@twitchyEM

Music loving, Emergency medicine working, long suffering Spurs supporting, beer drinking, intrepid explorer

 Lewisham, London
Joined March 2009
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  • Following112
  • Followers32
5Media
Great opportunity for those interested in PEM. Come join the team at King’s. Info in ad below
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When do you need to close that child's tongue laceration? Not very often. Good little review. pemcincinnati.com/blog/brief…
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Great article @dralangrayson. NNH of 17.6! Scary stuff. Should we be moving away from current throbolysis zeitgeist? stemlynsblog.org/jc-kicking-…

JC: Kicking against the prick: Systematic Review of stroke thrombolysis

Critical Appraisal and discussion on the evidence for stroke thrombolysis in the emergency department. Risk based approach. #FOAMed #Virchester #stemlyns

stemlynsblog.org
Beware the 'legal high'. Young male requiring I+V for status following use of 'Spice' this W/E. medscape.com/viewarticle/779…
Some fantastic time off on the Eastern Cape, SA and catching up with peeps in London, UK. Now back in to EM training. Good to be back!
If you prescribe #tramadol, please read this... “@DavidJuurlink: Explained: https://xitter.cf/t.co/n6ZdSXtOWh” – at Guanacaste, Costa Rica
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"JC: Does every appendicitis need admission? St.Emlyn’s" #emergency #feedly stemlynsblog.org/jc-does-eve…
josh clough retweeted
Ken Milne MD@TheSGEM13 Dec 2016
What type of #MedEd is your favourite #FOAMed? thesgem.com/2016/12/sgem-xtr…
40%Audio (podcast)
19%Visual (video)
16%Text (blog)
25%All of the above
63 votes • Final results
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Sensible approach to high blood sugars rebelem.com/mythbuster-gluco…
SGEM#165: I Wanna Be Sedated – But Do I Need To Be NPO? via @TheSGEM thesgem.com/2016/11/sgem165-… #FOAMed
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Early use of insulin in HHS can cause drop in BP. Great guideline @BDS, Can we have summary on one sheet please. diabetologists-abcd.org.uk/j…
josh clough retweeted
NHS Million
@NHSMillion26 Nov 2016
#careforthenhs and fight for an institution that has been there for us all since 1948! #NHSMillion
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Horses for courses. Not just about what drug to rule them all. Do love a bit of ketofol though. thebottomline.org.uk/summari…
Classic Becks triad seen in stabbed chest left in minors! Succussful thoracotomy in theatre #crackthechest
Successful use pericardiocentesis as temporisng measure pre formal thoracotomy #3stabbedchestsinaweek emcurious.com/blog-1/2014/11… @EMedCurious

The Pericardiocentesis — EM Curious

Classically, patients will exhibit Beck’s Triad...Unfortunately, as we mentioned above only a minority of patients will exhibit all three. So the bottom line is that if you see someone who you think...

emcurious.com
Diagnostic Subxiphoid pericardial window for stable pen chest trauma #dontcrackthechest#3stabbedchestsinaweek emedicine.medscape.com/artic…
#FOAMed spread the indications for urgent thoracotomy but what are the options in those grey areas? #dontcrackthechest#3stabbedchestsinaweek
Take your urine dips in the elderly with a pinch of salt #FOAMed heftemcast.co.uk/urine-to-di…
Great chest drain tips. Particularly like the Jo'Burg knot. #FOAMed St.Emlyn's stemlynsblog.org/chest-drain… via @EMManchester
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US of the lung better at detecting ultrasound than CXR talk from IAEM 2016 pocusireland.org/2016/11/14/… via @pocusireland
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