Sam

Critical Care/Critical Care Outreach Nurse. Always learning.

[Sam @CriticalCareSam]

@harryclax @Jopo_dr Principle Investigator

[Joanna Hardy-Susskind @Joanna__Hardy]

Oh my god the cats around here will be gutted. Some of them have about 12 owners. Can’t wait for the multi-defendant trials where everyone is running ‘that’s actually *my* cat and if you bring Mr Whiskers into the courtroom then you’ll see for yourself who he loves most’

[Dr Steve Taylor @DrSteveTaylor]

SCHRÖDINGER CAT SCANS

They are both completed and not completed because there is no Doctor to interpret the scan & share the result with you

Both Labour and Conservative plans for scanners but not for retention of staff

[Joanna Poole 💙 (@jopodr.bsky.social) @Jopo_dr]

If you wanted to know what happened to our gills when we left the water they became our parathyroid glands. They are evolutionarily heavily related/genetically similar and formed from pharyngeal arches. They both sense calcium with conserved receptors. It’s the only

[Alan Gambril, MD @GambrilAlan]

You're on rounds. New admission. 60 y/o M w/ acute dyspnea, ⬇️O2, pleuritic chest pain. CT pulm angio shows PE. Easy, heparin already started

Attending asks "Does he have Right Heart🫀Strain?"

Are you confident you can answer, explain how you know & why it matters? @CardioNerds

[Alex Kaplan @alexkaplan0]

Today might have seen the biggest physics discovery of my lifetime. I don't think people fully grasp the implications of an ambient temperature / pressure superconductor. Here's how it could totally change our lives.

[Sam @CriticalCareSam]

@Xeon4f145d96s1 @mlkytee How are you defining extreme sports?

[Sam @CriticalCareSam]

@JohnSmi06937217 @Kkre4037 @BMA_JuniorDocs Lots of buzzwords in there

[Sam @CriticalCareSam]

@AnnetteAll23832 @BMA_JuniorDocs Delusional

[Sam @CriticalCareSam]

@DrBenLovell N

[Sam @CriticalCareSam]

@PicturesFoIder My brain quickly says "40 50 60 77 minus 2 is 75" even though that makes no sense written down

[Nick Mark MD @nickmmark]

You've probably heard that Bicarbonate has to turn into CO2 to raise the pH. “Don’t give bicarb if you can’t increase ventilation.”

But how much CO2 is there in an amp of sodium bicarbonate?

A bicarb 🧵
1/

[Joanna Poole 💙 (@jopodr.bsky.social) @Jopo_dr]

Newts can survive penetrating wounds to their ventricle simply by diverting blood via a structure to their conus arteriosus instead. Their univentricle is also lacking a coronary artery. They of course do not require

[Sam @CriticalCareSam]

@Jopo_dr Mine does this, nothing to worry about :)

[Jon Bedford @JonBedford]

The struggle is real

[Dustin Grage @GrageDustin]

Not a single drop of water is getting past that bad boy.

[Journal of Brown Hospital Medicine @BrownJHM]

A patient with hx of depression came with confusion, diarrhea, diaphoresis. He takes fluoxetine, fluconazole & tramadol at home. Vitals w/⬆️BP, HR,⬆️⬆️temp. Labs w/AKI, ⬆️CK. What is the excess neurotransmitter & diagnosis? #Medtwitter (David Juurlink)

[Sam @CriticalCareSam]

@grantshapps Better to improve pay, working conditions and staff retention and avoid strikes in the first place. Why are you not concerned about minimum service and safety levels every other day of the year? That is precisely what staff are striking for!