmouth

@CCWearmouth

3 years

MedTwitter Cardio: "You see this tiny, seemingly insignificant ST deviation here, yes that's actually a total LAD occlusion that needs urgent PPCI. You saved a life!" Actual Cardio: "lol whatever with your ST elevation and chest pain. Admit medics for serial trops"

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Chris Wearmouth

@CCWearmouth

1 year

They dropped ALS as a requirement for the Foundation Programme. WHAT THE ACTUAL?!?

The BMJ

@bmj_latest

1 year

Advanced life support training is declining for medical students and junior doctors—this risks leaving them unprepared for medical emergencies, say Umika Moorjani and colleagues

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Chris Wearmouth

@CCWearmouth

1 year

How’s everyone else’s morning going?

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Chris Wearmouth

@CCWearmouth

6 years

After my third silent chest of the night, I realised the problem might be outside of the chest 😲

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Chris Wearmouth

@CCWearmouth

2 years

For anyone complaining about how inconvenient and disruptive this will be

Resident Doctors

@BMAResidents

2 years

11-15 April will be the next round of Junior Doctors strike action in England. The Government is still refusing to make a credible offer - or any offer at all - to resolve our dispute. Read more:

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Chris Wearmouth

@CCWearmouth

6 years

Used local anaesthetic for an ABG yesterday. Patient was delighted that it "wasn't horrible like last time"

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Chris Wearmouth

@CCWearmouth

4 years

Our scrubs supply has gone from just navy blue to this spread as the demand rises PEACH?!?!? 🤢

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Chris Wearmouth

@CCWearmouth

1 year

Consultants in Ireland start on €250,000

Department of Health and Social Care

@DHSCgovuk

1 year

The BMA has demanded a 35% pay rise for junior doctors. Junior doctors can undertake career advancement to long term careers, with the starting salary for consultants being £88,364.

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Chris Wearmouth

@CCWearmouth

4 years

What’s the most satisfying ED procedure? Pulled elbow has to be right up there

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Chris Wearmouth

@CCWearmouth

3 years

My learnings from GI bleeds reinforced recently: If you think the patient needs a fluid bolus, you probably need blood If you think the patient needs blood, you probably need the major haemorrhage protocol

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Chris Wearmouth

@CCWearmouth

3 years

I once saw my wife introduce herself as a Cardiology doctor, examine to the patient, explain that they’d had a heart attack, talk through the treatment and fully consent them for an angiogram…only for them to ask afterwards when they’d be seen by the doctor 🙄

Dr Claire B

@Dr_Claire_B

3 years

@DrBenLovell Even when I introduce myself to patients (not other staff, would be too weird) as ‘Dr B’, with my stethoscope on & ‘consultant’ emblazoned across my left tit, I get asked ‘when will the doctor come to see me?’. 🤷🏽‍♀️

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Chris Wearmouth

@CCWearmouth

2 years

Look David, I appreciate you devotion to the Amazon reviews community to help people decide if the £5.09 thermometer is worth it, but maybe a bit too far eh?

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Chris Wearmouth

@CCWearmouth

2 years

Actually I think you’ll find there are Ass Queens too

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Chris Wearmouth

@CCWearmouth

3 years

Excited to accept a Paediatric Emergency Medicine training post in the North East next year 😀

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Chris Wearmouth

@CCWearmouth

4 years

My lessons from ICU: Propofol 👍 Pancreatitis 👎 Magnesium 👍 Calcium 👍 Arterial lines 👍👍 Fourniere's/Nec. Fas 👎👎 Tribalism in medicine 👎👎👎 COVID👎👎👎 Doing basic things well 👍👍👍

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Chris Wearmouth

@CCWearmouth

3 years

It’s so sad that rudeness between colleagues (often over the phone and not face to face) and not clinical challenges that can so often be the thing that ruins a shift

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Chris Wearmouth

@CCWearmouth

4 years

ED when I took over coordinating at lunchtime vs how it was a few hours later when I handed over

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Chris Wearmouth

@CCWearmouth

4 years

Did a cold debrief after a traumatic incident for the first time yesterday. Struck by people’s different perceptions of the same events and reminded how important it is to check in with the whole team, including non-clinical staff who were there

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Chris Wearmouth

@CCWearmouth

3 years

Had my first Covid ITU admission in months last week. I forgot the awful feeling in the pit of your stomach when you have to tell someone they will probably be intubated in the next few days, and know inside that they may not get out of hospital Please get your vaccine everyone

seahorse

@seahorse4000

3 years

I can't count the number of times today I wrote "40 years old" (or 30, or 35) "fit and well, no medical history, not vaccinated"

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Chris Wearmouth

@CCWearmouth

3 years

A reminder that RCEM have a very helpful guide about use of the Mental Capacity Act in Emergency Departments

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Chris Wearmouth

@CCWearmouth

5 years

Spent a long time trying to pick between two frames in Specsavers. Enlisted my wife’s help, who suggested I take a closer look at them 🤦🏻‍♂️

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Chris Wearmouth

@CCWearmouth

3 years

Had to work 13 shifts in 14 days to secure leave, am on the third version of the holiday due to Covid and almost missed the need for a PCR due to a last minute rule change…but we’re actually on holiday and it’s GORGEOUS

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Chris Wearmouth

@CCWearmouth

4 years

@allisonpearson @Tothemo83592350 Hi! Intensive care doctor here 👋 Sadly you’re mistaken, young and middle aged people are filling our beds, some dying. We are all at risk

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Chris Wearmouth

@CCWearmouth

11 months

So is the GMC basically saying they’ll take money off PAs to write their name on a list and give them a number (that will be hard to differentiate from a Doctor’s GMC number), but not actually regulate what they can/can’t do? Some might describe that as a money making scheme

ExplosiveEnema

@ExplosiveEnema

11 months

So PAs are going to become regulated professionals without ever actually being regulated.... All the GMC are doing is keeping a list This is seriously bad. Paves the way for prescribing, rads and limitless scope without any guardrails whatsoever!

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Chris Wearmouth

@CCWearmouth

4 years

The anatomists really missed a trick when they named them coronary arteries and not hearteries

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Chris Wearmouth

@CCWearmouth

2 years

About to do a thread about PAs and I feel like I’m going to regret it already…💣

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Chris Wearmouth

@CCWearmouth

4 years

Confirmed PCR Positive. Bah humbug. 2020 can get in the bin

Chris Wearmouth

@CCWearmouth

4 years

Looked in my stocking for an early present. Would have preferred a lump of coal to be honest

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Chris Wearmouth

@CCWearmouth

6 years

@Baggenst0s I believe that ABGs are painful procedures that we choose to do to our patients, and if we can make it less so, we should do

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Chris Wearmouth

@CCWearmouth

10 months

The suggestion that someone who can’t order radiology investigations or prescribe could work at the level of an ED Registrar is laughable, dangerous and, quite frankly, insulting

Eilidh 🦀

@DrEilidhMaria

10 months

A genuine question. If the PAs can go to the ACCS training, and be taught the same skills on the ward, and do the same service provision, and they can extend their scope of training to ST6 level… What is actually the point of the training programme?

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Chris Wearmouth

@CCWearmouth

3 years

All I’ll say about my nightshift is that we truly see both the best and worst of humanity in Emergency Medicine

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Chris Wearmouth

@CCWearmouth

5 years

NICE say liaison psych assessment “when medically fit” should not be a thing. Will remember that one!

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Chris Wearmouth

@CCWearmouth

3 years

ENT SpR housemate left for bank holiday on call at 7:40 and was back in the house by 8:15 as there were no patients. No calls all day so far. Not saying I picked the wrong specialty but... 🤨

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Chris Wearmouth

@CCWearmouth

2 years

I’m not trying to PA bash here. The role has a lot of promise and clearly works elsewhere but it needs to be implemented in the right way should not be viewed as a junior doctor substitute. Importantly, PAs should relieve junior doctors workload rather than add to them

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Chris Wearmouth

@CCWearmouth

3 years

DipIMC ✅

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Chris Wearmouth

@CCWearmouth

4 years

First set of solo ED Reg night shifts coming up this week. Feeling nervous 😬 Any advice from the Twitter floor?

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Chris Wearmouth

@CCWearmouth

6 years

Me: “have you had any operations before?” Patient: “no” Me: “your colostomy bag would beg to differ”

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Chris Wearmouth

@CCWearmouth

1 year

Long day of ALS “Your patient has suddenly become very quiet and you’re not sure if they are breathing anymore”

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Chris Wearmouth

@CCWearmouth

4 years

2 days of APLS. May the sim gods be kind, the rhythms shockable and the coffee drinkable

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Chris Wearmouth

@CCWearmouth

3 years

“Yes but what’s the eGFR?”

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Chris Wearmouth

@CCWearmouth

3 years

I was once a burns patient for ATLS and had an anaesthetic reg actually try to stick a laryngoscope in my mouth. I punched him. The instructor said “well you haven’t given him any drugs so what did you expect?”

Freddie

@freddomed

3 years

@clare_eliza In what sense? I contrast it with my experience of ATLS as a simulated patient in a West London Ivory Tower where the candidate unsheathed an orange cannula and was about 2 inches from my chest when the Instructor called "STOP HE'S REAL"

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Chris Wearmouth

@CCWearmouth

3 years

Any tips for reducing the massive decision fatigue that comes with EM night shifts in charge?

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Chris Wearmouth

@CCWearmouth

2 years

Paeds may need to extend their training to see enough patients pre-CCT if this is effective

Antibody jab approved for common winter virus RSV

A large study has begun to find out whether nirsevimab should be offered to all babies in the UK.

www.bbc.co.uk

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Chris Wearmouth

@CCWearmouth

2 years

As an ED registrar one of the hardest skills is judging when to trust a juniors assessment/decision making, and when to just go see the patient yourself. Putting this onto SHOs who are still learning to be clinicians themselves is unfair and unsafe in my view

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Chris Wearmouth

@CCWearmouth

2 years

“The hardest part of performing a surgical airway is making the decision to do it” [AORTA HAS ENTERED THE CHAT]

Avraham Z. Cooper, MD 🩺

@AvrahamCooperMD

2 years

This person’s aortic arch extended into THEIR NECK 🤯 #MedTwitter

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Chris Wearmouth

@CCWearmouth

4 years

Last 3 massive UGI bleeds I’ve had all tried to die in resus. All 3 had normal obs on paper, probably wouldn’t have triggered NEWS but failed the end of bedogram. Weirdly 2 have had falsely reassuring VBGs. I always thought they would be more sensitive for major haemorrhage!

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Chris Wearmouth

@CCWearmouth

5 years

Any advice from the twitter universe on airway management for a patient in cardiac arrest who has trismus? 😬

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Chris Wearmouth

@CCWearmouth

5 years

On the plus side, I think I might have found something to evidence the elusive Infection Control section of the ACCS curriculum....

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Chris Wearmouth

@CCWearmouth

6 years

Cons “Go and get rid of that grenade” F1 “No way!” Cons “I’ll do you a DOPS” F1 “.....” Cons “AND a coffee” F1 “...where am I going?”

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Chris Wearmouth

@CCWearmouth

3 years

Booing a national anthem. And people wonder why we're not popular in the world right now #ENGGER

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Chris Wearmouth

@CCWearmouth

4 years

Local police carrying Penthrox before the ambulance service. Impressive

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Chris Wearmouth

@CCWearmouth

4 years

@icsmsu I suggest you take this down, delete the word menial, rewrite and repost. If you don't value the role of a HCA in the healthcare team then doing their job for a while may help you realise their importance.

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Chris Wearmouth

@CCWearmouth

3 years

Back in theatres for a couple of days of airways refresher. Less than 90 mins and I’ve already had an intubation, expert 1:1 tuition from from 2 consultants and a coffee. Can see why they poach trainees

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Chris Wearmouth

@CCWearmouth

4 years

Just had to break the news to our friends (both doctors), that I have COVID and no I’m not announcing our first child 🤦 oops

Chris Wearmouth

@CCWearmouth

4 years

Looked in my stocking for an early present. Would have preferred a lump of coal to be honest

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Chris Wearmouth

@CCWearmouth

5 years

Medical fetish website donates scrubs to NHS hospital That statement requires some time to fully process

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Chris Wearmouth

@CCWearmouth

2 years

@DrBenLovell Some cheeky Pythagoras

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Chris Wearmouth

@CCWearmouth

5 years

Anaesthetic induction today. So of course I followed the guy in the sporty outfit carrying a coffee and ended up in the right place 😂

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Chris Wearmouth

@CCWearmouth

6 years

Why is it that all American Drs on Twitter have very official white coat profile pics? 👨‍⚕️What’s wrong with post-nights bemused cat? 🤷‍♂️🐈

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Chris Wearmouth

@CCWearmouth

4 years

Coordinated the ED for 4 hours as the EPIC for the first time ever today. Mentally exhausting but oddly enjoyable 🙃

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Chris Wearmouth

@CCWearmouth

3 years

@oli_m_sims Recently stopped at an RTC. Did a primary survey and handed over to the paramedic. Wanted to leave but instead got invited to cannulate. Declined, partly as I was post-nights and starving, and partly because I couldn’t stand the shame if I missed 😂

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Chris Wearmouth

@CCWearmouth

2 years

Recently had more and more patients self presenting to ED as 999 said it would be hours for an ambulance. People arriving needing immediate intubation, chest drains, MIs, angulated limbs. It’s terrifying

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Chris Wearmouth

@CCWearmouth

3 years

ANAESTHETISTS! I’VE FOUND THE LONG LOST FAILED AIRWAY PLAN E!

Phys.org

@physorg_com

3 years

Mammals can breathe through anus in emergencies: study @cellpressnews

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Chris Wearmouth

@CCWearmouth

4 years

First proper ST3 shift done, first MHP activation. The Belmont is a rather wonderful machine isn’t it?

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Chris Wearmouth

@CCWearmouth

3 years

@drphiliplee1 “Is everyone in agreement that we should stop?”

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Chris Wearmouth

@CCWearmouth

4 years

CT2 ✅ Thanks for having me ICU, you taught me a lot, but I’m still not on Strava and can’t drink black coffee. Back to the land of EM!

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Chris Wearmouth

@CCWearmouth

2 years

Without the trust and familiarity with the PA, the junior is put into an uncomfortable position; sign it off and potentially put themselves at professional risk? Or refuse, potentially delay care and upset the PA?

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Chris Wearmouth

@CCWearmouth

5 years

Stood in as medical ward cover last night as the F1 was sick and oh my oh my I forgot how awful ward cover actually is. Re-affirming ACCS ✅

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Chris Wearmouth

@CCWearmouth

6 years

#ATACC was truly incredible! I am in awe of the @ATACCFaculty and absolutely gob smacked about this! Thanks so much to all who helped!

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Chris Wearmouth

@CCWearmouth

2 years

@noodles_nood This is the golden moment for me

Becca Sisson

@becca_sisson

2 years

@EthersonKevin @Dr_Done_ @noodles_nood @BMA_JuniorDocs @SteveBarclay Hi Mr Etherson, this is my work schedule from when I was an F1 on your team in 2021. Has the rota drastically changed since then?

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Chris Wearmouth

@CCWearmouth

4 years

“Go up to the paediatrics ward they said. You’ll travel in comfort and style they said” Ted thought bitterly as he regretted having that second piece of cake earlier

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Chris Wearmouth

@CCWearmouth

5 years

If the T waves make you worried about hyperkalaemia, it might actually be De Winters #RCEMasc

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Chris Wearmouth

@CCWearmouth

4 years

FRCEM Intermediate positive ✅

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Chris Wearmouth

@CCWearmouth

3 years

When the EM SpR goes back to theatre to get the 10 intubations a year they require for ARCP

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Chris Wearmouth

@CCWearmouth

2 years

@TheCraneReport @DocRods Married to a cardiologist who worked all through Covid and just got her 4th jab. I would suggest he’s talking a lot of unproven nonsense

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Chris Wearmouth

@CCWearmouth

5 years

Prof Tom Quinn: Only 1% of ALS recommendations are based on level A evidence

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Chris Wearmouth

@CCWearmouth

3 years

3 months ago she had no idea of what a sofa was. My housemates have a lot to answer for

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Chris Wearmouth

@CCWearmouth

4 years

The ED reg trying to convert the new F2s’ history taking duration from a full medical clerking to something more ED appropriate

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Chris Wearmouth

@CCWearmouth

1 year

What’s the best thing about face to face regional teaching? 🔴 Learning new skills and procedures 🔴 Helping prepare for exams 🔴 Getting a day off the shop floor to have a rest 🔴 Lunch 🟢 The opportunity to catch up, rant and decompress with your fellow trainees

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Chris Wearmouth

@CCWearmouth

2 years

@AlanaKinrich This is something that we are trying to reduce as it leads to a massive over diagnosis and treatment of UTIs whilst missing other causes of delirium

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Chris Wearmouth

@CCWearmouth

2 years

The only PA I’ve worked with had moved from the US and was pretty clear this was how it’d been for them. The only PA students I’ve met in the NHS didn’t really seem to know what their role would be apart from “doing most of what junior doctors do I think”

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Chris Wearmouth

@CCWearmouth

5 years

Prehospital ECPR isn’t going to happen everywhere but it is VERY impressive. Logistics of the Sub30 study is incredible

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Chris Wearmouth

@CCWearmouth

3 years

Anyone in NEAS know if there's a procedure to feedback to crews about cardiac arrest survivors? I feel they need to know what an excellent job they did in a case

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Chris Wearmouth

@CCWearmouth

5 years

Let’s be honest, the GIF wasn’t really necessary

CDC

@CDCgov

5 years

It only takes one person having diarrhea in the water to contaminate all of the water in a pool. Don’t swim or let your kids swim if sick with diarrhea. Learn more this summer: .

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Chris Wearmouth

@CCWearmouth

1 year

@armyemdoc May I suggest:

Cliff Reid

@cliffreid

8 years

WOBBLER - identify critical ECG abnormalities in the otherwise well looking syncope patient, going in PQRST sequence

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Chris Wearmouth

@CCWearmouth

2 years

NHS road paramedics - do you have access to haemostatic agents e.g. Celox?

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Chris Wearmouth

@CCWearmouth

3 years

@BenStretch Berate the patient for not heeding your social media warnings that the department is very busy and direct him to stay in the car park and call 111

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Chris Wearmouth

@CCWearmouth

3 years

Stolen from the glorious M.A.S.H.

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