David Stanley
@stanloid
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Consultant, Anaesthetics & Intensive Care Medicine.
West Midlands, England
Joined July 2009
RT @goldstone_tony: 2/2 . "NHS leaders urge the chancellor @Jeremy_Hunt to act decisively to resolve this long-standing area of concern for….
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RT @hjg34095197: The FT not the BMA published this. How can this salary assault on NHS and Education staff be justified. And how long do….
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RT @BMA_Consultants: Government refuses to engage with us on meaningful solutions to pay, pensions and the DDRB, and instead is walking bli….
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@rhhicu Yesterday’s journal club couldn’t have been more topical.
Using tranexamic acid can reduce risk of cancelling elective surgery because of limited blood stocks @NHSBT . We recommend use of tranexamic acid is considered in all adult surgical patients & administered if >500ml blood loss is anticipated. More info:
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Give my playlist a listen: 50th Birthday - 1 song every year 1972-2022 Trying to choose a song, by a different artist, for every year you’ve been on the planet for my ‘significant’ birthday party wasn’t easy. Here’s how I got on….
open.spotify.com
Playlist · drdstanley · 51 items · 2 saves
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Got there in the end. Too late for Coldplay & wedding anniversary but just in time for on-call tomorrow. Phew!
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@rhhicu Another example for us….
Floor to ceiling illustrations are now on display at Ealing and Northwick Park #ICUs and Central Middlesex Hospital’s #EnhancedCareUnit. The illustrations show how equipment is used so visitors can get an idea of what to expect. Read more at
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This heatwave has eviscerated the idea that small changes can tackle extreme weather | George Monbiot
theguardian.com
Dangerous heat will become the norm, even in the UK. Systems need to urgently change – and the silence needs to be broken, says Guardian columnist George Monbiot
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Pulmonary Embolism | NEJM Good review of PE diagnosis & treatment in this week’s NEJM. @RHH_ICU
nejm.org
Evaluation of pulmonary embolism includes assessment of clinical probability and, if indicated, d-dimer testing. Most patients with low-risk pulmonary embolism can be treated with oral anticoagulants.
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Unfair & illogical. Decent, hard working senior doctors retiring early against their will at a time of such demand 🤦♂️.
Real Case😢.54yr GP partner, 6 sessions working 50s/week.Take home pay 22/23: £45,600.Annual allowance 22/23: £29,000.Net pay after pension tax bill paid: £16,600. Hrly net pay: £6.38. Outcome: Retiring age 55."main reason for leaving = pension taxation". RT if concerned for NHS
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I'm a doctor. Current NHS pension taxation rules are unfairly hitting senior doctors hard with many forced to retire early/reduce hours. This crisis cant go on. @sajidjavid as my MP, please will you attend @TheBMA pensions event on Weds 6 July.
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@rhhicu Excellent summary. Ashamed to say I never knew all chest drain tubes had 6 holes 😬🤦♂️.
Todays #ICUOnePager: chest tube drains. What is that bubbling box next to the bed? What do the different compartments do? How to assess if it's working properly?
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Not only are they great clinicians, dedicated professionals & fabulous colleagues, they can also ROCK….@RHH_ICU @mikereay4 @irmeet
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Sean Dyche gave us the gift of Peak Burnley – for that, we owe him thanks. An article for you @clift_john
theguardian.com
Wrongly typecast as a proponent of anti-football, Dyche gave the people of Burnley a team they could be proud of
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RT @GreenpeaceUK: 🚨🚨 BREAKING:. We’re at @10DowningStreet delivering two huge petitions signed by over 500,000 people from the UK and Turke….
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2/2 instead of investing in your outdated infrastructure whilst dumping raw sewage in our rivers (the number of times you do this you hid). Only, “positive difference”, I can see is your bottom line. Oh & you have a monopoly - so it’s not like we can take our business elsewhere😡.
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1/2 @stwater Not impressed by the e-mail from you this week boasting you, “are making a positive difference” when you recently put our bill up around 10% whilst making millions of profit (much of which you give to your shareholders)…
theguardian.com
Firm illegally discharged about 360,000 litres of raw sewage from Worcestershire treatment plants in 2018
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2/2 Whilst results have been known for sometime this is a timely reminder that CPAP reduces the need for intubation but High Flow Nasal DOES NOT. Not sure EVERYONE still gets this.
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