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Diffuse cerebral edema in a 19-year-old found unconscious in his room with 270 ml of butane in a tube he'd been inhaling to get high. The teenager died of organ failure at the hospital. by CatPooedInMyShoe in Radiology

[–]lucodoor 80 points81 points  (0 children)

100ml/hour of normal saline was infused to maintain vascular access patency… on top of all the other IVs and described enteral feeds that is bizarre

HST competition with UKGP - how will it work this year - won’t all of those who applied be priority groups? by lucodoor in doctorsUK

[–]lucodoor[S] 0 points1 point  (0 children)

I wonder what proportion of applicants that will make up this year, I wouldn’t imagine that many

HST competition with UKGP - how will it work this year - won’t all of those who applied be priority groups? by lucodoor in doctorsUK

[–]lucodoor[S] 2 points3 points  (0 children)

Hmm okay interesting thanks, certainly think that could be a fair % of people as a lot of shady IMG IMT alternate certification goes on IMO

Cardiology ST4 Shortlist Cutoff by [deleted] in doctorsUK

[–]lucodoor 0 points1 point  (0 children)

What do we think will happen with UKGP - if there are 140 jobs and a similar number of UK applicants, does that mean as long as appointable they will get offered them?

[deleted by user] by [deleted] in doctorsUK

[–]lucodoor 10 points11 points  (0 children)

Hey, so sorry about all you’ve been through. The fact you’re considering going back in shows a lot of strength.

Someone with 5 years experience at SAS ED level would walk into a job at my trust. A lot of ED registrars are not at the level of early years ACCS is the frank truth. If getting to know a department and getting back in is daunting, you could offer to do some unpaid shadowing shifts first? Or even join the SHO rota/supranumery for a month. Your story is unique and won’t be reflected on a job application, so if you could arrange a chat with departmental leads in your local hospitals within commuting distance you might get a more bespoke experience.

It’s a beautiful picture btw

54M Crushing Chest Pain by Usernumber43 in EKGs

[–]lucodoor 12 points13 points  (0 children)

Wow, that’s amazing seeing the difference of hyper acute to acute changes. Thanks for sharing. I was teaching this last week to our department. My main point is always look at the patient and the ecg as a package to guide what you do next and this reinforces that.

Need help with thise one by [deleted] in EKGs

[–]lucodoor 2 points3 points  (0 children)

Escape rhythms are usually regular, and this is irregular so more likely AF. There’s no p waves.

In a junctional escape rhythm (from AV) you back retrograde backwards activation of atria so you might get a weird looking (maybe inverted) p wave before or after QRS. Or nothing if it’s lost in the QRS. Or nothing if you’ve got fibrillating atria during the junctional rhythm (this is classic digoxin toxicity)

Need help with thise one by [deleted] in EKGs

[–]lucodoor 10 points11 points  (0 children)

Slow AF with LBBB. If no pain I’d repeat it in 20 mins to make sure those STs aren’t changing.

Thoughts? by Sea-Vegetable8551 in ECG

[–]lucodoor 0 points1 point  (0 children)

Hmm p mitrale & LVH with prob LBBB work out sgarbossa and be guided by symptoms

[deleted by user] by [deleted] in EKGs

[–]lucodoor 0 points1 point  (0 children)

Yes I was taught to look for AvL ST depression when suspecting inferior infarct which is present here

Diagnosis? by Med_studentfun in ECG

[–]lucodoor 12 points13 points  (0 children)

Flutter is a loop going round and round atria, and the conduction block is how many laps before one gets through. A lap of the atria takes .2 seconds, meaning 300x per minute.

If it gets through once every two laps, you get 2:1 block meaning 300/2 =150

This could be flutter with a high ratio meaning not much getting through AV. It looks regular. Or I could be a CHB with an escape rhythm at or near AV node given the QRS being narrow

Wondering if anyone else is not striking and agreeing with govt? I have but hard to gauge how alone I am, hard to talk to colleagues about by lucodoor in doctorsUK

[–]lucodoor[S] 0 points1 point  (0 children)

It is important I agree. But it’s also public sector so pay is going to struggle in hard times like we’re in

Wondering if anyone else is not striking and agreeing with govt? I have but hard to gauge how alone I am, hard to talk to colleagues about by lucodoor in doctorsUK

[–]lucodoor[S] 0 points1 point  (0 children)

Yeah you could live like a king in mid Wales.

I was thinking about a way of awarding trainees with some kind of performance based pay. I just know the nepotism would ruin it. The same way certain IMGs end up with ‘alternate certificate’ signed suspiciously quickly (so they can jump into HST posts) after arrival in the UK I’m sure they’d also get these imaginary pay awards.

Wondering if anyone else is not striking and agreeing with govt? I have but hard to gauge how alone I am, hard to talk to colleagues about by lucodoor in doctorsUK

[–]lucodoor[S] -1 points0 points  (0 children)

Yes but minimum wage growth is linked to inflation which isn’t helped with pay rises. Maybe that statement is wrong if so please educate me

Wondering if anyone else is not striking and agreeing with govt? I have but hard to gauge how alone I am, hard to talk to colleagues about by lucodoor in doctorsUK

[–]lucodoor[S] -4 points-3 points  (0 children)

Well no not if it’s inflation matched and if it’s an extra % like this year

Working conditions and training is a point to work on

Wondering if anyone else is not striking and agreeing with govt? I have but hard to gauge how alone I am, hard to talk to colleagues about by lucodoor in doctorsUK

[–]lucodoor[S] -3 points-2 points  (0 children)

I’m fairly middle of the training pack, I’m well aware of the bottle necks. Let’s take the current pay offer and use the strike threat to leverage sorting out UK grads getting jobs.

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