Francis kynaston Videos

Hi Jonathan, thanks for your question. Again as with the oxygen comment below, when assessing acutely unwell patients in the real world - the first thing one tends to do, once they are in a resus cubicle is attach monitoring this includes ECG electrodes. You want as much information about what's going on with these patients as quickly as possible. In the exams there is a temptation to cover ECG in C, but we would implore you ask for it earlier If there was enough in your assessment to suggest a cardiac cause/association for their deterioration. Best of luck with your exams!The PREPARE4FY1® team

Hi thanks 4 your q's1) no1 is ever going to criticise you for putting oxygen on early in an acutely unwell patient. It's better to give oxygen while assessing patient and then titrate down according to the clinical picture. That's even the case for patients with COPD! The 'What about their hypoxic drive?' Question comes up time and time again. We are talking about high flow oxygen (15L via a non-rebreathe face mask) for a short duration to allow time for safely assessing an acutely unwell patient. An easy way to remember this is considering the 8 causes of reversible cardio-respiratory arrest. Would like someone to comment and give some details on the these in the comments below please!2) Yes patients should always be fully exposed in exams and in real life. They weren't in this one due to filming constraints! Sorry!3) Shins / calves important to assess generally under 'E' of an A-E assessment, unless they fall into earlier categories such as bleeding. Good luck!P4FY1Team

Why on earth would anybody dislike this? This is an absolutely incredible video, the first of it's kind that I have ever seen! Alongside the "Best Practice" version, this really serves to highlight just how easy it is to get flustered and fall into panic. Other videos just so how to do it, with nothing to compare it to, in order to show you what to avoid. I can't get over just how awesome this is. Thanks so much guys, and I know it is still early days, but I'm sure that this will be an incredible resource for medical students at all levels, and perhaps even for foundation year doctors. All the best, guys! And keep up the good work! Looking forward to seeing more of these!

Hello! Many thanks for your comment. I'm glad you found the videos useful. Please feel free to comment and ask questions in terms of should I do this...? Or how about doing that? The acute care station is a massively stressful experience for students going through it. I very much see these videos as the start of something new in medical education. The first bit has been done in filming it. Now it's up to the next generation of junior doctors, today's medical students, to comment and we can really create a powerful learning resource! Cheers Kishan Dr Kishan Rees MbChB, AF-HEA, MMedSci (Hons) Clinical Teaching Fellow Lincoln UMED MD WatMed Group

Got some teaching with my students tomorrow on, among other things acute care OSCE. Keen for people to critique Francis and I's performance - apart from the fact I am the most awful examiner ever! Best, Kishan Clinical Teaching Fellow Founder PREPARE4FY1®

It's like watching myself in a mirror

It's in decline but remnants exist in isolated places. Check out the Tesco adverts with Jane Horrock. It's your standard northwest accent but with the rhotic R. Not jamaican ;)

He didn't sound anything like a Jamaican. oh yea, all of you haven't set foot out of a suburb in god knows - so you have no real concept of...... anything, really.

That's not a Jamaican accent you fucking idiot, that's a Blackburn/Bolton accent. Some folks up there are still rhotic.

I swear about a thousand of these views are mine. As soon as it's finished I just play it again!

heavenless riddim, not sure exactly what producer/label/musicians though....

its amazing how often actors will slip into a Jamaican accent

I thought I was the only person that noticed that XD

funny, but cudda had some better music at the end

I'm glad I'm not the only that noticed it!

Thanks for posting, that is hilarious!

love it! can't stop watching this!

why doesn't this ever get old

Genius. I spotted that too.

I'm guessing you're white?

BRAP!