Chris Newell

Dad, husband, Intensivist, Anaesthetist. Interested in research networks @STAResearch. All views my own

[Paul Young @DogICUma]

Novelty-bias, innovation-bias, and do more-bias. The quintessential problems that drive ever-increasing costs. Until we embed RCTs at scale into health systems, this will not change and, yet, if we embedded adaptive RCTs into systems we could get high quality data quickly.

[Intensive Care Medicine @yourICM]

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
🔓https://t.co/g6P9uyGuet

[Chris Newell @CP_Newell]

The Newell Brothers enjoying the bumps off-piste in #pila #skisunday last week

[IMCrit @IM_Crit_]

https://t.co/Hztw4L82ZP

[Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 @EMSwami]

Acutely poisoned patient w/ AMS
Old: GCS < 8, Must Intubate
New: Withhold intubation

Why? Lower ICU utilization, lower adverse event rate https://t.co/b0jtfNWGnH w/ great editorial @resusone

[Paul Young @DogICUma]

Balanced crystalloids versus saline for critically ill patients (BEST-Living): a systematic review and individual patient data meta-analysis - The Lancet Respiratory Medicine https://t.co/yBVjRsihQx

[Wellington ICU @WellingtonICU]

We have a new publication in Critical Care & Resuscitation:
Potential metrics for rapid response systems in Australia and
New Zealand. Online here: https://t.co/wGP6iR5993

[Intensive Care Medicine @yourICM]

🧠 Here recent neuro-narrative reviews… 🔓 #FOAMcc on @yourICM
📖 EEG in #ICU for acute BI https://t.co/PdGuihm7eu
📖 Managing moderate/severe TBI https://t.co/GG0TrwvAvt
📖 Hypoxic–ischaemic BI after CA https://t.co/cQpepSTaSj
📖 The brain in #PedsICU https://t.co/F8c1L7ysPy

[Chris Newell @CP_Newell]

@brisgasdoc A Christmas classic ‘family film’ for some reason - absolutely terrifying!

Bright Eyes by Art Garfunkel quite haunting though

[ANZICS @anzics]

A recent publication linking ANZICS Paediatric registry data and #NAPLAN data to predict poor school performance following #ICU admission 👇 https://t.co/jhs0hPyqUc…

Another example of how registry data can be used to provide insight into problems #BeyondTheICU

[Mike Henley 🤨 @trentconsultant]

Royal Commission on Doctor’s & Dentist’s Pay reported in 1960. It arose from industrial unrest caused by government holding back Drs pay. Was accepted in full - despite a country broke from war & wracked by inflation. Could have been written yesterday @hmtreasury @Number10press

[NEJM @NEJM]

#CCR23: In the DEVICE trial, the use of video laryngoscopy in critically ill patients undergoing intubation in the ED or ICU resulted in a higher incidence of successful intubation on the first attempt than direct laryngoscopy. https://t.co/hi5TdfUxme

[Chiara Robba @chiara_robba]

Targeted temperature management in patients with intracerebral haemorrhage, subarachnoid haemorrhage, or acute ischaemic stroke: updated consensus guideline recommendations by the Neuroprotective Therapy Consensus Review (NTCR) group☆

[Andy Webb @AJWPharm]

Attention📢📢 : New aneurysmal subarachnoid hemorrhage guidelines just dropped!

Lots of new updates to the last guidelines published in 2012, lets check them out below 👇

https://t.co/hFb1uTS6zY

[Manu Malbrain @Manu_Malbrain]

Everything you need to know on the furosemide stress test ‼️in the ICU #ISICEM23 via @JohnProwle

▶️1mg/kg bolus furosemide IV
▶️Wait for 2 hours
▶️If UO > 200 ml, then the test = passed ✅
▶️and less risk for AKI
▶️and more kidney reserve

[Critical Care Reviews @CritCareReviews]

🚩 Tranexamic Acid - it's complicated....

➡️It's widely used for treatment & prevention of haemorrhage
➡️It's in the WHO's List of Essential Medicines & recommended in the European Traumatic Haemorrhage guideline (2023)
➡️But is it as efficacious as we think?

🧵 1/17

[Dr Pierre Bradley @lowebrad]

@anzca guidance about axillary node clearance and use of same side arm…very sensible advice
@GongGasGirl

https://t.co/yy2KXFT6Q6

[Resident Doctors @BMAResidents]

Junior doctors have voted YES to strike action in England.

This is a giant step forward for junior doctors and #PayRestoration. Thank you to everyone who worked so hard for this. Keep an eye out for next steps. #BMADoctorsVoteYes https://t.co/aqmKXZXKN6

[Shaun Lintern @ShaunLintern]

🚨BREAKING: Nurses to strike for a continuous 48 hours at over 120 NHS organisations on March 1.

For first time nurses in A&E, ICU, cancer units and other exempt areas will strike too in what is a big escalation by @theRCN in face of @DHSCgovuk intransigence on pay #NursesStrike

[STAR Group @STAResearch]

Line up for STAR conference is up- its looking good! First up @bengibbison. Dr Ben Gibbison is a Consultant in Cardiac AnaesthesiaIntensive Care at University Hospitals Bristol; an associate Professor at the University of Bristol and an associate editor for Anaesthesia.