@ashjd.bsky.social
ED HST in the UK passionate about pain and POCUS
Reckon it would have been present on POCUS on first attendance?
October 18, 2025 at 3:00 PM
Reckon it would have been present on POCUS on first attendance?
never had formal training and some who have multiple types of accreditation. I just feel standardisation and reviewing each others work is likely to create more consistency and therefore trust in the interpretation. For example, we rarely question an echo, because cardiologists all have BSE
July 30, 2025 at 5:36 PM
never had formal training and some who have multiple types of accreditation. I just feel standardisation and reviewing each others work is likely to create more consistency and therefore trust in the interpretation. For example, we rarely question an echo, because cardiologists all have BSE
Sorry I think I wrote it poorly… I’m not suggesting every scan is reviewed before we interpret, but to have a logbook we keep reviewed is good practice (as is standard for lots of other areas of practice). You are likely very competent, as a trainee in supervised by a combination of people who’ve…
July 30, 2025 at 5:34 PM
Sorry I think I wrote it poorly… I’m not suggesting every scan is reviewed before we interpret, but to have a logbook we keep reviewed is good practice (as is standard for lots of other areas of practice). You are likely very competent, as a trainee in supervised by a combination of people who’ve…
Completely agree, along with increased trust in ability. And maybe I’m seeing this from a purist trainee perspective, but surely the way to start this is proper governance of scans (ie radiology/peer reviewed) to ensure quality and reliability
July 30, 2025 at 5:11 PM
Completely agree, along with increased trust in ability. And maybe I’m seeing this from a purist trainee perspective, but surely the way to start this is proper governance of scans (ie radiology/peer reviewed) to ensure quality and reliability
Also, very few systems I’ve worked in where they allow POCUS imaging to be uploaded to PACS. I’m yet to even come across a consultant body who have their images/interpretations peer or radiology reviewed for governance reasons
July 30, 2025 at 1:22 PM
Also, very few systems I’ve worked in where they allow POCUS imaging to be uploaded to PACS. I’m yet to even come across a consultant body who have their images/interpretations peer or radiology reviewed for governance reasons
Amazing - sounds like you do things very thoroughly! Will have a look into that app - thanks a lot!
July 22, 2025 at 9:56 AM
Amazing - sounds like you do things very thoroughly! Will have a look into that app - thanks a lot!
Do you keep a personal logbook of scans? For either educational or governance reasons?
July 21, 2025 at 9:52 AM
Do you keep a personal logbook of scans? For either educational or governance reasons?
For anonymised images, types of scan, simple demographics with the option to write a little reflection is generally what I do and what’s required from ED trainees. Unsure of other specialties and curious to see what’s out there! Thanks
July 21, 2025 at 12:20 AM
For anonymised images, types of scan, simple demographics with the option to write a little reflection is generally what I do and what’s required from ED trainees. Unsure of other specialties and curious to see what’s out there! Thanks
What level do you need to be at to help? I understand Monday is a no go, but I’m an ST4 in the west mids, hopefully undertaking an OOP in USS at Worcester in August so may be able to help in the future
March 7, 2025 at 10:59 PM
What level do you need to be at to help? I understand Monday is a no go, but I’m an ST4 in the west mids, hopefully undertaking an OOP in USS at Worcester in August so may be able to help in the future
For as long as ‘traditional’ politicians offer little hope and no signs of improvement people will always vote for alternatives promising other things. I, unfortunately, don’t think trump failing will stop this wave of right wing populism
February 1, 2025 at 3:07 PM
For as long as ‘traditional’ politicians offer little hope and no signs of improvement people will always vote for alternatives promising other things. I, unfortunately, don’t think trump failing will stop this wave of right wing populism
I thought tariffs was the most beautiful word in the dictionary…
December 24, 2024 at 9:52 AM
I thought tariffs was the most beautiful word in the dictionary…
😂 sorry for misunderstanding the point…
December 14, 2024 at 4:33 PM
😂 sorry for misunderstanding the point…
In a patient with a fever, likely source, hypotension and other features of sepsis, did the PCT make any difference to your management here? I feel you would have done cultures and given reasonable antibiotics regardless of PCT…
December 14, 2024 at 6:13 AM
In a patient with a fever, likely source, hypotension and other features of sepsis, did the PCT make any difference to your management here? I feel you would have done cultures and given reasonable antibiotics regardless of PCT…
From the UK here, we almost exclusively use beta blockers, possibly a nitrate in some places. Is there much evidence nicardipine has better outcomes? We use some Ca blockers but largely orally for long term control or post SAH BP control
December 6, 2024 at 3:58 PM
From the UK here, we almost exclusively use beta blockers, possibly a nitrate in some places. Is there much evidence nicardipine has better outcomes? We use some Ca blockers but largely orally for long term control or post SAH BP control
Yeah 100%, the reason I’m slightly focused on the heart currently is because that’s the formal accreditation I’m undertaking at the moment, hopefully I’ll be able to integrate it well with other views and contexts though! Accept I’m in early stages of my pocus career though… on here to learn!
November 24, 2024 at 7:55 PM
Yeah 100%, the reason I’m slightly focused on the heart currently is because that’s the formal accreditation I’m undertaking at the moment, hopefully I’ll be able to integrate it well with other views and contexts though! Accept I’m in early stages of my pocus career though… on here to learn!
Thanks! Appreciate this insight a lot - will do some more reading around this and get some better lung views with my echo’s then
November 24, 2024 at 7:50 PM
Thanks! Appreciate this insight a lot - will do some more reading around this and get some better lung views with my echo’s then
Is there any evidence behind this approach? Genuinely asking as someone who’s accrediting in echo as we speak
November 23, 2024 at 8:15 PM
Is there any evidence behind this approach? Genuinely asking as someone who’s accrediting in echo as we speak
Yes so it remains voluntary until December 2026… I agree, ED manages very high levels of risk. RCEM are good at highlighting and mitigating this where possible. The issue most have with PA’s is their use, vague regulation, no scope, replacing doctors on rotas, therefore increasing risk to docotors
November 20, 2024 at 10:31 AM
Yes so it remains voluntary until December 2026… I agree, ED manages very high levels of risk. RCEM are good at highlighting and mitigating this where possible. The issue most have with PA’s is their use, vague regulation, no scope, replacing doctors on rotas, therefore increasing risk to docotors
PA’s will be voluntarily regulated, with no national scope of practice and with responsibility placed on the employing trust. Not sure I follow the emergency department analogy - probably my misreading - but ED patients don’t get sent anywhere, they sit there until they are seen
November 20, 2024 at 10:17 AM
PA’s will be voluntarily regulated, with no national scope of practice and with responsibility placed on the employing trust. Not sure I follow the emergency department analogy - probably my misreading - but ED patients don’t get sent anywhere, they sit there until they are seen
Useful in that it can help distinguish bias in reporting - our background determines the way we see (or don’t) see things. I think news is best interpreted if you can understand potential biases of the reporting
November 19, 2024 at 6:03 PM
Useful in that it can help distinguish bias in reporting - our background determines the way we see (or don’t) see things. I think news is best interpreted if you can understand potential biases of the reporting