So exhausting..

Accurate (but untrendy) comment on effect size for those of us moving from translation to clinical trials….

New report out today! A review of the quality of rehabilitation care after an ICU admission: ncepod.org.uk/2025icur.html @Davido744 @BACCNUK @ICS_updates @theRCOT @thecsp @BDA_Dietitians @rcgp @RCSLT @FICMNews @ICUsteps @UKCCNA @RCoANews @GeriSoc @hqip.bsky.social

The process and the paper are discussed in more detail in this podcast

New from @jomcpeake.bsky.social @iculone.bsky.social @darknatter.bsky.social and colleagues from @sepsisresearch.bsky.social the full publication of the Sepsis Research priorities. These set out the research priorities from established sepsis survivors, families, carers and healthcare professionals

The @ics-updates.bsky.social #soa25 is fast approaching. Featuring an absolute stellar lineup. Just look at these amazing sessions! (I’ll be there as well, doing some fantastic #pocus workshops with some of the best in the world) Ics.ac.uk/soa to book

Our paper on decision making in managing ventilators during the covid 19 pandemic is out: bmjopenrespres.bmj.com/content/12/1...

@qmulpsychiatry.bsky.social @claudiacooper.bsky.social

An inspiring panel discussion with Dr Claire Dow, Professor Jo Martin & Fiona Miller-Smith. Sharing insights on moving from vision to reality - creating ripple effects across the hospital & into the community. “Passion and dedication brought ACHA together.” @qmul.ac.uk @bartscharity.bsky.social

Highlights need for: Early screening Med optimization 💊 Targeted exercises 🏋️‍♀️ Read more here: journals.lww.com/ccmjournal/p... #icurehab #ICUcare #FallPrevention @zudin.bsky.social @kelamb.bsky.social @catherinegranger.bsky.social er.bsky.social @selinaparry.bsky.social .social Part 2/2

So a clip with me on Last Week Tonight with John Oliver talking about indirect costs

Fancy working and being trained on conducting nutritional and metabolic trials in critically ill patients? We are recruiting a research dietitian for ASICS-II. eur01.safelinks.protection.outlook.com/?url=https%3A%…

Please do think of joining us or pass this on to someone you know who might fancy it. I am, of course, rather biased but I think we are a lovely bunch, trying to help answer some really important questions. Always happy to chat to anyone who is interested!

In one week, we’ll have a new @rcphysicians.bsky.social President & other elections will close. Please vote for: PRCP: @drasifqasim.bsky.social Clinical VP: @drlkvaughan.bsky.social Council: @copddoc.bsky.social, @respirologist.bsky.social (me!), Dr Barry Monk, Dr Dilesh Lakhani #RCPTimeForChange

Caring for patients after attempted suicide presents unique clinical and emotional challenges for intensive care teams. Book onto a day of learning with our Suicide and Attempted Suicide - Recognition, Response, and Recovery study day on 25 April. bit.ly/suicidecriticalcare

I am running for Clinical VP of the RCP. For those who don't know me, here is a potted bio. 🧵

👏 to Evelyn Sloan on her first PhD 📝 Systematic Review on development & #implementation of complex post-hospital #Icurecovery interventions Need: 🧠 Theory-based methods 🤝 Stakeholder input 🔍 Implementability evaluation 🚀 Implementation science approaches Read here: www.chestcc.org/article/S294...

Truth to power. Well done, @martinmckee.bsky.social academic.oup.com/eurpub/advan...

Dismayed to see @rcphysicians.bsky.social only today - literally years after doctors started raising concerns - finally issue an "urgent" call to the govt to address its deliberate suppression of resident doctor training places. This is not what good leadership looks like (1/3)

New report out today spotlighting the care of patients with #JIA #juvenilearthritis #ThinkJIA Read the report here: ncepod.org.uk/2025jia.html @VersusArthritis @JARProject @JIA_NRAS @RheumatologyUK @RCPCHtweets @RCPCH_and_Us @HQIP @bmj_latest @katiemalbon

This is the most relevant article to NIH and research cuts I’ve seen. Imagine if this was today , how many people would be saying “Why are we studying Gila Monsters and their impact on diabetes ? That’s wasted money !” globalnews.ca/news/9793403...

Good luck Asif- you are the the right person to restore @rcphysicians.bsky.social

NHS England has no idea about GPs: Reform will only happen when the organisation confronts how lamentably wrong-headed it has been. 🖊️ Phil Whitaker

Yikes! Pretty damning verdict on NHS England leadership from @laylamoran.bsky.social and @commonshealth.bsky.social MPs

A lovely review of some of the things that we have done over the past 7 years @preventiveneur1.bsky.social It’s been a real privilege and joy to do this with our team. Huge thanks to Bart’s Charity for the belief and support. www.bartscharity.org.uk/our-news/gro...

When it comes to dealing with the real world, NHSE takes the blue pill: policyskeptic.blogspot.com/2025/01/nhse...

Evening all. You'd be doing me a huge favour by following @sascollective.com. We are trying to make the world a better place for a marginalised and increasing group of doctors. We are trying to maintain the momentum we had on other platforms, and we need your help! #SASsix

Great morning today talking about research alongside clinical roles with the @nhsuhcw Community Integrated Neuro and Stroke Service (CINSS) teams. So many fab ideas to improve patient care and service delivery @CfCExcellence @UHCW_RandD

In 2024, researchers from @qmulfmd.bsky.social @qmul.ac.uk made key contributions to critical care and perioperative medicine, with studies featured in prestigious journals such as @thelancet.bsky.social, @bmj.com, #EHJ, and @nature.com 📚 Here’s a snapshot of some key publications:👇 (1/6)

🚨 While Govt talks about elective waiting times, remember thousands are experiencing truly awful emergency care right now. Below is from Royal Liverpool Hospital today - it has activated "full capacity" alert - longest wait for a bed in A&E is 91 hours!! 28 patients on corridor

Great distillation of an inconvenient problem within the NHs @alisonleary1.bsky.social

"The RCP didn’t listen, took its power for granted, and was hit hard." www.bmj.com/content/387/... @bmj.com

The whole point of the GMC is to keep patients safe from harm. But what if, like OFWAT & OFCOM, it’s turning into another politically-neutered, failing regulator? I cannot stand silently by as the GMC fails patients in the PA debacle. Here’s why 👇 app.prospectmagazine.co.uk/story/68829/...

And we STILL are struggling. We have to get it together, people. Representation is a matter of life and death. #blackmedsky #obgynsky #medsky #academicsky

winter is kicking in and it’s turbo trainer time. I’m looking for podcasts. Empire so far has been fantastic open.spotify.com/show/0sBh58h... but can anyone suggest anything else? Even god forbid a decent medical or physiology podcast…

Please read our @thetimes.com letter about what dying is typically like 🙏 It would be so easy to fear from the examples cited in the assisted dying debate that horrific death is the norm. It isn't - really. Between us we have >300 yrs of combined experience treating dying people.

Thrilled that our @anaesjournal.bsky.social human factors guideline paper has passed 40 000 views! Thank you to @dasairway.bsky.social @assocanaes.bsky.social and all of the authors @drkevinfong.bsky.social @doctimcook.bsky.social @tmeek.bsky.social et al #ansky search.app/UvkCbeESwrcf...

Do we really need new treatments to improve outcomes in intensive care, ordo we just need to deliver care better? Tim Stephens’ new paper journals.sagepub.com/doi/10.1177/...

Amazing to join up with @zudin.bsky.social at the @gerisoc.bsky.social Team #Rehablegend on tour sharing the challenges of recovery after #ICU #RightToRehab #RehabMatters

Call to arms from @zudin.bsky.social to protect our multi-professional team to look after our patients for rehab and ongoing care #BGSConf

Subsequent to that statement, an independent review by the Kings Fund substantiated ALL our concerns and raised serious questions about governance of RCP London. The Registrar, President, Chair of Trustees and CEO of the RCP have all resigned. This is the worst governance scandal in College history.

New Lancet paper 'The cost of not investing in the first 1000 days'. Cites our Cochrane review on preschool-based feeding programmes in socio-economically deprived settings. FEED STARVING CHILDREN in a timely way. Later (when they're older) may be too late. www.thelancet.com/journals/lan... 🧪

Magnificently (& appropriately) savage from @tompeck.bsky.social on Matt Hancock’s nauseatingly self-serving performance at the Covid Inquiry yesterday. He repeated the lies about the NHS not being overwhelmed (it was) & there being no national shortage of PPE (there was). 2 more hours today 😡

Chris Whitty being asked about how do we increase research in older adults This is one of the reasons ACHA has been developed in East London to add to this. Happy to chat about this (and @adamgordon1978.bsky.social works here now) if people are interested #BGSConf acha.qmul.ac.uk

Will then hot foot it to the ITU stream to listen to @zudin.bsky.social talking about muscle wasting in ITU in Stream 2 at 11 #BGSConf Busy day for East London research and work (and did I happen to mention ACHA as well as other jobs available here too...)

In the light of the new government announcement of a national review of Physician Associate roles and scope of practice, I repost our Statement of Concern (March 24) on how the Royal College of Physicians of London had dealt with the matter. At the time we were described as a "social media rabble".