A brilliant talk from Chris Williams in #SAMbristol on the interface between ICU and AM: Scoring systems should be valid, calibrated and prognosticate. Impressive how perceptions of acuity and death risk change when using scoring systems appropriately.

Major bleeding? Aim for a 1:1:1 ratio of RBC:FFP:platelets transfusion in most cases - it’s not all about the red cells! #SAMBristol

Useful update on major hemorrhage from Kate Crewdson. Timing matters in Tranexamic acid administration: Given early it improves outcomes whilst if given late (post 3 hours) it increases mortality. #SAMBristol

Medical conferences are joyous events. The whole country is filled with like-minded physicians trying to improve patient care. #SAMBristol SAM Online

ABCDE approach to poisoned patients (toxidromes) by James Coulson. 20% of patients present unconscious. A NEWS with some ‘add ons’. SAM Online #SAMBristol

Great presentation on ECG by Dr Shiva Sreenivashan. Suggested resource: nelsonsekgsite.com (I will defo bookmark it) #SAMBristol

What a treat of a session by Shiva Sreenivasan on ECGs Well worth a watch back if you missed it. #sambristol

Thanks Shiva Sreenivasan for an amazing talk, privileged to have attended it. Certainly learned certain ECG clinical pearls, but more importantly was reminded of the need to keep learning! #SAMBristol

My take home message from the acute consult session at #SAMBristol is that the complexity of medicine and rapidity of decision-making requires excellent SAM Online services working alongside a full range of other specialties to give the best outcomes.

Very interesting session from Ankur Srivastava at #SAMBristol: A new prognostication score for acute decompensation of chronic liver disease CLIF-C ACLF

Kiaran Flanagan’s talk about learning in a management role - what works and what doesn’t really resonates. You think you have a solution to a problem then can’t understand why it doesn’t work #SAMBristol

Kiaran Flanagan in #SAMbristol reflects on her journey from a data driven meeting to the power of a story to mobilize engagement. Sounds very familiar and is one of the major learning points in my journey with NHS Leadership Academy 💙 through #EGA. #engagement #AuthenticLeadership

Awesome and inspiring leadership-Kieran Flanagan is articulating what almost all of us have gone through at some time. Thank you #SAMBristol

Two fantastic days in #SAMBristol, full of intriguing thoughts, valuable learning and innovative ideas. SAM Online, Nigel Lane as host and all Bristol colleagues have done an amazing job once again! Thanks All and until we meet again! #BestSpecialityDespiteEverything

It's been an amazing 2 days at the SAM conference. So impressed with the speakers on both clinical and leadership topics. Presenting with a clear understanding the challenges of the management of the myriad of clinical presentations within the AMU setting. #SAMBristol

It’s today & tomorrow… & until September on demand.. #Medicine2022 Royal College of Physicians A wonderfully packed programme.. & not to be missed on Friday Simon Fleming 🛠 Rose Penfold Partha S Kar 🇮🇳🇬🇧🏏🎥 & me starting the series of conversations about poor behaviours & what to do about them

What a privilege to hear Professor Chris Whitty & Andrew Goddard discuss #PublicHealth #RCPMed22 As physicians we play a significant role in secondary & tertiary prevention - BUT We have a licence to influence primary prevention through using evidence We must use our voice Royal College of Physicians

First session for #RCPMed22. Professor Chris Whitty discusses the role of state in public health and raises the issue of consent in primary prevention. Healthcare should bravely collaborate with the state in identifying and organising primary prevention interventions. Royal College of Physicians

"What we shouldn't be doing is advocating for others to do something we have no interest in doing ourselves. "We should be aware of when we are coming across as hypocritical." Professor Chris Whitty Chris Whitty says on the role of the individual doctor Royal College of Physicians #RCPMed22