EM, Critical care, Aeromedical doctor & Jersey ambulance MD. Intrepid traveller with penchant for puns & gastronomic delights. RT for interest #medicineinart

Bailiwick of Jersey, United Kingdom
Joined October 2013
🗣️ “Anyone listening to this who doesn’t wear their mask – they have blood on their hands”. Strong words from intensive care professor @hugh_montgomery, who tells @RachelBurden what’s happening in his unit right now. 🎧 Listen @BBCSounds
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Ok here’s what everybody wants right now, a 9 tweet eyeball education thread: I saw a patient who came to the ED with sudden painless vision loss. 20/20 in her good eye, could only see hand motion in her not so good eye, so SEVERE vision loss
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live scenes of me chucking co-amoxiclav at a viral illness xitter.cf/Alpha_Taurus_/status/1…
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If you need medical treatment don’t be afraid to come to ED. COVID patients and NON-COVID patients are kept very separate. #jerseyhospital
Vishal Patel retweeted
Please retweet this important video message from our Named Doctor for children Dr Tim Malpas @FNHCJersey @markcapern @markowers73 @MKMRogers @ewalkerbyrne @ElliottSarah175 @JerseySPB @PaedWardJsy @Visharoo @JsyChildren1st @ChildComJersey 👇👇👇👇 – at Saint John's Village, Jersey
Parents & carers are reminded that GPs & hospital services are still here as normal. Children can still become seriously unwell with illnesses other than COVID-19, & parents’ concerns about the virus shouldn't stop them from contacting medical services: youtu.be/A59g1J5exD0
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Vishal Patel retweeted
#AskTheCM have you considered using some of our islands private osteopaths, physios and chriopractors to aid our workforce during this time? These groups have skills that would be so useful and the UK are already engaging them. Thanks – at Bailiwick of Jersey, United Kingdom
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Vishal Patel retweeted
From @w_chan16 (instagram), via @M_lin - use cotton balls, not gauze, to administer #LET topical for pediatric wound anesthesia. #Gauze soaks up LET - away from the wound where you need it!
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Cardiovascular Considerations for Patients, Health Care Workers, and Health Systems During the #COVID-19 Pandemic lnkd.in/dKQ-BtE
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I’m getting questions about how to read the CT PE study so I made this quick video explaining how to do it. #FOAMed
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It’s Insane to Keep Using Mortality as a Primary Endpoint in Critical Care Trials via @PulmCrit emcrit.org/pulmcrit/mortalit… #FOAMed #FOAMcc WOW --> In entire history of critical care research, NO med has ever been found by multicenter-RCTs to have a durable mortality benefit
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Vishal Patel retweeted
Check for tiredness, anaemia and iron deficiency several months after starting DOAC medscape.com/viewarticle/925… Sent using the Medscape App for Android™
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The view from the other side: "I hadn’t realised that when you’re navigating a significant illness, the difference between an “average” difficult day & a harder one can be due to minor communication pitfalls & wasn’t aware how common they are."@bmj_latest go.shr.lc/2TTEhxd
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Did you know that Health & Community Services offers free bowel, breast & cervical screenings, to help detect abnormalities which could lead to cancer, for at risk groups? As part of #WorldCancerDay, remember to attend screenings you’re eligible for: bit.ly/3b63T07
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Vishal Patel retweeted
BSPED have launched updated DKA guidelines today with some significant changes, particularly around fluid management. Thanks to Dr Neil Wright for leading the DKA Special Interest Group to the new guideline. bsped.org.uk/media/1712/new-…
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Vishal Patel retweeted
1/10 OK, OK, I give in. After relentless pressure from my mum, the public, the national press and even the Queen herself, here is a run down of my top 5 papers in #Paediatrics from 2019, and what I learnt from them, in no particular order. #FOAMPed #PedsICU #PedsID
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New NICE guidance on contrast-induced nephropathy released. ✅ Well enough to be outpatient = well enough for oral hydration ✅ iv fluid for high risk inpatients (eg eGFR <30) ✅ There’s no renal reason to delay emergency imaging (though discuss if you must) #medtwitter thoughts?
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High Flow Nasal Cannula (HFNC) - Part 1 - How It Works via Frank Lodeserto, MD & Thomas Lettich, DO rebelem.com/high-flow-nasal-… #FOAMed #FOAMcc #HFNC
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Vishal Patel retweeted
Amazing PGY1@JayLin3455 MD strikes again with this simple video detailing the HINTS exam! #FOAMed #neuro #NYUBellevueEM HINT: to understand more, check out [Gurley KL, @JonathanEdlow. Avoiding Misdiagnosis in Patients with Posterior Circulation Ischemia: A Narrative Review.]
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1/ Ever wonder why magnesium (Mg) is used to treat Torsades de Pointes? The answer is fascinating, elegant, and also explains why Mg treats another clinical entity - eclampsia #medthread #tweetorial #medtwitter
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Vishal Patel retweeted
We are THRILLED to announce the birth of a beautiful baby gorilla at Jersey Zoo!! 🦍🥰🍼😊 The new arrival was born on Fri 15th Nov to mum Bahasha & silverback Badongo. The keepers say mum and baby are doing very well. What a perfect way to top off a wonderful year of gorillas!
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