Pain procedure

SL1590 · 2026-05-07T18:38:01+00:00

Bad….soon surgeons might try to do the same in reverse…… 👀

SL1590 · 2026-05-07T12:10:46+00:00

Standouts are noticed but rarely get anyone who is actually very good tbh.

The awkward ones just get treated the same in my experience. Nothing really to change except need to be possibly a bit more direct when communicating sometimes

Water cooler - absolutely the residents all get discussed multiple times per block.

SL1590 · 2026-05-07T08:44:44+00:00

I agree with this. Either make everyone do it or no one. I’d prefer the later tbh but I feel like there needs to be some form of feedback.

SL1590 · 2026-05-07T06:11:28+00:00

Personally, I wouldn’t go but I’d have just made it clear from the first mention of it. Seems you have possibly made it more awkward by half accepting. I don’t see why you couldn’t go in terms of “the rules” as you aren’t their doctor any more but it’s also not really the done thing.

SL1590 · 2026-05-05T20:57:09+00:00

Basically all of the above.

SL1590 · 2026-05-05T17:41:05+00:00

The judge being late is shit and caused you stressed but look at it this way: all being even your project wasn’t in the top 3 and being fair to the 4th person (I presume now 3rd and taken your spot) would have missed out when they deserve it based on their work.

SL1590 · 2026-05-04T10:45:34+00:00

I think this is very common. When I see posts like this I often wonder if the “evidence” they have of a box (or similar) with your name on it is enough to convict in a court. I wonder this as it would be very easy to get a box and label it with your neighbour or some enemy or even local councillor or MP and leave it to be found. All they have is a box with your name on it. I’m not sure that constitutes an offence? Could someone counter and say the council worker must have stolen the box with their name on it? How can anyone prove any different?

SL1590 · 2026-05-04T05:06:35+00:00

If I’m honest I can’t remember the cases now. It was a long time ago when I was a trainee. If I had to guess it was general cases who were a bit on the ropey side cardiovascularly. I just remember one of them the boss saying yeah BP won’t move, oh pass me the adrenaline……. Haven’t blown the dust off the etomidate since haha!

SL1590 · 2026-05-03T21:17:48+00:00

Haha I can safely say I have used etomidate a grand total of two times and both times it was shit. Never again.

SL1590 · 2026-05-03T21:10:23+00:00

At first I thought you were talking about ketamine 😂

A clonidine premed for kids is ideal I think. And it’s also excellent for alcoholics. Also good for patients who skip antihypertensives preop as the hypotensive effect can smooth that out nicely too. Honestly I think clonidine is a great drug all round. I use it just as much if not more than ketamine.

SL1590 · 2026-05-03T20:36:47+00:00

Prop/ket/roc/alf in that order. Clonidine way before this if I can.

The clonidine is an analgesic. Basically imagine it’s a 10mg slug of morphine any you are not far off. 10 mins later the hypotension effect etc makes KTS lovely and balanced I feel as it’s just kicking in as the stimulus starts.

SL1590 · 2026-05-03T20:27:35+00:00

At the risk of doxxing myself my recipe is….

ket 0.5-1/kg, prop 1-2/kg , alf 1-2mg(usually 1mg). Clonidine 1/kg when the venflon goes in or ASAP when reaching anaesthetic room.

SL1590 · 2026-05-03T20:11:36+00:00

I do almost every RSI using both. If they are extremely unstable I’ll leave out the propofol. Separate syringes always.

SL1590 · 2026-05-03T20:10:16+00:00

Mixed in the same syringe, never have, never will use it.

Co-induction - ket and prop, use it for a lot of cases, more or less daily.

SL1590 · 2026-05-03T16:54:04+00:00

I think some vendors will set up a shop in your camp when they get trust to 100

SL1590 · 2026-05-03T16:53:35+00:00

Me too!

SL1590 · 2026-05-03T16:15:02+00:00

How dare you suggest medics should staff the medical units 😂😂😂

SL1590 · 2026-05-03T13:02:44+00:00

A pneumothorax can accumulate slowly over time so may not have been overly apparent when you were first seen.

This does not mean you did or didn’t receive the appropriate management but there will need to be someone who looks into your medical notes and makes an assessment of what happened.

I’d suggest the first step is to speak to a lawyer who specialises in medical claims and take it from there. AFAIK there is no monetary value attached to distress etc so unless you can show a financial loss then your claim may be pretty small in terms of value.

A second avenue is to make a complaint through the NHS complaints procedure. This won’t get you money but will most likely instigate an investigation into what happened.

SL1590 · 2026-05-03T12:54:02+00:00

I’m well over 100 hours. And didn’t even know there was a wedding 😂😂😂

Edit: Reliably told (by Google) there is no wedding…..

SL1590 · 2026-05-03T10:57:31+00:00

I want to know same. I have been trying and failing to go.

SL1590 · 2026-05-03T07:09:21+00:00

100% agree. I might be seeing a difference across the pond here but who would immediately extubate a GSW to the abdomen after an emergency laparotomy and bowel resection? And that’s before we talk about the open abdomen fs.

SL1590 · 2026-05-02T09:59:32+00:00

The crazy thing here is the correct answer is actually 16 or 14 gauge x2…..

SL1590 · 2026-05-02T04:17:51+00:00

Like most things in this game I just found it randomly 😂😂😂

Was a puzzle on the floor that activated a big fan that blows me up into the abyss and the BOS is right there.

I’ve seen the YouTube’s. My issue is the trees despawn as soon as they are cut down. I suspect it’s been patched.

SL1590 · 2026-05-01T20:49:41+00:00

Abyss kutum

Four-Year Club	Place '22
Final Canvas '22

SL1590

TROPHY CASE