The Critical Care Practitioner

Jonathan Downham, an Advanced Critical Care Practitioner working in Birmingham, UK. Developing a web teaching and podcasting resource for others.

[The Critical Care Practitioner @ccpractitioner]

@Gibson_mel83 So the guy holding the camera never thought to help?

[The Critical Care Practitioner @ccpractitioner]

Is this algorithm safe? Yes! The 90-day survival benefit persisted (20% mortality vs 23.8% usual care) with NO increase in overall antibiotic exposure (median 5 days in both arms). Safety events and readmissions were statistically identical.

[The Critical Care Practitioner @ccpractitioner]

Does adding procalcitonin testing to NEWS2 improve sepsis care? The 7,667-patient #PRONTOTrial found NO change in 3h IV antibiotic initiation (48.4% vs 48.2%), but significantly reduced 28-day mortality from 16.6% to 13.6%! 🧵👇

[The Critical Care Practitioner @ccpractitioner]

Why did mortality drop? The procalcitonin algorithm reclassified 24.6% of NEWS2 high-risk patients to low-risk & 33% to medium-risk. The biggest mortality benefit was in the most deprived groups—acting as a 'leveling-up' intervention to streamline care.

[The Critical Care Practitioner @ccpractitioner]

https://t.co/5FGje89DKT

[Michael Rosen 💙💙🎓🎓 NICE 爷爷 @MichaelRosenYes]

How dare you! Nurses in my intensive care ward witnessed daily deaths, swabbed our bums every day, talked to an unconscious me, held my hand, wrote my intensive care diary, saw colleagues die, had inadequate PPE, were very afraid, are still traumatised. You do it?

[Count Binface @CountBinface]

Here it is. My manifesto for the 2026 Clacton By-Election. It's a once-in-a-lifetime opportunity. Join me, clean up Clacton and let's make 13th August Bin Day! #VoteBinface #VoteyMcVoteface #YesWeTinCan

[The Critical Care Practitioner @ccpractitioner]

@JoJo11857

[Nursing in Critical Care Journal @niccjournal]

Successful ICU e-diary implementation depends on more than the technology. This multicentre study highlights the importance of training, champions, leadership and ongoing support for sustained adoption.

https://t.co/0yPQOSHxKP

#CriticalCare #ICUDiary

[Nursing in Critical Care Journal @niccjournal]

Successful ICU e-diary implementation depends on more than the technology. This multicentre study highlights the importance of training, champions, leadership and ongoing support for sustained adoption.

https://t.co/0yPQOSHxKP

#CriticalCare #ICUDiary

[The Critical Care Practitioner @ccpractitioner]

Any ACCPs out there from East Midlands? Need to talk to you about a one day forum we are setting up in October. #accp #ficm

[The Critical Care Practitioner @ccpractitioner]

In this episode, Jonathan takes a deep dive into Diabetic Ketoacidosis (DKA) — a classic but potentially fatal metabolic emergency in critical care.
https://t.co/1Rh0l1QG0p

#criticalcare #criticalcarenurse #intensivecare

[The Critical Care Practitioner @ccpractitioner]

In this series of The Critical Care Practitioner Podcast, Jonathan explores how our understanding of mobilisation in ICU has evolved

https://t.co/hvGiFsFoiR

[The Critical Care Practitioner @ccpractitioner]

FREE 50 key concepts in Mechanical Ventilation to download here- https://t.co/5bG5h2OGmL
#intensivecare #criticalcare #criticalcarenursing

[The Critical Care Practitioner @ccpractitioner]

FREE 50 key concepts in Mechanical Ventilation to download here- https://t.co/5bG5h2OGmL
#intensivecare #criticalcare #criticalcarenursing

[The Critical Care Practitioner @ccpractitioner]

FREE 50 key concepts in Mechanical Ventilation to download here- https://t.co/5bG5h2OGmL
#intensivecare #criticalcare #criticalcarenursing

[The Critical Care Practitioner @ccpractitioner]

FREE 50 key concepts in Mechanical Ventilation to download here- https://t.co/5bG5h2OGmL
#intensivecare #criticalcare #criticalcarenursing

[The Critical Care Practitioner @ccpractitioner]

FREE 50 key concepts in Mechanical Ventilation to download here- https://t.co/5bG5h2OGmL
#intensivecare #criticalcare #criticalcarenursing

[The Critical Care Practitioner @ccpractitioner]

FREE 50 key concepts in Mechanical Ventilation to download here- https://t.co/5bG5h2OGmL
#intensivecare #criticalcare #criticalcarenursing

[The Critical Care Practitioner @ccpractitioner]

FREE 50 key concepts in Mechanical Ventilation to download here- https://t.co/5bG5h2OGmL
#intensivecare #criticalcare #criticalcarenursing

[The Critical Care Practitioner @ccpractitioner]

FREE 50 key concepts in Mechanical Ventilation to download here- https://t.co/5bG5h2OGmL
#intensivecare #criticalcare #criticalcarenursing

[The Critical Care Practitioner @ccpractitioner]

50 Key Concepts in Cardiovascular Care for the Critical Care nurse available here- https://t.co/RI6NM6kZ0s #criticalcare #intensivecare

https://t.co/iaeq8RAwej