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“Always consider the worst case scenario and how to avoid it”
Tim Raine, Oxford Handbook for the Foundation Programme
“Family members and friends should not be used as interpreters .”
Tim Raine, Oxford Handbook for the Foundation Programme
“The following injuries need senior review or referral :
* Wounds with involvement of deep structures , e.g. tendons .
* Wounds in cosmetically sensitive areas , e.g. face .
* Wounds in functionally sensitive areas , e.g. hands , genitals .
* Wounds with loss of skin tissue .
* displaced fractures .
* Unstable fractures .
* Open fractures .
* Fractures with skin tenting or associated dislocation .
* Dislocation of major joints , i.e. hip , knee , ankle , shoulder , elbow .
* Injuries with neurovascular compromise .”
Tim Raine
“Do not let medicine take over your life .”
Tim Raine, Oxford Handbook for the Foundation Programme
“Missing breaks does not make you appear hard-working , it reduces your efficiency and alertness .
Give yourself time to rest and eat , you are entitled to 30 min for every 4h worked .
Use the time to meet other doctors in the miss , referring is much easier if you know the team you are making the referral to .”
Tim Raine

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