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Well done Dave - so have I! Let’s all complete this important survey to get a clearer picture on this important issue that affects so many of us #FightFatigue Royal College of Anaesthetists AoA APAGBI x.com/welshgasdoc/st…

If you think fluid management is one of the most difficult problems to solve in #CriticalCare make the most of this free webinar Fluid Academy #IFAD2018 SCCM ATS Crit Care CHEST Neurocritical Care Society Harpreet S Grewal Aarti Sarwal, FNCS, FAAN, FCCM, RPNI, Professor Fawaz Al-Mufti, MD, FSVIN Alex Reynolds

Laura Clark promoting the new combined fluid prescription and fluid balance chart. Aiming to reduce variation and improve prescribing of IV fluids across #NHSGrampian

I know which I would chose.... #IVfluid

See #IFAD2020

#bbcolympics Sporting families: Whitaker family show-jumping. John and Michael, Ellen, Robert, William

Come to Fluid Guideline workshop 1100 23/11 and transform fluid management in your hospital!

@marciamcdougall@Fluid_Academy #IFAD2017 Great that there is now work happening with maintenance fluid. We haven't seen low Na as a problem in 5 yrs of using 0.18%NaCl/4%glucose/KCl but are doing a retrospective biochemical study on it.

Find #fluidguidelines here - use as you wish. more material available e.g. ward posters and volume guides x.com/MarciaMcDougal…

Just went to Renal Critical Care meeting in Glasgow. Great. More confirmation of too much fluid bad in ICU. See CLASSIC trial ICM 2016 42:1695-1705

Scottish National IV Fluid Guideline programme launched 6th Feb at RCS/Phys Glasgow. Prof Dileep Lobo of NICE Fluid Guideline fame spoke and the Fife fluid team. #fluidguidelines and chart will be from NHS Fife and standard maintenance will be 0.18%NaCl/4%Glu/KCl. Progress!

The general ICU @UHBristolNHS have a protocol for treating acidosis with citrate RRT. Commenced when HCO3 <20 Stage 1 - increase blood flow #SICOWE18

A positive study - that has been a while! #balanced #crystalloids for intravenous #fluid administration result in a lower rate of composite outcome (death , new #RRT, or persistent renal dysfunction) than the use of #saline nejm.org/doi/full/10.10…

Stuck in Salzburg airport waiting to get back to snow carnage from snow heaven!