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Andy Neill
Lives in Maynooth, Ireland
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Andy Neill

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Too tired to eat Night shifts are dreadful. Even days before starting a week of night-shifts I feel my stomach beginning to turn upside and down. Hungering for sleep in the early morning hours, I'm almost in a dreamstate, car...
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Andy Neill

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A talk I gave recently on life threatening asthma. Prepared before I'd seen the 3MG trial that +Simon Carley pointed out!
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No i'm an emergency doc, never heard of sally wenzel, I must have a look at her work
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screencast of a recent lecture on social media use for education in emergency and pre-hospital medicine. #FOAMed  
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Great post on lots of the basic aspects of tox stuff. Great for exams. #FOAMed
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Have him in circles
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Andy Neill

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A couple of times now I've looked after people in VF with no pulse (obviously...) Yet the patient weakly moans and even moves during CPR. This leads to stopping CPR, frantically feeling for a pulse which isn't there , noting the mointor is still VF then recommencing CPR. (And defibrillating of course)

Is this movement (presumably representing perfusion of the brain) related to non palpable cardiac output (which I didn't think VF could produce) or to the CPR?
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@james connolly:  could be
As long as you have your leads right, each 2 minutes check for rhythm.If potentially perfusing, then check for pulse.If V.F, don't check pulse (we tend to fail the candidate who does this in ACLS course).
BTW: there could be a concious V.F if the patient has LVAD 
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This is the bees knees. [That means good...]
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vital read from +Cliff Reid Ireland faces far worse problems for EM than UK does (and that's saying something...)
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some more #FOAMed   using #GMEP  of course
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Have him in circles
393 people
Lars Lomberg's profile photo
Domhnall Brannigan's profile photo
James Huffman's profile photo
Chris Cresswell's profile photo
Darren Lillis's profile photo
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Maynooth, Ireland
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Perpetual EM trainee in Ireland. Interests in #Anatomy, #FOAMed
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