- Voice and Speech Disorders
- Dysphagia Assessment and Management
- Tracheal and airway disorders
- Innovations in Medical Education
- Pneumothorax, Barotrauma, Emphysema
- Emergency and Acute Care Studies
- Healthcare Quality and Management
- Trauma Management and Diagnosis
- Disaster Response and Management
- Empathy and Medical Education
- Patient Safety and Medication Errors
- Health and Medical Research Impacts
Nottingham University Hospitals NHS Trust
2022-2024
Queen's Medical Centre
2024
Royal Derby Hospital
2022
University Hospitals of Derby and Burton NHS Foundation Trust
2022
Background There is an emerging understanding that coronavirus disease 2019 (COVID-19) associated with increased incidence of pneumomediastinum (PTM). We aimed to determine its among patients hospitalised COVID-19 in the UK and describe factors outcome. Methods A structured survey PTM was conducted from September 2020 February 2021. UK-wide participation solicited via respiratory research networks. Identified had severe acute syndrome 2 (SARS-CoV-2) infection radiologically proven PTM. The...
Flexible portfolio training (FPT) is a novel Royal College of Physicians' scheme developed in 2019 to tackle issues burnout, retention and recruitment among medical registrars. Awareness the FPT may be lacking this article intends inform potential future trainees their supervisors. Open applicants at time appointment higher specialty training, protects up 20% total for pursue an area interest one four pathways (medical education, quality improvement, clinical informatics research) without...
Rheumatoid arthritis (RA) can cause a number of laryngeal manifestations; however, most these do not an airway emergency. Airway obstruction due to vocal cord fixation one or both cords occurs late in the disease process RA and present as inspiratory stridor. We report case elderly lady who presented with acute stridor secondary RA-induced bilateral palsy describe various management options that were considered. An 85-year-old woman A&E Resus tachypnoea, stridor, drowsiness. arterial...
Abstract Introduction Rheumatoid arthritis (RA) affects the larynx in 13-75% of cases and is usually subclinical. Airway obstruction due to vocal cord fixation occurs late RA presents as an inspiratory stridor. Case presentation An 85-year-old woman presented A&E Resus with tachypnoea, stridor drowsiness. ABG showed hypercapnic respiratory failure. A flexible nasendoscopy was performed which revealed adducted cords paradoxical breathing. The patient had been admitted a similar before...
National Health Service (NHS) clinical staff are required to demonstrate involvement in quality improvement (QI) and patient safety. Clinicians often best placed identify problems design solutions for their own environments, yet the rotational nature of training can impact on design, implementation sustainability projects.The In-hospital Quality Improvement Respiratory team was created August 2020 within a busy respiratory department inspire culture continuous provide sustainable...