Rachel Edwards @rachelgemma90 Twitter profile

Last Seen Profiles

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@takutore

Rachel Edwards

@rachelgemma90

4 months

May have just had one of the most soul-destroying shifts in A&E I’ve ever had. How is it ok that people are waiting on a chair for over 2 days for a hospital bed? The moral injury of delivering such poor care is just awful.

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Rachel Edwards

@rachelgemma90

2 months

If you’re an off duty junior doc who comes across paramedics tending to a trauma patient, here’s a list of 6 things to avoid… 1. Not introducing yourself. 2. Wandering out into the road without any PPE on. 3. Refusing to leave when your help is kindly declined. [1/4]…

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Rachel Edwards

@rachelgemma90

2 months

[4/4]… There’s nothing wrong with introducing yourself & asking if there’s anything you can do to help. But if your help is declined then respect that & trust that your paramedic colleagues know what they’re doing. Rant over.

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Rachel Edwards

@rachelgemma90

2 months

[3/4]… In all seriousness tho, it’s disrespectful to our paramedic colleagues to assume that because we have a medical degree, we know better than them & have a right to tell them what to do when it comes to managing the kind of prehospital stuff they do day in day out….

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Rachel Edwards

@rachelgemma90

11 months

Had a very frail patient recently with a RESPECT form that said “for gentle CPR and defibrillation only” ‘Gentle CPR’…🫠

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Rachel Edwards

@rachelgemma90

2 months

[2/4]… 4. Telling the paramedics how to do a basic A-E assessment. 5. Repeatedly stating ‘yes but I’m a doctor’ when the paramedics tell you they know what they’re doing. 6. Pointing at the female PHEM doc + telling her to go get some oramorph off the ambulance 🫠

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Rachel Edwards

@rachelgemma90

6 months

First time on a helicopter today 🚁

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Rachel Edwards

@rachelgemma90

5 months

Happy Easter everyone 🙌

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Rachel Edwards

@rachelgemma90

4 months

This is the kind of stuff farmers walk in to ED with.

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Rachel Edwards

@rachelgemma90

8 months

Every time someone tells me you can’t give Hartmanns to patients at risk of hyperkalaemia as it can worsen it, I die a little bit more inside. This article summarises the evidence beautifully

Hartmann’s in Hyperkalaemia: is that o(k)+?

Dr Constantinos Kanaris, PICU and retrieval consultant; @DrKanaris This blog is written with an aim to dispel the myth that 0.9% saline is superior to Hartmann’s solution (or indeed any other balan…

www.paediatricfoam.com

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Rachel Edwards

@rachelgemma90

8 months

Ending 2023 feeling super grateful for all the new opportunities I’ve been given & looking forward to the next 12 months. Despite the challenges & difficulties that working & training in the UK health service brings, I still feel very lucky to do the job I do. Happy new year 🥳

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Rachel Edwards

@rachelgemma90

6 months

Hearing of so many excellent doctors not getting an ACCS EM training post this year. It was 2.2:1 competition ratio in 2016 when I applied & now it’s 4.99:1 - not as if the NHS is in need of A&E doctors tho 😵‍💫

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Rachel Edwards

@rachelgemma90

3 months

I got my very own playmobil air ambulance today for my 34th birthday to match the RRV my daughter got for her 5th back in Jan 😂 She says I’m too old for it and should give it to her. I strongly disagree.

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Rachel Edwards

@rachelgemma90

2 months

10 years ago today I graduated from medical school! Where’d that time go?! 😱😵‍💫 One day I will eventually CCT 😂

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Rachel Edwards

@rachelgemma90

2 months

2 days of MIMMS completed ☑️ Any excuse to play with toy cars & trains and I’m there 🙌

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Rachel Edwards

@rachelgemma90

1 year

@Dr_Done_ Found his Instagram…. Primary Care Surgeon?!?!!

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Rachel Edwards

@rachelgemma90

11 months

Very excited to be starting my Pre-Hospital Emergency Medicine Fellowship with @wmcareteam in the next few weeks - grateful for the opportunity & looking forward to the challenge 🚑🚨

WM CARE Team

@wmcareteam

11 months

Meet our new PHEM Fellow - @rachelgemma90 - who is looking forward to the next 12 months with us! @wmcareteam Deputy Clinical Lead Dr. Cowan: "We are super excited to see what she can achieve, congratulations Rachel and welcome to the team!” Story: PB

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Rachel Edwards

@rachelgemma90

2 months

@drpjhughes Absolutely love this 🙌

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Rachel Edwards

@rachelgemma90

11 months

@drbosheaGP @IMT_latest @RCGP_RoI @aausgp_ireland @CormacLucey @irishmednews @RealEddieHobbs Not disputing the fact your patient got a fantastic service but is there a need for the eye rolling emoji? Yes, he would have waited a lot longer in ED. But that’s because he would have been prioritising behind the patient having the acute MI/upper GI bleed/open #/sepsis/ICH etc

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Rachel Edwards

@rachelgemma90

1 month

Thinking & praying for my police & ambulance colleagues tonight in Birmingham, for all the folk working at Heartlands hospital & the people of Bordesley Green/Small Heath/Alum Rock - stay safe 🤎

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Rachel Edwards

@rachelgemma90

4 months

4 HEMS shifts in a row without a single job…

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Rachel Edwards

@rachelgemma90

3 years

A fantastic three days doing the #PHECC - thanks for having me 🚑🚒🚓🚁 @BASICS_HQ

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Rachel Edwards

@rachelgemma90

9 months

@DrJSherrington Being a heavily pregnant CT2 in anaesthetics. 10ml syringe of propofol in my top pocket which was intermittently leaking milky fluid. Consultant told me at the end of the day that no one had said anything because they all assumed I was just lactating through my top 💀💀💀

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Rachel Edwards

@rachelgemma90

1 year

@JohnGreenwoodMD @AmericanAir @BayhealthDE @MaineMed The cringe is strong with this one

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Rachel Edwards

@rachelgemma90

1 year

DipIMC passed! 🙌

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Rachel Edwards

@rachelgemma90

2 months

@DrHannahLunch @FHawksworth I think if you have a pt who is critical (ie cardiac arrest, major trauma) & theres only a couple of people there then there’s nothing wrong with approaching, introducing yourself & offering a hand - holding open an airway, doing some chest compressions, holding a bag of fluids.

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Rachel Edwards

@rachelgemma90

2 months

@LAS_Rugby Probably partially. But mainly because we had all the clinicians we needed and there was nothing we needed assistance with.

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Rachel Edwards

@rachelgemma90

16 days

@ShaunLintern @OFFICIALWMAS As someone who works pre-hospital and in A&E in the West Mids, I don’t know how we’re going to make this work. When we have ambulances queueing up, it’s because we have absolutely no trolleys or spaces to put people. Putting a 45 min time limit on it doesn’t change anything.

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Rachel Edwards

@rachelgemma90

5 months

@clifford0584 30cm at the teeth & tidal volumes of 2L but whatevz

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Rachel Edwards

@rachelgemma90

3 years

Yesterday’s interview was a success!!! 💪🏼 Looking forward to starting as a trainee with @wmcareteam at some point in 2022 🎉

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Rachel Edwards

@rachelgemma90

8 months

My SIL bought my daughter a playmobil enhanced care team & RRV complete with zoll & advanced surgical kit and I am OBSESSED!! 🤩

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Rachel Edwards

@rachelgemma90

2 months

Interesting experience… so apparently bougies and ET tubes start to melt and go floppy & sticky very rapidly when you kit dump in 27 degree heat 🥵

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Rachel Edwards

@rachelgemma90

3 months

Today was the last of several observer shifts I’ve been fortunate enough to do with @MAA_Charity over the last few months - feeling very grateful for the opportunity! Really enjoyed experiencing HEMS life & getting to meet lots of the CCPs, docs & pilots on the team 🚁

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Rachel Edwards

@rachelgemma90

8 months

Thanks for having me yesterday @WMASHART 😄

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Rachel Edwards

@rachelgemma90

9 months

Somehow managed to survive EM training & landing myself a PHEM fellowship whilst trying to keep two toddlers alive & not having a complete mental breakdown 🎉

Khan 🧢 🌟

@Khanstillday

9 months

EVERYONE INCLUDED; Please brag to me about a thing you did in 2023 that you’re proud of?

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Rachel Edwards

@rachelgemma90

1 year

Had an absolute cracker of a day on the recent #PHASTER course - great opportunity to do some multiagency sim. Really pushed me to my limits & I learnt loads 🙌

WM CARE Team

@wmcareteam

1 year

We recently ran a Pre Hospital Advanced Surgical & Trauma Emergency Resuscitation (PHASTER) course 48 interagency personnel were involved from various orgs such as @wmcareteam @OFFICIALWMAS @WLVParaSoc @MAA_Charity @WNDLRAirAmb @HWFire @WestMidsFire @WMPolice 1/5

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Rachel Edwards

@rachelgemma90

6 months

Saw my place of work from a different angle today 🚁

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Rachel Edwards

@rachelgemma90

3 years

My new lunchbox has turned a few heads in the staff room today…

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Rachel Edwards

@rachelgemma90

3 years

@TheLancet @WHO People with vaginas = inclusive language Bodies with vaginas = dehumanising & demeaning language

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Rachel Edwards

@rachelgemma90

5 months

Spent some time this afternoon practising prehospital amputation on some DIY fake legs in preparation for this weekend - not bad! 😄

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Rachel Edwards

@rachelgemma90

5 months

A few more snaps from yesterday’s pre-hospital amputation demo by @wmcareteam at #PHEMTEC2024 @WMSPHEMTEC

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Rachel Edwards

@rachelgemma90

5 months

A farmer self presents to ED.

❤️kayjay💥

@kazzaloveslife

5 months

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Rachel Edwards

@rachelgemma90

5 months

Them: “You can’t give Hartmanns to patients with hyperkalaemia.” Me:

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Rachel Edwards

@rachelgemma90

3 months

*me laughing in the ED store room*

Mindful Maven

@mindfulmaven_

3 months

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Rachel Edwards

@rachelgemma90

3 years

@DrHFRyan … start on (what ended up being life-saving) antidepressants and antipsychotics. I have been shamed on many occasions for formula feeding but, for my daughter and I, breast was not best - formula feeding was. [2/2]

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Rachel Edwards

@rachelgemma90

1 year

@Azeem_Majeed @doctor_oxford Sadly not a shock to many female doctors who have been on the receiving end of these kinds of attitudes for a long time.

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Rachel Edwards

@rachelgemma90

7 months

@pash22 @NICEComms @BlottMaggie @susan_bewley @jimgthornton @catherineroyuk @drruthannharpur Tell me this guideline was written by the patriarchy without telling me this guideline was written by the patriarchy.

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Rachel Edwards

@rachelgemma90

2 months

@robpain635 Lord have mercy 😱

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Rachel Edwards

@rachelgemma90

5 months

Really interesting learning point for me today whilst discussing pre-hospital delivery of babies of extreme preterm gestation… If gestation unknown and baby born with BOTH eyelids COMPLETELY fused then the baby is less than 22+0

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Rachel Edwards

@rachelgemma90

5 months

Thank you @WMSPHEMTEC for inviting @wmcareteam back to #PHEMTEC this year - we hope you enjoyed the talk & live demo as much as we enjoyed making it happen 😊 Look forward to seeing the official photos! 🚓🚑🚒

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Rachel Edwards

@rachelgemma90

7 months

Had a great day teaching medical & paramedic students on the Keele Trauma Course today, along with other @wmcareteam teammates - thanks for having us! 😊

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Rachel Edwards

@rachelgemma90

2 months

Well this was a rather eye-opening learning point for me today at the @WMASMERIT learning & development day… The rate at which a drug is delivered is greatly affected by you lifting the pump up or down relative to the patient 😳 Reference:

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Rachel Edwards

@rachelgemma90

15 days

@LiangRhea *laughs in emergency medicine*

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Rachel Edwards

@rachelgemma90

8 months

This is a fantastic thread - bringing an elderly person to A&E, rather than leaving them at home, is not always the safest option.

Tom Paddock

@ThomasJPaddock

8 months

@HarryTtweets Let me tell you a story from when a dear friend was an F1 in Care of the Elderly. Mr Smith was 94, and his care line called 999 after he tripped over he dropped his cup of tea, and overbalanced trying to mop it up. The ambulance crew found his BP was 175/90 and LBBB (1/?)

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Rachel Edwards

@rachelgemma90

3 years

@davecurtis314 Well ya don’t speak for me!

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Rachel Edwards

@rachelgemma90

4 months

@Dr_BellaR I haven’t had a pay rise in line with inflation since 2008 & I frequently have to sit on bins.

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Rachel Edwards

@rachelgemma90

3 years

@alxxatn @Flynny123 Big toe injuries are often managed quite differently to other toe injuries - your big toe is important when it comes to balance and walking whereas your other toes can fall off and it doesn’t make much difference 😅

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Rachel Edwards

@rachelgemma90

8 months

@DrRJWebb THIS. 👆🏻 A colleague once said to me “if you have a bucket of concentrated ribena and you add a shot of dilute ribena, the bucket of ribena does not become more concentrated”

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Rachel Edwards

@rachelgemma90

3 months

For emergency medicine: Ketamine TXA Co-amoxiclav

Ben Chadwick

@BDChadwick

3 months

This, but for Acute Medicine. If you only had access to 3 medications for the acute take, which would you choose? I'll start, choose your 3 and reply!

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Rachel Edwards

@rachelgemma90

4 months

@Dr_ErinLS Shameless look-at-my-HEMS-jumpsuit selfie from yesterday 😝

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Rachel Edwards

@rachelgemma90

2 months

Point no. 8 especially 🙌 If we could stop bashing 3L of saline into people in a desperate attempt to avoid vasopressors that would be progress.

Cliff Reid

@cliffreid

2 months

Here’s how I think we often fail our patients when treating ’sepsis’ a 🧵 1/11

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Rachel Edwards

@rachelgemma90

2 months

@DrHannahLunch @FHawksworth The help is usually much appreciated. But if there’s a whole gang of paramedics, police, fire & a PHEM doc around a patient then probs best to assume they’ve got this 😄

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Rachel Edwards

@rachelgemma90

3 years

GIC in the bag 💪🏼

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Rachel Edwards

@rachelgemma90

9 months

Finally got round to watching this video after having it bookmarked for aaages. I think we really underestimate the importance of having women represented amongst the presenters at PHEM conferences. I attended several PHEM conferences as a med student & never saw any. [1/2]…

Caroline Leech

@LeechCaroline

2 years

As I’m seeing lots of very male dominant line-ups for forthcoming PHEM conferences & symposiums, I’m just going to leave this here…. 🚁 🚑 👩 Watch “FEMinPHEM” on #Vimeo

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Rachel Edwards

@rachelgemma90

1 year

@CartlandDavid I struggle to comprehend how someone who is a doctor but, more importantly, a father and a Christian, could ever in a million years contemplate posting something like this - along with most of the stuff you post. Not very salt of the earth.

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Rachel Edwards

@rachelgemma90

4 years

APLS done & recommended as instructor 😎

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Rachel Edwards

@rachelgemma90

4 months

@GreenRedSonja I’m so sorry about your friend’s experience. It’s totally not acceptable.

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Rachel Edwards

@rachelgemma90

3 months

How am I only just discovering this?!? I feel that as an A&E doctor, but more importantly as a mum, I should have known this. I've definitely given my toddlers a slushie on more than one occasion 😵‍💫

Rachel Rowlands

@rachrwlnds

3 months

Did you know that slushies can be dangerous for small children? They contain glycerol- can cause blood sugar drops, loss of consciousness and seizures! Don’t give to under 4’s and don’t let under 10’s have too much (ie no bottomless cups!)

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Rachel Edwards

@rachelgemma90

1 year

Edinburgh bound for the #DipIMC ✈️ Good luck to everyone sitting it this week 💪🏻

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Rachel Edwards

@rachelgemma90

4 years

It’s been an absolute privilege to have journeyed through the pandemic as part of the Heartlands intensive care team - what a rollercoaster 9 months it has been! Thank you for having me and for all you’ve taught me 💙

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Rachel Edwards

@rachelgemma90

4 months

@AshMD_1 Any renal physiology

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Rachel Edwards

@rachelgemma90

10 months

@drphiliplee1 I could have used one of these the other day. Ate my yoghurt with a wooden tongue depressor instead 👍

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Rachel Edwards

@rachelgemma90

7 months

😍😍😍

Triple9

@t_riple9

7 months

That’s it! We’re 👍. We proudly present to you the @wmcareteam ’s new #XC90 !

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Rachel Edwards

@rachelgemma90

1 year

Exam time 🙏🏻

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Rachel Edwards

@rachelgemma90

4 years

Did you know that you can put a few drops of blood on a urine pregnancy test if your patient can’t wee & you need a quick answer?! This may already be common knowledge but I discovered it today & it blew my mind 😆 via @aliemteam

Trick of the Trade: Urine pregnancy test without urine

www.aliem.com

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Rachel Edwards

@rachelgemma90

2 years

@juliaisobela I was sectioned in 2019 due to postnatal depression & spent 5 months as an inpatient. Fast forward to 2023, I’m an EM reg, just started a job doing PHEM and I now have 2 kids. Don’t let anyone tell you that mental illness means you can’t enjoy a successful medical career!

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Rachel Edwards

@rachelgemma90

7 months

@juliaisobela 👏👏👏👏 I was detained under the MHA due to severe postnatal depression 5 years ago when I was an SHO. Spent 5 months as an inpatient. I’m a senior registrar now and my lived experience of severe mental illness has helped shape me into an even better doctor.

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Rachel Edwards

@rachelgemma90

2 years

@OFFICIALWMAS That’s a lot of white men…

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Rachel Edwards

@rachelgemma90

8 months

Taken my hobbits to the trampoline park - should I just prepare for the inevitable and put above elbow & below knee back slabs on them now??

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Rachel Edwards

@rachelgemma90

27 days

@harissultann Congratulations! Don’t let anyone ever tell you that having an episode of severe mental illness means you can’t go on to become a fantastic doctor. I wish you all the best with your onwards recovery.

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Rachel Edwards

@rachelgemma90

10 months

@Neal94G @clifford0584 Yep. 100% believe this. I’m an EM ST4 who has never done an open chest drain - I’ve previously not been allowed to do them because “there’s too many patients waiting to be seen, it’s thoracic/resp/gen surg’s job to do the drain”

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Rachel Edwards

@rachelgemma90

8 months

Good luck to everyone sitting the #DipIMC today! 💪🏻

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Rachel Edwards

@rachelgemma90

4 years

There’s a special place in Hell for the person who left a tub of Celebrations on the table in the staff room.... full of apples 😑

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Rachel Edwards

@rachelgemma90

3 years

Male trauma patients are over twice as likely to have TXA administered than female trauma patients - particularly older females, with female patients receiving TXA later on in their journey compared to males. Why?! Unconscious bias? #TRAUMACARE2021 #TXA #EM #PHEM

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Rachel Edwards

@rachelgemma90

1 year

@Medic_Russell Don’t be put off! There’s plenty of non-heliwanker PHEM docs out there. I’m a quiet, introvert who likes to spend my time knitting and growing my own vegetables so I like to think I’m breaking the mould 😆

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Rachel Edwards

@rachelgemma90

3 years

@DrLindaDykes @OFFICIALWMAS I normally always agree with your comments but I have to say I couldn’t disagree more with your comment about bottle feeding. Totally uncalled for. Women who are unable to or choose not to breastfeed shouldn’t be made to feel like giving their baby a bottle is something… [1/2]

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Rachel Edwards

@rachelgemma90

4 months

It’s May 1st which means it’s #WorldMaternalMentalHealthAwarenessDay and this year marks 5 years since I was sectioned & spent 5 months in a mother & baby psychiatric unit with severe postnatal depression….🧵

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Rachel Edwards

@rachelgemma90

8 months

🚫no cheating ‼️ post your last saved picture of YOURSELF without context ‼️ 🤦‍♀️😂

Usama Basit 💙

@usamabasit

8 months

🚫no cheating ‼️ post your last saved picture of YOURSELF without context ‼️ New Year selfie 🤪🎊🎉🤩😍

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Rachel Edwards

@rachelgemma90

11 months

Final day at Birmingham Children’s Hospital ED! I’ve had a fantastic 9 months - sad to be leaving but looking forward to the next adventure 😊

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Rachel Edwards

@rachelgemma90

25 days

@Shr_Nottingham @medicalmodelbri @RCEMpresident @jim_crawfurd @bicmyhead @Mary_Tom11 @gloshospitals @RCPCHtweets @RCPhysicians @KatherineRCEM @parthaskar @LittlePersonDoc What with RCEM’s recent position statement on the role of PAs in the ED, I’m disappointed that PA recruitment in EM is still going ahead. I think it’s perfectly fair to ask the college whether they support this.

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Rachel Edwards

@rachelgemma90

2 years

I remember as a CT1 being made to do my 1st ever RSI whilst 10+ people watched and the consultant ripped me apart and then demanded I write a 1000 word essay on how poor my performance was and how I can do better before then walking out and leaving me close to tears.

Sethina Watson

@morefluids

2 years

Anaesthesia is seen as a welcoming & inclusive specialty. But let’s just talk about an elephant in the room. Bullying. We are not exempt from this. How many of you having experienced bullying?

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Rachel Edwards

@rachelgemma90

7 months

@dr_musgrave @drsophiegp 😫😫😫😫 I saw dozens of fit & well people under 50 die. Including many people in their 20s and 30s. Including a handful of pregnant/postpartum women.

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Rachel Edwards

@rachelgemma90

7 months

I love this from @EM_RESUS 🙌 It sums up Emergency Medicine perfectly. "To excel as an emergency physician, you must master the art of making things happen."

Sam Ghali, M.D.

@EM_RESUS

8 months

As a new Emergency Medicine attending 10 years ago I was asked to write about my insights into what it's like to be an ER Doctor. I just randomly came across it and after all these years I'm amazed by how much this all still rings true in my heart today. So I wanted to share it

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Rachel Edwards

@rachelgemma90

10 months

@JohnMcManusDU @NotAdoctor0000 @Dr_BellaR How about just leaving Bella alone? She’s not responsible for remarks other people make. Perhaps she has other things to concentrate on at the mo other than the fact that someone called you a glorified triage nurse on social media.

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Rachel Edwards

@rachelgemma90

3 years

@DrLindaDykes @OFFICIALWMAS … to be ashamed of or hidden away. Who knows what this woman’s reasons are for bottle feeding - it’s none of our business, but she certainly doesn’t deserve to put down because of it. [2/2]

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Rachel Edwards

@rachelgemma90

2 months

“The relentless rise in workload has a detrimental effect on many NHS staff - as it did our good friend Joff”