Physician/Intensive Care Doc who likes beer, hockey and vinyl records. Owned by the wife and the dog. Any views expressed are my own. #dontbeadick She/They
#martinlewis#DDday
We cannot have a smart meter fitted. We’ve had several companies out to assess. Reasons are logistics/practical. What are our options?
Fantastic opportunity to join us as an Interventional Pulmonology Fellow @NTeesHpoolNHSFT and gain extensive training on a wide range of cutting edge lung cancer diagnostic procedures with focus on navigational peripheral bronchoscopy jobs.nth.nhs.uk/job/v4356044
Today's #ICUOnePager: hyperthermic toxidromes🥵
The 5 #toxidromes that are most likely to cause increased body temp:
🟥Sympathomimetics
🟧Anticholinergics
🟨Seratonin syndrome
🟦Neuroleptic malignant
🟩Malignant hyperthermia
5 toxidromes that everyone in the ICU should know
Dear #MedTwitter can I just mention that copying colleagues into passive aggressive letters that inform patients formal reporting radiologists have identified pathology that wasn’t seen at the time of assessment is not a constructive method of feedback or learning.
1 in 5 patients come to harm from fluid mismanagement I'm going to be talking about this @#SOA22. @ICUbreeno & @MarciaMcDougall will be telling you how you can fix this in your hospitals. Come join us next Friday in Belfast or online.
I quoted the Merovingian to my SHO grade colleague today (to demonstrate a learning point). It was lost on them because they’ve never seen the matrix. 😳 I’m not just geeky now, I’m old and geeky.
“Short sightedness” is bad for all patients. Whether that be with regard to their direct clinical care or to wider issues around workforce planning and doctor retention. Look at the big picture. Always.
Continuing our #NewPeopleInTheICU series or #OnePagers:
5️⃣Interpreting Acid/Base - How do you tell the difference between a metabolic & respiratory #acidosis? What causes an anion gap acidosis (GOLDMARKeT), a non-anion gap acidosis (RAGES), or a metabolic #alkalosis (BLVD PLACE)
I haven’t done any cremation forms for quite a while… I thought the individuals didn’t get paid anymore. I certainly don’t get paid as a consultant for any done by my colleagues. What’s the craic in northern? @MADEinHEENE@AIMnortheast
I promised my wife I won’t come on Twitter while we are on holiday (she thinks it makes me too grumpy/agitated) If #MedTwitter could not self destruct for a week that would be good.
I would translate this ⬇️ as College-Speak for “what the hell are Blackpool playing at by advertising an ACP post intended to be Level 4/5” and “no, it was certainly was not our idea”…
Current RCEM guidance states that ACPs may undertake duties up to RCEM Tier 3. Recruitment decisions are made locally. Full staffing guidance here: rcem.ac.uk/wp-content/upload…
I worry if monkeypox stretches the NHS half as badly as what has been seen with SARS-CoV2 the NHS will not survive. And that would be the saddest, most important death from any pandemic.
The @NHSBT course covering deceased donation is probably one of the best courses I’ve been on and every intensivist should attend. I’ve learnt so much and am much more comfortable about donation in general. @NHSOrganDonor#DDT