Nikhil Tambe @nikhil16mar
Emergency Medicine Trainee #HSTEM #HEENE resuscitationist, researcher, instructor, avid traveller, curious thinker #FOAMED tweets are opinions only Newcastle Upon Tyne, England Joined April 2010-
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Avoiding unrecognised oesophageal intubation The @RCoA & @dasairway have agreed to drop ‘no trace wrong place’ The message now is that we need to exclude oesophageal intubation by identifying SUSTAINED EXHALED CO2 This requires 4 elements -CO2 rises & falls with respiration…
Save the date. North of England Trauma Conference coming in November. Brand new event. First time all of the North Trauma Networks coming together to share and learn.
And now we see a difference! It’s not the number of attendances that matters; it’s how full of patients the A&E department is that matters. On the 183 most full days, the mean length of stay was 382 minutes; on the 183 least full days it was 292 minutes. 11/12
A reminder to have some humility. There is much we don't know. Experts know a lot about a very narrow subject. This ability is not necessarily transferable to other areas. I've seen this with smart people who think they know things outside their area of expertise.
When I’m the on call intensivist, I make it clear to my team that if we’re called to help with critically ill patients, having no available ICU beds is irrelevant Critical Care is a People, not a Place
Now that's called Legend...wait for it...dary! Mighty @cliffreid @EMManchester @emcrit #incrementum2025
Ken Milne @TheSGEM basically stating it all with these slides regarding contrast induced nephropathy #incrementum2025
Check ICUEDU for amazing teachings by @SaraCrager #incrementum2025
“Excellent teacher inspire students to desire excellence” @SaraCrager #incrementum2025 @Incrementum2025
Great table to understand inotropes from @SaraCrager Action How arrythmogenic How much pulmonary construction Green good Red bad There’s a reason why i (we) call dopamine no-hope-amine 🤣 @Incrementum2025 #incrementum2025
#incrementum2025 ACEP 2017 then Incrementum 2025 with everyone inspiring @srrezaie
‘Children are little adults’. He said it. @EMManchester at #incrementum2025
Double Sequence Defibrillation with @srrezaie opens Day 3 at #incrementum2025
This is so true. And yet when we see learners switch off we blame students not the (rubbish) teaching #medutainment @SaraCrager @Incrementum2025 #incrementum2025
#incrementum2025 finding new ways to keep knowledge translation and conferences entertaining and impactful.
Fentanyl can be useful to prevent spikes in blood pressure, but you need to give it a few minutes before continuing with the RSI. @EMManchester at #incrementum2025
Hard day bar @Incrementum2025 with @docib @srrezaie @umanamd #incrementum2025
“This is one of the worst days I have seen… It’s a rubbish service, there is no getting away from it. ” - Dr Raj, ED Consultant. If you want to get a real sense of what A&Es, those who staff them, and the patients who need them are currently experiencing across the country -…
@salmannaeem217 @casualtysrus @Katita1981 @davemaca1yahoo1 Great thread @salmannaeem217 Some additional tips : - Focus on visualising the Rib-TP transition. - Choose a parasagittal space above the medial aspect of TP, hoping for the spread of LA to PV space through the costotransverse slit. - Needle tip towards leading edge of TP!
The cost of solutions for hospital crowding must be weighed against the financial and human cost of failure / inefficiency. Billions undoubtedly being spent on outdated systems and managing the perennial crises rather than on improving care. Will take courage and leadership. 8/8

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