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Alan’s story features in our report Rethinking the UK’s approach to dying: lessons from an end-of-life helpline which explores the importance of clear communication in end-of-life care & discusses what good practice looks like. Read the report ⬇️ compassionindying.org.uk/resource/rethi…

Today's Paper of the Day is on prognosis in cirrhosis: A shifting paradigm criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024

A day I thought would never come - a 🧵/1 36 years between photos at RAF College Cranwell L- after graduating with 226 SERE R- today at my Royal Air Force Restorative Action Ceremony In between, the pain and shame of dismissal for being gay (I’ve barely aged 🙄)

Has your brown envelope arrived? Confused? This one is DIFFERENT. If you paid AA 2015-22 watch 👇almost certainly means YOU are in for a REFUND. youtube.com/watch?v=eOzlu3… Need help (with your costs covered *). Ive partnered leading accountants to help👇 bit.ly/MazarsGoldstone

BREAKING: BMA Pensions Committee write to HM Treasury about delays in RPSS / PSS 23/24 👇cc Wes Streeting Press release: bma.org.uk/bma-media-cent…

Cognitive errors and distortions are common in the ICU Here are the 6 most cognitive errors I see in the ICU (and how to avoid them) A 🧵 #medtwitter #FOAMed #cognitivebias

Slightly bad faith headline which seems to try and equate the crimes of Harold Shipman with any arguments there may be in favour of assisted dying. "GP in Shipman Inquiry is now pro-assisted dying" bbc.com/news/articles/…

Both my parents are consultant doctors. Growing up, I watched them constantly work overtime and not get paid a single penny. Not once was their overtime work properly acknowledged. Now when a minority of doctors are getting paid their overtime worth, the vicious attacks begin.

(6) in my view it’s past time Department of Health and Social Care HM Revenue & Customs to put out urgent guidance that due to the administration failures of NHS Pensions (and to be fair other pensions agencies affecting doctors) that deadlines need to be formally relaxed around RPSS and SA for 23/24 RT if agree

Cognitive dissonance; ’please work harder and more efficiently to reduce the backlog’ vs ‘we accept your pay has been hugely eroded, including against comparators but regardless that you need 14% each year to return to trend you can have 2.8%’. Cloud cuckoo land.

Refresher on the use of iv albumin:

NEW: Appalling performance from NHS Business Services Authority 👇 60,000 NHS RPSS statements still outstanding. NHSBSA said they were meant to start coming out in April 2024, the *statutory* deadline was Oct 2024 Thank you again Dr Luke Evans MP for highlighting the mess around pensions admin and AA tax

Distribution of IV fluids after infusion 💧💡 #4KMedEd #MedEd #MedTwitter (Courtesy of The BMJ)

ICU Mechanical Ventilation (MV): There are many books & articles on the topic but this 8 years' old review has nice graphs/tables & a good discussion of the specific ventilatory approaches in ARDS and COPD:

This is not sustainable Wes Streeting. It’s also a gross waste of taxpayers money to be training people in the UK for them to have no job. So much for doubling medical student numbers - our brightest 16-18 year olds know to look at a graph like 👇and look elsewhere

5 Pearls on Hyponatremia Diagnostics coreimpodcast.com

Returning the favour 🎶❤️

😉

Taking a moment to soak it all in ❤️