🎯 Oddaja Tarča Samo to bom dodala ker me boli srce, ko gledam kam vse gre denar. V Ukc lj so dvigala tako zelo iztrošena da v bistvu niso več delujoča. Danes so naši bolniki dobili kosilo z več kot eno urno zamudo, ker ni bilo dvigala da bi pripeljal hrano iz kleti, v 6 nadstropje 😢

Final thoughts:

-We’re more fallible than we think, ⬆️ when tired.

-Use the checklists in an emergency,even if only to check you’ve done everything.

-Drs, ODPs etc should be regularly reminded of them,so use is 2nd nature.

-Checklists enable, not threaten, your skills 🧠

Urgentna medicina nikoli ni bila 'hit' med mladimi zdravniki. Toda s tako nizkim številom prijav bo sistem NMP še dolgo deloval 'na hlape'. Urgentni zdravniki pa celo zapuščajo svoj poklic! Ne kaže nam ravno obetavno. 🫣👨‍⚕️🚑🏥
rtvslo.si/zdravje/na-raz…

Finance.si V bistvu nimam besed. Nekaj tako butastega že dolgo nisem slišal.

It’s not ED’s job to diagnose.

Stabilise.
Differentiate.
Dispose.

1/Time is brain! But what time is it?

If you don’t know the time of stroke onset, are you able to deduce it from imaging?

Here’s a thread to help you date a stroke on MRI!

TIPS FOR NEW INTERNS CALLING CONSULTS:
-Never ever apologize. Especially at night there’s a tendency to lead with “Sorry to bother you.” You can be polite without setting the tone of the conversation immediately on the defensive. “Thank you for taking my call.”
1/x

G. Tajnikar, kljub stavki, zdravniki delamo normalno, tako kot vedno. Upoštevamo pa Evropsko direktivo, ki zahteva, da delamo samo 40+8 ur na teden. To je zdaj pripeljalo do zapiranja posameznih oddelkov. Vaša mantra, o neproduktivnosti zdravnikov, ki izhaja iz popolnega.. 1

A “razor” is a rule of thumb that simplifies decision-making.

The 7 most powerful razors I’ve found:

(Explain in 60 seconds)

Chemical Restraint of the Agitated Patient

It's one of the most dangerous things we do, for patients and for providers.

Here's how to avoid the major pitfalls...

A thread... 🧵

When you attend an A&E/Emergency Department.
1️⃣ We will see people in order of clinical urgency.
2️⃣Arriving by ambulance does not mean you will be seen quicker

Let's review an intubation together - a 🧵

I'm an A&E consultant and I'm tired after a weekend of nights.

But this am, I've handed over what I described as a 'good department'. This was said genuinely and with no hint of irony.

We provided great care and have very short waits to see an A&E doctor, but I'd forgotten how…

Preparation for resuscitation procedures requires some decisions to have already been made in the past, so that no time or cognitive energy is wasted when the indications arise

The Resus Mindset - one minute video
youtu.be/hhI27-cbBno

Happy #WorldRestartAHeart Day!

Saving lives with CPR!

👐 It only takes two hands to save a life 🙌

Hvala, vsem, ker ste. Brez Vas ni nas
Z vsem spoštovanjem in hvaležnostjo lahko rečem, da imam okrog sebe najboljši tim. Zaslužite si ne samo pohvale, ampak tudi tisto, kar bo pripomoglo, da ostanemo tim... 🍀
#urgenca #medicinskoosebje #sestre #legende

A few notes on a 'loss of saddle sensation', one of the five red flags for cauda equina syndrome... 🧵

When NOT to stop resuscitation

Sometimes we stop too early. Sometimes we go on too long. How do we pick the ones we should go the extra mile on? This 6 min excerpt from a talk really comes from the heart

This is the concept that drives everything I do

youtu.be/HiIsGmoHgpE

1/3 Here’s today’s dose of awesome

Saturday evening visit to the ED by the interventional cardiologist with printouts of before & after angios from the two patients we sent him today so we can relate the pathology to the ECGs and find out how our patients are doing now