Thomas (@Tomcromarty) profile picture

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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Here’s how I think we often fail our patients when treating ’sepsis’ a 🧵 1/11
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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.
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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
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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.
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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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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
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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…
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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
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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Replying to @francisdeng
This (with other papers) suggests may not need expert ultrasonography skills to rule in/out buckle #. That is the game changer as (with results of FORCE study) means you U/S at triage, confirm buckle, go home. thelancet.com/journals/lance… @MrDanPerry @shroukmessahel – at East Midlands, England
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We had fun today checking out different flow rates to aid cannula choice 😆 Idea shamelessly stolen from Twitter! (Blood is fake)
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A 5-year-old presents with a 2-day history of fever, cough and coryza. A urine dip shows 1+ protein but otherwise clear. What does the protein mean? Shall we ignore it? Is it just from the fever? 👨‍⚕️👩‍⚕️ Read about incidental proteinuria at ow.ly/zGiS50NIgqt #dftb #foamed
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This is incredibly helpful. The root cause of many presentations in infants with minor illnesses, especially respiratory, is the infant isn’t sleeping and the parents are broken as a result. This is useful to demonstrate “abnormal” sleeping isn’t actual that abnormal. – at East Midlands, England
What is normal duration of sleep in babies aged 1-4 months? No need to guess - we now have centile charts 🇮🇪 Note 93% white babies so may not be generalisable adc.bmj.com/content/early/20…
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Thomas retweeted
FREE PHOTO ID FOR STUDENTS! This year photo ID presents a new barrier for young people and students to get their voices heard. So we've teamed up with @CitizenCard to offer FREE voter ID that can be used in next month's Local Elections. Find out more 👇 nus.org.uk/photo-id
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13 new websites powered by AI that'll get you massively ahead in 2023 and beyond (Bookmark them):
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