Thrilled to announce Leeds Advanced Critical Care Echocardiography (LACE) 2026 8th - 10th September Endorsed by ICS for FUSIC HD, AoA for fTOE, ESICM for EDEC and by British Society of Echocardiography Join our excellent faculty for an epic three days of haemodynamics

What a disgraceful and patronising way to treat healthcare staff working hours on end to look after us all. These training posts are vital for the future of our NHS. To use them as bargaining chips is appalling. Time to end privatisation and fund the NHS properly instead.

🧵regarding Lord of the Rings - related traumatic injuries, and whether access to modern Level 1 trauma centers could have decreased morbidity and mortality within the Fellowship. Here we will take a more evidence-based approach to some of the injuries in Middle Earth (1/ )

It’s a YES. An overwhelming 93.4% of resident doctors in England have voted for further strike action, giving a clear mandate to continue pressuring the Government on jobs and pay in 2026. The overall turnout was 52.54%. Stay tuned for updates on our next steps.

.@wesstreeting spoke of a journey to fair pay for resident doctors, yet the Govt has proposed a real terms pay cut in 2026. Our re-ballot for jobs and pay in England opens Mon 8 December. Update your details to make sure you’re ballot ready myaccount.bma.org.uk

After our last round of strike action, we gave @wesstreeting a window to deliver sufficient progress towards a viable deal on jobs and pay. That hasn’t happened. We’ve been given no choice but to return to the picket lines. #EndTrainingCrisis #PayRestoration

Resident doctors in England are not ‘morally reprehensible,' to be on strike today, as @wesstreeting puts it. This is about fair pay, pay that's down more than 20% since 2008. Read the response in full @TheDrMagazine 👉 thedoctor.bma.org.uk/article…

Residents’ strike action for pay and jobs in England begins at 7am on 14 November until 06.59am on 19 November. Check the dates, times and locations for your nearest BMA picket line 👇 bma.org.uk/our-campaigns/res… See you there 💪 #PayRestoration #EndTrainingCrisis

Airway POCUS POCUS was associated with higher odds of first-pass success rates during percutaneous tracheostomy when compared with landmark techniques. #AnSky #AirwaySky #MedTwitter doi.org/10.1111/anae.16751

(1/3) The hemodynamic interfaces paradigm proposed by @ThinkingCC et al. is probably the most comprehensive paradigm for assessing shock. Not going to lie, its a bit complicated. I comprehensive calculator with theory and practice tips to help you understand the interfaces as part of a NEW project ShockCalcs👇

1/ How much IV fluid is really needed during major surgery? You’ll hear: wet vs dry, liberal vs conservative, zero-balance. “The thoracic surgeons like them dry.” “The transplant surgeons want them well-filled.” All these describe extremes: too little vs too much.

Great Q — but arteriolar pressure is usually above CCP, so collapse doesn’t occur and MAP − CCP isn’t flow-limiting in normal physiology. Why don’t more distal vessels with lower pressures collapse? Because CCP applies at the level of arterioles, which are uniquely prone to collapse under their own tone. They’re the only part of the vascular tree where: – Smooth muscle tone is high enough to create inward pressure – That tone can exceed internal pressure if MAP drops (or tone rises) – Transmural pressure becomes negative → collapse occurs → This forms the basis of critical closing pressure and the vascular waterfall 🔁 That’s why: Arterioles are where CCP is generated, and where collapse typically happens — e.g. in shock, vasopressors, or oedema. In contrast: – Capillaries: no tone, structurally supported, low wall tension (Laplace). Collapse from compression – not active tone. – Veins: can collapse, but usually from posture, low volume, or external compression.

Hepatic Venous Stasis Index Reflects Hepatic Congestion and Predicts Adverse Outcomes in Patients With #HeartFailure 🔗 doi 10.1161/JAHA.122.029857 #POCUS #VExUS #Nephearls

So Wes; 🔹Fails to deliver on exception reporting 🔹Fails to deliver on rotational training 🔹Reneges on agreed wording to DDRB 🔹Reneges on journey to pay restoration 🔹Refuses to talk pay re: a pay dispute And resident doctors are the ones who “squandered” the goodwill?! 🤔

He posted this last Tuesday - "All of my attention" will not be on negotiating. So... he did leave the table?

Regulation must not blur the lines between doctors and non-doctors. We’ve written to the GMC following the Leng review 👇 We've also been granted permission to appeal our judicial review case against the GMC. The court says our appeal raises important issues for public safety.

This weekend we’re demonstrating the determination and unity of resident doctors. We continue our strike action until 7am on Wednesday 30 July. Together we will win. #PayRestoration #DoctorsStrike

This you buddy? @wesstreeting