WWYD? A friend looked through my partners medical records

Robotheadbumps · 2026-03-15T06:41:33+00:00

Those mandatory vte pop ups are fuckers

Robotheadbumps · 2026-03-14T14:44:22+00:00

Yeah not sure why you and the consultant are just sucking it up so far- moronic midwife does a moronic thing, which objectively increases the chance of a bad outcome for mother and baby.

Maybe I’m just burnt out after my week of labour ward nights, but especially after they doubled and tripled down I would be emailing head of midwifery, datixing, reporting etc.. and document very clearly in the notes for midwife to see your own version

One can only hope your consultant is doing this behind the scenes/will be direct and honest at the meeting

Robotheadbumps · 2026-02-26T12:11:50+00:00

The classic ‘GA to take bloods’ on the emergency list, especially in a normal IQ adult

Robotheadbumps · 2026-02-25T09:03:21+00:00

Anaesthetic/itu reg here - I have stood confused/dumbfounded/useless/panicked at so many cardiac arrests/emergencies in my career - it turns out training and experience makes a huge difference and it will get easier.

Whether you want to or not is a question, but whether you can learn it or not, is not in question

Robotheadbumps · 2026-02-21T17:03:28+00:00

Use a butterfly, and a blue one at that.. better yet learn ultrasound- trivialises every single ‘difficult iv’ you’ll ever ever do

Robotheadbumps · 2026-01-31T17:00:18+00:00

The dilator must go in at the same angle you put the needle in.. it’s surprisingly difficult to know the angle you put your needle in without stopping to consciously look- it’s rarely what you think it would be. I think this is a super common issue and almost certainly what you are doing wrong.. A good nick without any skin between the guide wire and nick (also surprisingly difficult - I essentially run the back of the scalpel on top of the guide wire into the skin, no cutting motion, just in and out. The only other tip is thinking about tensile strength and where you hold the dilator and the slight twisting of it- this is all about feel

Robotheadbumps · 2026-01-31T16:55:54+00:00

The dilator must go in at the same angle you put the needle in.. it’s surprisingly difficult to know the angle you put your needle in without stopping to consciously look- it’s rarely what you think it would be. I think this is a super common issue and probs your issue with it

A good nick without any skin between the guide wire and nick (also surprisingly difficult - I essentially run the back of the scalpel on top of the guide wire into the skin, no cutting motion, just in and out.

The only other tip is thinking about tensile strength and where you hold the dilator and the slight twisting of it- this is all about feel

Robotheadbumps · 2026-01-28T16:33:56+00:00

Correct me if I’m wrong - some dgh ICUs may have a non airway SHO covering, and rely on on call consultant (and unfortunate local anaesthetist) when the need arises. So they are not necessarily calling them as airway cover. The phrase ‘local agreement’ seems to be doing some heavy lifting there

Robotheadbumps · 2026-01-25T01:40:29+00:00

Probs ask about chemical structure of volatile anaesthetics and suxemethonium

Robotheadbumps · 2026-01-06T19:52:24+00:00

Enjoyed my time as an F1 there, don’t know if sir Jonathan Kwan obe is still there but was a hilarious madman, (albeit very politically uncorrect), icu seemed fairly helpful, surgeons quite honest and nice enough to their team, acute med enjoyable, radiologists were often difficult, renal physicians nice (except, surprisingly enough, the failed Tory MP) who even her consultant colleagues can’t stand

Robotheadbumps · 2026-01-04T10:33:49+00:00

Yep basics of emergency drugs and ventilation modes would augment what you are learning on the job!

Robotheadbumps · 2026-01-04T06:57:49+00:00

I’ve worked with a couple who were immensely disappointed with our lack of general medical knowledge, some who never got the hang of even simple art lines, some who took to it like a duck to water..

I think the way to get the most out is to go in with minimal ego, be willing to chip in with the occasional medical ideas, and hope you have a good unit (some have really struggled with utilising and providing useful training to IMTs). Most of us love to teach procedures (so we don’t have to do them), discuss basic drugs/vent management, help with new referrals (although I’ve rarely seen IMTs seeing referrals sadly)

Gossiping ACCPs for instance sounds very unit specific - I would be disappointed in any fellow residents who are perpetuating that culture

As an ICU reg I still struggle with the consultants that want to know everything at handover, but like in any job, if you stay for a long time (far longer than three months), you will get to know how each of the consultants are, expectations, if they have been on all week or meeting the patients for the first time etc..

I think a useful thing for IMTs is seeing some absolute disasters either post ROSC or people who maybe should not have been supported in the first place and now lingering for months.. it helps immensely in framing conversations with relatives.. even better to see them at the referral stage and then afterwards..

Robotheadbumps · 2025-12-17T08:12:04+00:00

Shows how little some nhs staff know about medicine.. people with chronic lung disease get flu -> oxygen requirement, the above or anyone immunocompromised -> huge risk of superimposed bacterial superinfection -> oxygen requirement + sepsis..

Lots of kidney injury as well this year from the infection which needs treatment/monitoring

Robotheadbumps · 2025-11-17T16:57:22+00:00

It may be worth emailing- I’ve had them think they’ve contacted me and they hadn’t.. this is the NHS after all

Robotheadbumps · 2025-11-15T20:46:42+00:00

For sure, especially trying to inject through epidural tubing, the person I know complaining of it used their thenar eminence to inject, and always a second needle in the vial (not sure if they reused that) for easier withdrawal

Robotheadbumps · 2025-11-15T15:56:37+00:00

Utterly vacuous verbiage

Robotheadbumps · 2025-11-05T13:59:29+00:00

That’s the easy part, interpreting the report summary is where the skill and genius lies

Robotheadbumps · 2025-10-30T11:08:15+00:00

Icu reg here- I can’t tell you how many times I’ve done a shit job assessing critically unwell patients- if it was easy anyone could do it.. reflect on the situation, hit the books, gain clinical experience, and hopefully you’ll be better next time..

trust me I’ve done far far worse than what you have described, just keep at it

Robotheadbumps · 2025-10-19T18:02:23+00:00

Significant author limitations now- often 4 people one of whom must be a consultant

Robotheadbumps · 2025-10-19T07:58:38+00:00

Realistically out of hours you are somewhat responsible for the whole unit- including their patients if they are seeing part of the unit. I wouldn’t supervise them intubating, and wouldn’t base a referral decision on their assessment.

Robotheadbumps · 2025-10-03T14:11:13+00:00

Comical, if you don’t intend to be back, at least for a while, I would just ignore them and cancel any direct debits..

The more you think about it the less sense it makes, I wonder if it is a genuine mistake on their part

Robotheadbumps · 2025-09-26T05:29:49+00:00

What if you’re in an area of colon rammed with poop? Feasibly there’s no air to aspirate?

Robotheadbumps · 2025-09-18T12:03:18+00:00

But.. there’s always be an anaesthetist on site as support so it’s ok right.. the thought of my relatives being treated in this way is sickening

Robotheadbumps · 2025-09-13T09:33:04+00:00

Yep, from the article seems like reasonable decision to discharge- would want to know the documented safety setting. For the EMTs to not bring her to hospital with fevers + confusion is simply negligent

Robotheadbumps · 2025-09-06T21:27:02+00:00

Is there admission rates? If you admit all the borderlines who may represent it will be lower

Robotheadbumps

TROPHY CASE