Had such a lovely day at Twickenham today. 10s of thousands of people came & celebrated England’s success. We proudly waved the English flag. We celebrated women’s sport. Everyone was welcome. Everyone was kind. We cheered the teams that came 2nd, 3rd & 4th. This is what matters.

Daily Mail previews a "weekend of anarchy". Calls for mass protests outside 14 asylum hotels appear to seen up to 1500 anti- turn up, with several hundred counter-protestors. The police made two arrests in Canary Wharf, one from each side. Have not yet seen reports of arrests elsewhere tonight.

I still lurk on “the other place” (mainly to try and provide some scientific/medical sense amongst the sea of awfulness, although very much appreciate it would be better for my well being if I didn’t). Saw this today and thought Bluesky would appreciate

The Glenfield hospital magnolia tree in all its glory. Enjoy

A recent pre-print yet to be peer reviewed has been published that explores the very rare side effects of covid vaccine. It’s an important study but one that is quickly being weaponised. I wanted to try and clarify what this preprint does and does not say 🧪

Sudden Cardiac Arrest Among Young Competitive Athletes Before and During the COVID-19 Pandemic No, just no, vaccines also did not cause more cardiac arrests among athletes. They just did not. "Died suddenly" is all a lie, it always was. jamanetwork.com/jour...

Check out this upcoming study day all about ventilator associated pneumonia from @ics-updates.bsky.social Not too late to register! ics.ac.uk/learning/eve...

Officially out of office

I am not big on personal heroes and role models, but if I had a little gallery of inspiring people on my office wall, this guy would be one of them.

#medsky Interested if anyone is seeing clinical influenza A (specifically H1N1pdm09) associated encephalitis this winter?

Flu cases rising fast in the UK. If you’ve been condidering a ‘flu vaccine but haven’t got around to it yet, getting it done asap would be a good idea BW An ICU & ECMO consultant #medsky

Random amusing facts that I want from social media

Need some inspiration?

Bit niche but is #ECMOsky here yet? If so great paper on nomenclature in VAECMO #MedSky #ICUSky

Reminder: Continuing angiotensin-converting enzyme inhibitors or angiotensin 2 receptor blockers 24 h before non-cardiac surgery was associated with intra-operative hypotension and postoperative acute kidney injury. #AnSky #MedSky #PharmSky 🧪 https://buff.ly/48YtnLp

Excellent article from @rosieicm.bsky.social about how best to care for autistic patients and support autistic staff members in critical care #medsky #ICUsky

Important thread. Please don’t start regular salbutamol for anything that vaguely sounds like wheeze in ICU unless you are happy it is due to bronchospasm. Appropriate for bronchospasm but entirely the wrong drug for pulmonary oedema and myriad other pathologies that sound like wheeze in ICU #medsky

New onset ICU wheeze.... If a critically ill patient suddenly develops wheeze is it more likely that they have developed salbutamol-responsive bronchoconstriction or that we have fluid overloaded them (future rant)? Is reflex salbutamol prescription appropriate given the potential harms?

Critical care intubation hills I’m willing to die on (collating an occasional series from elsewhere). Each hill is based on experience and other people’s research (I claim no other expertise) #EMIMCC #PCCM #AnSky

Time for my first debunking thread on Bluesky #MedSky. All the usual misinformation about the #HPV vaccine is in this story.

So this place seems cool? Just gotta try something (taps mic) Bike helmets are pretty good at protecting people's brains and most people who ride a bike should wear one (ducks for cover) 😬

Hi everyone 👋 Bluesky is growing so rapidly – so we want to share some key information about cancer, for anyone here who might need it. Nearly 1 in 2 people in the UK will get cancer – so if this thread might be of use to anyone you know, please pass it on to them. 1/3

This 2021 paper "The female medicla workforce" covers the basics of gender bias, and discusses isses relevent to anaesthetists such as menstruation, fertility, pregnancy and menopause associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....

Hi everyone. The Onion, with the help of the Sandy Hook families, has purchased InfoWars. We are planning on making it a very funny, very stupid website. We have retained the services of some Onion and Clickhole Hall of Famers to pull this off. I can't wait to show you what we have cooked up.

Agree Here’s a piece that @enirenberg.bsky.social & I wrote for TIME magazine about RFK Jr’s very extreme, dangerous anti-vaccine activism, including in Samoa I keep thinking I’m going to wake up & find that “RFK Jr is now leading US health policy” was just a nightmare time.com/6289037/robe...

Sharing data on ICU length of stay for critically ill covid patients & how that impacts on anyone else needing those resources. Oh and I enraged a peculiar cult of people that identify online as mice by sharing data showing vaccination massively reduced the need for ECMO support in severe Covid19

In 2019, we wrote a paper showing that patients with left ventricular thrombus have a long-term risk of embolism, extending to at least 8 years. We were puzzled by the finding… #CardioSky www.ahajournals.org/doi/10.1161/...

It’s great that journals are coming over here, but what I have really missed after my departure from Twitter 2 years ago is this, the authors themselves presenting their works and discussing it with peers. #cardiosky #medsky #emimcc

A short introduction to total intravenous anaesthesia (TIVA) 🧵 TIVA is fast becoming the go-to anaesthetic technique for many, now making up to 26% of our GAs (according to NAP 7). As it is increasing in popularity, here is a little explainer for you all!

In honour of Amit Pawa’s arrival and his dad jokes… Why did RA-UK @rauk.bsky.social join Bluesky? Because the blocks are better.

Any doctors that are poets and would like to join a zoom event in January to share their poetry? This is organised by a friend of my brilliant sister #medsky www.instagram.com/p/DCSXthPNuE...

Yikes.

A quick social experiment. The same tweet, posted at the same time on here and on Twitter, commenting on @joannahs.bsky.social’s brilliant piece on the exodus of criminal barristers. Bluesky replies on the left. Twitter on the right.

Will bluesky hit 15 million today? bsky-users.theo.io

Atrial Fibrillation #FOAMED most common arrhythmia affecting around 10% of those over 65 (25% over 80) not necessarily a condition affecting those who are “unhealthy” - associated with endurance athletes famous people with AF - miley cyrus, tony blair, joe biden, elton john

New starter pack! First attempt at curating a community of amazing #womeninmedicine Who else should I add? #MedSky

Haematology in the ICU ….genuinely wish I wasn’t on-call for this one!! Still time to register with @ics-updates.bsky.social ics.ac.uk/learning/eve... 📟⚕️

I’m new at this school so here’s my intro. I work in the East Midlands, UK as a consultant in ICU & Adult ECMO & occasionally give an anaesthetic. Main interests are critical care transfer, SARF, PICS/critical care follow up and large cats (here is Oli with my niece) #medsky #criticalcare

Lest we forget “My friend, you would not tell with such high zest To children ardent for some desperate glory, The old Lie: Dulce et decorum est Pro patria mori.” Wilfred Owen was killed in action on 4 November 1918, a week before WW1’s end. He was 25 years old.

Medsky 📌 Spontaneous Coronary Artery Dissection (SCAD) Important potential cause for an acute MI in a young patient Whilst SCAD is considered a “generally” uncommon cause of ACS (0.1-0.4% of all ACS cases), it contributes to a third of ACS presentations in women <50

What’s the deal with a starter pack? One click to follow nearly 150 accounts related to anaesthesia & critical care.

It would also be good for people still on Twitter to post things like the UK showing an 90% drop in cervical cancer, between the vaccine protecting individuals and it blocking the spread of the disease. www.bbc.com/news/article...

What a refreshing change. Posts like this that aren’t immediately pounced on by hate and misinformation.

Hello Bluesky. Hoping this platform will be like the twitter of old - somewhere to connect, share ideas, learn and generally make this little blue and green planet we are lucky enough to inhabit a slightly better place. 😊