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Alex Nevard @AlexNevard

Consultant in Emergency Medicine. father to many children, passing interest in frailty in Emergency Medicine and frailty trauma

Joined July 2012
  • Tweets 5,548
  • Following 443
  • Followers 2,233
254 Photos and videos
BMA ballot for RDs today. Vote Yes! Or Vote No. That's your choice. But just Vote!
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Who is asking their residents to come to induction, then go home, then come in to do a night shift. You know that's not okay, right? Even if induction is virtual.
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A number of cardiology letters suggest administrating 2 litres of IV saline to patients attending the ED with a flare of their POTS. Is it Evidence based or not? And if so, can anyone show me the research?
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We have a population that is changing, and we can't keep doing the same thing. Bringing someone to the ED is an intervention that may not be in their best interests. We need to get better for them and for us. #eusem2024
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1% - 3% complication rate of peripheral vasopeessors 4% complications of CVC lines (CLOVER Trial) Take away peripheral pressors safe in the ED. #EUSEM2024
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I like this slide
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And we start #EUSEM2024 today with walking into a discussion about the benefits of 18 lead ECGs in EM. Interesting, can't wait to see the look on people's face when I suggest it back home.
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Running in situ sim regularly is a good barometer of an emergency department. If you don't have the capacity to run a sim for your staff because it's too busy, then the problem isn't the sim. It's the staffing model
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Don't be "heimskur" Icelandic for one who has not travelled, gather knowledge and take it home #eusem2024
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Stunning talk by @MyiED @EMDrJonny and Harriet Turner on the epidemic of knife crime and making impossible calls.
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Learning about how POCUS can help with surgical airways in frail patients. There's a lot to unpick there #eusem2024
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Best lesson from Denmark and #EUSEM2024 so far. Properly developing a cycle infrastructure can benefit an entire population. Cycled the 5km to the centre today on segregation paths, where I was probably the greatest danger
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One is not maintaining their own aware. One simply hasn't aspirated everywhere, yet.
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Gutted that our regional course on communication with the dying patient and their families has been cut due to budget constraints. Was really valuable for IMTs, practicing communication skills In a safe, observed environment.
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New group of juniors, gave them a talk on "What happens when you muck up" Because I think talking about the inevitable error or incorrect diagnosis is better than just saying "it'll happen one day"
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Which of the following effectively rule out a PE: a) Absence of chest pain b) Wells' score of 0 c) Presence of a CAP on a chest radiograoh d) No evidence of DVT e) None of the above, which is why PEs are such a bloody nuisance
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Alex Nevard retweeted
Royal College of Emergency Medicine
@RCollEM
7 Sep 2024
📆 Next month at #RCEMasc: An exploratory cross-sectional study of the role of the consultant nurse and consultant practitioner in UK EDs @stgEDresearch @vickym0208 #StGeorgesUniversityHospital #Network #Learn #CPD ➡️ Don't miss it, register to here - tinyurl.com/RCEMEventasc24
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Pottys not allowed in paediatric wards as infection risk. My child will instead just poo on the floor because that's better.
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How the NHS appears to work over the summer. "Hello, super specialist service!" "Oh yes, Janet's looked after Mr. Jones for 20 years, very complex he is." "But Janet's on holiday for 6 weeks, can it wait? "An emergency, u say? Well, you better contact the Dr, lovely F1"
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The difference between the written pathway and the pathway the patient actually takes is a forever hate of mine. Why write it down if we're then going to make it up anyway?
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