Thomas (@Tomcromarty) profile picture

Thomas

@Tomcromarty

Paediatric trainee, lover all sports, talk less listen more! #CivilitySavesLives What we don't change, we choose! My pronouns are he, him.

 Cardiff, Wales
Joined March 2009
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Photo by Thomas (@Tomcromarty)Photo by Thomas (@Tomcromarty)Photo by Thomas (@Tomcromarty)Photo by Thomas (@Tomcromarty)Photo by Thomas (@Tomcromarty)Photo by Thomas (@Tomcromarty)Photo by Thomas (@Tomcromarty)Photo by Thomas (@Tomcromarty)Photo by Thomas (@Tomcromarty)Photo by Thomas (@Tomcromarty)
Hi @Plume_Labs, I have a Flow 2 device that has stopped working all of a sudden. It won't charge either by the cable or the charging pod. I've had no reply from the email address on the webpage for support. Is there a better contact email or telephone for UK customers please?
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Here’s how I think we often fail our patients when treating ’sepsis’ a 🧵 1/11
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Can anyone point me in the direction of information or experience with Primary Care / Community Paediatric (specific) Advanced Clinical Practitioners (ACP)'. We are recruiting & looking for colleagues with experience recruiting/supervising.Pls share @RCPCHtweets @rcgp @DFTBubbles
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Quick Free Airway Education! Taking time to correctly position a patient is, in my view, the NUMBER ONE way to improve your chances of successful airway management I've made a short (5 min) free lesson Please have a look and give your feedback after tinyurl.com/airway-positioni…
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Here's a video I made breaking down this important case of a 14-year-old boy who presented to the ER with 'abdominal pain' #FOAMed
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🚨New Paediatric #sepsis criteria🚨 I welcome huge effort to review the evidence & removal of any concept of 'pre-sepsis' screening. But Houston we do now have a problem: Any definition of sepsis now depends on a blood test or low GCS with oxygen requirement.
Image from Damian Roland (@Damian_Roland)
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Here’s a video I made breaking down this important case of a young man in his early 20’s who presented to the ER with cough for 1 month #FOAMed
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KETAMINE, KIDS, AND DOSING While legal authorities looked on, two white men injected a young brown-skinned child with a big dose of ketamine. They then handcuffed him and deliberately shoved his face underwater. The child lived.
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Loved teaching at SW Ambulance Doctor Service training day. I learn as much from my community colleagues as they (I hope!) learn from me! Some fab collaborative discussions today. Thanks @sailordoctor & @Damian_Roland for two of my fave slides… @swasFT @SomersetLMC @SomersetFT
Image from Claire Hope (Salter) (@babydrclaire)
Image from Claire Hope (Salter) (@babydrclaire)
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When you attend an A&E/Emergency Department. 1️⃣ We will see people in order of clinical urgency. 2️⃣Arriving by ambulance does not mean you will be seen quicker
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If you missed our online conference today the videos should be up on YouTube and the Paediatric Emergencies website over the next few days. Thanks to all involved for their hard work once again.
Image from Chris Flannigan (@PaedEmergencies)
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Paediatric Emergencies 2023 is a free livestream taking place on 9th November 2023 starting at 8am UK time. To watch visit youtube.com/@PaediatricEmerg… and for the programme or to submit your questions for us to answer at the event visit paediatricemergencies.com/co…
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Dizziness as a pesky symptom but seems to be super common AND with such a wide differential! Any Paediatric Dizzy clinic/specialists that could talk do a @Dragon_Bytes pod please? @BPNA_org @FNDHopeUK @RCPCHtweets @AmerAcadPeds @GreatOrmondSt @ESPO_PedENT @Pediatrics_ENT
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To prescribe or not to prescribe? Look no further...... dontforgetthebubbles.com/ant…
Antibiotics in the paediatric emergency department

Antibiotics in the paediatric emergency department

It seems that everbody wants to leave teh ED with a price. How do you know who needs antibiotics or not?

dontforgetthebubbles.com
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Introducing the Child Sport Concussion Assessment Tool 6 (Child SCAT6) HT Dr. Virginia Newcombe bjsm.bmj.com/content/57/11/6… Supplementary Material: bjsm.bmj.com/content/bjsport… #RCEMasc #APEMasc
Image from Damian Roland (@Damian_Roland)
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Replying to @Dragon_Bytes
@Dragon_Bytes are doing an episode on busting fever myths. Please tell us all your pyrexia related pontifications. Why? Non evidence based habits of practice? Questions, Queries and everything in-between @DFTBubbles @TheCribsiders @Damian_Roland @RCPCHtweets @apsmunro
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I'll start.... The bigger the number, the worse the illness! Never give paracetamol AND ibuprofen at the same time! If a febrile convulsion is going to happen, there is nothing we can do about it....it's the speed the temperature increases that the brain doesn't like?!
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Presented on Headaches today at #ICEM2023 Core learning Give or take about 1% of CED attendances directly concern a headache Prior probability of brain tumours in low risk (persistent non migrainous headaches) was 0.01% pubmed.ncbi.nlm.nih.gov/1148…
Image from Damian Roland (@Damian_Roland)
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top tips for the EPIC role. What sd we b thinking about as registrars? How can we develop & improve in the role? @jim_crawfurd @KirstyChallen @EMManchester @codingbrown @LeechCaroline @DrLindaDykes @dralangrayson @cathjw @docib @ResusOne @richardbody @Damian_Roland @RCEMvp_Salwa
Thomas Shanahan (Dr.) MRCEM (@clifford0584) profile pictureThomas Shanahan (Dr.) MRCEM@clifford058418 Apr 2023
Had a management #ESLE today in ED. It’s actually hard work keeping an overview of what’s happening and supporting the whole team #EPIC
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