JustinM

Consultant intensivist/anaesthetist. Bucks, UK.

[JustinM @icmwk]

@ben_millette @iceman_ex Also where did they find all the COPD patients? We hardly get any anymore!

[JustinM @icmwk]

@JohsEnevoldsen Sorry, don’t have access to the article. What does the 400b mean on these plots?

[JustinM @icmwk]

@icmteaching @beercrit @Wilkinsonjonny @PARADicmSHIFT @cianmcdermott @iceman_ex This is interesting. I’ve previously spent time looking for this in literature. Do you have any references. I’ve always felt that oedema is bad and kidneys that can concentrate will sort the sodium out and those that can’t may need volume, but not water.

[JustinM @icmwk]

@PARADicmSHIFT @icmteaching @beercrit @Wilkinsonjonny @cianmcdermott @iceman_ex Go for it!

[JustinM @icmwk]

@icmteaching @beercrit @Wilkinsonjonny @PARADicmSHIFT @cianmcdermott @iceman_ex Why add water in the oedematous?

[JustinM @icmwk]

@icmteaching @beercrit @Wilkinsonjonny @PARADicmSHIFT @cianmcdermott @iceman_ex It’s this group that make me feel that most ventilated ICU hypernatraemia is not dehydration. And treating sodium overload with water seems counterintuitive. Do you think there’s another reason for the persistence of high Na in these patients?

[JustinM @icmwk]

@EM_phile @PhilippeLeConte I think it’s this. Chiari in RA and some focal calcification of chordae, perhaps, making it look like RV bubbles

[JustinM @icmwk]

@ActuaryByDay @ICNARC Struck by the 80% mortality if you get renal support. Also is there any way of seeing what proportion of the over 80’s got ventilated?

[JustinM @icmwk]

@ben_millette @BucksHealthcare Great work! Looking forward to having you with us, and teaching you about M lines

[Tahir Ali @TahirAl14]

Updated version of the COVID patient daily review. Allows non-ICU doctors reviewing patients to have prompts, guides and escalate when necessary. Any comments are welcome. #COVIDー19 @PradShanmuga @ifor_capel @avkwong @AlikiManoras @SamHarmer13 @drgeorgechapman @icmwk @PDuggleby

[JustinM @icmwk]

@CCInquisitivist @PulmCrit Really interesting, thanks! We’d started looking along the lines of frailty scoring and then applying something like this to the ‘grey zone’ group

[JustinM @icmwk]

I'm looking for a scoring system to help make decisions on escalation in covid-19. It needs to be infallible, and I need it by Monday. Many thanks in advance.

[JustinM @icmwk]

@strachanjamie Lay not ley

[JustinM @icmwk]

@strachanjamie A TEP team, to go round ?twice a day, with ethicist/ley/board input. An interval visit in a subset. Need a scoring system for likelihood of death, like PSI to inform part of each decision. Tell me all the answers please

[Damian Roland @Damian_Roland]

Did Scientific officer just say if any family member ill ALL family to isolate?

Presume #NHS will need mitigation for this.

#COVID19

[JustinM @icmwk]

@iceman_ex @oxicm @BucksHealthcare Too kind! Looking forward to taking this on.

[Prad Shanmuga @PradShanmuga]

Very pleased to advertise our first Critical Care Echo Fellow post in our ICU dept @BucksHealthcare. Achieve BSE Level 1 Echo under expert supervision from @icmwk. Advert at https://t.co/B01DHbl87a #POCUS

[Stoke Mandeville Emergency Department @EmergencyStoke]

Multispecialty in situ simulation in our resus between ICM and EM.Start of many more to come. Thanks @TahirAl14 @daveajholland. Abhishek,Seema,Sara,Juliana from ED and the ITU team.

[Tahir Ali @TahirAl14]

Anaesthetic Core Trainee SIM day at Bucks @BHTMedEd