Stress and performance

I was hugely privileged to be able to talk to new PHEM trainees at the @ibtphem national course about my research interest: moral injury in pre-hospital care.

But the talk morphed into what our work has identified as stressors in PHEM.

Read on…🧵 From @NASA to elite sport, the impact of both acute and chronic stress is well documented in high performing teams.

Whilst ‘wellbeing’ initiatives have got somewhat of a bad rep, we cannot separate welfare from performance.

The challenge is finding the sweet spot.

This is why

If you haven’t heard of this case yet, it should worry you. That a GP could be held liable for the fact that a child with a disability was brought into existence is horrifying.

Let alone the impact on the NHS 🧵👇🏻 1/

#IAmPhilipMitchell @mailplus

mailplus.co.uk/edition/commen… Disclaimer: I am doctor. But I am also the mother of a wonderful little boy with cerebral palsy after an extremely premature birth. Here are my thoughts 👇🏻 2/

We have people fighting for their lives on ventilators. Some of them will never wake up. Many are young. They have families. Children. People who love them.

Those who are really in trouble have not been vaccinated. Some will die.

#thread

theresuscitationist.com/home/2021/7/24… I can’t tell you how difficult it is for us to watch people come in fighting for breath, not knowing when it will be their last. Watching them FaceTime their families before we put them on a ventilator. Knowing the awful truth that this could have been prevented with a vaccine.

Misinformation has landed patients in my ICU. The sickest patents are those who aren’t vaccinated. Each time I feel that we have failed them. We need to keep speaking up about what is happening because right now people are fighting for their lives. Please get the jab 🙏🏻thread My heart breaks every time I hear one of those stories at ICU handover. From those who read COVID was just like the flu, to those who were persuaded to get vaccinated, to those who have been convinced COVID doesn’t even exist.

What having a child in ICU taught me about being a doctor.

There’s a room in every ICU. The one with a couple of sofas, a watercolour on the wall, and a well placed box of tissues.

I never expected that one day, I might be on the other couch

#thread

instagram.com/p/CPQ4b1gBKVs/ When our son got sick, it didn’t hit me how bad things were until we taken to that room in ICU.

It would change my life. Despite the odds, Joshua would pull through his resuscitation.

Now, as an ICU doctor, it’s my turn to be there for families on the worst day of their lives

It happened. It finally happened. A man talked down to me about my specialist subject. He quoted a paper. I wrote the damn paper. Small victories. 💪🏻 For those asking whether I told him, yes I did. I said nicely that the author might disagree with his conclusions. After some protest I put him out of his misery and told him that I was the author. He had the good grace to look mortified. 😇

I am worried we will be facing a mass exodus of NHS staff at the end of this wave. If we do not look after our staff now there will be no-one left to look after our patients. If you support us will you follow and RT to your followers? A very tired ICU doctor 🙏🏻 I would never have got through the last year without my colleagues. So I am so sad that many of them are planning their exit from the NHS. These are dedicated doctors and nurses, the same people we clapped for every Thursday, and there is a very real risk we could lose them.

NHS staff are devastated that the UK now has the highest death rate in the world. I am leading a group of doctors taking the Govt to court for a public inquiry.

We will keep you updated as the evidence comes out. Could you RT and follow to help us hold the Govt to account? 🙏🏻 We are a group of frontline NHS doctors. So far we have collated evidence from frontline health & social care staff, experts & sadly from bereaved families. It is truly shocking. We will share when we can, the case is going before a judge next week for an inquiry. Wish us luck 🤞🏻

NHS speaking up feel a great duty to ensure the public are aware of what is happening on the frontline. We are our patient’s advocates. But we shouldn’t be finishing 22 hour shifts fighting the virus and then spend time off fighting disinformation and abuse on social media...1/4 It is exhausting trying to dispel COVID myths, trying to engage with those who don’t believe COVID even exists to those who don’t want to put on a mask. I’ve had all sorts. From death threats to multiple abusive DMs a day. It is so demoralising 2/

I am devastated by the abuse NHS staff are getting on Twitter. You might have noticed I’ve been posting 💙 for a while hoping it will catch on...but if you stand with the NHS and it’s staff please you will help turn Twitter blue and pop an #NHSblueheart on your name? Pls RT! Wow, I am almost in tears to see the overwhelming support for NHS staff and each little blue heart 💙 Well actually I am in tears. Please if you’re putting a little blue heart in support of your NHS staff could you tweet #NHSblueheart? Let’s get this trending 💙💙💙

Please help frontline NHS staff get their voices heard. It’s very difficult for us to get out what is happening on the ground at the moment and things are at breaking point. Please will you RT this and follow those speaking out? 🙏🏻 #thread Here’s @doctor_oxford Dr Rachel Clarke. She is a palliative care doctor working on the frontline. The last time I saw her she had just done a 96 hour on call and still spent her one day off advocating for the NHS, it’s staff and patients. Definitely follow if you aren’t already.

https://twitter.com/doctor_oxford/status/1345474847586078720

Hello, I run a network for over 46K doctors. Things are really bad on the frontline and NHS doctors need help getting the word out. If you support the NHS would you tweet this to your followers so I can help get out what is happening on the ground? @TheDA_UK 🙏🏻 Hospitals are running out of oxygen.

One trust has no non-invasive machines left.

ICUs are tweeting for volunteers to prone patients.

Transfer teams being requested to move patients 65+ miles to nearest hospital with critical care capacity.

Please. Stay at home if you can.