Andrew

From a nursing perspective I completely agree with you, continuity among staff is important but to suggest it's an independent factor in mortality is an overreach.

Doge is so efficient it is downsizing itself 🤣

Sad I missed it

Was this a BACCN study day?

Delighted to share the Barts echo team’s latest article

“Examining the Relationship Between Pulmonary Artery Acceleration Time and Pulmonary Artery Pressures in Patients with Ischemic Cardiogenic Shock”

Free to read for 50 days on the following link

www.sciencedirect.com/science/auth...

Physiology and pathophysiology of mucus and mucolytic use in critically ill patients - Critical Care Airway mucus is a highly specialised secretory fluid which functions as a physical and immunological barrier to pathogens whilst lubricating the airways and humifying atmospheric air. Dysfunction is c...

TL;DR

▫️There’s no good evidence mucolytics help (or harm) ventilated ICU pts

▫️Everyone uses them anyway

▫️🤞MARCH trial will give us some answers

▫️Until then, carry on practicing based on shameless personal bias/gestalt

Fin/

#EMIMCC #MedSky

ccforum.biomedcentral.com/articles/10....

Dividing up healthcare into nice clear lanes that each proffesion can except to have domain over is not a particularly efficient model to develop a workforce. Advanced Practitioners don't want to 'be doctors' they want to have the skills necessary to help their patients.

Do you need a campaign manager? I can get you on several podcasts hosted by obnoxious 19yos to really sell your platform.

Likely the real danger for patients here aside from the financial impact of a surgery over running is surgeons/anesthesia providers lowering the bar for complexity they are willing to work on. ASA3-4 patients most likely to be impacted. Or patients with extensive surgical history.

Oh no, I would contemplate retiring 😢

Surley this is what happens when you ask AI to write a parody of a Boris johnson column.

Hi to all the critical care community here on Bluesky! 👋
We are the Scottish Intensive Care Society, a dynamic and friendly group of colleagues from many different disciplines, all caring for critically ill patients and their families. Give us a follow for more…

The transition between the 2 signs marks the lung point

Lung USS on the right a view of the pleural line in M mode of the right. The Seashore sine indicates the presence of pleural sliding. The barcode sign shows an absence of pleural sliding.

What a loss, I see the changes he helped pioneer make a difference for patients every day. Rest in peace.

In-person crime isn’t rising — so why do we think it is? Are British streets more dangerous than they used to be? You’d be forgiven for thinking so. London is one of the mobile phone-snatching capitals of Europe, and not a day goes by without a push

Great piece from @tomcalver.bsky.social matches much of what we hear in focus groups people think crime levels are worse than they are because of an absence of visible law enforcement and feeling police have just given up trying with many crimes

www.thetimes.com/article/b63d...

Really sad to hear it's not the 80s anymore HIV treatment has come so far.

Campaign to return to using the word Gay to refer to a state of happiness and fulfilment. In which case my wife does indeed make me gay.

The renin–angiotensin–aldosterone-system in sepsis and its clinical modulation with exogenous angiotensin II - Critical Care Dysregulation of the renin–angiotensin–aldosterone-system (RAAS) in sepsis is a complex and early phenomenon with a likely significant contribution to organ failure and patient outcomes. A better unde...

Great explanation of the RASS system in sepsis and ARDS.

ccforum.biomedcentral.com/articles/10....

Got a fire in the fireplace, turkey in the oven, parade on tv, I deleted twitter, family gathered around, cinnamon rolls for breakfast…

These have been super usefull thanks

150 all out having won the toss…

India are in a hole and, other than the skipper and Siraj, they don’t really have the same quality of attack to dig them out of it. They’re going to have to hope the Aussies throw away a few wickets.

#cricket
#BorderGavaskar

Great work, referenced the first edition a lot whenever I did clinical skills teaching. Glad to see it updated.

Critical Care Manual of Clinical Nursing Procedures Buy Critical Care Manual of Clinical Nursing Procedures 2 by Bench, Suzanne, Credland, Nicki, Hill, Chris (ISBN: 9781119841234) from Amazon's Book Store. Everyday low prices and free delivery on eligible orders.

Absolutely delighted to see this finally published. Thank you to our amazing authors and also to my fellow co-editors for keeping me sane!!

www.amazon.co.uk/Critical-Man...

Find myself oddly saddened by this news, rightly or wrongly I associate Prescott with a more professional and sensible period of British politics. Strange to feel that nostalgia slipping away.

Resistance profiles of carbapenemase-producing Enterobacterales in a large centre in England: are we already losing cefiderocol? AbstractBackground. Carbapenemase-producing Enterobacterales (CPE) pose difficult therapeutic challenges. We aimed to characterize antimicrobial resistance

New paper from my colleagues at UCLH

Nearly 70% (!!!) resistance to Cefiderocol in NDM positive bacteria.

Cefiderocol...we hardly knew ye...

Perfect timing for World Antimicrobial Awareness Week #waaw24 #IDSky

academic.oup.com/jac/advance-...

Interpreting blood test results on one person is like understanding time travel. The "predictive value" of the result changes... when the prevalence of the thing you're looking for in the population changes. WTAF? We were discussing at work and I remembered: this! www.badscience.net/2006/12/crys...