John Player, of John Player Special fame
D.H. Lawrence – Writer
Ed Balls, Kenneth Clarke and Jeff Hoon

and Leslie Crowther of ‘Come on Down, The Price is Right!!’ fame.

No-one when I was there.

Nicked from wikipedia…. (Coz I couldn’t be arsed to type it all out in my own words).

A pulse oximeter is a particularly convenient noninvasive measurement instrument. Typically it has a pair of small light-emitting diodes (LEDs) facing a photodiode through a translucent part of the patient’s body, usually a fingertip or an earlobe. One LED is red, with wavelength of 660 nm, and the other is infrared, 905, 910, or 940 nm. Absorption at these wavelengths differs significantly between oxyhemoglobin and its deoxygenated form, therefore from the ratio of the absorption of the red and infrared light the oxy/deoxyhemoglobin ratio can be calculated.

Yup, on my jollys, touring New England…. Internet connection and facebook/STW addiction is dependent on the hotels free WiFi so some days good, some bad.

My e-mail is in my profile – this is slightly more reliable whilst here as it finds its way to my phone so ask away…

Druid, if you go out without any of the above and no-one to tell us who you are and you are to unconscious to tell us who you are then we aren’t gonna get you coming to A&E; just the morgue!!
😉

Oh and Graham, I said it was useful, but I’ve never been in the situation were I/someone was unable to find out who someone was.

To answer the original question…

When you’re checking BP you inflate the cuff above the patients Blood pressure and then you slowly deflate the cuf whilst listing for blood flow through the brachial artery (around about the elbow), The first sound that you here is when blood first forces its way past the cuff (Karotkoff sound 1) this is your systolic blood pressure (the amount of pressure your heart is generating). The second sound your listening for is the sound of silence (Karotkoff Sound 5) which is the sound produced as all the turbulent flow created by the pressure of the cuff ceases. This is your diastolic pressure (the resting pressure in your vascular tree).

It is sometimes difficult to catch exactly where it goes from very quiet to silence (especially in the noisy surgery, or with a shit stethoscope).

The machines that measure blood pressure work in approximately the same way but are less accurate.

Non of this means you have an irregular heart beat in any way (you may or may not) but just that they couldn’t hear you Karotkoff sounds properly.

p.s. Ourman – Right bundle is not an arrythmia, it’s a conduction problem…. As you say fairly common in thin young men.

p.p.s. Any questions let me know

RE:

‘I think Nottingham has a high rate of gun crime’

Gun crime leads to some interesting learning experiences… well that’s how I’d look at it!

Fontmoss – 4th year….. A&E Registrar!

I can still (just about) remember med-school though!

They are called slippers for a reason… all the little old dears with broken hips are wearing slippers, on their lino floors!

As long as you have something with your name on it (credit card, driving licence, name tag in the back of your pants) then I bet you we can find out who you are…..

We always manage it somehow, not that this stuff is not useful but TBH it’s not that vital to us in an emergency, and by the time we get round to ringing your NOK in a real emergency then we have had time for someone to find out who you are!

Dr_Adams – if that was aimed partly at me then feel free

No problem solo, anytime….

I run ad-aware in conjunction with malwarebytes’ anti-malware.

They both find things that the other sometimes misses.

We taught women to multitask so that we don’t have to so it any more….

I thought everyone knew that!

Usually lasts anywhere between a few days and a few months.

Best thing for it is to gently get it moving again. Gentle stretching exercises will free things up and the sooner you can get full range of movement back in it the better. ANALgesia, massage and heat pack type things will all help with this.

If given a choice I’d go CT every time. May not be the best thing for his problem but will certainly be the least unpleasant….

Nodrog – I am so gonna fall off that!

15.5 you lier

‘I wouldn’t touch her with a ten foot stunt-cock’ is one of my current favourites….

Along with ‘And which of the words “Accident” and “Emergency” are you having the most difficulty with?’

Ooooh, memories of Rock Shitty.

I lived near Derby as a Kid and went to school in Nottingham and looked at the med school there but realised I’d probably end up living at home if I went. Derby used to be a bit of a dump but has a pparently been spruced up a lot since I left. On the contrary Nottingham used to be really nice but has apparently gone downhill a bit since I was there.

Where are your pre-clinical years gonna be based as that is where I would live. If they are doing lectures on the Derby campus then it is pointless living in Nottingham as you’ll spend all your time commuting. (How are they doing the course at Notts/Derby at the moment?? Seperate pre-clinical/clinical years or a kinda bastard amalgamation of the two??) Remember, you can always move each year and you get more years at Uni than most other people so you have time to play around a little with where you are based. You can also guarantee (if the med school is anything like every other I know of) that wherever you live they will send you to the hospital that is furthest from it!!

E-mail in profile for more useless info re Derby/Nottingham/Med-school….

Steven

Acupuncture does have some weight of evidence behind it now; but the studies are limited by the inability to perform double blind trials, however it does seem to improve chronic pain conditions.

Why a GP would ever recommend a chiropractor I’ve no idea. I tell the patients I see they are more than welcome to seek one out if they wish to try it but would never recommend they see one. Little to no evidence that they make any difference in well controlled studies. Lots of anecdotal evidence, but that is exactly what it says, anecdotal.

p.s. get your GP to refer you to a decent physio, evidence based and available on the NHS…..

Toys for the A&E kids area at Newcastle general???

Declaration of Interest: I work there!

MEEEEEE!

The Paul Smith warehouse is based in Nottingham (he used to road race so it cycling related). I did a couple of summers packing boxes and the like. Easy enough work, good crew of people (or was). Potential to become full-time and move up if you enjoy it.

Downside is I spent all my wages on (very well) discounted clothes!!

CaptainFlashheart – Member

Health + Care. Those are the two words that are key here. Not administration. Not league tables. Not “Choice”. We, as users of the NHS, don’t want choice. We want a good, clean hospital where our health can be cared for. It seems that in many places, the only choice is to go private if you want that.

Hallelujah, praise the lord….. Please forward this to them in charge, Its what all the docs and nurses I know have been trying to tell them all along!!!

I am the resurrection, and I am the light…..

According to iTunes:

Jammin’ – Bob Marley

Probably wouldn’t be my choice, but a great song.

But the alcohol hand gel smells so nice….

hic

paulosoxo – Member
I can take Gordie up the arse as and when needed.

That’ll put the fear of God into him!!
😉

frame from ton..
tyres from taka
front wheel from joe1983
bb from ton
shimano deore c/set from ton

Jaffa cakes for the Wrench Monkey from dr_death

Bugger, I’ve been had!

Presume you’ve done Haystacks Paul (can’t remember), Helm crag is also a good afternoon out….
Helm Crag

21 and 118 months

Me, 8 til 8; so try not to injure yourselves, I ain’t feeling too well today!

You trying to imply I don’t know what I’m doing???

You’re dead right you know!

😉

@ singletrackmind – Dunno about that one, sounds a bit weird. Could well just be a viral type wheeze but difficult to say. Would fit with the decreased energy, headachey things. Given the amount of stress you seem to be under though, it may well be worth getting your GP to check you over….

Doctor underscore Land (at) mac DOT com

You’ve upset your Ulnar nerve, probably in your hand, comes from leaning on your hypothenar eminence too much (the heel of your hand, the swelling below your little finger). The ulnar nerve runs through it. Quite common in cycllists, its what Specialized’s Body Geometry gloves were invented for with that big gel pad….

It’ll settle, don’t worry about it… I’d just worry about your stroking habit!

Cool, bit of a mess makes it through the swear filter, will have to use it more often now!

GG, please don’t try and defend NHS (re)Direct, nomatter how vague. There is no defending this monumental bit of a mess of a waste of money.

SNAP!

We’ve had that one!

What do I win?