Fluids with @nottheflyhalf.bsky.social on Day 1 East Mids Crit Care and PeriOp medicine

A new release from Larry Istrail! One of the best ultrasound texts of our time, unique in its construct and memorable in its teachings! Dr Istrail nails it again! What did we think? #FOAMed #POCUS #FOAMcc… https://criticalcarenorthampton.com/2025/10/21/the-pocus-textbook-dr-larry-istrail/

Check out our ASRA News article about why blocks in space just make sense! + breakdown of microG analogues: Pool vs Plane asra.com/news-publica... @Bilih.bsky.social @Elboghdadly.bsky.social @Dr-Amit-pawa.bsky.social @Nottheflyhalf.bsky.social @Petermerjavy.bsky.social @Maggieholtzmd.bsky.social

🔥 block box !! (Aka glass box of emotion) @Jeffgadsden.bsky.social has a lot of editing to do! @Bilih.bsky.social @Dr-Amit-pawa.bsky.social @Nottheflyhalf.bsky.social @Emarianomd.bsky.social @Petermerjavy.bsky.social @Maggieholtzmd.bsky.social @lloydturbitt.bsky.social @ropivacaine.bsky.social

🎧 Got the #SOA25 blues? We’ve got just the thing… @nottheflyhalf.bsky.social takes us behind the scenes of our brilliant ICS Cast recordings – filmed live in our buzzing podcast booth during the #SOA25 congress! These episodes will be dropping over the next few weeks. Watch this space!🎙️

Congresses like @ics-updates.bsky.social #soa25 are indebted to our industry sponsors for making this all possible Here is a little mini tour of our industry space. Featuring many of our friends and supporters (You may have seen @nottheflyhalf.bsky.social at the start too!)

It’ll be one of our last weapons of resistance as EPRs and robotics turn on us. The steth and tendon hammers… and this dude.

PanEcho - does A.I have the edge on humans in #POCUS? #FOAMed #FOAMcc #Medsky #Meded https://criticalcarenorthampton.com/2025/06/26/panecho-trial/

REST trial - lower tidal volume ventilation with ECCO₂R vs standard care in AHRF patients. #FOAMed #POCUS #FOAMcc #Medsky https://criticalcarenorthampton.com/2025/06/14/rest-trial/

Did PCT/CRP guided antibiotic de-escalation Vs standard care have a mortality benefit? #FOAMed #POCUS #FOAMcc #Medsky @ics-updates.bsky.social This will be discussed at #SOA25 criticalcarenorthampton.com/2025/06/14/a...

BLING III trial - continuous vs intermittent β-lactam infusions in ICU patients with sepsis! #FOAMed #POCUS #FOAMcc #antibiotics #Medsky https://criticalcarenorthampton.com/2025/06/14/bling-iii/

Did CTP and CTA enhance the diagnosis of death by neurologic criteria in critically ill patients with high accuracy. #FOAMed #POCUS #FOAMcc @criticalcarereviews.com #CCR25

PROMIZING Discover the impact of Proportional-Assist Ventilation vs. Pressure-Support Ventilation on extubation times in critically ill patients.

PRINCE trial - remote ischemic preconditioning's impact on myocardial injury in noncardiac surgery patients. #FOAMed #POCUS #FOAMcc #CCR25 @criticalcarereviews.com https://criticalcarenorthampton.com/2025/06/13/29099/

We explore the safety and efficacy of high-volume intravenous rehydration for severe malnutrition and gastroenteritis in children. #FOAMed #POCUS #FOAMcc @criticalcarereviews.com #CCR25 https://criticalcarenorthampton.com/2025/06/13/gastrosam/

The NOTACS trial - high-flow nasal therapy vs. standard oxygen in cardiac surgery. #FOAMed #POCUS #FOAMcc #Medsky @criticalcarereviews.com #CCR25 https://criticalcarenorthampton.com/2025/06/13/hfno2-af/

Tbh starvation mimics seem to improve outcomes in animal models in acute phase of illness eg NAD+ precursors pmc.ncbi.nlm.nih.gov/articles/PMC...

Did acute normovolaemic haemodilution prior to cardiac surgery improve morbidity? #CCR25 @criticalcarereviews.com #FOAMed #POCUS #FOAMcc #Medsky https://criticalcarenorthampton.com/2025/06/12/anh-for-cardiac-surgery/

What a continued waste of time, overfeeding catabolic patients, possibly harmful in those with decreased GFR--creating more uremic toxins

Once again demonstrating the futility of trying to convert actual physiological effects to clinical outcomes with the pragmatic trial design.....

Comparison of lactated Ringer’s solution and normal saline for IV therapy on ICU. #FOAMed #POCUS #FOAMcc #CCR25 #Medsky https://criticalcarenorthampton.com/2025/06/12/hartmanns-vs-n-saline/

ICU-acquired weakness and cardiogenic shock in patients requiring mechanical support, highlighting biomarkers and outcomes. @criticalcarereviews.com #FOAMed #POCUS #FOAMcc #CCR25 https://criticalcarenorthampton.com/2025/06/12/biomarkers-in-icu-acquired-weakness/

Discover how the STAR program improved sepsis survivorship @criticalcarereviews.com #FOAMed #POCUS #FOAMcc #Medsky https://criticalcarenorthampton.com/2025/06/12/encompass/

The RESCUE-3 trial - transvenous diaphragm neurostimulation. Were there any benefits in weaning from ventilation? #FOAMed #POCUS #FOAMcc #Medsky @criticalcarereviews.com https://criticalcarenorthampton.com/2025/06/12/rescue-3/

Discover the TARGET Protein trial's findings on augmented enteral protein in critically ill patients and its impact on clinical outcomes. #FOAMed #POCUS #FOAMcc #Medsky #CCR25 https://criticalcarenorthampton.com/2025/06/12/target-protein-trial/

Hot off the press - the UK-ROX trial results. Our analysis! #FOAMed #POCUS #FOAMcc #Meded # https://criticalcarenorthampton.com/2025/06/12/uk-rox/

Driving Pressure and ARDS Driving pressure and ARDS outcomes https://criticalcarenorthampton.com/2025/06/11/driving-pressure-and-ards/

Was a liberal or restrictive transfusion strategy beneficial to MI patients with Anaemia? #FOAMed #POCUS #FOAMcc #MEDX https://criticalcarenorthampton.com/2025/06/10/mint-trial/

For our next @ICSupdates session, we look into the airway on ICU #FOAMed #POCUS #FOAMcc #Meded #Medtwitter https://criticalcarenorthampton.com/2025/05/21/airways-and-icu-soa25-updates/

We look at the latest trial of sedation in ICU. #FOAMed #POCUS #FOAMcc #Medtwitter #Meded https://criticalcarenorthampton.com/2025/05/20/dexmedetomidine-or-clonidine-based-sedation-compared-with-propofol-in-critically-ill-patients/

What's all the hype about. Wegovy, Ozempic, Mounjaro whatever!!? #FOAMed #POCUS #FOAMcc #Medtwitter We discuss it all here. Is weight loss actually now a risk for anaesthesia?! https://criticalcarenorthampton.com/2025/05/16/glp-what/

For our next #SOA25 highlight...we have the fantastic Mervyn Singer! He will chat through he last 40 years of ICU. What went well, and not so well. I take a guess as to what he will talk to us about. #FOAMed… https://criticalcarenorthampton.com/2025/05/14/serve-or-swerve-what-will-mervyn-say/

nocturnal alpha-2 agonists FTW 🥳 the MENDING RCT shows benefit from PO guanfacine 2 mg QHS in delirium (unpublished, data online here https://clinicaltrials.gov/study/NCT04742673?cond=delirium&term=guanfacine&rank=2&tab=results) logistically an oral medication seems more feasible #EMIMCC

Did low dose clonidine aid sleep on a noisy HDU? #FOAMed #POCUS #FOAMcc https://criticalcarenorthampton.com/2025/05/06/low-dose-clonidine-infusion-to-improve-sleep-in-postoperative-patients-in-the-high-dependency-unit-a-randomised-placebo-controlled-single-centre-trial/

Post Intensive Care Syndrome! Why Rehab really matters. #FOAMed #POCUS #FOAMcc #Meded #MEDtwitter Come and find out more at #SOA25 https://criticalcarenorthampton.com/2025/05/02/what-about-rehab-then/

Admit or not? We chat about Clinical Frailty and how it influences our decision making. We have a fantastic session on this at #SOA25. #FOAMed #POCUS #FOAMcc #Medtwitter #MEDed https://criticalcarenorthampton.com/2025/04/30/frailty-a-yes-or-a-no-to-itu/

#FOAMsky #FOAMed #FOAMcc

Prolonged vs shorter awake prone positioning for COVID-19 patients with acute respiratory failure: a… https://criticalcarenorthampton.com/2025/04/28/prolonged-vs-shorter-awake-prone-positioning-for-covid-19-patients-with-acute-respiratory-failure-a-multicenter-randomised-controlled-trial/

Today's Paper of the Day is: Identifying encephalopathies from acute metabolic derangements https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

When doing a block..what’s the consensus on what you document? #RAUKISURA22 #FOAMed #POCUS #FOAMcc

Today’s Tweetorial is Gastric ultrasound! A potentially rewarding #POCUS skill to learn. Great 📄 from my good friends @shaskinsMD and @JanBoublikMDPhD #FOAMed #FOAMcc #foamus https://rapm.bmj.com/content/43/7/689#POCUS#FOAMed👍 to assess NPO status and minimise post op pulmonary...

#ASMSYD18 come and visit our site for all you need in #FOAMed #POCUS #FOAMcc #FOAMus and have a great meeting🍺👍 http://www.criticalcarenorthampton.com

Want to know about epidurals on ITU? Alex Nottingham talks us through this analgesic modality, within our trainee led ICU education section. https://criticalcarenorthampton.com/equipment/ @HelsDaggett @icmteaching #FOAMed #POCUS #FOAMcc #medtwitter @ICS_updates @RCoANews...

Toller Thread zu Lungensono

Comments on this #Ultrascoundrels, ⁦@iceman_ex⁩ and all #POCUS tweeps. #ButterflyiQ @butterflynetinc https://cloud.butterflynetwork.com/-/shared/lTc8bYOmSWOisFAbzWobaA?utm_source=image_share_sheet

My video captured with #ButterflyiQ Nice GB view and a blighter in there...leaving a lovely acoustic shadow! #FOAMed #POCUS #FOAMcc

New to Critical Care?? Take a look and download our guide to ICU; with a COVID angle too! https://criticalcarenorthampton.com/general-icu-guide/ @Gas_Craic @bryan_reidy #FOAMed #FOAMcc #POCUS #FOAMem @ICS_updates #medtwitter @Anaes_Journal #COVID19

Learn TOE with us @ICS_updates Advanced Ultrasound Day - 8th December! My simple infographic on the Mid-Oes. views. Download here http://criticalcarenorthampton.com/pocusgrams/ Thanks to https://pie.med.utoronto.ca/TEE/ for images @icmteaching #POCUS #FOAMed #FOAMcc @ICUltrasonica...

Ultrasound physics....here’s what he produced on the fly!! #FOAMed #POCUS #FOAMcc #periopPOCUS @iceman_ex

Can everyone tell me about their institutional use of lidocaine infusions for analgesia? Either intra or postop. @bobfunn.bsky.social @nathaslam.bsky.social @houthoff.bsky.social @jeffgadsden.bsky.social @jennyferry.bsky.social @ajrmacfarlane.bsky.social @dr-rajgupta.bsky.social