*Writing a systematic review*:🧵 I’ve seen too many people embark on a systematic review without knowing how, and assuming it’s a quick & easy way to publish. News flash: it’s not. It requires lots of time & work, but with a great reward at the end. Follow this 🧵 for advice:

Celebrating the end of FFICM. Thanks to all that got me here 🎉🎉🎉

Resuscitation fluids, ESICM guideline 🧵1/2 💦 for volume expansion use crystalloids vs albumin in critically ill pts in general, in #sepsis, ARF & periop + if risk for bleeding 💦 isotonic saline vs albumin in TBI & albumin vs crystalloids if cirrhosis 🔓bit.ly/3wLJTj4

What a moment 🍾❤️ #MUFC || #FACupFinal

So, Conservatives pledge to increase apprenticeships by 100k by cutting 1 in 8 degrees. I feel a little thread is in order.

Never event #pocus #NHS

PART 1 1/ 2 part🧵on arrhythmias, ITU and cardiology opinions👍 From our presentation at #ACTACC2024 #FOAMed #POCUS #FOAMcc #CardioTwitter We canvassed the crowd too. What were the thoughts of anaesthetists, Intensivists and cardiologists? Jon Bedford’s work featured👍

Never even liked tennis anyway.

Very happy to share our first paper from NEAT-ECHO published in Intensive Care Medicine. 🏥 178 ICUs & 1015 shocked patients 🫀 54% received an echo 💉 50% of echos altered management 📋 25% followed guidelines TRIC Network Intensive Care Society 💙 FICMNews BSEcho Alastair Proudfoot link.springer.com/article/10.100…

📢Our competition with The Bottom Line is live! 👩‍🏫 A brilliant opportunity to join The Bottom Line team as an Honorary Digital Editor and work with TRIC to produce national educational content. 🗓️ Applications are open until September 29th. tricnetwork.co.uk/tbl-digital-ed…

#POCUS image of the day. What's in the RA? Clinical: asymptomatic, no fever, no leg pain, no hypoxia, physical exam (POCUS) perfomed in the context of AKI *see more pictures below before commenting #FOAMed #FOAMcc

Thank you to the many thousands of people across the whole of the NHS & social care who helped deliver the care during the pandemic. Has been a strange and difficult day. But felt it was important to give witness to some small part of the enormity of the challenge we all faced.

Work is needed to improve equity of echo delivery in the UK. Our TRIC Network study in Intensive Care Medicine highlighted this: ⏰ Only 7% of ICU patients with shock received an echo <1h & 54% <72h 🫀 54% of echos influenced management or diagnostic reasoning 🔗 bit.ly/3AvjE1O

Ed Hutchison My policy is they are great. gloshospitals.nhs.uk/documents/1756… ics.ac.uk/asset/3B607648… …re.library.leicestershospitals.nhs.uk/PAGL/Shared%20… fhft.nhs.uk/media/7551/fh-…

Thank you to BSEcho and Tom Ingram for publishing this blog discussing the results of NEAT-ECHO and its potential wider implications. Great to see trainee led ICM research contributing to national discussions about how we can improve patient care. bsecho.org/Public/News/Ar…

Consultant jobs are out…… come and work in a fabulous team and enjoy this on your days off…..

Approach to Hemophagocytosis (HLH) in collaboration with Mithu Maheswaranathan, MD 🤒Symptoms/presentation 🔬Pathology/pathophysiology 🧮Criteria/risk scores 💊Treatment onepagericu.com/hlh

1/21 Acid–base interpretation often feels like a maze. But there’s a simple way to make sense of it at the bedside. It starts with pH, strong ions, and base excess.

Another step-by-step approach: how to use critical care ultrasound to guide decisions on fluid administration in critically ill patients

1. "Fluids should be considered as therapeutic option when signs of tissue hypoperfusion are present" 2. "Fluid decisions must consider the full clinical context of the patient"