This is an amazing thread on pneumonia. But please god don’t do a 7% saline neb for an induced sputum. Hypertonic nebs INDUCE bronchspasm, decrease fev1, and aren’t patient centered or evidence based

- Take Home Message for EVLP in 🫁 trxp

- Presented by Fessler Julien 🇫🇷 and Lindstedt´s lab 🇸🇪

- Join our group of 34 centers across 17 nations and 5 continents for monthly discussion of 🫁 transplant anesthesiology and critical care - free for all to join

- Next session on

Absolutely love to see this from my new TPD

Glucocorticoids (GC), like dexamethasone and prednisolone, are widely used in medicine, but how do they actually work?

This is really impressive work (Auger et al.), which figured it all out

There are two mechanisms: a slow, broad response, which depends on transcriptional

Does thermodilution work on ECMO? And if not, is there a way to fix it? A thread about our research. 🫀🧵🧐

1/n

Breathless after MI/PCI? Not clinically in heart failure and NT-pro-BNP unexciting? On dual antiplatelets?

If one of them is ticagrelor, there is a good chance that it is the cause. #ticagrelor SAM Online

Late breaking XVIVO preservation vs cold static storage for donor heart The ISHLT #ISHLT2024

Superiority RCT Filip Rega

🇪🇺 15 sites Europe

N=229

Primary Outcome:
⭐️ Cardiac death/PGD/Rejection ACR2/graft failure in 30 days
⭐️ HR 0.56 (p 0.059)

61% risk reduction for PGD

The decision as to whether we should provide bicarb to our critically ill patient takes places every single day. This paper breaks things down amazingly well. 🎩 tip to the authors.

eddyjoemd.com/foamed/

When I need to call out a plumber I’m grateful to pay £40/h because I don’t have the first clue how to fix my boiler, or the skills to fix a burst pipe

Doctors are asking for half of that, to fix your kids

In life we get the health services we pay for

Case 1 discussion 🧵

I was on BBC Radio 4 Today discussing the Doctors' pay disputes at 7:52

Doctors are ready to accept a credible offer that begins pay restoration and stops the exodus, but we will strike as long as is necessary - for ourselves, our service, and our patients.

bbc.co.uk/sounds/play/li…

‼️ #CESR Anaesthesia (ST4/equivalent and above) applications NOW OPEN! Rotational programme based across central & NW London (LNWUH / ChelWest / Queen’s Square / Royal Brompton & Harefield / Hillingdon).
Offers all modules required for Stage 2 & 3 (2021 RCoA Curriculum)

I am passionate about our NHS and have always wanted to get involved with NHS England in a workforce or patients safety role.

But I wrote this article knowing that publishing it would probably stop that happening as they are unlikely to appoint someone who is so openly

Wouldn’t normally retweet a DM article… but wholeheartedly agree with Prof G here: shining a light (with a £££ incentive) on the 4hr performance (i.e. the walking well), when sick, elderly people are dying in corridors, is disgraceful.

Your occasional reminder that the NHS pension scheme has returned net profit to the Treasury pretty much every year since its inception. Time to rebalance the reporting on it, I'm afraid.

Which devices are associated with the most payments to interventional cardiologists in the US? Focusing on the 2013-2022 period, thery are: CoreValve/Evolut (roughly $45 million), Impella (roughly $30 million), Sapien 3 (roughly $25 million), Watchman (roughly $20 million), and

🇬🇧 UK wide emergency resuscitation algorithm for LVADs 🫀⚙️

Developed and endorsed by all adult heart transplant centres & 8 national societies Resuscitation Council UK SCTS UK British Society for Heart Failure #theFword FICMNews Intensive Care Society 💙 BACCN 💙 ACTACC British Cardiovascular Society

Lessons from the Andrew Huberman expose:
- Many men who operate at his level have negative personality traits
- Take what you can from a person like this and leave the rest
- Don't put anyone on a pedestal

Troubleshooting implantable left ventricular assist device #LVAD recipients in #transplant centres
🇬🇧 UK societies guideline open access #FOAMcc on Intensive Care Medicine
🔓 bit.ly/4ae1xus

🚨Patient Safety🚨

I’m not sure people really understand why doctors are up in arms about this government trying to substitute doctors

Why we think it will affect patient care?

So let me explain to you what it has taken me to train to become an NHS consultant, necessary to