Started in the Winter of 2020, from fragments of conversations. Back then, I hadn’t time or space to write like I had been used to. But there were parts of those days that needed to go somewhere, so they became fragments in my notes app.. open.substack.com/pub/aoifeabb...

Started in the Winter of 2020, from fragments of conversations. Back then, I hadn’t time or space to write like I had been used to. But there were parts of those days that needed to go somewhere, so they became fragments in my notes app.. open.substack.com/pub/aoifeabb...

The Things I Didn't Need to Know Earlier - On hindsight, medicine and the illusion of wisdom open.substack.com/pub/aoifeabb...

New post on substack: open.substack.com/pub/aoifeabb...

Health Care and the Conditional Reality of 'Zero Tolerance' to Racism open.substack.com/pub/aoifeabb...

Toying with the idea of watering my desire to write again, so I made a substack...not sure what I'm doing yet. Let me know if you're there! substack.com/profile/1378...

To follow this up, here is the end result: curated list of ‘papers I want to read’ from my attendance at #Lives2025 #criticalcare 📟 😀

Next up is SONIA - a trial of low dose steroids for pneumonia, which sheds needed light on care of pts with pneumonia in resource limited settings. Worth appreaciting differing baseline mortality associated with CAP and hitherto underrepresentation of pts in these settings in research #Lives2025

ANDROMEDA-SHOCK-2 is up next…. this looks at personalised phenotype-based, capillary refill time (CRT) targeted resuscitation in early septic shock, comparing to standard resuscitation. It is large (86 centres, 19 countries). Read it free from JAMA: tinyurl.com/mjcj8s5w #Lives2025 #criticalcare

EVERDAC is hot off press @esicm.bsky.social #Lives2025 in @nejm.org open access currently: www.nejm.org/doi/full/10.... Reports that in (non-blinded trial) patients with shock, management *without* early a-line insertion was noninferior to early catheter insertion…. #Lives2025 #criticalcare

After much wind and rain - we did have one blue sky day in #Munich - The best part of which was when a stranger asked me to mind her dog for five minutes and he was a very good boy #criticalcare #Lives2025

Hoping to catch some ‘hot topics’ session from airport, off now to get back in good time for for work tomorrow. Have had a wonderful congress catching up with colleagues from all over the world, attending @intenscaremed.bsky.social board and reaffirming my 🩵 for intensive care! #Lives2025

I’m closing my day with (you guessed it) - another debate. This time, diaphragmatic pacing and ventilator weaning Diaphragmatic weakness is multi-factorial but lack of contraction on IMV is obviously a big one ….. #Lives2025 #criticalcare

I am back to do some poster moderation again for the late afternoon. It’s so wonderful hearing what people around the world and doing an contributing to our speciality #Lives2025 @esicm.bsky.social

Spending my time immediately post-lunch attending Ethics section meeting of @esicm.bsky.social at #Lives2025 - it will be my first time actually attending the section I picked. Photo to illustrate that the flow of free coffee from industry is not disappointing #criticalcare

Debate 3 of my day - Can we predict prognosis of comatose patients with acute brain injury? This is something that touches a significant proportion of my caseload. #Lives2025 #crticalcare @esicm.bsky.social

Twitter would be “AND DID YOU CHECK THAT THE PISS WANTED TO BE REMOVED OR DID YOU JUST COME ON TWITTER TO BITCH BEHIND THE PISS’ BACK?!” “Piss removed in the ED should be removed by the med reg” “I use instillagel to remove my piss, first time, everyone, always”

I’m taking suggestions for words from languages with better ways to describe de-resuscitation! #Lives2025

There’s a theme for my morning! Next Debate: Fluid Accumulation in Critically ill Patient - inevitable consequence or feared complication? #Lives2025 #criticalcare @esicm.bsky.social

…Someone did just call it an ‘evacuation phase’ - not sure about that one either! #Lives2025 @esicm.bsky.social #criticalcare

De-resuscitation in sepsis….. first debate of morning for me! I wonder why there isn’t a better word - ‘de-resuscitation’ sounds so phoney…English antonyms don’t work -better options in other languages I wonder? #Lives2025 @esicm.bsky.social #criticalcare 📟

Don't forget the ICM sessions at #LIVES2025, packed with innovation, practice-changing research and warm smiles from your Editorial Board.

🌤️ 𝗥𝘂𝗻. 𝗪𝗮𝗹𝗸. 𝗖𝗼𝗻𝗻𝗲𝗰𝘁. 𝗖𝗮𝗿𝗲 — what a way to start the day at #LIVES2025! This morning, our community came together at the ICM Congress Centre in Munich for the 𝗳𝗶𝗿𝘀𝘁 𝗘𝗦𝗜𝗖𝗠 𝗖𝗵𝗮𝗿𝗶𝘁𝘆 𝗥𝘂𝗻/𝗪𝗮𝗹𝗸, uniting ICU professionals under a clear purpose: 𝗰𝗮𝗿𝗶𝗻𝗴 𝗳𝗼𝗿 𝗼𝘁𝗵𝗲𝗿𝘀 𝘀𝘁𝗮𝗿𝘁𝘀 𝘄𝗶𝘁𝗵 𝗰𝗮𝗿𝗶𝗻𝗴 𝗳𝗼𝗿 𝗼𝘂𝗿𝘀𝗲𝗹𝘃𝗲𝘀 𝘁𝗼𝗴𝗲𝘁𝗵𝗲𝗿.

So stereotype……but I guess the British really do love a trip to Spain! #Lives2025 @esicm.bsky.social

Just here wondering why there isn’t a circle for cats #Lives2025

I love a print journal! Pick yours up at the @intenscaremed.bsky.social stand _ which is part of the @esicm.bsky.social stand opposite the escalator on first floor #Lives2025

People possessive over their t-piece! (I am not) though probably agree on the tangible plastic waste that strategy creates…. #Lives2025 @esicm.bsky.social

Here for another debate….Spontaneous Breathing Trials One for all? Interested to hear the spectrum of opinion here #Lives2025

Have you ever considered submitting to ‘From the Inside’ @intenscaremed.bsky.social ? Monday 27th, Room 11 @1500 (ICM lounge) at #Lives2025 I will be sharing highlights and talking about what we look for and what to avoid. Find out how you can share your experiences with our top ranking journal!

Head to room 11 now for your inside track on @intenscaremed.bsky.social #Lives2025 with Samir JABER …upcoming Carlotta d'Imporzano from Springer on Ethics in publishing, followed by my own talk on ‘From the Inside’ (stay the course - I’m biased but it’s the best section) #Lives2025

At an international conference like this, the in-app voting during clinical scenarios really highlights just how variable practice still is! #Lives2025

Off to moderate a poster session next - 4 minutes allowed…..don’t breath - just talk 😂 #Lives2025 @esicm.bsky.social

The questions of helmet versus mask CPAP has really ignited the room….. #Lives2025

I have no affiliation with Raindrop.io but if you’re at a conference, the app is great alternative to what ‘Pocket’ used to be - allows you to bookmark and file things in sections and #, from your social media or directly from the web, so you can read them later @esicm.bsky.social #Lives2025

Because 40 minutes and no slides is my ideal session length and format…. I’m back for another clinical debate! This time on considerations around timing of intubation for invasive ventilation for patients already on non-invasive treatment 🫁 @esicm.bsky.social #Lives2025

If you work in the UK - I’m interested to know if you have access to (timely) NSE results? #criticalcare

I really enjoy this sort of ‘formal talk free’ session - works well for holding attention and opportunity to hear perspectives from colleagues across the world. Really highlights diversity of perspectives in the audience. We’ve had some lively interaction! #Lives2025 @esicm.bsky.social

Am here waiting for Victoria Metaxa to bring the drama at first debate of my morning - who should we admit to the ICU? #Lives2025 @esicm.bsky.social Hoping for some lively interaction!

The 2025 ERC guidelines for post-resuscitation care have been published in @intenscaremed.bsky.social (open access here 👉https://link.springer.com/article/10.1007/s00134-025-08117-3#Sec5) Changes outlined in images below (Table 1 from paper) Thoughts? 📟 #criticalcare #Lives2025 #cardiacarrest

This will be my first big conference attempting to prioritise bluesky for SoMe engagement (I don’t post on X anymore) - I’m not sure the reach is there yet….. has anyone really managed to get the old medtwitter ‘feeling’ back on their feed? #Lives2025 @esicm.bsky.social

I’ll be at the @intenscaremed.bsky.social Editorial board today - but have my app downloaded and ready to go!! Do you? The programme is vast - get head-start and map your day! #Lives2025

🎓 Day 2 of #LIVES2025 pre-courses Workshops are running and everything else is getting built! 💡 From posters to TV studio to expo hall. Big thanks to all the amazing helpers behind the scenes! @esicm.bsky.social #ESICM #ICU #CongressPrep #CriticalCare #LIVES2025

Have you ever considered submitting to ‘From the Inside’ @intenscaremed.bsky.social ? Monday 27th, Room 11 @1500 (ICM lounge) at #Lives2025 I will be sharing highlights and talking about what we look for and what to avoid. Find out how you can share your experiences with our top ranking journal!

I am looking forward to @esicm.bsky.social #LIVES2025 in Munich at end of Month. I decided to come off X some time ago - will be posting from here….i will miss the ‘edit tweet’ option 😂 Registration still open: www.esicm.org/events/38th-... A great place to connect! 📟 #criticalcare #meded

I am looking forward to @esicm.bsky.social #LIVES2025 in Munich at end of Month. I decided to come off X some time ago - will be posting from here….i will miss the ‘edit tweet’ option 😂 Registration still open: www.esicm.org/events/38th-... A great place to connect! 📟 #criticalcare #meded

Indicating that this is something you have ‘learned’ - likes it’s based in scholarship and wisdom, is wild. Publishing this as a statement in national press is also - wild. Could do better - @thetimes.com

All intensive care patients deserve access to a little outdoor space - happy first anniversary to ours ☺️ @uhcw-nhs.bsky.social @tantamkate.bsky.social

A couple of us missed the photo but really proud of our departmental attendance at #SOA25

Uncomfortable truths in The Cauldron - Dr Krithi Ravi quoting @sethina.bsky.social www.bmj.com/content/bmj/... #SOA25