Bhaskar

I no longer use this platform.

[Bhaskar @icumedix]

@nelson_piercy @NickHartGSTT Long term sequellae of critical illness are a real issue and postpartum is a particularly vulnerable time. Good to see #enhancedmaternalcare #emc mentioned too, and recognises the importance of collaborative working and network support for standalone units.

[OxCritCareResearch @KadoorieCentre]

A new Maternity Early Warning Score (MEWS) to be rolled out across the NHS.

Derived from real data from >1000 pregnancies, it used statistical modelling to set appropriate thresholds for vital signs, reducing unnecessary alerts.

https://t.co/30UNO85WFC

@UniofOxford @NHSEngland

[The PERT Consortium® @PERTConsortium]

Calling all physician trainees! Join us at the #PERT2024 for the Physicians-in-Training Bootcamp.

This hands-on course is designed to equip you with the latest knowledge and skills in PE diagnosis and management: https://t.co/MfPVyJx86D

[Bhaskar @icumedix]

@DrSiara @danfurmedge Agree really good points. Yet the asthmatic comes in with classic PE symptoms, no wheeze, still given steroids and nebs cos of the asthma label. PE not considered, no CTPA on initial review (subsequent scan confirmed big PE). There really is a cognitive/reasoning issue here.

[Bhaskar @icumedix]

@tscquizzato @SharonEinavMD @ISICEM I've found specialist ICU pharmacists to be a really valuable part of the team and can help share this workload.

[Bhaskar @icumedix]

@StephenLap @anitaobsmed Interesting one. I normally would b-block only once the acute pulmonary oedema is resolving (can be as soon as a few hours) But in someone like this with valve issue and pristine LV maybe it could be introduced earlier to increase filling time? Thoughts?

[OAA @OAAinfo]

@OAAinfo announces launch of the QRH for Obstetric Emergencies to assist all #OBAnes and colleagues providing best emergency obstetric EBM care. Visit https://t.co/8ipxgaAY1L
@RCoANews @Assoc_Anaes @BAPM_Official @M0MSuk @ResusCouncilUK @BMFMSNews @BICSoc @CollegeODP

[Bhaskar @icumedix]

@JamesCleverly Apart from being a cruel and frankly idiotic policy amidst a social care crisis, why is "stop the boats" on this poster? Do care workers or their families arrive in boats?

[Bhaskar @icumedix]

@RoyalSurrey Amazing, congratulations!

[American College of Cardiology @ACCinTouch]

Q: What are the contemporary management strategies & associated outcomes in patients w/ high-risk pulmonary embolism?

A: Patients w/ high-risk acute PE experienced higher rates of all-cause mortality than patients w/ intermediate-risk PE.

https://t.co/HBIH6wCkGc #JACC

[Bhaskar @icumedix]

@PulmCrit UKTIS and lactmed are useful @medsinpregnancy . The SmPC is often helpful too although it can be wordy @emcdatapharm - admittedly these are all UK/EU sources though.

[Test Match Special @bbctms]

Test match cricket is alive and well. ❤️

[Bhaskar @icumedix]

@PrinjaPaarul presenting about chest pain and red flags in pregnancy #enhancedmaternalcare #obstetricmedicine @BabyLLTraining

[MBRRACE UK @mbrrace]

Latest UK maternal mortality figures released today. The maternal death rate in 2020-22 was 13.41 per 100,000 maternities. This is significantly 53% higher than the rate of 8.79 deaths per 100,000 maternities in the previous three year period (2017-19). https://t.co/uSxGAvw3rA

[Royal College of Emergency Medicine @RCollEM]

🚨NEW #SAFETYFLASH📷Cortico-Steroid Dependency: The Safer Care Committee has highlighted the importance of identifying patients on steroid therapy and advise on the emergency treatment of Adrenal Crisis!

For poster production head here: https://t.co/1PwWNRTXef

[MacDonald Obstetric Medicine Society (MOMS) @M0MSuk]

Exciting news for all those interested in training in #ObstetricMedicine:

Applications open for funded places @RCPhysicians Higher Specialty Credential https://t.co/XYEniLwk2T

[Bhaskar @icumedix]

@DrBenLovell Great thread, with a lot of truth. I didn't mind the job, but after a tough shift (esp nights) what was often missing was a "thank you", "well done" or "are you OK". In my experience ICU is much better at this and it really makes a difference (or maybe I'm just needy😅)

[Bhaskar @icumedix]

Interesting findings. Potentially some confounders but I think the dose related association makes it plausible. A useful addition to evidence to aid counselling & dose titration, but poorly controlled epilepsy carries much higher risk so pls don't stop meds purely based on this

[Bhaskar @icumedix]

@veerappan91050 Looks fantastic - do you have the Programme yet and will the sessions be recorded? I'm working one of the days but might be able to swap.