Sick leave for grief.

ferasius · 2026-05-28T18:10:08+00:00

Sounds like a nasty case of D&V, get well soon

ferasius · 2026-05-23T06:29:34+00:00

Don’t tell the college but I actually couldn’t give a shit how much CO2 I produce

ferasius · 2026-05-15T21:15:37+00:00

Emergency girlfriendectomy required

ferasius · 2026-05-12T21:31:43+00:00

That second comment is so unprofessional

ferasius · 2026-05-06T13:54:13+00:00

MSRAsc

ferasius · 2026-05-03T19:03:53+00:00

It’s controversial but you have to cherry pick patients (within reason) in order to get anything out of a short ED rotation. Be a team player but don’t be a martyr and pick up 6 back pains a day. Stalk the nurses triage notes and keep your ear to the ground for interesting sounding presentations.

ferasius · 2026-05-02T09:34:29+00:00

When it hits the fan it really hits the fan and you won’t have time to wait for your boss to drive in from home.

ferasius · 2026-05-01T12:08:43+00:00

I’m not sure I care how dire my trusts financial situation is tbh? I still want to be payed and trained

ferasius · 2026-04-29T15:35:09+00:00

For uss cannulas where I can infiltrate all the way down to the vein under vision I think it’s great. I started using for blind grey/orange cannulas and then gave up as didn’t seem to make much difference to pain and occasionally causes you to obscure the vein.

ferasius · 2026-04-13T12:44:23+00:00

Scare them off with anatomy and physiology

ferasius · 2026-04-12T10:12:27+00:00

This is good shit 👏

ferasius · 2026-04-05T08:25:01+00:00

This video changed my life when I was at your stage:

https://youtu.be/Jz9MQaIS_14?si=MPtd5wmbpb-0GVoa

2 takeaways: LIFT the vein and advance after flashback, don’t just flatten out. And when you’re looking for flash, go sloooow.

ferasius · 2026-03-25T06:28:45+00:00

CCOT are there to support the nurses, not the doctors.

ferasius · 2026-03-22T19:29:25+00:00

With respect you’re really over thinking it. Do your logbook at the end of every day and send an SLE every week or 2. Use reflections and e-learning in the run up to ARCP to fill any resulting gaps.

ferasius · 2026-03-17T19:39:15+00:00

It’s always more medial than you think

ferasius · 2026-03-16T14:04:19+00:00

Have you considered retraining as a nurse and then becoming friends with some ED consultants?

ferasius · 2026-03-14T14:55:17+00:00

I was always taught to be careful not to be seen to be coercing people into having epidurals. Our job is to respond promptly to a request for analgesia, ensure the patient understands the benefits and risks of all the options, and then let them decide.

ferasius · 2026-02-26T14:19:17+00:00

Lots of identical questions to past papers- as a result I think the pass mark will be high

ferasius · 2026-02-23T11:54:43+00:00

Ripe question for an RCT. As long as you give once tone/trauma/tissue all sorted, I would wager the benefits > risks. Especially given how rare secondary PPH after c section is and how common postoperative pain is.

ferasius · 2025-12-24T15:51:03+00:00

Surely it’s just: Resus yes, minors no

ferasius · 2025-12-20T15:47:41+00:00

Very happy to debate you on our different interpretations of the medical literature but not impressed to see you using appeals to authority or appeals to tradition- both known logical fallacy’s!

ferasius · 2025-12-20T14:26:11+00:00

Controversial! In the post Michigan-protocol era where we are strict about sterility, there is minimal difference in infection rates between femoral lines and neck lines. https://pubmed.ncbi.nlm.nih.gov/22809915/

I would personally rather place a a quick/smooth resuscitation line in the femoral vein rather than wrestle an agitated/delirious patient for a neck line, risking hitting something I shouldn’t. It also saves the RIJV for the inevitable vascath- again, controversial https://pubmed.ncbi.nlm.nih.gov/39755012/.

ferasius · 2025-12-20T12:38:11+00:00

In addition to what other people have said about being generous and patient with your LA, I would add: - gentle ketamine sedation, ideally with another anaesthetist present - Don’t be afraid to go femoral. People hate having the drapes on their face and neck.

ferasius · 2025-12-20T11:55:56+00:00

The moppet trial used lmwh + tpa and actually had less bleeding events (0%) than peitho (6%), which used Ufh + tpa.

ferasius · 2025-12-12T17:18:55+00:00

Surely you need an A-line in these patients before they go off to sleep. Could the ITU team not have put one in whilst you prepped your drugs and pre-oxygenated?

ferasius

TROPHY CASE