Adrian
@paramedocuk.bsky.social
Ex🚑 now🏥
Semi burnt out doctor (EM)
Geek, walker, fond of a good coffee, and a snooze.
Walking, photography, Star Trek & Warhammer
🏳️🌈🖖📷
Semi burnt out doctor (EM)
Geek, walker, fond of a good coffee, and a snooze.
Walking, photography, Star Trek & Warhammer
🏳️🌈🖖📷
Reposted by Adrian
People who don’t believe there is such a thing as societal decline also have to answer why every day you go to the supermarket and more and more perfectly edible and enjoyable cheese is being ruined with pointless bits of dried fruit inside it.
December 23, 2025 at 8:19 AM
People who don’t believe there is such a thing as societal decline also have to answer why every day you go to the supermarket and more and more perfectly edible and enjoyable cheese is being ruined with pointless bits of dried fruit inside it.
After the latest crowing letter from the BMA I’ve had enough
I’ve quit
Whilst I have sympathy for recruitment and wage issues (some of which directly affect me) this needs to be balanced with the impact on emergency care in particular
I’ve quit
Whilst I have sympathy for recruitment and wage issues (some of which directly affect me) this needs to be balanced with the impact on emergency care in particular
December 18, 2025 at 2:46 PM
After the latest crowing letter from the BMA I’ve had enough
I’ve quit
Whilst I have sympathy for recruitment and wage issues (some of which directly affect me) this needs to be balanced with the impact on emergency care in particular
I’ve quit
Whilst I have sympathy for recruitment and wage issues (some of which directly affect me) this needs to be balanced with the impact on emergency care in particular
Reposted by Adrian
Not only did Brexit not provide any extra money for the NHS - as liar-in-chief Boris Johnson promised - but Brexit is impoverishing the UK each year by an amount of money not far off the annual NHS budget.
Thanks Farage.
Thanks Farage.
November 26, 2025 at 10:48 AM
Not only did Brexit not provide any extra money for the NHS - as liar-in-chief Boris Johnson promised - but Brexit is impoverishing the UK each year by an amount of money not far off the annual NHS budget.
Thanks Farage.
Thanks Farage.
Reposted by Adrian
Ladies and gentlemen... the weekend. (also: you are important and are not alone 🧡)
October 24, 2025 at 11:00 PM
Ladies and gentlemen... the weekend. (also: you are important and are not alone 🧡)
Reposted by Adrian
Imagine hating me while I'm over here hating myself more fervently than you ever could.
August 29, 2025 at 8:10 PM
Imagine hating me while I'm over here hating myself more fervently than you ever could.
Reposted by Adrian
"Patients with severe HTN without evidence of acute target organ damage (previously called hypertensive urgency) should NOT have aggressive BP lowering in the short-term or be given parenteral anti-HTN drug therapy."
(my caps)
New 2025 AHA HTN guidelines!
share.google/2Xc7UFRimn2A...
(my caps)
New 2025 AHA HTN guidelines!
share.google/2Xc7UFRimn2A...
August 18, 2025 at 9:10 PM
"Patients with severe HTN without evidence of acute target organ damage (previously called hypertensive urgency) should NOT have aggressive BP lowering in the short-term or be given parenteral anti-HTN drug therapy."
(my caps)
New 2025 AHA HTN guidelines!
share.google/2Xc7UFRimn2A...
(my caps)
New 2025 AHA HTN guidelines!
share.google/2Xc7UFRimn2A...
Reposted by Adrian
Friendly reminder that chasing the lactate with fluid boluses in a patient with mesenteric ischemia or severe C. Diff colitis will only lead to massive fluid overload. If the patient survives the intra-abdominal catastrophe, she will spend at least a few days intubated in the ICU
July 22, 2025 at 9:19 PM
Friendly reminder that chasing the lactate with fluid boluses in a patient with mesenteric ischemia or severe C. Diff colitis will only lead to massive fluid overload. If the patient survives the intra-abdominal catastrophe, she will spend at least a few days intubated in the ICU
Reposted by Adrian
Chasing lactate with fluid boluses in a patient with [other stuff than true, absolute, hypovolemia] is probably useless, deleterious...and dumb
July 23, 2025 at 10:11 AM
Chasing lactate with fluid boluses in a patient with [other stuff than true, absolute, hypovolemia] is probably useless, deleterious...and dumb
Reposted by Adrian
I for one am shocked, SHOCKED I tell thee, that removing all the qualitative information about a sick patient and boiling it down to single number, coupled with “the NEWS isn’t getting smaller ” didn’t predict who ends up in intensive care. WHO KNEW?
Unplanned transfers from wards to intensive care units: how well does NEWS identify patients in need of urgent escalation of care?
'NEWS did *not* predictably identify patients who were urgently transferred to an ICU from a ward. '
Read more: sjtrem.biomedcentral.com/articles/10....
'NEWS did *not* predictably identify patients who were urgently transferred to an ICU from a ward. '
Read more: sjtrem.biomedcentral.com/articles/10....
Unplanned transfers from wards to intensive care units: how well does NEWS identify patients in need of urgent escalation of care? - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Background The National Early Warning Score (NEWS) is implemented internationally for in-hospital monitoring. It has been superior to other predictive scores, but its preventive abilities are still…
sjtrem.biomedcentral.com
July 18, 2025 at 9:04 AM
I for one am shocked, SHOCKED I tell thee, that removing all the qualitative information about a sick patient and boiling it down to single number, coupled with “the NEWS isn’t getting smaller ” didn’t predict who ends up in intensive care. WHO KNEW?
Warning over TikTok filming by hospital patients www.bbc.com/news/article...
Warning over TikTok filming by hospital patients
The Society of Radiographers says more patients are filming for social media without permission.
www.bbc.com
June 17, 2025 at 8:03 AM
Warning over TikTok filming by hospital patients www.bbc.com/news/article...
Reposted by Adrian
Warning over TikTok filming by hospital patients - BBC News
Reminds me when I had psych patients love streaming their psychosis while screaming in my face.
Please don't put us on tiktok without asking us, guys
share.google/5SB2VJowGQIK...
Reminds me when I had psych patients love streaming their psychosis while screaming in my face.
Please don't put us on tiktok without asking us, guys
share.google/5SB2VJowGQIK...
Warning over TikTok filming by hospital patients
The Society of Radiographers says more patients are filming for social media without permission.
share.google
June 17, 2025 at 6:32 AM
Warning over TikTok filming by hospital patients - BBC News
Reminds me when I had psych patients love streaming their psychosis while screaming in my face.
Please don't put us on tiktok without asking us, guys
share.google/5SB2VJowGQIK...
Reminds me when I had psych patients love streaming their psychosis while screaming in my face.
Please don't put us on tiktok without asking us, guys
share.google/5SB2VJowGQIK...
Trying to finish a joke about Sisyphus but just can’t quite get to the punchline
I have a joke about the Oracle at Delphi, but even I don’t understand it.
I have a joke about Tantalus... But the punchline is just out of reach
June 13, 2025 at 7:37 PM
Trying to finish a joke about Sisyphus but just can’t quite get to the punchline
Reposted by Adrian
Resident doctor pay: How do different methods affect how pay changes appear? Thanks to @nuffieldtrust.bsky.social for their analysis in The Sunday Times this week: www.nuffieldtrust.org.uk/news-item/re...
Resident doctor pay: How do different methods affect how pay changes appear?
www.nuffieldtrust.org.uk
June 1, 2025 at 11:14 AM
Resident doctor pay: How do different methods affect how pay changes appear? Thanks to @nuffieldtrust.bsky.social for their analysis in The Sunday Times this week: www.nuffieldtrust.org.uk/news-item/re...
Reposted by Adrian
"Many were increasingly of the opinion that they'd all made a big mistake coming down from the trees in the first place, and some said that even the trees had been a bad move, and that no-one should ever have left the oceans." Douglas Adams, The Hitchhiker’s Guide to the Galaxy
May 19, 2025 at 6:39 PM
"Many were increasingly of the opinion that they'd all made a big mistake coming down from the trees in the first place, and some said that even the trees had been a bad move, and that no-one should ever have left the oceans." Douglas Adams, The Hitchhiker’s Guide to the Galaxy
Reposted by Adrian
🧪 A study shows receiving a COVID booster in the same arm as the initial dose leads to a faster, more effective immune response. This finding in mice and humans could accelerate immunity in future pandemic vaccine efforts. 🩺 🛟
COVID vaccine works faster with both doses in the same arm
Quick immune responses could be key to establishing herd immunity in future pandemics.
www.nature.com
April 29, 2025 at 2:17 PM
🧪 A study shows receiving a COVID booster in the same arm as the initial dose leads to a faster, more effective immune response. This finding in mice and humans could accelerate immunity in future pandemic vaccine efforts. 🩺 🛟
Dinner in the garden then a glass of wine and catching up on gardeners world, a little self care after a busy weekend
April 28, 2025 at 7:40 PM
Dinner in the garden then a glass of wine and catching up on gardeners world, a little self care after a busy weekend
Reposted by Adrian
New GMC guidance is unhelpful, when what doctors and patients need is clarity on what PAs are allowed to do and what they're not.
We're calling for a clear and nationally enforced safe scope of practice for PAs & AAs.
Full response from Prof Phil Banfield: www.bma.org.uk/bma-media-ce...
We're calling for a clear and nationally enforced safe scope of practice for PAs & AAs.
Full response from Prof Phil Banfield: www.bma.org.uk/bma-media-ce...
April 25, 2025 at 12:05 PM
New GMC guidance is unhelpful, when what doctors and patients need is clarity on what PAs are allowed to do and what they're not.
We're calling for a clear and nationally enforced safe scope of practice for PAs & AAs.
Full response from Prof Phil Banfield: www.bma.org.uk/bma-media-ce...
We're calling for a clear and nationally enforced safe scope of practice for PAs & AAs.
Full response from Prof Phil Banfield: www.bma.org.uk/bma-media-ce...
Reposted by Adrian
NHS staff fatigue is a factor in patient harm and deserves urgent attention, warns safety watchdog www.independent.co.uk/news/uk/home...
NHS staff fatigue factor in patient harm and deserves urgent attention – report
The report claims staff are fatigued for a variety of reasons, such as excessive workloads, long shifts, not enough rest time and inadequate breaks.
www.independent.co.uk
April 24, 2025 at 8:27 AM
NHS staff fatigue is a factor in patient harm and deserves urgent attention, warns safety watchdog www.independent.co.uk/news/uk/home...
Reposted by Adrian
🚨 New: Best Practice Guidelines with the National Poisons Information Service (NPIS) - Management of Patients with Suspected but Unidentified Poisoning in the Emergency Department.
⬇️ Download it 🔄 share it ▶️ practice it. 🔗 Link: rcem.ac.uk/clinical-...
⬇️ Download it 🔄 share it ▶️ practice it. 🔗 Link: rcem.ac.uk/clinical-...
April 21, 2025 at 7:55 PM
🚨 New: Best Practice Guidelines with the National Poisons Information Service (NPIS) - Management of Patients with Suspected but Unidentified Poisoning in the Emergency Department.
⬇️ Download it 🔄 share it ▶️ practice it. 🔗 Link: rcem.ac.uk/clinical-...
⬇️ Download it 🔄 share it ▶️ practice it. 🔗 Link: rcem.ac.uk/clinical-...
Reposted by Adrian
It’s 9am TFT time here, and citizens are already gathering to protest Tariffs by the United States. Our plain clothes Officer Penguins are attempting to maintain calm, but unfortunately we keep losing them in the crowd.
April 3, 2025 at 4:13 AM
It’s 9am TFT time here, and citizens are already gathering to protest Tariffs by the United States. Our plain clothes Officer Penguins are attempting to maintain calm, but unfortunately we keep losing them in the crowd.
Reposted by Adrian
‘I Messed Up At Work Again,’ Crestfallen Michael Waltz Texts Wife, National Geographic Editorial Staff
March 25, 2025 at 9:00 PM
‘I Messed Up At Work Again,’ Crestfallen Michael Waltz Texts Wife, National Geographic Editorial Staff
Nearly 5 years down the line and this period still feels dystopian and continues to cast shadows
March 21, 2025 at 11:12 AM
Nearly 5 years down the line and this period still feels dystopian and continues to cast shadows