Steven Williams

Consultant Anaesthesia and Intensive Care

[Steven Williams @stevenw2014]

@DrAsifQasim @NHS It’s just incorrect. If there was a complaint about medical care and a written response was required, it would be written, at least in part, by the medical staff.

[Steven Williams @stevenw2014]

@ShaunLintern Shaun’s a journalist, he never said don’t give the staff a raise, just pointed out the budget doesn’t account for it. The staff are important for patient care. It doesn’t matter how good the drugs or equipment are if no one knows when and how to use them.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

11th January 1922

104 years to the day....

The first dose of #Insulin was administered

A 14 year old boy called Leonard Thompson

And life was never the same again for so many many people

In the #NHS?
Free at the point of delivery- to the user

Don’t lose that

#Diabetes

[Steven Williams @stevenw2014]

@NicholasChrimes @Anaes_Journal @Nitrousman75 @AAGBI You can have the same monitors in Anaesthetic room, Theatre, recovery room and ICU. Just need the capnograph attachment - we do. Should be able to configure display on large monitor so Etco2 same place.

[Steven Williams @stevenw2014]

@PulmCrit I used etomidate a lot prior to Annane’s studies. We already had data showing infusions increased mortality. You can mitigate and mange hypotension on induction . As long as you avoid CV collapse, whereas being dead is a quite important patient centered outcome.

[Steven Williams @stevenw2014]

@elonmusknews30 I still call it twitter

[Dr David Nicholl @djnicholl]

It just cuts to the core…what is the point of being a #Whistleblower in the UK if it’s deemed ok for
1)evidence to be destroyed (& no one sanctioned)
2)lawyers to lie

[Steven Williams @stevenw2014]

@mancunianmedic Helpful to engage if they are planning on going on a trip away and ask if they should cancel, or if relatives live a long way away. It’s not a precise timing but more about appropriate planning.

[ANZICS @anzics]

Dear friends and colleagues,

It is with overwhelming sadness that we share news of the death of our colleague, mentor and friend, Rinaldo Bellomo. During recent days, both he and his family have received dedicated, expert and compassionate care from some of the finest in our ICU community. We share their pain and sense of loss.

Over several decades, Rinaldo has made a profound and enduring impact on ICU practice in Australia, New Zealand and around the world. As a passionate researcher he challenged conventions, championed evidence-based practice in the care of the critically ill and supported countless colleagues in their research careers. As a compassionate mentor, colleague and friend, he touched and enriched numerous lives, and will be greatly missed. His loss will affect our whole community and in due course there will be opportunities to come together to celebrate his life.

This will be a difficult time for many, but we know that our memories of Rinaldo’s relentless enthusiasm, warmth, optimism and boundless energy will help us all through the weeks ahead. In lieu of flowers, Rinaldo's family would welcome donations to support his research legacy at https://t.co/29kO6OeHxe

Our sincere condolences and best wishes go out to his family, friends and colleagues.

Craig Carr, on behalf of the ANZICS community

[Steven Williams @stevenw2014]

@BenAllenGP We do lose patients from follow who have tests that need follow up. Giving some info to patients about results could help with that. It’s not the ideal way to get a bad news though.

[NO CONTEXT HUMANS @HumansNoContext]

This is a core secret to a successful relationship 😂

[Dr Phil Hammond 💙 @drphilhammond]

The world of patient safety will miss James Reason. “He devised the “Swiss cheese” model of human error, comparing the levels on which mistakes occur to slices of Emmental. In a mistake-free world, the cheese would have no holes; in reality, the cheese is cut into thin slices, each of which has many holes in. If the holes are conduits for mistakes, then a mistake remains unnoticed or irrelevant if it penetrates only one slice. However, when the holes align, the mistake passes through them all, potentially leading to catastrophe”.

Can anyone think of a current health catastrophe that this applies to?

[Newcastle United @NUFC]

HISTORIC 🖤🤍

#wedontdoquiet

[British Journal of Anaesthesia @BJAJournals]

Traumatic Brain Injury (TBI): Guidelines on Craniectomy
The Brain Trauma Foundation now recommends secondary decompressive craniectomy (DC) for late refractory raised ICP but NOT early DC. A major shift in TBI management! 🧠💡 #NeuroICU
📖Read here: https://t.co/dfgUVGcb4v

[Nature is Amazing ☘️ @AMAZlNGNATURE]

Stabilised camera to show how Earth rotates

[FICMNews @FICMNews]

𝗨𝗽𝗱𝗮𝘁𝗲 𝗼𝗳 𝗘𝘅𝗶𝘀𝘁𝗶𝗻𝗴 𝗠𝗶𝗱𝗻𝗶𝗴𝗵𝘁 𝗟𝗮𝘄

🕛Deprivation of Liberty in Intensive Care - This Midnight Law can be found here https://t.co/1SXIt7R1p7

The series of midnight laws can be found at https://t.co/78UpI15SMs

[Graham Crossley (NHS Pension Wonk) @gdcuk]

One of the most absurd asks ever—expecting members to calculate their own pension growth🤯

🚀We’ve built a free, super-simple tool to help 1995/2015 members (inc. GPs)

✅Takes 5 minutes
✅Only 4 pieces of info needed

👉 https://t.co/4Qwk3gluep

🙏share via Facebook, WhatsApp

[The BMA @TheBMA]

The BMA has called for @NHSBSA to self report to its regulator @TPRgovuk over repeated failings and maladministration in relation to #AnnualAllowance.

Read our letter to @michaelkbrodie below

[NHS Organ Donation 💗🫀🫁 @NHSOrganDonor]

So proud of the those doing #turnthepeakspink in support of #OrganDonationWeek. You've smashed it! 💪

Registering your decision to become an organ donor takes 2 minutes and you could save up to 9 lives ➡️ https://t.co/5Y6N1yb0Rb