Pete Lax Profile picture
RAF PHEM/Anaesthetics/ICM/Retrieval Consultant. @Shocktrauma alumnus. Occasional lecturer/author/editor. Huge Toto fan and tech/trauma nerd. Ex medical student.

Nov 28, 2021, 17 tweets

ICU consultants after nearly 2 years of COVID and the filter removed. A swear trek thread -

The new IPC flowchart defining when patients can go from COVID to non-COVID wards (version 286) is released…

The ST2 in medicine attached to ICU diagnoses a GI bleed patient with “Probable Bannayan-Zoana syndrome”

The radiology on call consultant declines a post-arrest CT-PA for the patient with PEA, RV strain and a positive d-dimer on the grounds that there is no indication for it…

Despite operating at 150% capacity across three wards with multiple staff absences and three admissions to come in to beds that don’t exist, your line manager visits to remind you that your mandatory training compliance is below acceptable levels…

On hold to the bed manager to find spaces for the three delayed discharges so you can admit the patient that has been in recovery overnight waiting for a bed…

…followed by the request of “Do we have a level two bed for the elective bunion excision?”

MAU have referred a patient who has oedema to mid nipple, a BNP of 15,000, 5 yard exercise tolerance after 6 previous MI’s and who has had no human contact for 6 months as a ?COVID…

“For the fiftieth time, you don’t need to reply all to a trust email about car parking!!”

It’s 3am, you just want to go home and some kind soul hands you a styrofoam cup full of lukewarm Mellow Bird…

“Was bed 12 due de-proning about now…?”

ED start to ask about another 6 patients following the referral you’ve just accepted to your last bed…

3 days after pulsed methylpred the FiO2 comes down to 40% and you don’t need to prone any more…

5 minutes after getting off on call…

Spike protein is positive in the under 50 year old immunocompromised patient you wanted to give ronapreve to…

“So you didn’t get vaccinated because you read on Facebook that COVID is a hoax and you still don’t believe in it even though you’re on HDU…?”

Dictating the discharge summary for the patient that no-one thought would get out of the unit…

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