Raised by Boomers. Now raising Gen Alpha. Same love—just upgrading the emotional software 🧠❤️

Told my kids I’m away for 5 days at #ISICEM2026 🇧🇪 They processed it for a moment and said: “Oh… so dad is going for extra lessons.” 📚 Honestly… that’s a very accurate description of critical care 🫁💉 @ISICEM

Watching NatGeo’s Pole to Pole with Will Smith (Ep 4): time in nature ↓ cortisol 🌿. #SchumannFrequency (via ⁦⁦@Theholisticpsyc⁩ ). Then a monk introduces the Memento Mori calendar (⁦@SahilBloom⁩ / Five Types of Wealth). Nature calms you. Mortality clarifies you.

Looking back on this year, one thing I’m genuinely proud of is adding more humanity and empathy to how I lead. Being in the trenches with my team made it all worth it. 2026 is going to be better. 💪🏽✨ #Leadership #TeamWork #GrowthMindset

inspired a registrar to fall in love with Critical Care. Bro’s speaking the speak, sending me articles, asking the right questions… and he’s only 2 months in. ICU is recruiting in real time 😮‍💨📚🔥 #CriticalCare #MedTwitter #Mentorship

Big news: Results of the HIGHLY anticipated RSI trial: Ketamine vs Etomidate 🥁 Drumroll... n=2,365 pts 1° No difference in mortality (28.1 vs 29.1%) 2° Ketamine associated with WORSE hemodynamic outcomes (SBP <65, new/increased vasopressor requirement, or cardiac arrest): 17 vs 22% #CCRDownUnder

Our paper on Post -Caesarean sepsis Prevention : Control the risk factors Intraoperatively Chlorhexidine skin prep vagina prep Prophylactic antibiotics Glove change prior to closure Management :prompt detection, fluids and prompt source control @Gauri_K_ @FIGOHQ

🚨 New FIGO guidance on preventing post-caesarean sepsis Post-caesarean sepsis is a leading cause of maternal mortality, with infection rates as high as 20% globally. The new review in the @IJGOLive, provides evidence-based strategies to prevent these infections – including antibiotics 30–60 mins before surgery, vaginal & skin antiseptic prep, safe surgical practices, like glove changes after placental delivery and early recognition and rapid treatment to save lives. 🌍 With 75,000 maternal deaths annually linked to sepsis, implementing these practices is critical. 📖 Read the full review and help improve maternal outcomes worldwide: ow.ly/LZzw50WUKgx @Edbuggie #MaternalHealth #Caesarean #SepsisPrevention

I have always been a big sports fan. It’s always been player stats , history of the venue ,the predictions.🔥 This year the women’s US open and Rugby World Cup have created memorable content die hard pundits would ignore, me I am lapping it up. 🙃

Diagnosis based on AKIN /kDIGOcriteria. Pregnancy creatinine are in lower range 44-77mmol/l. Identify risk factors , the insult , Gestational age may give clues to etiology, MDT approach with obgy as lead. Discard use of renal dysfunction it lacks urgency.

How doth one motivate a junior Dr who within three years of meeting them,unemployment is a reality. How do I pique their interest in discipline that will spit them out?Do I get them Locum ready? Teach em perseverance? Have the immigration talk? 🥺

So proud of my team they identified an intern who is struggling by Day 7 of her 3 month rotation . Wellness team has stepped in. She’s gonna be ok. We value mental health and we are not afraid to say we are not ok.

When you get the Mindray TEX20 for POCUS in labour ward high care You gotta post to make Jedd Jealous 😈 @HartJedd

⁦@ESICM⁩ Y’all are just amazing. You got me locked for life.

#Fluids 💧& #Sepsis: Less is More? 1️⃣💧hemodynamic effects are fleeting 2️⃣ Coin-toss probability in 💧responsiveness assessment; 3️⃣💧responders rapidly become non-responders 4️⃣💧responsiveness tools: limited applicability in #ICU #PedsICU 5️⃣💧=drugs w/serious adverse effects