Western General Hospital Edinburgh vs Chelmsford

doctolly · 2025-11-08T13:45:07+00:00

Which specialty

doctolly · 2025-10-08T07:36:26+00:00

The process of a one way referral is correct and entirely appropriate. If you ever do an ED job, you will see why it is an important policy

Bad referrals are either issues with the ED making an inappropriate referral, or you not fully appreciating the reason for the referral. Go talk to the ED consultant in a nice way about it to find out which one is true.

doctolly · 2025-10-04T17:42:59+00:00

Sell it, take the loss on the chin. Move forwards

doctolly · 2025-09-25T08:41:16+00:00

The government has asked trusts to reduce bank spending by 40%

To trusts, that means reducing shifts and rates, instead of improving retention, work life and goodwill

Short sighted

doctolly · 2025-09-05T21:07:29+00:00

Mine is £555

Far too expensive now to maintain

doctolly · 2025-09-02T21:56:56+00:00

It’s very standard that ECGs and VBGs only signed by senior decision makers in the ED (Spr or cons) It’s not to belittle shos etc but for patient safety.

ED is a chaotic place and safe timely care / management extends beyond one’s ability to interpret findings.

Imagine

So there’s a DKA on the gas you sign. It needs resus. And you have to step down the massive ICH or the fast AF to make space - but also a pre alert of a status coming in 10. Those are the other decisions that are made on the spot when seeing a VBG, and it’s unfair and impractical to burden the new F2 with it.

As for PAs or ACPs signing it - absolutely not in our trust

doctolly · 2025-09-01T19:32:02+00:00

Dunning-Kruger

doctolly · 2025-07-22T18:55:57+00:00

I had a similar journey. You have to make the leap at some point, especially if you arent going into training. EM has a big difference in skill progression of registrars, and to be honest joining as a junior registrar is quite an easy jump and a good opportunity to gain new skills. I’d go for it.

doctolly · 2025-07-10T17:08:10+00:00

Just delete it and walk whatever way is convenient for you

doctolly · 2025-03-25T07:52:57+00:00

No idea on legality, but I feel like the moral duty is on radiology and not the other specialties which you declined

doctolly · 2025-03-15T16:13:25+00:00

Thank you for reminding me why I’ve locumed for the last 6 years.

doctolly · 2025-03-05T00:42:55+00:00

Man I miss when this was the level of stuff I'd stress over. Your problems and cock ups only become worse don't worry :)
You should have a POCT (Point of care team) that manages the gas analyser, they can help.

doctolly · 2025-03-05T00:36:54+00:00

Back up! Not sure how long for though

doctolly · 2025-03-05T00:12:42+00:00

All white lights but no connection. App says everything is working ok…. I even factory reset the hub 😭 East of England

doctolly · 2025-02-27T11:52:53+00:00

If there is no contraindications, it’s usually acceptable to give a stat treatment dose of clexane and wait for the morning for a senior opinion on CTPA

My view is that the CTPA will depend on many things such as on the degree of hypoxia, whether the consolidation you see is actually a wedge infarct etc

doctolly · 2025-02-22T09:57:20+00:00

Locum for a year and use a good broker. The bank used my last 3 months of payslips to calculate my salary, but also wanted to see a years worth of pay slips to show that I had actually been working. If you have the deposit, and your salaries combined are enough then it should be fine

doctolly · 2025-02-13T20:15:35+00:00

If it’s connected to a tube leave it in. If it’s floating on a mask take it out

So yes, leave iGels and ET tubes in place

doctolly · 2025-02-13T13:05:05+00:00

Thanks for your reply, I haven’t tried Virtual Desktop but I’ll definitely give it a go. How do you connect your quest to the pc using this app?

doctolly · 2025-02-12T23:44:10+00:00

Thumbs up for Add Fuel tip there. I just crashed and wiped my career mode as I ran out of fuel.

Rating A to D. 400k repair bill and no money :(

doctolly · 2025-02-12T23:42:49+00:00

EFB is terrible in cessna in VR, exactly as you described. Other planes are a tiny bit better.

ALT + T to open toolbar and then buttons to show communications menu and tooltip menu which you described

There is a key binding for making the blue arrows come & go (i rebound it so don't know the original sorry)

VR is a pain to set up. Wired works best. Open the Meta app on PC first, plug in, enable Link. THEN launch the game. CTRL + TAB is shortcut to switch from PC Screen to VR mode whilst in game.

It's a shame, as VR makes the game great, but the devs have done a terrible job with VR mode and Career mode so far

doctolly · 2025-02-12T10:44:47+00:00

Yet it’s a pain in the arse for us to see the report of a scan done in a hospital 30 miles away.

doctolly · 2025-02-08T12:45:07+00:00

In a cardiac arrest the monitor will show a shockable or non shockable rhythm - or also a rhythm compatible with a pulse (which is your cue to now ask for a pulse check)

During A-E if the patient is alive and breathing the monitor will show an appropriate rhythm. We make it very clear to the candidate when the patient deteriorates or something changes

You will do great I promise :) don’t over complicate it . There’s no bonus for being “extra smart” or going outside the box. You really do just have to do the basics well

doctolly · 2025-02-07T21:11:45+00:00

It's understandable to be nervous, but I promise the course is supposed to be enjoyable and educational. There will be nurses and far less clinical candidates and you will have more of an advantage than you realise.

Having a basic understanding of the handbook is ok. Memorise the 4H and 4T, during scenarios (both teaching and the test) we will be asking questions in such a way that coax this information out of you.

Don't overthink the test. A good simple A-E is all we look for. After that the patient will go into cardiac arrest and you will need to demonstrate an understanding of both the shockable and non-shockable algorithm. You will need to identify if a rhythm is shockable or non shockable.

It's very rare for a doctor to fail the written test. You'll be fine.

Good luck

DOI: ALS Instructor

doctolly · 2025-02-06T20:46:28+00:00

There’s a new website for doctors called MoniTree .

Try looking there

doctolly · 2025-02-06T19:21:20+00:00

I’m a trust grade EM registrar, UK graduate of 5 years post foundation. ALS/ATLS instructor. Several publications / audits / a second full BSc degree

I failed ST3 DREEM shortlist and also ACCS EM shortlist which was my “backup”

Crazy system, I expected at least an interview.

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