JWP @WardleParker
Registered Paramedic 》Special interest in palliative and end of life care 》Chronic realist, exacerbations of pessimism. Joined November 2014-
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@MikeStone2_EoL @BakerIdris @ProfMarkTaubert @rcgp @doctor_oxford @TheBMA @ClareGerada @k *Wouldn't it make sense to have a local EoL care backup team? 24/7 phone line with flying squad able to despatch a prescriber to assess & help manage breakthrough symptoms like pain, agitation, breathlessness? Even to attend immediately after death if companions need support? 4/
Abbé Émile Warré was born on this day in 1867 (Some sources suggest May 9th) A French abbot, he devised a simple, economical, 'bee-friendly' hive known as the 'People (Warré) Hive.' The hive consists small 300mm x 210mm square boxes. It doesn't use frames, just eight top bars
Today was the first time utilising the recently implemented end of life PGD suite. It allowed myself and my colleagues to initiate rapid symptom relief and meet the patient's priorities of care safely and effectively whilst establishing an onward chain of care. Empowering.
The financial costs of anticipatory prescribing: Median prescription cost £43.17 & used drug cost £2.16 Our new paper in @PalliativeMedJ @lloydamorgan17 @PELi_Cam Pls share widely ⬇️ ⬇️ @WeCommNurses @RCNDNForum @hospiceuk @LearnPEOLC @HomesQi @TheQNI doi.org/10.1177/026921…
@WardleParker @OFFICIALIOWAS Other key theme was the PGD was predominantly used in those overlooked by "traditional models" of palliative care eg those with dementia, chronic illnesses with unpredictable acute exacerbations etc. The paramedics gave immediate symptom relief then flagged to us to pick up
Planning a gathering over the festive season? Why not include a #WhatMattersToMe conversation? 🧵 It's a joyful topic, & it can be the very thing that helps you understand each other better, or represent each other's views if that's ever needed in the future. Some resources: 1/
Introducing the OMI Pocket Guide. Smith ECG Blog Posts organized into an amazingly educational collection, with examples of each type of subtle OMI and of mimics. Also on the banner at the top for easy access any time hqmeded-ecg.blogspot.com/p/omi-pocket-g…
A man in his 70s with acute chest pain and paced rhythm. See what happened. @PendellM hqmeded-ecg.blogspot.com/2023/05/a-man-…
Never forget that anxiety by itself is a diagnosis of exclusion
Unpopular opinion: You can learn more about a child’s clinical condition by spending a few moments looking at them than you can by attaching any monitor.
@DrLindaDykes Times to #HaveTheConversation 1. Make it a routine part of initial assessment: "Any PoA, ADRT etc I should make a note of? No? Well, .... let me tell you about how those could help you...' 2. "Any allergies? Any treatments you wouldn't want?" 3. ➡️
🗣️🗣️🗣️ 'Dont ask a patient "What do you want us to do if your heart stops?" unless they would be a candidate for CPR.' 🗣️🗣️🗣️ #MakeDyingBetter
🗣️🗣️🗣️ 'CPR is not a treatment for ordinary dying.' 🗣️🗣️🗣️ #MakeDyingBetter
Breathing changes at the very end of life - breaths become cyclical, going fast and slow with pauses. It may sound like they are panting - they aren't, it's just the respiratory centre in the brain shutting down. #MakingDyingBetter
Next problematic theme is patients who wish to stop eating & drinking to hasten their death - Voluntary Stopping of Eating & Drinking (VSED). It is not "assisting a death" to support and palliate people whose capacitious wish is to do this. @sarahmalik450 at #makingDyingBetter
As the dying person becomes more deeply unconscious, they don't respond to secretions building up at the back of the throat - "the person is safely unconscious" - this is the "death rattle", and indicates deep levels of unconsciousness. #MakingDyingBetter
What can we learn from the death of the #Queen? The world has watched her live through the process of #OrdinaryDying, and yet dying went unspoken, un-named. Let's notice what nobody mentioned: we all saw the Queen going through the stages of ordinary dying. A 🧵... 1/
Most Powerpoint presentations suck. I've produced 100's of presentations for CEO's and CFO's at a $1 billion company. Here's how to create an eye-catching presentation:
1/n I've heard a few times over the years that many paramedics think that their patient care records (PCRs) are primarily for internal audit purposes and aren't read by other clinicians. So - A thread on EMS PCRs...
Kate Shaw @K8_Para
91 Followers 497 Following Paramedic in the Midlands. University of Wolverhampton graduate. Particularly interested in Palliative and EoLC. All views are my own.
Lynne Sweeney 🏴�.. @LSweeney1980
329 Followers 470 Following Hospice at Home Team Leader at Birmingham Hospice. Non-Medical Prescriber. All views are my own.
Sarah Bowers @SarahPBowers
637 Followers 981 Following PhD Fellow with @MMPhDHP at @StAndMedicine. Pall Med/GIM Reg with an interest in improving care for those with multimorbidity and liver disease.
Sian Vincent @VincentSian
219 Followers 2K Following
John Sheridan RN @JohnSheridanRN
4K Followers 5K Following RN, Program Manager, National #Palliative & #EndOfLifeCare Team @NHSEngland @Pers_Care. Trustee @TeessideHospice @NHSLeadership Msc grad. My own views 🏳️🌈
Sally-Anne Francis @sally_anne_fran
646 Followers 1K Following Postdoctoral Research Fellow @MCPCRD @UCL. Learning about palliative care. Health services researcher. Pharmacist. All views are my own.
carolyn @tiltygirl
51 Followers 351 Following Clinical Nurse Specialist in Palliative Care Hub. #111option4 Mum and owner of 2 GWP’s and a Border terrier and 2 kids. Views are my own
Kate Christie @KateChr52533443
38 Followers 329 Following
Natalie herring 💙 @Nataliefe77
242 Followers 1K Following I'm a community macmillan nurse , I have 2 children, and i organise a charity ball to raise money for kidney research uk . life is busy. all views my own
Dr Ben Bowers RN QN @Ben_Bowers__
4K Followers 2K Following Wellcome Post-Doctoral Fellow @Cambridge_Uni @PELi_Cam @JesusCollegeCam Nurse Consultant Pall Care @CPFT_NHS Research Consultant @TheQNI Hon. Associate Prof.
Andreas Roeschl, MD @ecgandrhythmRoe
11K Followers 3K Following Cardiologist - ECG-student https://t.co/N8LYGKmKRC🫀https://t.co/eg7qmpZ2Se👉#ECG #ecg
Florence @nytk604pzj
0 Followers 168 Following I still have faith in humanity, but we need to bring back traditional values.
Nick Williams 🚑 @NkwilliamsNw
2K Followers 2K Following * Advanced Paramedic - Urgent Care * ALS Instructor (RCUK), Falls champion, MHFA * Evolution NOT Revolution * Ba (Hons), MSc APP, NMP (IP/SP) student
Dr Linda Dykes @DrLin.. @DrLindaDykes
32K Followers 14K Following UK EM Consultant/GP in the Interface Medicine Zone. Sweary when cross. Personal views, RT not endorsements. Likes 🐴🐕 🦆🐔. @[email protected]
Julie Hollings ☕️.. @julie_hollings
1K Followers 3K Following Director of Communications at @EastEnglandAmb. Pony novelist & cartoonist. My pronouns are she/her
Research in Emergency.. @REACHBristol
2K Followers 680 Following Expert researchers and clinicians improving urgent and emergency care. Supporting trainees through @ECIncubator & @TERNFellow Led by @UWEBristol and @Bristoluni
Adam Gimson @aagimson
69 Followers 208 Following I'm a follower of Jesus, a biker and in what time i have left i work for the ambulance service
Chris Connor @Chrisconnor88
502 Followers 382 Following Mid and South Essex Deputy Local Area Manager - Paramedic @EastEnglandAmb - Portsmouth FC Fan - Views are my own -
sarahhusband @sarahbevan01
842 Followers 379 Following Pg cert trauma science, parkrun event director, surfing 🏄♀️ enthusiast, runner, paramedic 🚑 tACP
Kali Carrigan @kalicarrigan
90 Followers 215 Following 65% oxygen, 18% carbon, 9% hydrogen, 1% "other" PhD researcher at the University of Amsterdam interested in futures of death, choice, and suicide tourism.
Pete Nash @petercnash
12 Followers 448 Following
Amy Bradley 💙 @bradders1489
74 Followers 383 Following
LOU @Lou_NorthIrish1
67 Followers 164 Following Paramedic practitioner , Snowboarder, footballer, fitness, ambulance service :) paediatric nurse
Amanda Walker @AmandaWalker999
14 Followers 62 Following Registered paramedic and nurse, pro remain and the NHS, angry about government handling of Covid
Tom @SAPmonkey
51 Followers 110 Following Paramedic, RCUK ALS Instructor. Diabetic. Keen cook. Father.
TheFrontline @Frontline_ARU
382 Followers 1K Following @StoryLab_ARU collected stories from health & social care professionals during Covid's 1st wave. Watch "From the Frontline" film (link below) 📸 @_GlennGbPhoto
#LetsGoBigslow @MMAMedicUK
90 Followers 353 Following Paramedic, Elite Sports and MMA Injury, Rehabilitation and Prevention Specialist. Team BigSlow, Apprentice Cut's Man
The UK Sepsis Trust @UKSepsisTrust
29K Followers 5K Following The UK's leading #sepsis charity, raising awareness and providing vital support to those affected by this life-threatening condition.
🐿️ Maz ♥ @SquirrelledMaz
10K Followers 1K Following Queen of the Squirrels Likes gaming, fibre crafts, squirrels, chocolate and cats.
AMBULANCE FOREVER LOY.. @UKAMBULANCE100
5 Followers 354 Following LOYAL TO EVERY SINGLE UK AMBULANCE SERVICE IN THE UK LOVE ALL UK AMBULANCE SERVICES ACROSS THE UK #AMBULANCEFANBASE #WMAS #YAS #NWAS #LAS FOLLOW YOU ALL
CUH Early Interventio.. @CUH_EIT
301 Followers 341 Following A team of Nurses, Physios and OTs specialised in Frailty, Discharge Planning & Admission avoidance. Based in ED & SDEC areas @ Cambridge University Hospitals.
MET Medical Recruitme.. @MedicalMet
280 Followers 961 Following METMedical is a Leading Independant Ambulance Service. We are looking for professional clinicians to join us in order to deliver excellent compassionate care.
Jessie Wycherley @MarshyJAM
76 Followers 150 Following 💚🚑 Chicken nuggets and cheese are life. That is all ✌🏻
Angela Croucher @angcroucher
537 Followers 455 Following EEAST & @NARSBasics Paramedic. Proud to be part of @ATACCFaculty, @EoE_PHC, @PHEMfeedback, @CamPreHosp & @ResusCouncilUK EPALS committee. Former PICU Sister
Nicholas Jones @Ambo_Digi_NJ
2K Followers 2K Following Works with Ambulance Technology, Community First Responder. Interested in technology, processes, change management & saving lives.🏳️🌈 He/Him
Gregory Corns @gregcorns
81 Followers 53 Following Full time father and husband, oh and Paramedic / Leading Operations Manager. All legendary views are my own. 🤙🏽
Gareth Doman @garethdoman
221 Followers 642 Following Service Manager, Emergency Department, West Suffolk NHS Foundation Trust. Paramedic, dad, husband, keen cyclist and trail runner.
Matt Sztajnkrycer @NoobieMatt
7K Followers 5K Following Forged @tamingthesru | Professor & PD @MayoClinicEM EMS Fellowship | Toxicologist @MNpoisoncenter | CME Editor @AnnalsofEM | Officially not notable as of 42023
Claire Creek @ClaireLCreek
167 Followers 182 Following Loves: Friends. Family. My Puppies 🐶 Football. Harry Potter. Crap TV. 🚑. And anything slightly immature. 🏳️🌈
Tristan Ravenscroft @Blackraventalks
83 Followers 272 Following Love having fun on my boat and fishing.
Stuart Hornsby @StuartHornsby2
79 Followers 239 Following Paramedic... the best job! All views are my own.
Wendy Scott @Scotty_W74
30 Followers 71 Following
Chris Mead @ChrisMead_CUH
2K Followers 1K Following ED Deputy Operations Manager at Addenbrookes Hospital, Cambridge. Former Cambs Police Chief Supt (Retired). Views Personal
Sarah Massie she/her�.. @SFMassie
2K Followers 2K Following Director of Programmes Point of Care Foundation | Coach & supervisor | Leadership OD consultant |Trustee | Ovarian cancer survivor #Menopausalwoman#Feminist
David Allen @iamdavid_allen
1K Followers 2K Following Proud Husband & Father. Head of Operations & Advanced Paramedic for EEAST. #SeacoleGrad Elizabeth Garrett Anderson Graduate, NHS Leadership Academy
Simon Noah Etkind @SimonNoahEtkind
2K Followers 1K Following Palliative care clinical academic @PELi_Cam @CUH_NHS "medicine is a science of uncertainty"
PCRS @PCRScommittee
3K Followers 519 Following The Palliative Care Research Society is dedicated to promoting palliative care research through information sharing, networking and training
Shunichi Nakagawa @snakagawa_md
28K Followers 523 Following Director, Inpatient Palliative Care Services at Columbia University Irving Medical Center. Associate Professor @ColumbiaMed. Clinician-Educator.
BMJ SPCare @BMJ_SPCare
4K Followers 463 Following An International peer-reviewed journal for Supportive & Palliative Care clinicians & researchers. Blog/Opinion article pitches to @ProfMarkTaubert
Cambridge Palliative .. @PELi_Cam
1K Followers 423 Following Researching and improving palliative care: the journeys of people, their caregivers & the professionals caring for them @Cambridge_Uni @PCU_Cambridge #peolc
Gareth Doman @garethdoman
221 Followers 642 Following Service Manager, Emergency Department, West Suffolk NHS Foundation Trust. Paramedic, dad, husband, keen cyclist and trail runner.
Tony Duffy @Existential_Doc
9K Followers 2K Following Palliative care consultant 🩺 Gomez 🐶Guitar 🎸 Guinea pigs 🐹 Personal account. Tweets and Threads 🧵to encourage discussion/reflection. Glaswegian at heart
The PCPA @pcpa_org
7K Followers 3K Following Primary Care Pharmacy Association - for Pharmacists, Pharmacy Technicians & Trainees in GP, PCN, Community & ICB. Not for profit organisation- https://t.co/vEpAi49Gt9
Andrew Thorns @ThornsAndrew
725 Followers 683 Following Consultant at East Kent Hospitals and previous medical director Pilgrims Hospice. Research lead if you would like to collaborate. All views my own
Lynne Sweeney 🏴�.. @LSweeney1980
329 Followers 470 Following Hospice at Home Team Leader at Birmingham Hospice. Non-Medical Prescriber. All views are my own.
Arlene Bunton @ArleneBunton
939 Followers 476 Following Independent Sector Lead @ Scottish Care Doctorate Applied Social Research (Dementia and Ageing) Student. PG Dip Dementia Studies Ba (Hons) Health & Social Care.
Suzie Gillon @Suziegillon
181 Followers 212 Following NHS consultant, wild swimmer, cyclist and temporarily settled nomad.
Sarah Bowers @SarahPBowers
637 Followers 981 Following PhD Fellow with @MMPhDHP at @StAndMedicine. Pall Med/GIM Reg with an interest in improving care for those with multimorbidity and liver disease.
John Sheridan RN @JohnSheridanRN
4K Followers 5K Following RN, Program Manager, National #Palliative & #EndOfLifeCare Team @NHSEngland @Pers_Care. Trustee @TeessideHospice @NHSLeadership Msc grad. My own views 🏳️🌈
RCN District and Comm.. @RCNDNForum
5K Followers 1K Following Promoting, supporting, influencing and advocating for district nurses and nursing practice through RCN. Views from Forum Steering Group.
Sally-Anne Francis @sally_anne_fran
646 Followers 1K Following Postdoctoral Research Fellow @MCPCRD @UCL. Learning about palliative care. Health services researcher. Pharmacist. All views are my own.
Natalie herring 💙 @Nataliefe77
242 Followers 1K Following I'm a community macmillan nurse , I have 2 children, and i organise a charity ball to raise money for kidney research uk . life is busy. all views my own
carolyn @tiltygirl
51 Followers 351 Following Clinical Nurse Specialist in Palliative Care Hub. #111option4 Mum and owner of 2 GWP’s and a Border terrier and 2 kids. Views are my own
Paul Howard @Paul_Howard_IoW
2K Followers 223 Following Palliative Care Consultant; Palliative Care Formulary Editor
Dr Ben Bowers RN QN @Ben_Bowers__
4K Followers 2K Following Wellcome Post-Doctoral Fellow @Cambridge_Uni @PELi_Cam @JesusCollegeCam Nurse Consultant Pall Care @CPFT_NHS Research Consultant @TheQNI Hon. Associate Prof.
Morag Farquhar @MoragCFarquhar
1K Followers 477 Following Professor of Palliative Care Research: breathlessness in advanced disease, patients & carers, person-centred care, mixed methods (work tweets, but views own)
The Gold Standards Fr.. @GSFCentre
2K Followers 3K Following The Gold Standards Framework CIO (GSF) is the UK's leading training provider for generalist frontline staff in caring for people in the last years of life.
Andreas Roeschl, MD @ecgandrhythmRoe
11K Followers 3K Following Cardiologist - ECG-student https://t.co/N8LYGKmKRC🫀https://t.co/eg7qmpZ2Se👉#ECG #ecg
Clare Fuller RGN MSc @ClareFuller17
3K Followers 3K Following #AdvanceCarePlanning Advocate, Educator & Coach. LPA Consultant. Podcaster. #PEoLC Educator. Gym instructor. Yoga practitioner. https://t.co/AdQIqdmVJ7
Suffolk Police @SuffolkPolice
83K Followers 361 Following 📰 Latest news, updates & appeals. ☎️ Do not report crime here. Call 101, go online, or always call 999 in an emergency. 👮 Officer recruitment lines are open.
Ely Death Cafe @Ely_D_Cafe
48 Followers 39 Following Lifting the lid on #Death! Part of #DeathCafe movement, hosting since 2016. Meet every 2 months online. Always free, book on Eventbrite, bring own cake :)
Claire Nicell @hospeduc
176 Followers 124 Following Lecturer Practitioner at The Hospice of St Francis, Berkhamsted. Enjoys working collaboratively to promote excellent end of life care. All views my own.
The Hospice of St Fra.. @Hospicstfrancis
5K Followers 2K Following We are here to help people live their precious lives well. #yourpreciouslife
Daisy Jacobs @DaisyJacobs85
18 Followers 75 Following starting a new journey as Tr. Advanced Clinical Practitioner in Palliative Care #ACP #MSc at St Nicholas Hospice
e-ELCA @cmf_elca
1K Followers 39 Following e-learning to support the health and social care workforce in delivering excellent end of life care. @SarahHanrott is Clinical Lead, supported by @APMposttweets
Dr Philip Lee @drphiliplee1
85K Followers 3K Following Consultant Elderly Care Physician in the NHS. Still not an MP. He/Him.
Shawn Tomkin @ShawnTomkin
5K Followers 584 Following He/him. Cowardly TTRPG designer. Info and downloads: https://t.co/qmVFR5Q94R. Banner art by @joshmeehanart. Where to find me: https://t.co/u3ClNbfhp8.
RealTalk @RealTalk_EOL
1K Followers 245 Following Engaging people in end of life talk Email: [email protected]
EEAST Education @EEAST_Education
359 Followers 12 Following Official Twitter site for the Education & Training Team at East of England Ambulance Service NHS Trust. Not for emergencies, dial 999 if you need an ambulance.
Edwin Li @edwinlpwps
47 Followers 134 Following Emergency doctor with an interest in #PHEM and #MedEd • RCEM EoE Regional Board @RCollEM
Nick Williams 🚑 @NkwilliamsNw
2K Followers 2K Following * Advanced Paramedic - Urgent Care * ALS Instructor (RCUK), Falls champion, MHFA * Evolution NOT Revolution * Ba (Hons), MSc APP, NMP (IP/SP) student
𝗥𝗲𝘀𝘂𝘀�.. @ResusMed
41K Followers 3K Following Simply Better Education Resuscitationist | Educator | Innovator | Entrepreneur | Driven to Learn & Share Knowledge | PDX 🙃 #Airway #FOAMed #SALAD #TNCC #ENPC
Sudden Cardiac Arrest.. @WeAreSCAUK
2K Followers 1K Following Sudden Cardiac Arrest UK. Peer support for UK residents and expats affected by an unexpected and sudden cardiac arrest. #SuddenCardiacArrest
Sarah Malik @sarahmalik450
281 Followers 622 Following Clinical Lead at Compassion in Dying, RN RCN Patient Choice award winner 2022
Compassion in Dying @AGoodDeath
15K Followers 4K Following We want people to be in control of their end-of-life decisions because there is no-one better to make them.
Matt Makin GMC 343336.. @COSMakin
8K Followers 5K Following Mancunian & MD of the mighty @NorthMcrGH_NHS , home of the Regional Infectious Diseases Unit . Hon Prof, Health & Behavioural Science @BangorUni also MD of SCUK
Upeka de Silva @de_upeka
312 Followers 374 Following Policy @dignityindying & @agooddeath & sexual & reproductive health & rights.
Dr Linda Dykes @DrLin.. @DrLindaDykes
32K Followers 14K Following UK EM Consultant/GP in the Interface Medicine Zone. Sweary when cross. Personal views, RT not endorsements. Likes 🐴🐕 🦆🐔. @[email protected]
Kathryn Mannix @drkathrynmannix
41K Followers 1K Following Retired palliative care doctor. Writer: 'With the End in Mind', 'Listen.' Wants us to understanding dying more, fear it less, listen better. Rep: @DHAbooks
Robert E Fuller @RobertEFuller
53K Followers 1K Following Wildlife artist, filmmaker & blogger Love watching and learning about wildlife #robertefuller Sign up https://t.co/p5bv9c60cX | https://t.co/Vi67lG4YJu
Tom Abell @HeyTomAbell
3K Followers 291 Following CEO @eastenglandamb | Chair of Trustees @aidsmap | Thoughts are my own | 🏳️🌈 | he/him
Cynthia Cooper, MD @DrCindyCooper
42K Followers 433 Following Adult Hospitalist.☀️Haikus/tankas celebrating the language of Medicine☀️Author: Medicine in Brief @HarvardMed Views own/not advice
Journal of Brown Hosp.. @BrownJHM
323K Followers 635 Following Official account of ‘The Brown Journal’. We aim to provide practical information relevant to hospital & internal medicine. Posts ≠ medical advice.
Uh oh! Things are going to start getting interesting! Bayer, the largest owlet, realises there is a world outside the nest box! Tawny owlets' branch' into trees before they can fly properly. I think another few days before he comes right out! #YewView @Natures_Voice
Turn the volume up!!!!! I just heard my first #GwylltHollow cuckoo!!!!! 😁😁
Updated PCF CSCI (continuous subcut [SC] infusion) chapter now online, including: 1. when to consider loading doses; a drug given by CSCI alone will take 3-5x the halflife to reach steady state, loading doses can relieve symptoms quicker when using longer halflife drugs
April updates to Palliative Care Formulary on MedicinesComplete include a new Quick Clinical Guide: Administering a short subcutaneous infusion (QCG SSCI). Find out more bit.ly/3PZ3McM
Another really interesting addition to the (sparse) literature on just-in-drugs A standout for me was that some were used wks/months before death for reversible conditions (parallel treatment of symptoms matters). May also reassure the reticent that JIC drugs don't hasten death
Pls RT. Our🆕research paper - Effectiveness of injectable end-of-life symptom control medications & patient comfort often under-recorded ! @IJNSJournal Paper here: doi.org/10.1016/j.ijnu… Last research paper from PhD @PELi_Cam @TheQNI @hattierocket @CrystalOldman @RCNDNForum
Pls RT. Our🆕research paper - Effectiveness of injectable end-of-life symptom control medications & patient comfort often under-recorded ! @IJNSJournal Paper here: doi.org/10.1016/j.ijnu… Last research paper from PhD @PELi_Cam @TheQNI @hattierocket @CrystalOldman @RCNDNForum
1/15 Why are statins administered at night? In this tweetorial I'll discuss the mechanistic and historical reasons for the frequently used QHS dosing schedule. And why it's often unnecessary. But before we get there, I'm curious: when do you prescribe/order/take statins?
Mega activity in the Wren Boot nest! Yesterday they spent 4 hours adding to the nest, both male & female in and out. Difficult to tell them apart, other than through behaviour. Looking very promising though..... #GwylltHollow @RSPBCymru # 3 # # 3# ## # . .
Sharing data can be effortless in daily life, but this is not the case in healthcare Petrova and Barclay condensed over 1800 factors affecting patient data sharing for EPaCCS into a 22-parameter framework in this new paper journals.plos.org/digitalhealth/… @PELi_Cam @PCU_Cambridge
I am delighted to say I was WRONG!!! I had looked at only footage from midnight... Strix IS around & brought in 3 mice before midnight! PHEW.... now breathe!!! 😮💨🥰😍 #YewView @Natures_Voice
@dignityindying Palliative care hasn’t had the chance to find out what its best efforts could be- chronically underfunded, under researched, unable to put enough boots on the ground out of hours. This has been the case for years even though the UK is seen as a world leader for end of life care.
Today we’ve announced that from 1 April @WelshAmbulance will become a University NHS Trust. It’s an important step for us in our journey and strongly signals our commitment to the education of our people and to research in the sector. We’ll also launch our new bilingual crown…
Fascinating behaviour that I have never seen before! This male wren is displaying to the female, calling her to check out his walking boot nest that he has created for her! What fabulous little birds! #GwylltHollow @Natures_Voice @RSPBCymru @WTSWW @BBCSpringwatch
Does anyone use this in palliative care yet for severe incident pain? Looking at alternatives to pre-emptive opioid/benzodiazepines for those who cannot tolerate or when they are simply not effective?
@MikeStone2_EoL @BakerIdris @ProfMarkTaubert @rcgp @doctor_oxford @TheBMA @ClareGerada @k *Wouldn't it make sense to have a local EoL care backup team? 24/7 phone line with flying squad able to despatch a prescriber to assess & help manage breakthrough symptoms like pain, agitation, breathlessness? Even to attend immediately after death if companions need support? 4/
The original Hobbit dust jacket. Illustrated by Tolkien himself. You’ll notice Smaug flying in the night and the eagles flying in the daytime.
A 12 month review of the 'Impact of paramedics carrying just in case end of life care medication' is available to read open access exploring the benefits to patients and the wider NHS. @WelshAmbulance are the first to carry JIC meds on every ambulance. doi.org/10.12968/jpar.…
@MikeStone2_EoL @doctorcaldwell @K_G_Spearpoint @katemasters67 @ProfMarkTaubert @ClareFuller17 @KitzingerCelia @sarasiobhan @DrZoeFritz Re-starting the heart won't rescue the dying body around the heart. Dying will proceed, within minutes for most but dragged out over painful days with chest damage from CPR for others. CPR isn't a treatment. Post-CPR treatment is ICU - again, futile if recovery is impossible.
Do you hate picking up the 'dizziness' charts because you have uncertainty around posterior strokes/the workup or identification? Its complicated, its nuanced, its.. DIZZYING (don't @ us). So Dr. @kateoc93 has gone and simplified it for us: emottawablog.com/2024/03/poster…
Please value #CPR for its first-aid benefits that might save 1 in 10 people with #CardiacArrest. Please also recognise when CPR won't help. Here's my CPR talk for @TEDxDunLaoghair 'Heart-stopping Moments' bit.ly/CPR_atTEDx_DL
“But I met a lot of things on the way that astonished me. Tom Bombadil I knew already; but I had never been to Bree. Strider sitting in the corner at the inn was a shock, and I had no more idea who he was than had Frodo. The Mines of Moria had been a mere name..” Letter 163
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