Alex Thompson
@clipboarduk.bsky.social
Advanced Paramedic Practitioner (Primary Care), ex London Ambulance, and ex GP practice manager with 20 odd years in the NHS.
Pinned
Alex Thompson
@clipboarduk.bsky.social
· Nov 16
Advanced Decisions, Living wills, and ReSPECT forms avoid you having to make @fesshole.bsky.social confessions.
Resus is *ALWAYS* awful, and there's no cure for ordinary dying.
Resus is *ALWAYS* awful, and there's no cure for ordinary dying.
Things you don’t want to hear during a Friday afternoon clinic:
“I’m a farmer, and the pain from this new hernia is so bad I had to leave lambing”
“I’m a farmer, and the pain from this new hernia is so bad I had to leave lambing”
a man with a mustache is wearing a white shirt and a blue sweater .
ALT: a man with a mustache is wearing a white shirt and a blue sweater .
media.tenor.com
March 29, 2025 at 9:37 PM
Things you don’t want to hear during a Friday afternoon clinic:
“I’m a farmer, and the pain from this new hernia is so bad I had to leave lambing”
“I’m a farmer, and the pain from this new hernia is so bad I had to leave lambing”
Surprised to learn from @lwestafer.bsky.social ‘s #FOAMed just how behind the US is on moving asthmatics to ICS/LABA maintenance as reliever therapy, and saddened to realise how much of that is likely driven by the economics rather than the science.
March 20, 2025 at 6:48 PM
Surprised to learn from @lwestafer.bsky.social ‘s #FOAMed just how behind the US is on moving asthmatics to ICS/LABA maintenance as reliever therapy, and saddened to realise how much of that is likely driven by the economics rather than the science.
There’s nothing worse than finding out the hard way that a care home has given out your personal contact information to every relative.
I might have to change my mobile number
I might have to change my mobile number
a man wearing a cape and suspenders has the word ugh written on his chest
ALT: a man wearing a cape and suspenders has the word ugh written on his chest
media.tenor.com
January 31, 2025 at 3:20 AM
There’s nothing worse than finding out the hard way that a care home has given out your personal contact information to every relative.
I might have to change my mobile number
I might have to change my mobile number
Vaccines cause adults!
Vaccines do not cause autism.
Keep saying things that have been demonstrated by robust science and are the subject or organised disinformation. Don’t just ignore the attempts to brainwash.
#academicsky
Keep saying things that have been demonstrated by robust science and are the subject or organised disinformation. Don’t just ignore the attempts to brainwash.
#academicsky
January 26, 2025 at 8:03 PM
Vaccines cause adults!
This is also the map of those who use imperial measurements in preference to metric
January 23, 2025 at 7:02 PM
This is also the map of those who use imperial measurements in preference to metric
They say buying a house is one of the most stressful things you can do in life. I did not believe it.
I now do.
I cannot understand how in an age of email and electronic documents, it can take 6 months to get nowhere.
I now do.
I cannot understand how in an age of email and electronic documents, it can take 6 months to get nowhere.
January 22, 2025 at 5:03 PM
They say buying a house is one of the most stressful things you can do in life. I did not believe it.
I now do.
I cannot understand how in an age of email and electronic documents, it can take 6 months to get nowhere.
I now do.
I cannot understand how in an age of email and electronic documents, it can take 6 months to get nowhere.
Fully deleted twitter finally. I don’t want to be on the Nazi app.
January 22, 2025 at 7:22 AM
Fully deleted twitter finally. I don’t want to be on the Nazi app.
Is talking stuff down an ambulance trait?
I read a lot of 999 reports, including for patients I’ve assessed/admitted, and almost always it’s “well we didn’t find much wrong in that instant” with small regard for the history.
Risk of underplaying things at handover?
I read a lot of 999 reports, including for patients I’ve assessed/admitted, and almost always it’s “well we didn’t find much wrong in that instant” with small regard for the history.
Risk of underplaying things at handover?
January 9, 2025 at 12:15 PM
Is talking stuff down an ambulance trait?
I read a lot of 999 reports, including for patients I’ve assessed/admitted, and almost always it’s “well we didn’t find much wrong in that instant” with small regard for the history.
Risk of underplaying things at handover?
I read a lot of 999 reports, including for patients I’ve assessed/admitted, and almost always it’s “well we didn’t find much wrong in that instant” with small regard for the history.
Risk of underplaying things at handover?
Reposted by Alex Thompson
Right, better start the Christmas shopping.
December 25, 2024 at 9:09 AM
Right, better start the Christmas shopping.
Me: Completes consultation within the alloted time.
Patient: “By the way, do you know why both my arms feel really heavy and sore every time I have to walk anywhere or go up stairs? They get better when I sit down”
Patient: “By the way, do you know why both my arms feel really heavy and sore every time I have to walk anywhere or go up stairs? They get better when I sit down”
a man in a trench coat and tie is standing in front of a window
Alt: Columbo in a trench coat and tie is wondering if retirement can be soon
media.tenor.com
December 16, 2024 at 8:00 PM
Me: Completes consultation within the alloted time.
Patient: “By the way, do you know why both my arms feel really heavy and sore every time I have to walk anywhere or go up stairs? They get better when I sit down”
Patient: “By the way, do you know why both my arms feel really heavy and sore every time I have to walk anywhere or go up stairs? They get better when I sit down”
Solve a domestic disagreement for me:
Best voice actor of all time:
Alan Tudyk
Mark Hamill
Nolan North
My wife thinks the man who squawks three times in Moana, but I can’t really agree.
Best voice actor of all time:
Alan Tudyk
Mark Hamill
Nolan North
My wife thinks the man who squawks three times in Moana, but I can’t really agree.
December 14, 2024 at 9:20 AM
Solve a domestic disagreement for me:
Best voice actor of all time:
Alan Tudyk
Mark Hamill
Nolan North
My wife thinks the man who squawks three times in Moana, but I can’t really agree.
Best voice actor of all time:
Alan Tudyk
Mark Hamill
Nolan North
My wife thinks the man who squawks three times in Moana, but I can’t really agree.
Never thought I’d ever see anyone be “pro-polio”
America is a fucking weird place.
America is a fucking weird place.
December 14, 2024 at 8:40 AM
Never thought I’d ever see anyone be “pro-polio”
America is a fucking weird place.
America is a fucking weird place.
When your old twitter groups haven’t reconvened on Bsky and you have to go onto the dark place
a man in a suit and tie is standing in the dark and asking is there anyone alive out there .
ALT: a man in a suit and tie is standing in the dark and asking is there anyone alive out there .
media.tenor.com
December 13, 2024 at 11:41 AM
When your old twitter groups haven’t reconvened on Bsky and you have to go onto the dark place
Reposted by Alex Thompson
Also, your "agitated" patient.
Are they delirious due to infection, or are they in pain and unable to communicate it clearly?
Give simple analgesia if they haven't had any before running to sedatives.
Analgesia FIRST. Always.
#MedSky
Are they delirious due to infection, or are they in pain and unable to communicate it clearly?
Give simple analgesia if they haven't had any before running to sedatives.
Analgesia FIRST. Always.
#MedSky
I feel like I shouldn't have to keep saying this, but it astonishes me that it keeps happening:
If your patient has a very obvious, painful, traumatic injury, give them analgesia. Give them proper doses & give it early.
Yes, even if they aren't screaming.
Don't let people suffer quietly.
#MedSky
If your patient has a very obvious, painful, traumatic injury, give them analgesia. Give them proper doses & give it early.
Yes, even if they aren't screaming.
Don't let people suffer quietly.
#MedSky
November 30, 2024 at 12:07 PM
Also, your "agitated" patient.
Are they delirious due to infection, or are they in pain and unable to communicate it clearly?
Give simple analgesia if they haven't had any before running to sedatives.
Analgesia FIRST. Always.
#MedSky
Are they delirious due to infection, or are they in pain and unable to communicate it clearly?
Give simple analgesia if they haven't had any before running to sedatives.
Analgesia FIRST. Always.
#MedSky
Children destroy flats in controlled explosion www.bbc.com/news/article...
Pretty sure my 3YO could have achieved this without explosives, give her record with our living room.
Pretty sure my 3YO could have achieved this without explosives, give her record with our living room.
Newcastle: Hexham House tower block demolished
The button to destroy Hexham House in Newcastle is pressed by three children who won a competition.
www.bbc.com
November 30, 2024 at 6:24 PM
Children destroy flats in controlled explosion www.bbc.com/news/article...
Pretty sure my 3YO could have achieved this without explosives, give her record with our living room.
Pretty sure my 3YO could have achieved this without explosives, give her record with our living room.
Looking for opinions from #medsky #IDsky. 38yom with recurrence of trigeminal shingles. The 5th occurrence on v3 since 2012. Also T1 and L4 occurrences during that time.
Hep/HIV screen NAD, no known immunocompromise.
Frequency of recurrences is concerning. Looking for opinions/options.
Disclosure:
Hep/HIV screen NAD, no known immunocompromise.
Frequency of recurrences is concerning. Looking for opinions/options.
Disclosure:
a woman says it 's me hi while standing in front of a window
ALT: a woman says it 's me hi while standing in front of a window
media.tenor.com
November 30, 2024 at 1:23 PM
Reposted by Alex Thompson
I feel like I shouldn't have to keep saying this, but it astonishes me that it keeps happening:
If your patient has a very obvious, painful, traumatic injury, give them analgesia. Give them proper doses & give it early.
Yes, even if they aren't screaming.
Don't let people suffer quietly.
#MedSky
If your patient has a very obvious, painful, traumatic injury, give them analgesia. Give them proper doses & give it early.
Yes, even if they aren't screaming.
Don't let people suffer quietly.
#MedSky
November 30, 2024 at 12:03 PM
I feel like I shouldn't have to keep saying this, but it astonishes me that it keeps happening:
If your patient has a very obvious, painful, traumatic injury, give them analgesia. Give them proper doses & give it early.
Yes, even if they aren't screaming.
Don't let people suffer quietly.
#MedSky
If your patient has a very obvious, painful, traumatic injury, give them analgesia. Give them proper doses & give it early.
Yes, even if they aren't screaming.
Don't let people suffer quietly.
#MedSky
Actually quite impressed with my GP today, phoned at 4.30pm with barn door v3 trigeminal shingles, phoned back by the duty GP within an hour, and a prescription arranged.
Hopefully treatment started in time to prevent the more unpleasant symptoms.
Hopefully treatment started in time to prevent the more unpleasant symptoms.
two police officers are sitting at a table talking to each other and one of them is saying `` pain '' .
ALT: two police officers are sitting at a table talking to each other and one of them is saying `` pain '' .
media.tenor.com
November 29, 2024 at 6:54 PM
Actually quite impressed with my GP today, phoned at 4.30pm with barn door v3 trigeminal shingles, phoned back by the duty GP within an hour, and a prescription arranged.
Hopefully treatment started in time to prevent the more unpleasant symptoms.
Hopefully treatment started in time to prevent the more unpleasant symptoms.
Finally bit the bullet and got a decent 1440p 180hz screen. I should have done it years ago.
Poor little graphics card is taking a bit of a beasting though.
Poor little graphics card is taking a bit of a beasting though.
November 28, 2024 at 7:31 PM
Finally bit the bullet and got a decent 1440p 180hz screen. I should have done it years ago.
Poor little graphics card is taking a bit of a beasting though.
Poor little graphics card is taking a bit of a beasting though.
Reposted by Alex Thompson
'Patients treated with oral anticoagulants for venous thromboembolism had a more than two-fold increased bleeding rate when using non-steroidal anti-inflammatory drugs' #doac #doac's #NSAIDS #cardiosky
academic.oup.com/eurheartj/ad...
academic.oup.com/eurheartj/ad...
Bleeding risk using non-steroidal anti-inflammatory drugs with anticoagulants after venous thromboembolism: a nationwide Danish study
AbstractBackground and Aims. The bleeding risk of using non-steroidal anti-inflammatory drugs (NSAIDs) in patients treated with oral anticoagulants for ven
academic.oup.com
November 27, 2024 at 6:42 PM
'Patients treated with oral anticoagulants for venous thromboembolism had a more than two-fold increased bleeding rate when using non-steroidal anti-inflammatory drugs' #doac #doac's #NSAIDS #cardiosky
academic.oup.com/eurheartj/ad...
academic.oup.com/eurheartj/ad...
I wonder if the best thing primary care paramedics could do for our ambulance colleagues is invite them in to general practice for a week so they can get an idea of what we can and can’t do.
And maybe to refer to us rather than neb chesty patients, then non-convey with inevitable 999 re-contacts
And maybe to refer to us rather than neb chesty patients, then non-convey with inevitable 999 re-contacts
a man in a suit and tie is sitting next to a woman with the words that 's just common sense netflix below him
ALT: a man in a suit and tie is sitting next to a woman with the words that 's just common sense netflix below him
media.tenor.com
November 27, 2024 at 8:06 PM
I wonder if the best thing primary care paramedics could do for our ambulance colleagues is invite them in to general practice for a week so they can get an idea of what we can and can’t do.
And maybe to refer to us rather than neb chesty patients, then non-convey with inevitable 999 re-contacts
And maybe to refer to us rather than neb chesty patients, then non-convey with inevitable 999 re-contacts
Naked noodles lied. This isn’t the “ultimate”, it’s the worst. Absolutely foul. Should have bought a pot noodle.
November 25, 2024 at 2:13 PM
Naked noodles lied. This isn’t the “ultimate”, it’s the worst. Absolutely foul. Should have bought a pot noodle.
Still a disappointing slowness by College of Paramedics and acolytes to move to bsky. I guess that a slowness to make change is pretty typical of the profession.
“But we’ve always done it like that. “
“But we’ve always done it like that. “
November 23, 2024 at 7:34 PM
Still a disappointing slowness by College of Paramedics and acolytes to move to bsky. I guess that a slowness to make change is pretty typical of the profession.
“But we’ve always done it like that. “
“But we’ve always done it like that. “
@martinlewismse.bsky.social
Wife clicked the “check eligibility for pay over 3” on the Next website with stuff in the cart. Said she was eligible. Never clicked buy on the items. Today a credit agreement for £1k has arrived in the post!
Wife expected Klarna, not a store card. Slightly concerned!
Wife clicked the “check eligibility for pay over 3” on the Next website with stuff in the cart. Said she was eligible. Never clicked buy on the items. Today a credit agreement for £1k has arrived in the post!
Wife expected Klarna, not a store card. Slightly concerned!
November 20, 2024 at 6:13 PM
@martinlewismse.bsky.social
Wife clicked the “check eligibility for pay over 3” on the Next website with stuff in the cart. Said she was eligible. Never clicked buy on the items. Today a credit agreement for £1k has arrived in the post!
Wife expected Klarna, not a store card. Slightly concerned!
Wife clicked the “check eligibility for pay over 3” on the Next website with stuff in the cart. Said she was eligible. Never clicked buy on the items. Today a credit agreement for £1k has arrived in the post!
Wife expected Klarna, not a store card. Slightly concerned!
It is that day of the year where a 250hp front wheel drive estate car with feck all ground clearance and summer tyres on seems like a bad plan for home visits in the wilds of Staffordshire.
Someone buy me a Jimny please
Someone buy me a Jimny please
November 19, 2024 at 7:33 AM
It is that day of the year where a 250hp front wheel drive estate car with feck all ground clearance and summer tyres on seems like a bad plan for home visits in the wilds of Staffordshire.
Someone buy me a Jimny please
Someone buy me a Jimny please