ICU Hemodynamics Tips - Swan-Ganz catheters: This will not be a comprehensive thread. Just happened to place a couple of Swan-Ganz (SG) catheters this week, so it is a good time to emphasize few basic points/steps. I have made a mistake (more than once) in each one of them…

If your patient’s vitals start to crash with #bradycardia and #hypotension, think of #BRASHsyndrome. @M_lin says BRASH can worsen #hyperkalemia and cause renal failure. Here’s how to treat it. tinyurl.com/ytdar6ef #FOAMed

Great work from ehaatClinical looking at the cardiorespiratory consequences of our new standard PHEA regime 1:2:2 versus historical 3:2:1. No significant difference across entire mixed PHEA cohort but interesting potential benefit in the trauma subpopulation.

I'm still lost for words why on some ICUs coloured labels are not used on syringes and infusion lines.

Trainee asked why I use epidural catheter to deliver LA via flexiscope, rather than spray with a syringe via the working channel. I’ve said you get better spread. Decided to do a blue Peter experiment with my daughter with toilet roll as the trachea. Left = spray, R = catheter

Are routine chest radiographs still indicated after central line insertion? Short Answer: Nope. Huge thx ⁦Intensive Care Society 💙⁩ & reviewers. Feel free to disagree- it’s how we learn. Kudos ⁦Brian Buchanan⁩ ⁦Jean Deschamps⁩ ⁦Lazercats⁩ journals.sagepub.com/doi/10.1177/17…

Seen in our ICU! Cannot love it more! Please retweet! #gitwitter #surgery #icu #meded #medical #medschool #pulmonary #critcare

Our next free teaching meeting is coming up on Monday 11th March from 2pm (UK time). Topic: Aortic Dissections Speakers from Guy's and St Thomas' @BartsPOM @BartsHospital University Hospitals Birmingham Royal Brompton and Harefield Info on cardiothoracicanaesthesia.com #FOAMed #FOAMcc

So, what do I think of the AHA statement on ECPR? Thanks to Jan Hansel and Tim Cook for some important discussion points. A few things jump out of me looking at this from a UK perspective - with an interest in innovation in resuscitation 1/x

ICU snippets: 70 yo. Out-of-hospital cardiac arrest. Intubated. Re-arrested many times. Eventually made it to the ICU. ICU Nurse: What maintenance iv fluids do you need, doc? 👨‍⚕️: I don't think we need any maintenance iv fluids...

💥 NHS STAFF 💥 Please consider signing this open letter to Victoria Atkins & Amanda Pritchard at NHS England expressing your dismay at their extraordinary decision to cut NHS Practitioner Health funding for hospital staff. Please share widely 🙏 Letter here: forms.gle/YmXpi8dxSbW7UR…

Retweet if you agree - I think the next Secretary of State for Health should be a healthcare professional. #NHS bmj.com/company/newsro…

I am sure parkour is exciting. This second that you are flying in the air space between two buildings must feel like an adrenaline rush. Believe it or not we do experience seconds of adrenaline boost in Critical Care. What?

Having an epidural during labour is associated with a marked reduction in serious complications in the first few weeks after giving birth, finds a study published by The BMJ today. 🔗 bit.ly/3KbRwT1

A true champion 🙌 The thoughts of everyone at England Rugby are with the family and friends of Rob Burrow, who has sadly passed away at the age of 41. Rest in peace, Rob 🙏

I’m Lost for words. A message everyone need to hear.

🧵My favourite Jimmy Anderson story comes from 29 June 2021. It was the day England beat Sri Lanka in an ODI at Chester-Le-Street but, more notably, the day England beat Germany in the Euros. Anderson was working Test Match Special on commentary that day...

Awake art line, CVC, TIVA, BiS, CMAC, D-blade, flexi ETT, NG tube, temp probe. iGel.

The first few steps to understand the 'forgotten' ventricle during ECMO runs.....