I urge anyone trying to work out why doctors are so worried about the implementation of the MAP experiment to read this. Excellent summary of the profession just being ignored by politicians and GMC newstatesman.com/politics/healt…

🫀V7-V9 have lower STEMI cutoffs (≥0.5mm) because they're on the back, where more muscle and bone buffer the ECG signal. V2-V3 are closer to the chest wall, needing higher cutoffs (≥2mm men, ≥1.5mm women) to detect a STEMI. #CardioTwitter

I just cannot foresee a day we will ever stop arguing about intravenous fluids. In the whole future of mankind.

Common lumbar puncture-related myths: 1. You have to get a CT or MRI head to make sure the LP is safe (in all patients) - FALSE 2. You have to check platelets and clotting before LP (in all patients) - FALSE 3. Patients have to lie flat for an hour after the LP - FALSE

👌Approach to Immune check point inhibitor induced AKI academic.oup.com/ndt/article-ab… NDT Hans-Joachim Anders

1/6 MEAN PLATELET VOLUME (MPV) I posted a poll last week asking whether you use MPV in your clinical practice. No right answer here! Most (61.5%) answered NO, that MPV is not helpful. I did a deep dive and arrived at the following conclusions:

There’s a colloquial German word, verschlimmbessern, that describes attempting to improve something but only making it worse (for example, most Microsoft Word updates). So go ahead and add to your German vocabulary the term etwas verschlimmbessern, or “to worsebetter something”

In memoriam: Akira Endo. He discovered the statins with a profound impact on public health by significantly reducing the risk of heart attacks and strokes. bit.ly/4fUXCpz #EHJ Rocco Montone EHJ Editor-in-Chief

Government has scrapped one word ratings for Ofsted. They are currently considering doing the same for the NHS regulator the CQC, whose one-word (or 2 word) ratings were based on the Ofsted model. Could this be indication on how the CQC decision will go? bbc.co.uk/news/articles/…

I can't believe we essentially cured obesity and people sneer at it like it's cheating.

As a teenager in Neustrelitz (East Germany), I painted small stones purple and left them all over town. Did it for years. It drove the police and Stasi nuts. It meant nothing. It just felt good to do something they couldn't control or understand.

Hello COPMeD UK. I have downloaded Gold Guide v10. It seems that the hyperlinks on p100 don't work. copmed.org.uk/publications/g…

I don’t know who needs to hear this, but your doctor cannot identify what medications you take when described by their size and color.

These narratives are so exhausting & exist to both justify inequalities whilst positioning the working-class as stupid, uncultured & undeserving. So let’s take this example of ‘the seaside is free’ as an option for a family day out for a single mother of 3 kids from London.

Absolutely disgraceful response from GMC to myself & everyone else asking why they have failed to publish the results of their public consultation on PAs that closed in May. We provided you with feedback in good faith, GMC. How dare you refuse to share the data with us?

We’re looking for a trainee physician at ST4 and above to join the education team as a sustainability clinical education fellow. Develop your skills as a medical educator, including curriculum and online resource development. Learn more and apply: ow.ly/TvLO50Tef5q

The 2024 UK guidance paper on the measurement of anticoagulant levels has been published in British Journal of Haematology. tinyurl.com/52hks7sj #anticoagulant #heparin #LMWH

There are 5 generalist specialists: General practitioners, acute & gen med consultants, ED consultants, ICU consultants and paeds consultants. (And the resident Drs training to be above). PAs are not generalists and they are not specialists.

5 September 1944. Anne Frank, the Jewish teenage diarist, arrived at the infamous German run, Auschwitz-Birkenau Concentration Camp after a train journey from the Netherlands.

🚨 JOB ADVERT ALERT 🚨 Are you interested in anaesthetic consultant post in a busy & diverse DGH with interesting case mix within fun & supportive dept? Then London North West University Healthcare is place for you! See ⬇️ for 4 substantive posts. Closing date 15th September! beta.jobs.nhs.uk/candidate/joba…