Happy #InternationalNursesDay2024 to all my amazing colleagues, past and present, who work tirelessly to keep patients safe and to educate the next generation of nurses. There is a passion that burns in every one of us. You are all superheroes. No one can take that away from you.

We have Solved the Case of MH370

MH370 conclusively suffered a fire emergency event related to the 487lbs of dangerous lithium ion batteries onboard. This scenario is supported by two videos, 19 witnesses, the flightpath, technical data, and a mayday call.

The plane went dark…

The most powerful thinking framework:

First Principles Thinking.

Used by Elon Musk, Jeff Bezos, Steve Jobs, and Richard Feynman...

Here's what it is, how to use it, and become better at it:

Scientists have found what they call 'the master regulator' of the immune system in the human brain. If it holds up it's a stunning discovery that could transform treatments for autoimmune disease and post-viral illnesses. What did they find, and how?🧵

ORANGUTAN SELF-MEDICATES WITH PLANT FOR FIRST TIME ON RECORD

In a first-ever observation, Rakus, an orangutan in Sumatra's Gunung Leuser National Park, used the pain-relieving plant Fibraurea tinctoria to treat his wounds.

Documented in Scientific Reports, this behavior…

7 Visuals That Will Rewire Your Brain Forever:

1.

Ashford & St Peter's sad day with lots of tears as the lovely Lyn Woollam RN 💙 retires and puts her feet up...it has been a blast working with you. What a loss for the team 😭 😭 Fiona Holley 💙
Sam Donna @J3SJX Denes Dulka RN Victoria Wilding Medicine CPE Team @asph

Ashford and St Peter’s hospital staff catering scores best in England hospitalityandcateringnews.com/2024/04/ashfor… Neller Davies

I would like to order the forbidden sleepy sliders

#MedTwitter

Pin site infections are frequently encountered with external fixators, yet the literature lacks precise definitions for identifying such infections. Florian Frank and the Oxford Bone Infection Unit have put forth diagnostic criteria aimed at enhancing clarity in defining pin site…

Cardiology humor at its finest 😂
H/T Preethi Pirlamarla MD

🚨 New paper out Age_and_Ageing and the pleasure of working with Liz Sampson again.

Conclusion 'An increase in pain is associated with a higher risk of developing delirium in older adults admitted to hospital'

doi.org/10.1093/ageing…

#delirium UCL Marie Curie Marie Curie EOLC

Seen in the notes:

2/7 SOB
O/e crackles, widespread wheeze

Plan
D-dimer
?CTPA
Salbutamol neb

We are losing the plot. Clinical thinking, problem solving, interpreting history and signs. Need to sort out how we train people to think in medicine.

Anna Thompson Be The Change (QI @ ASPH) Ashford & St Peter's Keefai Yeong It was a pleasure to have you with us Anna. Looking forward to working with you on some more great improvements Ashford & St Peter's 😊 Be The Change (QI @ ASPH)

This little VGA to HDMI adapter represents so much of what disappoints me working in the NHS.

A thread:

1/

#Quality2024 Yes!!!

I was at a conference and a speaker dismissed my question by saying that I should check out the work of David Ho. 😵‍💫

A radical plan to introduce units that have existed for 10 years in the majority of hospitals.
Marvellous.
Will next week's radical plan be to introduce penicillin to the NHS?

Quality Forum #Quality2024 Currently discussing ‘escalation’ and failure to escalate - saw the perfect example here on the way here this morning!! ….. possibly this is a different kind of escalation….. 🤔😂 Don Berwick Penny Pereira