Immigration is not the reason that you can’t get a hospital appointment, it’s the reason you can get one.
Please retweet for all the people who can’t seem to grasp that.
*Pulmonary embolism* versus *Acute myocardial infarction*:
Above and below the pen: the size of the clots in each scenario
I was looking for a picture like this and found it in a lecture by Dr Sripal Bangalore
#foamed#foamcc#meded#MedTwitter
There’s a reason it takes weeks to see your GP & years to get your surgery.
The UK is an under-doctored country; yet thousands of doctors are being blocked from progressing to become Consultants & GPs because the Government has artificially capped the number of speciality training posts.
In 2025 alone, there were 20,000 more applicants than there were training spaces. Doctors are ready to care for patients; but they are left waiting, unemployed, or even forced abroad.
We are short of NHS doctors yet we’re still not employing the ones we already have.
This is the result of years of catastrophically bad workforce planning. @wesstreeting’s proposed plan for 1,000 extra speciality training posts over three years barely scratches the surface of the crisis.
If he’s serious about fixing the NHS, he must address this head on. Until then, both doctors and patients will keep paying the price.
Wow what a fantastic ED in-situ this morning! Covering a Peri mortem c section. Our @CHFT staff never stop amazing me caring, capable and calm taking care of poorly patients with care & compassion #CHFTStaffRock#SimulationRocks#SimTechsRock pic overload!
In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein.
https://t.co/Y3NVgYZsLr
This is not sustainable @wesstreeting. It’s also a gross waste of taxpayers money to be training people in the UK for them to have no job. So much for doubling medical student numbers - our brightest 16-18 year olds know to look at a graph like 👇and look elsewhere
@manairport You aren't covering yourselves in glory today. Our 1030 flight has been ready to depart for several hours and no signs of moving yet. Eight hours late and counting.
The NHS was rated one of the best health services in the world when the Conservatives came to power.
And yet some people would have you believe the system is fundamentally flawed.
We should never forget the destruction that happened on their watch.
Spontaneous breathing trials? GLOBAL WEAN study
🩺100 #ICU adults
🫁unassisted SBTs PSV0PEEP0 & T-piece trial most appropriate to replicate postextubation effort to breathe
🪡personalized approach according to critical illness may improve SBT performance
🔓https://t.co/UkMNBgdlym
🚨10 must-read papers for ICU staff: Jan to Jun 2024
Check out these 10 essential papers on intensive care medicine from Jan to Jun 2024.
Stay updated with the latest research🧵
Congrats 🍾 @jasonroberts_pk & team! #BLING3 @JAMA_current
Prolonged vs Intermittent Infusions of β-Lactam Antibiotics in Adults With Sepsis or Septic Shock: A Systematic Review and Meta-Analysis | Infectious Diseases | JAMA | JAMA Network https://t.co/2hG3l7Re1o
An amazing trial, after years of trying finally an intervention which prevents AKI after cardiac surgery🫀…congratulations 🥳 to the authors on a brilliant presentation at #CCR24 👏 and simultaneous publication in @NEJM 👏 https://t.co/AU6207yQMm
"Perfection is impossible.
In the 1,526 singles matches I played in my career, I won almost 80% of those matches.
But what percentage of points did I win?
54%
In other words, even top ranked tennis players win barely more than half the points they play.
When you lose ever second point on average, you learn not to dwell on every shot.
You teach yourself to think:
'Okay, I double faulted...it's only a point.'
'Okay, I came to the net and I got passed again...it's only a point.'
Even a great shot, an overhead backhand smash that ends up on ESPN's top 10 playlist – that too is just a point.
Here's why I'm telling you this.
When you're playing a point, it has to be the most important thing in the world. And it is.
But when it's behind you, it's behind you.
This mindset is crucial – because it frees you to fully commit to the next point with intensity, clarity, and focus."
–@rogerfederer
Here’s a situation many of us have seen in the ICU or ED: “It looked like there was ST elevation on the monitor but when I took a 12 lead it was gone?!”
A STEMI went MIA? Here’s a #tweetorial all about why ST segments look different on monitors.
#FOAMed#FOAMcc
1/
✅Summary of Important RCTs in ICU for the First Half of 2023!
Quickly summarize the intensive care RCTs published from January to June this year!
Specifically, 13 trials in NEJM, JAMA, and Lancet!
I hope this 🧵 is a useful review of important literature👇👇
#FOAMcc