James Whatling
@jameswhatling.bsky.social
Clinical Skills Tutor/RN 🏥 • ALS/EPALS/GIC Instructor 📚• Medical education ⚕️• Ultrasound guided vascular access 💉• Sports medicine 🐎 • Pre-hospital care volunteer 🚑 • Amateur runner 🏃🏻♂️
Reposted by James Whatling
What is a common thread in medical tragedies?
Rescuers fail to cut through the ‘mind lock’; they follow the primary caregiver down the wrong, fatal, path.
If we are going to train our way out of this problem, we need to train the rescuers.
#AnSky #HFESky #MedSky
https://buff.ly/3COBTjM
Rescuers fail to cut through the ‘mind lock’; they follow the primary caregiver down the wrong, fatal, path.
If we are going to train our way out of this problem, we need to train the rescuers.
#AnSky #HFESky #MedSky
https://buff.ly/3COBTjM
November 22, 2024 at 11:02 AM
What is a common thread in medical tragedies?
Rescuers fail to cut through the ‘mind lock’; they follow the primary caregiver down the wrong, fatal, path.
If we are going to train our way out of this problem, we need to train the rescuers.
#AnSky #HFESky #MedSky
https://buff.ly/3COBTjM
Rescuers fail to cut through the ‘mind lock’; they follow the primary caregiver down the wrong, fatal, path.
If we are going to train our way out of this problem, we need to train the rescuers.
#AnSky #HFESky #MedSky
https://buff.ly/3COBTjM
Reposted by James Whatling
“It is a persistent and sticky myth that first responders are at risk of fentanyl overdose through on-duty exposure. Despite the videos, often distributed by police departments, of their officers collapsing after touching, inhaling or even seeing fentanyl, the drug does not have this actual effect.”
A fentanyl vaccine for first responders? No thanks
A proposed fentanyl vaccine might be a useful addition in the fight against opioids, but it isn’t necessary to protect first responders from occupational exposure to the drug
www.ems1.com
December 2, 2024 at 11:33 PM
“It is a persistent and sticky myth that first responders are at risk of fentanyl overdose through on-duty exposure. Despite the videos, often distributed by police departments, of their officers collapsing after touching, inhaling or even seeing fentanyl, the drug does not have this actual effect.”
Reposted by James Whatling
Reposted by James Whatling
Administration of vasopressors through peripheral venous catheters
www.cmaj.ca/content/194/...
#MedSky #ICU #sepsis #FOAMed #CriticalCare #PedsICU #FOAMcc #USMLE #MedStudent #medicine #CardioSky
www.cmaj.ca/content/194/...
#MedSky #ICU #sepsis #FOAMed #CriticalCare #PedsICU #FOAMcc #USMLE #MedStudent #medicine #CardioSky
December 3, 2024 at 3:29 AM
Administration of vasopressors through peripheral venous catheters
www.cmaj.ca/content/194/...
#MedSky #ICU #sepsis #FOAMed #CriticalCare #PedsICU #FOAMcc #USMLE #MedStudent #medicine #CardioSky
www.cmaj.ca/content/194/...
#MedSky #ICU #sepsis #FOAMed #CriticalCare #PedsICU #FOAMcc #USMLE #MedStudent #medicine #CardioSky
Reposted by James Whatling
Being a 'good rescuer' is:
• counterintuitive eg the advice to stand back & analyse rather than pile in & do something
• counter-cultural eg using checklists rather than relying on memory
Specific rescuer training would reinforce these skills.
#AnSky #MedSky #HFESky
https://buff.ly/3COBTjM
• counterintuitive eg the advice to stand back & analyse rather than pile in & do something
• counter-cultural eg using checklists rather than relying on memory
Specific rescuer training would reinforce these skills.
#AnSky #MedSky #HFESky
https://buff.ly/3COBTjM
November 22, 2024 at 12:10 PM
Being a 'good rescuer' is:
• counterintuitive eg the advice to stand back & analyse rather than pile in & do something
• counter-cultural eg using checklists rather than relying on memory
Specific rescuer training would reinforce these skills.
#AnSky #MedSky #HFESky
https://buff.ly/3COBTjM
• counterintuitive eg the advice to stand back & analyse rather than pile in & do something
• counter-cultural eg using checklists rather than relying on memory
Specific rescuer training would reinforce these skills.
#AnSky #MedSky #HFESky
https://buff.ly/3COBTjM
Reposted by James Whatling
editorial from @bmj.com and paper: Poor staff retention is associated with higher patient mortality. Have said it before & I’ll say it again. If you don’t care for the carers, they cannot care for their patients.
www.bmj.com/content/387/...
www.bmj.com/content/387/...
November 24, 2024 at 8:51 PM
editorial from @bmj.com and paper: Poor staff retention is associated with higher patient mortality. Have said it before & I’ll say it again. If you don’t care for the carers, they cannot care for their patients.
www.bmj.com/content/387/...
www.bmj.com/content/387/...
Reposted by James Whatling
1/ I promised a thread on TIVA safety at 1000 followers, and I try to deliver what I intended to deliver. Here goes.
If you use total intravenous anaesthesia (TIVA), you may be making more errors than you think you are...
If you use total intravenous anaesthesia (TIVA), you may be making more errors than you think you are...
November 9, 2024 at 3:42 PM
1/ I promised a thread on TIVA safety at 1000 followers, and I try to deliver what I intended to deliver. Here goes.
If you use total intravenous anaesthesia (TIVA), you may be making more errors than you think you are...
If you use total intravenous anaesthesia (TIVA), you may be making more errors than you think you are...
Reposted by James Whatling
Ping @maffygirl.bsky.social
More hands on with the Vscan Air and patients today - rapidly pairs to own or organisational device. Cardiac, linear and CL probe configurations
Great image quality for cardiac, nerve blocks, vascular and eFAST
No cables! Image storage on own device
Awesome
More hands on with the Vscan Air and patients today - rapidly pairs to own or organisational device. Cardiac, linear and CL probe configurations
Great image quality for cardiac, nerve blocks, vascular and eFAST
No cables! Image storage on own device
Awesome
December 3, 2024 at 9:31 AM
Ping @maffygirl.bsky.social
More hands on with the Vscan Air and patients today - rapidly pairs to own or organisational device. Cardiac, linear and CL probe configurations
Great image quality for cardiac, nerve blocks, vascular and eFAST
No cables! Image storage on own device
Awesome
More hands on with the Vscan Air and patients today - rapidly pairs to own or organisational device. Cardiac, linear and CL probe configurations
Great image quality for cardiac, nerve blocks, vascular and eFAST
No cables! Image storage on own device
Awesome
Reposted by James Whatling
Be a somebody who celebrates others, shows up in hard times, supports and doesn’t judge. Always a time for #kindness
(Image by Nikki Miles)
(Image by Nikki Miles)
November 21, 2024 at 7:27 AM
Be a somebody who celebrates others, shows up in hard times, supports and doesn’t judge. Always a time for #kindness
(Image by Nikki Miles)
(Image by Nikki Miles)
Reposted by James Whatling
Dear followers,
If you can help... LIKE and REPOST.
Many thanks!
#PalliativeCare #HAPM #HPM #HAPC #Hospice
If you can help... LIKE and REPOST.
Many thanks!
#PalliativeCare #HAPM #HPM #HAPC #Hospice
November 17, 2024 at 4:13 PM
Dear followers,
If you can help... LIKE and REPOST.
Many thanks!
#PalliativeCare #HAPM #HPM #HAPC #Hospice
If you can help... LIKE and REPOST.
Many thanks!
#PalliativeCare #HAPM #HPM #HAPC #Hospice
Reposted by James Whatling
Gladiator II takes $87m to break Ridley Scott opening box-office record
Gladiator II takes $87m to break Ridley Scott opening box-office record
Long-awaited sequel performs strongly in UK and France, although behind February blockbuster Dune: Part Two
Gladiator II isn’t entertaining audiences in the US, Canada and China until this Friday, but scored the highest ever international opening for a…
dlvr.it
November 18, 2024 at 12:13 PM
Gladiator II takes $87m to break Ridley Scott opening box-office record
Reposted by James Whatling
(1st Bluesky post)
Our members are seriously worried about being able to keep patients safe this winter.
RCEM President: “We speak of percentages and numbers but let’s remember we are talking about people, and a workforce running on fumes trying to do their best..."
tinyurl.com/bssSnapSurvey
Our members are seriously worried about being able to keep patients safe this winter.
RCEM President: “We speak of percentages and numbers but let’s remember we are talking about people, and a workforce running on fumes trying to do their best..."
tinyurl.com/bssSnapSurvey
November 18, 2024 at 10:03 AM
(1st Bluesky post)
Our members are seriously worried about being able to keep patients safe this winter.
RCEM President: “We speak of percentages and numbers but let’s remember we are talking about people, and a workforce running on fumes trying to do their best..."
tinyurl.com/bssSnapSurvey
Our members are seriously worried about being able to keep patients safe this winter.
RCEM President: “We speak of percentages and numbers but let’s remember we are talking about people, and a workforce running on fumes trying to do their best..."
tinyurl.com/bssSnapSurvey
Reposted by James Whatling
My first post on @bsky.app! My thoughts in today’s @jepnews.bsky.social on inequity in medicine access in Jersey 🇯🇪
November 16, 2024 at 12:44 PM
My first post on @bsky.app! My thoughts in today’s @jepnews.bsky.social on inequity in medicine access in Jersey 🇯🇪
Reposted by James Whatling
point-of-care electrolyte analyzers cannot detect hemolysis!
so point-of-care hyperkalemia may or may not be real.
in this case, the hyperkalemia was wholly artifactual.
think twice before unleashing therapy for hyperkalemia (the ECG is often the key)
(more: emcrit.org/ibcc/hyperka...) #emimcc
so point-of-care hyperkalemia may or may not be real.
in this case, the hyperkalemia was wholly artifactual.
think twice before unleashing therapy for hyperkalemia (the ECG is often the key)
(more: emcrit.org/ibcc/hyperka...) #emimcc
November 12, 2024 at 4:05 PM
point-of-care electrolyte analyzers cannot detect hemolysis!
so point-of-care hyperkalemia may or may not be real.
in this case, the hyperkalemia was wholly artifactual.
think twice before unleashing therapy for hyperkalemia (the ECG is often the key)
(more: emcrit.org/ibcc/hyperka...) #emimcc
so point-of-care hyperkalemia may or may not be real.
in this case, the hyperkalemia was wholly artifactual.
think twice before unleashing therapy for hyperkalemia (the ECG is often the key)
(more: emcrit.org/ibcc/hyperka...) #emimcc
Reposted by James Whatling
🚨FOR NEW PATIENTS NHS DENTISTRY HAS EFFECTIVELY CEASED TO EXIST
Government’s own shocking data shows a staggering 97% of new patients who try to get an NHS appointment fail to get one
People are forced to pull out their own teeth with pliers - it’s not Victorian medieval
youtu.be/UtqAtGAnuC0?...
Government’s own shocking data shows a staggering 97% of new patients who try to get an NHS appointment fail to get one
People are forced to pull out their own teeth with pliers - it’s not Victorian medieval
youtu.be/UtqAtGAnuC0?...
People having to pull out their own teeth with pliers is not Victorian - it’s medieval
YouTube video by Peter Stefanovic
youtu.be
November 15, 2024 at 6:21 PM
🚨FOR NEW PATIENTS NHS DENTISTRY HAS EFFECTIVELY CEASED TO EXIST
Government’s own shocking data shows a staggering 97% of new patients who try to get an NHS appointment fail to get one
People are forced to pull out their own teeth with pliers - it’s not Victorian medieval
youtu.be/UtqAtGAnuC0?...
Government’s own shocking data shows a staggering 97% of new patients who try to get an NHS appointment fail to get one
People are forced to pull out their own teeth with pliers - it’s not Victorian medieval
youtu.be/UtqAtGAnuC0?...
Reposted by James Whatling
Nurses quitting profession early puts health reforms in England at risk
Numbers leaving within 10 years of registering rose by 43% between 2021 to 2024, finds Royal College of Nursing
www.theguardian.com/society/2024...
Numbers leaving within 10 years of registering rose by 43% between 2021 to 2024, finds Royal College of Nursing
www.theguardian.com/society/2024...
Nurses quitting profession early puts health reforms in England at risk, says union
Numbers leaving within 10 years of registering rose by 43% between 2021 to 2024, finds Royal College of Nursing
www.theguardian.com
November 11, 2024 at 10:37 AM
Nurses quitting profession early puts health reforms in England at risk
Numbers leaving within 10 years of registering rose by 43% between 2021 to 2024, finds Royal College of Nursing
www.theguardian.com/society/2024...
Numbers leaving within 10 years of registering rose by 43% between 2021 to 2024, finds Royal College of Nursing
www.theguardian.com/society/2024...
Reposted by James Whatling
🚨FOR NEW PATIENTS NHS DENTISTRY HAS EFFECTIVELY CEASED TO EXIST
Government’s own shocking data shows a staggering 97% of new patients who try to get an NHS appointment fail to get one
People forced to pull out their own teeth with pliers - it’s not Victorian it’s medieval
youtu.be/UtqAtGAnuC0?...
Government’s own shocking data shows a staggering 97% of new patients who try to get an NHS appointment fail to get one
People forced to pull out their own teeth with pliers - it’s not Victorian it’s medieval
youtu.be/UtqAtGAnuC0?...
People having to pull out their own teeth with pliers is not Victorian - it’s medieval
YouTube video by Peter Stefanovic
youtu.be
November 14, 2024 at 4:58 PM
🚨FOR NEW PATIENTS NHS DENTISTRY HAS EFFECTIVELY CEASED TO EXIST
Government’s own shocking data shows a staggering 97% of new patients who try to get an NHS appointment fail to get one
People forced to pull out their own teeth with pliers - it’s not Victorian it’s medieval
youtu.be/UtqAtGAnuC0?...
Government’s own shocking data shows a staggering 97% of new patients who try to get an NHS appointment fail to get one
People forced to pull out their own teeth with pliers - it’s not Victorian it’s medieval
youtu.be/UtqAtGAnuC0?...
Reposted by James Whatling
Thread for those new to BlueSky. First of all, welcome. It feels like a safer space, doesn’t it? But also perhaps a bit disorienting initially? Here’s some tips for getting your bearings.
November 13, 2024 at 5:59 PM
Thread for those new to BlueSky. First of all, welcome. It feels like a safer space, doesn’t it? But also perhaps a bit disorienting initially? Here’s some tips for getting your bearings.
