Richard Webb @DrRJWebb
Paediatric Intensive Care Registrar. Ex-RN(Child). Interested in paediatric major trauma & illness from roadside to rehab. Aspirations of dual PICM/PEM career. Yorkshire and The Humber Joined October 2013-
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New cricket bats are the neediest things ever. This is a first experience for me. I was sort of hoping to buy it and use it.
Jesus. Tough to watch, because we’ve all been somebody on this advert at some point. From the assaulted to the secret cries by the bins. And no, we’ll never let you see it.
Jesus. Tough to watch, because we’ve all been somebody on this advert at some point. From the assaulted to the secret cries by the bins. And no, we’ll never let you see it.
#pedsicu, paeds EM, or resus folk, anyone using vasopressin in paediatric cardiac arrest? Why? Why not? What dose? When?
Presumably there has to be an election in Poulter’s constituency now? We vote for party not person, so surely defecting to a different party requires some sort of re-election?
I’ve not written a cheque for 6 years. Because it’s 2024, and who uses cheques. Except when renewing your driving license with the DVLA! Took me a while to find my cheque book.
Fascinating and shocking data on non-fatal strangulation: most common cause of stroke in females under 40, and may have no external signs of injury. Something I knew nothing about, and would probably never consider in paediatric stroke. Thanks @EmmaBla55820253!
I’ve been saying for years. It’s to the advantage of the government to create unemployment amongst doctors, especially in a climate of industrial dispute. Create unemployment, people will work for any dictated terms and conditions, no matter how eroded. This is a disaster.
I’ve been saying for years. It’s to the advantage of the government to create unemployment amongst doctors, especially in a climate of industrial dispute. Create unemployment, people will work for any dictated terms and conditions, no matter how eroded. This is a disaster.
Extremely positive move… most (nearly all) mandatory training is a tick box exercise and a waste of time. BUT please @guardian, stop referring to ‘young medics’. I’m 34 years old. ‘Junior’ doctors range from 23-40+. It’s disrespectful.
Extremely positive move… most (nearly all) mandatory training is a tick box exercise and a waste of time. BUT please @guardian, stop referring to ‘young medics’. I’m 34 years old. ‘Junior’ doctors range from 23-40+. It’s disrespectful.
I’ve loved seeing people posting their jobs today. I’d love it even more if training programs arranged for and published professional photos introducing their trainees, with pride, like US programs. Let’s start encouraging pride in our training, and celebrate achievements.
Paeds/ED colleagues. Sick-looking kids can be scary to look after, in hospital, as a PICU trainee with 16 years experience working in paeds. Paramedics have a fraction of the paeds training and exposure. Our everyday is their worst day. This attitude doesn’t help. Please stop.
Paeds/ED colleagues. Sick-looking kids can be scary to look after, in hospital, as a PICU trainee with 16 years experience working in paeds. Paramedics have a fraction of the paeds training and exposure. Our everyday is their worst day. This attitude doesn’t help. Please stop.
A thread worth reading. CPR must be mandatory education at every stage of life, updated, and practiced regularly. At least annually at school and work, to renew driving license, all opportunities. The person you’ll most need it for will be in your family.
A thread worth reading. CPR must be mandatory education at every stage of life, updated, and practiced regularly. At least annually at school and work, to renew driving license, all opportunities. The person you’ll most need it for will be in your family.
In healthcare, this would be blamed on the individuals for not looking where they’re going… Human error is usually only a symptom of a problem. instagram.com/reel/C5JL0EsCA…
At @Leic_hospital today for the @EMCHNetwork paediatric airway course. Excellent morning so far (once I’d found the carpark!). Looking forward to the rest of the day!
Protecting children is a very conservative value. Except from poverty of course. Given the UK has some of the highest child poverty of all the world’s richest nations (37 out of 39, and 39 out of 39 in two lists).
Protecting children is a very conservative value. Except from poverty of course. Given the UK has some of the highest child poverty of all the world’s richest nations (37 out of 39, and 39 out of 39 in two lists).
Opportunity to work with the wonderful @Dr_Hannah87. I can guarantee great teaching! Sadly it’s a little too far for me!
Opportunity to work with the wonderful @Dr_Hannah87. I can guarantee great teaching! Sadly it’s a little too far for me!
Furthering my moaning about competency ticking. I have 7 competencies on health promotion including encouraging self management (I’m an intensive care trainee…), and this mandatory gem… I understand the need, but how are we all meeting this one? E-learning tick box?
Sean Monaghan @DrSeanMon
8K Followers 4K Following #paedsrocks/PEM consultant @StaffsChildrens. Adolescenty. Safety-II stan. Into teaching and social determinants of health. Northern. Views my own. He/him.Becky Platt @BeckyPlatt3
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3K Followers 2K Following Paediatric emergency doctor, interested in education and improving the quality of quality improvement. he/him https://t.co/yhTFUaPOOOJames Yates @heli_med_james
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8K Followers 4K Following #paedsrocks/PEM consultant @StaffsChildrens. Adolescenty. Safety-II stan. Into teaching and social determinants of health. Northern. Views my own. He/him.Becky Platt @BeckyPlatt3
9K Followers 1K Following I help you improve your communication & leadership skills. Advanced Clinical Practitioner | Educator | Speaker | Passionate about human stories & quality care.Nick Schindler @DrNickTwit
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4K Followers 1K Following chief operating officer at University Hospital Southampton - I mostly tweet about work, occasionally running, but all views are personal @uhsft @sotonchildhospRichard Salter @RichSalter
2K Followers 1K Following National @DofE & @CVCollegeUK Manager @StJohnAmbulance | @citylordmayor ADC | @StJohnEngland Priory Chapter | Agile Coach @LEGO_Group | #CoronationChampion 👑Ashleigh Lowther @ashleighlowther
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44 Followers 80 FollowingSegun Olusanya (He/Hi.. @iceman_ex
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3 Followers 1 Following UK-trained ENT surgeon with an interest in Sun, Sea and Laryngology l DVLP @VoiceLab_USyd Clinical Fellow in Laryngology at @Sydney_UniSexpression:UK @Sexpression
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4K Followers 221 Following Implementation tool for airway Mx by @NicholasChrimes & @pzfritz. Addresses human factors considerations to facilitate real time use by teams during a crisis.Mark @DrMarkbuchanan
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488 Followers 297 Following We are the regional Neuro Critical Care Unit at the Royal Hallamshire Hospital. All views are our own and not necessarily that of the Trust.Roger Linnell @LinnellRoger
2K Followers 2K Following Advanced Paramedic for CMS Ex Critical Care Paramedic for the Lincs & Notts Air Ambulance/EMAS conquered the Sahara desert 100K trek in 2019 Pg CertEuropean Space Agency @esa
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2K Followers 1K Following Head of Academic Military General Practice. @RoyalNavy GP, MPH, GP trainer, doctoral student @KCMHR. Mum, wife, owned by cats. (she/her)EuroELSO @EuroELSO
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4K Followers 802 Following * Paediatric Liaison Psychiatrist @DPT_NHS * Hon. Senior Clinical Lecturer @ExeterMed * CAMHS Faculty @rcpsych * National Psychiatry Lead @DuchenneUKEmma Blake @EmmaBla55820253
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507 Followers 930 Following Consultant Mental Health Paediatrician. Passionate about mental health education and staff wellbeing.Bray Consulting @BrayUK999
175 Followers 586 Following #Business #Consultants for the #healthcare #firstaid supplies sector. Strategy | Market Insights | M&A & Exits | Due Diligence | Expansion | Product DevelopmentSteve Bray 💙 💚 .. @SteveBray999
4K Followers 5K Following After 31 years of selling first aid, ambulance and emergency medical supplies, I tried retiring but I'm now running @BrayUK999. Also a Trustee of @thecitizenAIDBPAIIG @bpaiig
1K Followers 629 Following Clinicians and academics interested in childhood allergy, immunology and infection. Affiliated to the Royal College of Paediatrics and Child Health.CTS @CTS38
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160 Followers 51 Following Research Fellow, @PEC_ANZ Intensive Care Paramedic @AmbulanceVic, Committee member @ARC_resus, EIT Task Force Member @Ilcor_org. Views are my own.Nick Ratcliff @paramedicnick81
1K Followers 836 Following SAR Winch Paramedic @Bristow_Group Enjoy looking after people properly. Former HEMS Critical Care Paramedic @DevonAirAmb ex @RoyalNavy & @RiflesRegimentJM @JMoff79
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3K Followers 3K Following Snr Lecturer in Forensic Exploitation and Intelligence at Cranfield Uni. Counter CBRNE interests. Special Constable.Jess Sparrow 🐥 @JessicaSpara
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229 Followers 164 Following The East Midlands Congenital Heart Operational Delivery Network. Working collaboratively to achieve seamless, high quality, equitable careLoretta Ellsworth @LEllsworth
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72 Followers 140 Following Pedi Anesthesiologist at @Duke_Anesthesia, #PedsPain clinical trialist, #AutismAcceptance advocate. Mom, wife, researcher.JonR @teaandmedals
2K Followers 3K Following SP-CC,Wednesdayite,Rugby player,Lead Paramedic YAS-BASICS, GIC/ALS/PHTLS provider/instructor,Glasto Fest Medic.MCPara. All views my own.🇺🇦Dr Julian Mark QAM @drjpmark
1K Followers 121 Following Executive Medical Director, Yorkshire Ambulance Service NHS Trust. SFFMLM. Former SAS anaesthetist. Posts are my personal reflections.Robert Smithers @Rob_Smithers
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128 Followers 741 Following Incoming Graduate med student 🩺 @warwickmed Interests in surgery & access to healthcare in low-income settings. Global Health & Development MSc @uclPhillip Ross @Phillip38322498
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459 Followers 1K Following t-e, g-r wokerati. paediatrician. palliative care. mother. feminist. leftist. domestic abuse survivor. views mine not employers'. RT not endorsementSebastian Morales @smorales_a
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439 Followers 312 Following Deputy Lieutenant (S Yorkshire), High Sheriff (2023-24), Professor of Neurotology, Univ Sheffield, SHU. Clinical Director ENT, STHNHSFT, NIHR, Royal Soc MedMax Marsden @MaxMarsden83
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6K Followers 1K Following Public Health Physician (Health Protection). Outbreak doctor. Adjunct Professor of Public Health @uccpublichealth Neonatology in Sierra Leone. My opinions 🛸PREMIER Wessex @PremierWessex
169 Followers 106 Following 🚑 🤩🚑 Emergency Medicine Conference 🚑🤩🚑 June 11th + 12th https://t.co/3TZYRWd0fyRob Major @phemDM
806 Followers 173 Following DMD of EAAA, Defence and Security Consultant, Military Veteran (all views my own)Dru @doctor_dru_
3K Followers 309 Following F1 doctor. Husband, dog dad, Geordie, adopted Yorkshireman. Proud member of the alphabet mafia. All opinions my own, but you’re welcome to pinch them. 🩺🏳️🌈‘BC1’ @Cooper_BC1
965 Followers 871 Following World Extreme Medicine Faculty, MRT, Scouting, Former Antarctic Logistics and Expedition medic. My own views.Can we all normalise this as handover-appropriate language please? So many potential uses.
I just used “yeeted” in a verbal report about patient care. What has happened to me?!?
@DrRJWebb @DrEmilyBotcher @JoannaDavy1 @rosieICM @DrSeanMon Should be tied in with palliative care services (sorry if that’s obvious)
@DrRJWebb @JoannaDavy1 @rosieICM @DrSeanMon has Big Ideas about the transition period for PMLD patients. I suspect he’d be all over the idea of a PICM future planning clinic.
This a million times . Need to consider both low LV afterload and low LV preload.
Pearl: Hyperdynamic LV does =/= hypovolemia. Keep a broad ddx - I break it down to 'low LV afterload' (sepsis, liver failure etc) vs 'low LV preload' (RV failure, tamponade, hypovolemia etc). What's your approach? @ThinkingCC @NephroP @saikatmitra @khaycock2 #POCUS #echofirst
@DrRJWebb @DrEmilyBotcher @rosieICM When do we start this?!🤣
@DrRJWebb @KatherineB95479 Also the person couldn’t identify themselves which is the main thing, and no one could identify them (because I’ve been in more than one hospital)
@DrRJWebb @AbbieTBee Ive done it from a yellow many times 😅 trick is a good tourniquet! I just don't do it if it my only life saving/sustaining access lol
@DrRJWebb @Long_way_round_ It was a 52 point list - it wasn’t that bad 😂😂😂 - at least I numbered the list
Good morning #Yorkshire from our @YorkshireAirAmb @RoyalAirForce Topcliffe base. Sharp showers forecast today. Be careful all 👍
@rosieICM “Three weeks of ICU saves 30 mins of difficult conversation”
@WeeMacAbish Get the shovel & lime babs ⚰️
This quote from the head of the hospital which offered to admit Charlie Gard and Alfie Evans “We cannot say no” Knowing when to say no is one of the most essential skills of critical care medicine Always saying yes is far easier but carries tangible harms
Morning👋🏻 if you're in Yorkshire & provide any form of pre-hospital care I'm looking at you👀.As chair of the local faculty I'm hoping that there's some like minded folk out there who'd like to help develop education across Yorkshire.I've tagged a few folk but this is open to all
@morefluids Yes, but I rotate in September, so for the purposes of your question…no?
When you remember it's a bank holiday tomorrow and your all-day clinic is cancelled
Single-centre RCT finds video #laryngoscopy significantly improves 1st pass success for #neonatal intubations compared to direct laryngoscopy (74% v 45%). We use VL on retrieval allowing shared appreciation of view, training and governance #FOAMneo
Presented at #PAS2024: Intubation in neonates is challenging, and repeated attempts are associated with adverse events. Among neonates undergoing urgent intubation, video laryngoscopy resulted in more successful first attempts than direct laryngoscopy. nej.md/44u9CJm
@agemjourney Have been a dr for almost 15 yrs. Plus 5 years med school. The first time I heard of the medical model was in some PA propaganda.
@SuellaBraverman demands the UK leave the European convention on human rights. Something the UK helped to write in 1949. This is idiotic, but the party of section 28, transphobia and such hate. I can’t wait to vote them out #GeneralElectionlNow
Seriously, who writes this garbage? APLS and ATLS are again entry level qualifications- anyone picking consultants for major leadership roles on the basis of having entry level qualifications needs to give their head a wobble.
@AjEusuf @Resuspiece @docsammo Is this a new development since Oct 2023? We (anaesthetics trainees) were advised we can get it funded, but can only pick one Call me a snob, but having APLS does not give you an upper hand to be departmental paediatric lead The trauma/paeds/ALS courses are a *minimum standard*