Dad to 3 little bears. ICU Doctor and Rural Generalist. Interest in big data, signals and variability. Keeps straying to paediatrics and retrieval medicine.
Another little contribution for the #FOAMed community this time at @ACRRM see https://t.co/nmWHjz3opB
And if you're and ICU basic trainee with @CICM, my previous bit at https://t.co/EjnSIZKXFP
Good luck on your exams, wherever you are.
UK-REBOA results:
REBOA increased mortality at 90 days and at all interim time points.
REBOA increased deaths due to bleeding at 3 hours and 90 days.
REBOA substantially delayed time to definitive haemorrhage control.
💢🎈💢
#ccr23
The @PATCHTrial, led by @RussellGruen, a study of pre-hospital TXA for severe trauma in adults at high risk of acute traumatic coagulopathy treated in advanced trauma systems, has been published today in @NEJM. #CCR23 Here’s a summary of what we did...
https://t.co/fl3m8liWB2
Osmotic demyelination syndrome (ODS) following correction of hyponatremia was studied in 22,858 hospitalizations. There were 12 cases of ODS identified, only half of which occurred following rapid correction of serum sodium. #IMTwitter#NeuroTwitter
🚩 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
It cannot be proved beyond doubt that constitutionally enshrining an Indigenous Voice to parliament will Close the Gap but there is every possibility doing so we will constitutionally enshrine disparity.
To Close the Gap defeats the need for special measures full stop.
Bad news in the #ICU... artificially intelligent reflection? Smoke & mirrors and a tale of two perspectives. This reflection was authored by ChatGpt through @OpenAI platform.
🖋️#ICMfromtheInside#AI#ArtificialIntelligence free to read on @yourICM
💨 🪞 https://t.co/2ItKKODeae
@DrBenMoran@Andyrooz22@maffygirl@GongGasGirl This would be fun to review in a HRV sense. I suspect you'd find a dip in your HRV during these stressful times.
I have a study proposal is your interested
High (>3 L/min) vs low flow (0,4 L/min) extracorporeal support in direct / indirect experimental lung injury.
Surpises?
Free of charge, you may see it in the Blue.
https://t.co/64UtEoJkyJ
🚨 2022 Guideline Update on the Management of ICH 🧠
An infographic summarizing pharmacologic interventions 💊 💉
🫀 BP control
🩸 AC/AP reversal
🦵 VTE PPX
🍬 BG control
🌡 Temp control
How has this guideline impacted your practice?
#NeuroCritCare#NeuroICU#PharmICU
Here's an open access link to our recently published SR/MA of early mobilisation. It seems possible that early mobilisation both increases the risk of death and adverse events & improves function in patients who survive.
https://t.co/2apDBbGIZM