Matthew Snowsill
🏥 London EM Consultant
🚑 ACCESS London Retrieval Consultant
🚁 Former London HEMS
🧑🎓 QMUL Resus MSc grad
🚑 Founder & Lead: PHEMfeedback.bsky.social 💚
🤔 #ResusSky #MedSky #MedTwitter #FOAMed #POCUS #PHEM #HumanFactors #PrehospitalFeedback #Resus #emimcc
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- actacc.org/education/meet… Webinar by the WITCA (Women in Cardiothoracic Anaesthesia) group For those who might be interested 😊 #emimcc #medsky
- Reposted by Matthew Snowsillnormal mentation *doesn't* indicate adequate systemic perfusion especially in cardiogenic shock, people can mentate well despite terrible CO & systemic perfusion poor mentation is sometimes an early sign of *septic* shock, but often a very late indicator of other shock states #EMIMCC

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- x.com/ACCESS_Londo... For those near London interested in #resus, #emimcc Maternal critical care transfers is the theme of this Clinical Development Day (in person only). Sorry it's a link to the other place....
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- Beautifully articulated as always It's not just about rate of patients seen. *Emergency* Medicine needs time and space to train, reflect, innovate, discuss and enjoy the unique challenges it faces. These aspects are still work and service. They've been devalued but they're more important than ever
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- Reposted by Matthew SnowsillSkytorial: Five pearls on olanzapine 😁 Between agitation and nausea/vomiting, olanzapine has a wide range of use. Olanzapine is generally not a front-line agent (e.g., haloperidol or ondansetron often are). But sometimes, it really comes in clutch....

- Nipped back to the other place briefly. 8 bot followers waiting for me, not much else since I came across. Not really missing it loads but will check in from time to time while the communities build here.
- For those professionals interested in improving the standard of care provided to patients with learning disabilities: The Medical Practice in Adult Learning Disability postgraduate certificate (PGCert) www.edgehill.ac.uk/course/medic... www.rcp.ac.uk/events-and-e... #medsky #emimcc
- Will happily take a work-provided smart phone with the same capabilities as my personal one which currently offsets a huge amount of inadequate IT... This is a systems issue that needs a solution. That solution needs to make it easy not to need to use a personal device (as well as appropriate IG)
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- "Your scientists were so preoccupied with whether or not they could, they didn't stop to think if they should"
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- Also relates to: 🛑 ED crowding 🛑 Corridor care 🛑 Ambulance offload delays Among others... If it's enough of an issue to hammer front line staff, it's enough of an issue to need systemic solutions #emedsky #emimcc #resussky #EMSsky #paramedicinesky [😡 & monitor alarms which are not acted upon 🤯]
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