VAR is ruining football. It’s wringing the joy out of the game and it needs to go. Offside by a haircut is absolutely ridiculous #TOTNEW

www.theguardian.com/society/2025... Is this just rebadged MARS? #emimcc #medsky

Springsteen on BBC4. Love these little vignettes where he’s touched people’s lives. I never knew about his donation to the Hetton-Le-Hole community during the Durham miner’s strike. Just a special man. #TheBoss #BruceSpringsteen

Do any of my EM/IM/CC brethren have a SOP or protocol for the use of nebulised GTN for the purpose of pulmonary vasodilation as a bridging/stabilisation therapy in acute PE? Making an application to the hospital drug therapeutic committee. #EMIMCC

I’ve managed to adjust the oven clock to the right time so figure I might be in the running for next year’s Nobel prize.

Learning VEXUS from Andre Denault. Amazing.

My wife spent her birthday at Sopwell House having treatments. She wishes she could go back today; that her job is just ‘spa’.

Post a perfect album from the 90s which isn’t Nirvana, Pearl Jam, Soundgarden or Alice in Chains

I paid for my children to receive this vaccination. This is very welcome news as the UK has lagged behind other parts of the world where this is commonplace.

Gordon expends a tremendous amount of energy just charging around without any prospect of winning the football. Lunging in like that is reckless & gives Hooper a decision to make. Completely unnecessary. He has to be a bit more intelligent with his decision making.

I thought I’d try ‘The Good Doctor’ as a doctor myself & the parent of a neurodivergent child. Immediately, it irritated me. Why do many American shows insist on treating their audience like buffoons? #TheGoodDoctor

Have any of you written a local policy outlining the safe use of peripheral vasopressin? I’m interested to see if this is in writing as local policy anywhere #EMIMCC #Pharmsky

From @robpain635 on X

This is why Resident doctors in England are taking a stand against the Government - it’s time to pay us what we're worth. Support us on the picket lines 📢 25 to 30 July #PayRestoration #DoctorsStrike bma.org.uk/residentspay

Three stunning and shaming paragraphs, by Rachel Wolf of Public First, in @theobserveruk.bsky.social

open.spotify.com/track/031qnP... This is now available on Spotify. One of Neil Young’s most beautiful and gentle melodies. I love this song.

Paul’s birthday means it’s Ram time. It’s his best work. Happy Birthday Paul.

We appreciate the messages about flags being taken last night, and the photos of the culprits too! 😂 Its a shame, and we don’t really know why people feel the need to take them, but it means less at the next two nights. It would be great if anyone who has taken one returns them to the stadium 🏴🏳️

Aortic Dissection Management -Activate consultants -POCUS:check for tamponade -Anti-impulse tx:reduce force + frequency of blood striking flap -Analgesia 1st -HR: esmolol w/ goal ~ 50 bpm -BP: clevidipine/nicardipine w/ goal SBP ~ 100 mm Hg youtube.com/shorts/jKP5e... #EMIMCC

1/ Hi 👋 #medtwitter #neurotwitter #neurocritcare #FOAMed #meded have an impressive image to show you in the form of another case, albeit, this one with a sad ending

My WiFi hub stopped speaking to my Sky Q box today. I couldn’t figure out why. I’ve tried everything. Always run the lines.

ICU Small Bowel Obstruction (SBO) Refresher: If you don't manage patients with SBO, this brief post is not for you. The risk of SBO is highest following colorectal, oncologic gynecological, or pediatric surgery. I see 1-2 SBO cases per month & recently reviewed the literature:

For those not into snooker, we are very close to seeing a Trump vs China World Championship Final

Adam Loughnane asked for help at a Galway hospital. Three hours later he was dead

A single 400-year-old ancient oak produces 234,000 litres of oxygen a year while soaking up carbon dioxide, and can support more than 2,000 species of bird, insect, fungus, and lichen. Nature is amazing - we need more of it, not less. Please repost if you agree 🌳

NEW: China is switching from American to Canadian oil. Chinese purchases of American oil are down **90%** year on year. Purchases of oil from Canada are up +700%. That equates to a $20 BILLION annual loss for the United States, at current oil prices. Tired of winning yet?

Golf ball embedded in my lawnmower blade. This took an hour of fighting to remove. I don’t even play golf⛳️

The East of England Acute Aortic Dissection study day and the message to radiology is clear for the CT aortogram #CIN #AAD

Wondering whether Howe should consider a 5-4-1 shape for Wembley and play Schär, Botman & Burn, with Joelinton left and Murphy right of a midfield 4. Isak alone up top. May allow us to sit in a compact shape without the ball. We can’t beat LFC in open play, that much is clear #nufc

Is there a “standard” frequency of monitoring pedal pulses in the ICM? Is this a QI exercise undertaken by ICU nurses for patients on vasopressors as a standard part of charting/monitoring? Interested to hear from others as to what their Units are doing.

I think the 100mL liquid rule at airport security increasingly feels like a racket to make you buy more products. Lost shampoo, face wash and shower gel. The plane landed safely though.

Wonder which government allowed that metric to deteroriate so badly. Presumably a paper with that front page wouldn't have endorsed them for another term.

Tell me you work in the NHS without telling me you work in the NHS.

Do any of the Bluesky surgeons/managers have a good working model for an ambulatory surgical pathway for patients coming in, in terms of managing multiple surgical specialties? Any particular advice on the logistical challenges of running a successful ambulatory surgical list?

I love how Denmark isn’t taking any shit from Donald Trump. 🇩🇰 🤣

dontforgetthebubbles.com/weaning-seda... A very interesting read on weaning paediatric sedation. The way we sedate kids has always confused me.

I think Neil Young fits with autumn like no other artist open.spotify.com/track/4jUvuC...

hqmeded-ecg.blogspot.com/2024/11/preh... Another essential reading blog post from Steve Smith.

An IUD is excellent contraception and lasts longer than a presidential term. A message from your friendly neighbourhood gynaecologist.

Twitter is so grim at the moment, with the feed populated by so much ugliness. Man’s inhumanity to Man. Maybe Ringo was right? #peaceandlove

Delighted with Newcastle United’s victory today. Hopefully, the next few weeks will bring a few more 🖤🤍🖤🤍 #nufc