Adam Seccombe

Acute Medicine Consultant in Birmingham.

[SAMBA @SAMBA_Acute]

Thank you! We’re very excited to start sharing updates about SAMBA (and our upcoming #SAMBA2021) with you all on Twitter, and hearing from acute medics about how we can make SAMBA work for you @acutemedicine @DanLasserson @csubbe @Catatkin @acutemed2 @twh_knight

[Tim Cooksley @acutemed2]

@jen_logue @clifford0584 @DanLasserson @ternfellow West Midlands trainee group (WAMC) @Dr_Adds @DrJoeWhee (when trainees) did some great work. Model works.
https://t.co/dfBWY0I5vg

[Dan Lasserson @DanLasserson]

I have had fantastic teachers and mentors over the years to help me start doing this @AcutemedSarbc @AndrewW21023349 @NHSmallwood @avkwong @MattMaw @Dr_Adds

[Jacob de Wolff 🇳🇱🚲☕️ @jfdwolff]

@Dr_Adds @dr_shai @AcutemedSarbc @acutemedicine @AcuteMedEd @DanLasserson @DrBenLovell @harryahmed01 @csubbe @mattinadakim Recently I considered that we could actually produce pretty impressive prognostic databases. This in the context of the metformin lactate thread.
https://t.co/m35RyF3nn2

[Adam Seccombe @Dr_Adds]

@jfdwolff @dr_shai @AcutemedSarbc @acutemedicine @AcuteMedEd @DanLasserson @DrBenLovell @harryahmed01 @csubbe @mattinadakim Definitely. I would also argue we own the presentations.

The only specialities who see a larger proportion of any given medical presentation than us are GP or ED.

So collaboration with them to devise better diagnostic/patient-centred pathways is crucial.

[Adam Seccombe @Dr_Adds]

@AcutemedSarbc @jfdwolff @dr_shai @AcuteMedEd @DrBenLovell @acutemedicine @AcutemedNatalie @DanLasserson @SWBHnhs Sorry for the slow reply. I'm in a world of home schooling! :-)

If you are interested in research and US/echo, the training post @AcutemedSarbc mentioned and supports comes highly recommended.

I understand the post is already funded as well.

[Adam Seccombe @Dr_Adds]

@jfdwolff @Manoj_Wickram @ResusCouncilUK @icmteaching @Wilkinsonjonny I should add to this that a mild hypotension (from the patient's normal baseline) may not need any treatment at all. Don't treat the number, etc.

[Adam Seccombe @Dr_Adds]

@jfdwolff @Manoj_Wickram @ResusCouncilUK @icmteaching @Wilkinsonjonny 3. 'Transient' responders with sepsis are normally being harmed by fluid boluses so hurry up and get more definitive treatment sorted.

[Adam Seccombe @Dr_Adds]

@jfdwolff @Manoj_Wickram @ResusCouncilUK @icmteaching @Wilkinsonjonny 5. IV fluid maintenance is often required in sepsis (and often forgotten when delirium is present).

[Adam Seccombe @Dr_Adds]

@jfdwolff @Manoj_Wickram @ResusCouncilUK @icmteaching @Wilkinsonjonny 4. IV fluid replacement is rarely required in sepsis as per @jfdwolff.

[Ashley Miller @icmteaching]

@Manoj_Wickram @jfdwolff @ResusCouncilUK @Wilkinsonjonny @Dr_Adds

[Jacob de Wolff 🇳🇱🚲☕️ @jfdwolff]

@Manoj_Wickram @ResusCouncilUK @icmteaching @Wilkinsonjonny Most people with sepsis have only modestly reduced total body water (sweating, tachypnoea). Vasodilation and extravasation as well as cardiac impairment are jointly the cause for hypotension. Which is why too much fluid is barmy. @Dr_Adds

[University of Oxford @UniofOxford]

Today marks an important milestone in the fight against #COVID19. Interim data show the #OxfordVaccine is 70.4% effective, & tests on two dose regimens show that it could be 90%, moving us one step closer to supplying it at low cost around the world>> https://t.co/fnHnKSqftT

[SAM Online @acutemedicine]

Today’s the day! Looking forward to getting our acute medicine family together. Let’s do this! #SAMGlasgow

[Adam Seccombe @Dr_Adds]

Massive congratulations to @djbeckett
and colleagues who have put together a great programme for #SAMGlasgow.

Feels bittersweet watching it at home but so pleased that it's still on.

[Have I Got News For You @haveigotnews]

‘Brexit deal never made sense’ says man who negotiated it, signed it, prevented MPs from scrutinising it, campaigned for it and won a general election on the back of it: