#FOAMed from Emergency Physicians based at Derriford Hospital Plymouth, the MTC for the SW. Opinions do not represent etc.

Plymouth, United Kingdom
Joined January 2014
No one records mortality statistics for patients in EDs in the UK, apart from us! Cause of death in the ED of a major trauma centre in the UK | Emergency Medicine Journal ⁦@DefProfEM⁩ ⁦@DerriFOAM⁩ ⁦@richardbody⁩ ⁦@EMManchester⁩ emj.bmj.com/content/early/20…
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Lovely to pop in to see Team ED @UHP_UEC @UHP_NHS to wish the wonderful Liz happy retirement … been a nurse since 1978 and at Derriford for over 25 years and clearly loved and respected by her colleagues. Wishing you well Liz xx
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29/29 Our NHS is on its knees (left). Our 7m+ waiting lists and rising avoidable deaths are not due to striking NHS workers, or (just) covid, but due to political choices. RT if you want government to make the choice to fix this mess now & properly #payrestoration #fixDDRB
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Wow, this is crazy! It’s amazing to see how much love my Avengers as pressors series has been getting 😁 The following is a thread with all 7 pressors for easy access! Thanks for the idea @ETSshow! 1/9 ——————— #MedEd #pressors #criticalcare #medicaleducation #avengers
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Should you WORRY about a WELL looking patient with mild hypotension? Three minutes on When Not to Worry using the 'Four Ws' youtube.com/watch?v=_FU4633j…
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Nanette Bothma from @UHP_NHS at the #NervecentreED symposium explains how Case Notes create a paper-light ED
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For those who don't fully understand what is up with the NHS, here is a thread for you that might help. I'm a consultant physician working as a doctor in the NHS in Yorkshire and Wales for 32 years now. I have experienced the NHS at its best (2008) and its worst (2022).
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Couldn’t agree more with the strong messaging from @RCEM_VP @RCEMpresident about our inability to deliver the care we want to in the current situation!
🗣️ 'We cannot treat people in car parks'. An emergency medicine spokesperson tells Sky News that pressures on emergency services are so great that effective treatment is not possible. Latest news: trib.al/Rx0iR33
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I hope that you find the latest #gppaedstips post both useful and timely. As the UK seems to have all but run out of oral antibiotics, what is the deal with group A strep in children at the moment? gppaedstips.blogspot.com/202… #FOAMed
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DerriFOAM retweeted
Four ways to get better at sepsis management in the ED and save more lives - a thread 🧵
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Derriford Trauma Procedures Catch Up Day derriforded.com/1/post/2022/…
My take on high sensitive troponin. I’m sure @richardbody @barbrabackus and @louiseacullen will be along to correct me if I’m not 100% on it. 1/12 podcasts.apple.com/gb/podcas…
I'm doing a little research about troponin for a video it's just complete chaos
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🚨LEAKED🚨 NHS England data show that long waits are worse than ever imagined. From January-June this year there were 592,000 12-hour waits from time of arrival. Only 120,693 12-hour waits from decision to admit were reported by NHS England independent.co.uk/news/healt…
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Watch @RCEM_VP on @BBCBreakfast (part 1) discussing the extreme pressures facing the ambulance services and the Urgent & Emergency Care System, what the pressures mean for patients, and how staff are coping. #NHS #crisis #ambulance #emergencycare
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The countdown is on! 📅 30 days until we start transforming patient safety and staff experience with Nervecentre ED at @UHP_NHS Emergency Department. Mobile device testing in progress 👇
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Considering an alternative pathway to training in EM? Want to know more about how to CESR? Well here’s my experience…
The talented @DrAmy_Hughes has released another podcast in the portfolio medical careers series. This time with @ClareBosanko discussing the CESR route as an alternative to standard training programmes. podcasts.apple.com/gb/podcas…
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Self-extrication should be considered as the primary route of egress for trapped patients of all ages.... next up: our Delphi work which defines those that can be helped by self-extrication, with: @NFCC_FireChiefs @ParamedicsUK @_ukro @FPHCEd @ResearchPHOTON &NHRAF
Another piece of the “extrication puzzle” Published yesterday in @SJTREM (so it’s free to download + digest) In summary: - older patients don’t do well - get them out promptly - ideally use self extrication Thanks again @RoadSafetyTruUK for the support sjtrem.biomedcentral.com/tra…
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⭐️ New RCEM guidelines on Acute Behavioural Disturbance in ED’s ⭐️ rcem.ac.uk/wp-content/upload…
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DerriFOAM retweeted
Let me start by saying that I am from Yorkshire and not usually prone to optimism and positivity, but I see so much negativity and sadness here I wanted to try to balance it a little. I also understand I am not a trainee and in a very privileged place. Anyway, here we go…
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