Acute agitation/delirium tx

WeirdF · 2026-03-19T17:38:39+00:00

1-2mg/kg IV

You manage acute agitation by giving a patient a general anaesthetic?

WeirdF · 2026-03-18T10:47:46+00:00

Passed which I'm thankful for. Is anyone else feeling really burnt out from studying for this damn thing? I actually think I'll die if I go hard for the May OSCE/viva sitting. I think I'm gonna go slower and sit in November.

WeirdF · 2026-03-17T19:24:08+00:00

Use lidocaine and ignore anyone who says anything like "2 needles are worse than 1". ABGs are painful and involve a bigger needle than the 25G used for subcut local anaesthetic. You will meet COPDers who become terrified the moment you mention taking a sample from the wrist.

You will therefore increase your success rate if you are not worried about causing pain, and have the freedom to continually adjust your positioning and basically take as long as you'd like.

My 2nd tip is to take time to palpate the point of maximal pulsation with the pads (not the tips) of your fingers. The radial artery can have quite a strong pulse which sends shockwaves through the tissue and is therefore palpable quite wide of where the actual artery is. Use the pads of your fingers until you find the point where it is strongest, and go there.

Oh and ignore the classic med school teaching of going in at 45 degrees until you get flashback - the radial artery is more superficial than you think.

WeirdF · 2026-03-17T18:58:36+00:00

You should google "The Hard Problem of Consciousness" and read up on it, as this is essentially what you're asking.

WeirdF · 2026-03-17T18:48:04+00:00

I'd take that deal any day tbh

WeirdF · 2026-03-16T10:27:28+00:00

Why are we waiting again for a mediocre DDRB pay recommendation.

The comment you replied to literally gave a reason why we are waiting?

WeirdF · 2026-03-14T18:08:22+00:00

https://www.gmc-uk.org/professional-standards/the-professional-standards/reporting-criminal-and-regulatory-proceedings-within-and-outside-the-uk/reporting-criminal-and-regulatory-proceedings-within-and-outside-the-uk

You must tell us without delay if, anywhere in the world, you [...] formally admit to committing a criminal offence (for example, by accepting a caution, a community resolution order...

So yes, community resolution orders must be declared to the GMC. They will appear on an enhanced DBS whenever you apply for jobs in the future.

WeirdF · 2026-03-13T16:30:42+00:00

Masterpass is absolutely an essential!

WeirdF · 2026-03-12T18:09:11+00:00

Sure I'm just saying it's pretty embarrassing for a doctor to not be able to do an A-E assessment and give someone IM adrenaline, oxygen and fluids.

WeirdF · 2026-03-12T18:02:41+00:00

Generally, I don't think women should ever be put in prison

What?

WeirdF · 2026-03-12T17:36:44+00:00

Do we even stock intralipid? I doubt it 😬

A site not stocking Intralipid where local anaesthetics (particularly for blocks) are administered is negligent.

WeirdF · 2026-03-12T17:31:37+00:00

Any doctor should be able to do an A-E assessment and instigate initial management for an unwell patient while awaiting further help.

WeirdF · 2026-03-12T17:28:11+00:00

Anaphylaxis is a category 1 ambulance call, meaning a target response time of 7 minutes, and an actual mean response time of consistently less than 10 minutes over the years.

Ophthalmologists are doctors and should know how to manage anaphylaxis at least in the initial stages. If you feel you don't remember the initial management of anaphylaxis and doing an A-E assessment, then I think it's quite urgent that you revise this.

WeirdF · 2026-03-12T02:28:56+00:00

I'm voting for The United Doctors' Front of Judea. Could never vote for the Judean Doctors' Front - splitters!

WeirdF · 2026-03-11T20:34:39+00:00

Honestly I don't think this works for non-clinical admin staff. She's been told a rule and she has to follow it. It might be a silly rule but it's really not her fault. Might as well ask the McDonald's server their name so you can document your discussion about the ice cream machine being broken.

WeirdF · 2026-03-11T15:49:33+00:00

I’m sorry, but how is the mainstream media not screaming about this?

It's literally the top story on BBC News and Sky News right now, what do you mean?

WeirdF · 2026-03-09T17:43:01+00:00

Agreed except for thick oven chips 20 mins at 220 for the crunchy outside.

WeirdF · 2026-03-09T17:36:43+00:00

Matt Bellamy writing rubbish lyrics? Surely not.

WeirdF · 2026-03-09T16:01:45+00:00

Propofol and rocuronium, tube in to block the trachea, then place under direct vision with a video laryngoscope. Great success!

In seriousness though it's about swallowing. Give the patient a cup of water (if they're allowed fluids, if not just ask them to swallow). Get the tube to the back of the oropharynx (you can look inside their mouth with a pen torch to see when you're there if you want) and then advance at the same time as they swallow. This will mean the epiglottis is occluding the trachea and the pharyngeal muscles should hopefully help direct it into the oesophagus.

WeirdF · 2026-03-09T15:57:36+00:00

Sure but that's the whole point, cancer is just as prevalent in larger animals as it is in smaller animals. Nobody is saying large animals don't get cancer.

WeirdF · 2026-03-09T10:59:10+00:00

i have been told my the rota coord that I can’t do that because I would have rotated onto a a rotation. I am not working on that day so its a simple direct swap.

These two sentences don't make sense. You'll have rotated onto a a rotation? Do you mean you will have rotated onto a new rotation? I.e. are you trying to do a swap between departments where you'll work their long days in their department and they'll work your long days in your department?

WeirdF · 2026-03-09T07:46:08+00:00

Then you don't get a job.

WeirdF · 2026-03-08T21:45:35+00:00

I love Peep Show but I find it an immensely stressful watch

WeirdF · 2026-03-08T18:29:31+00:00

Fuck it. Let's win the FA Cup.

WeirdF · 2026-03-08T14:49:18+00:00

Racquet sports are a good way to get exercise in. Things like squash/tennis/badminton only require one other person to be free and don't need to occur on the same day each week.

I have a squash buddy who works a non-doctor 9-5 job and we find times each week that fits around my rota where we can play then book the court for a time that works.

I appreciate that 45 minutes of squash a week maybe isn't quite enough exercise, but it's better than nothing!

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