James Le Fevre

Emergency Physician.

[Fesshole🧻 @fesshole]

When I was a 16 year old apprentice. My boss had a white cavalier, with a registration number of E___ GLY. In marker pen I wrote a U, before the G, so for the next week he was driving around displaying UGLY. He never found out who did it and gained me great creditability.

[Erik Townsend 🛢️ @ErikSTownsend]

Here's an early preview of the extended (3 minute) Trailer for ENERGY TRANSITION CRISIS, my new free docuseries. Target release date is late September. PLEASE RE-TWEET. Thanks!

[Mohammed Belal @mobelal3]

21 months after being paralysed, multiple spinal operations, 8 months in hospital, 1000 hours of rehab, back working as a surgeon in the NHS. Never give up and keep smiling! #backtowork @uhbtrust @BAUS @SIA #spinalcordinjury #nhs

[Stephen W. Smith @smithECGBlog]

30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion.

Lots of great lessons in this post: Speckle Tracking, prehospital ECGs, hyperacute Ts, 4-variable formula.

https://t.co/ZyKIp1d2vM

[James Le Fevre @lefevo]

@cjmdenny @Aucklandhems And did you touch the face of God?

[James Le Fevre @lefevo]

@BCBacker Fertilizer is correlated with gas prices, which have increased massively. Either farmers use less fertilizer (smaller crops) or use more expensive fertilizer. Both = increased prices

[John E Deaton @JohnEDeaton1]

“For that $7 million, Yellen is now moving to effectively ban a competitor of their Citi pay masters, the defi space, with a section sneaked into the Infrastructure Bill at the last minute that holds smart contract coders responsible as brokers.”

$7 million to speak to banks?

[Jeremy Hogan @attorneyjeremy1]

@CFTCquintenz Mr. Quintenz, I understand the Commission sometimes submits amicus curiae briefs to courts to assist in interpretation of the law. Has the CFTC made a decision at to whether to file an amicus in the SEC v. Ripple litigation?

[EMA Journal @EMAJournal]

Has the introduction of time based targets in EDs influenced quality of care?

#FreeAccess for 2 months

https://t.co/p7WJXBHNZU

@nzpetejones @likeadoc @drvinaybg @robdmitchell @ian_bissett
@Wiley_Health @acemonline

[Blockchain Backer @BCBacker]

The SEC statement in “Only Ripple and affiliates of Ripple could have sold XRP illegally.”

Interpreted as Exchanges and Retail Investors are in the clear.

#RelistXRP or at least provide a public statement on where you’re at.

@coinbase @krakenfx @BinanceUS @cz_binance @Bitstamp

[James Le Fevre @lefevo]

@ErikSTownsend @MacroVoices
Global Dairy Trade Auction: Change in GDT price index +15%
Whole milk powder up 21%
#inflation
https://t.co/vdLTdbtly6

[Dr Andrew Miller - bring back disease prevention @drajm]

Govt expert Prof Weeramanthri says

‘Hotel Quarantine outbreak in WA attributed to AIRBORNE spread.

Ventilation now a key risk factor to be controlled.’

AMA says it’s beyond urgent to apply this also to Aged Care & Health Care & etc.

Upgrade PPE & admin & ventilation now.

[Stephen W. Smith @smithECGBlog]

ECG with Aslanger's Pattern. CT Pulmonary Angiogram Reveals LAD Ischemia (Septal Transmural). But this is not Contradictory.
https://t.co/qMNm9dvlHc

[James Le Fevre @lefevo]

This is an excellent and important post that all clinicians that provide critical care should read!

[Stephen W. Smith @smithECGBlog]

Extreme widespread ST depression, with ST Elevation in aVR. What do you think?

https://t.co/DWxRCyPoXg

[SimonJudkins @JudkinsSimon]

@acemonline @RANZCP @peterallely MH patients staying over 24 hours in EDs need to be sentinel event. It needs to be a “never event”...so far, it doesn’t seem to get more than an raising of an eyebrow by health departments..

[Christopher Denny @cjmdenny]

"My request is not to be dispirited or disheartened. When we've rolled out our plans before it has worked, so I'm asking that everyone joins us on that journey again, remind themselves of what we had to do last time, and just continues to stay with us."
- PM Jacinda Ardern

[James Le Fevre @lefevo]

@davidmcw
"Paschal Donoghoe, who will start the new role on Monday, has made it clear that the euro area will have to work towards reinstating fiscal targets."
https://t.co/dVtXpHff0f

[Paul Young @DogICUma]

In NZ @jacindaardern has just announced:
1. Everyone who comes to NZ (from anywhere) will need to self-isolate for 14 days.
2. Massive restrictions on mass gatherings
3. Expansion of public health measures
4. No cruise ships to NZ.

This will save many many lives.

[Jonny Wilkinson @Wilkinsonjonny]

I thought I would share this with you all. From Massimo Gianni. A synopsis of a videoconference held today by intensivists in northern Italy, all of them fighting the battle against #COVID19 #FOAMed #FOAMcc #medtwitter
Also at https://t.co/GpXYcGKkbl