Chris Newell

Novelty-bias, innovation-bias, and do more-bias. The quintessential problems that drive ever-increasing costs. Until we embed RCTs at scale into health systems, this will not change and, yet, if we embedded adaptive RCTs into systems we could get high quality data quickly.

Resuscitation fluids, @ESICM guideline 🧵1/2 💦 for volume expansion use crystalloids vs albumin in critically ill pts in general, in #sepsis, ARF & periop + if risk for bleeding 💦 isotonic saline vs albumin in TBI & albumin vs crystalloids if cirrhosis 🔓bit.ly/3wLJTj4

The Newell Brothers enjoying the bumps off-piste in #pila #skisunday last week

Acutely poisoned patient w/ AMS Old: GCS < 8, Must Intubate New: Withhold intubation Why? Lower ICU utilization, lower adverse event rate bit.ly/417ezWy w/ great editorial @resusone

Balanced crystalloids versus saline for critically ill patients (BEST-Living): a systematic review and individual patient data meta-analysis - The Lancet Respiratory Medicine thelancet.com/journals/lanre…

We have a new publication in Critical Care & Resuscitation: Potential metrics for rapid response systems in Australia and New Zealand. Online here: sciencedirect.com/science/articl…

🧠 Here recent neuro-narrative reviews… 🔓 #FOAMcc on @yourICM 📖 EEG in #ICU for acute BI rdcu.be/dj1PO 📖 Managing moderate/severe TBI rdcu.be/cN2rq 📖 Hypoxic–ischaemic BI after CA rdcu.be/dh3Gd 📖 The brain in #PedsICU rdcu.be/cLS1v

@brisgasdoc A Christmas classic ‘family film’ for some reason - absolutely terrifying! Bright Eyes by Art Garfunkel quite haunting though

A recent publication linking ANZICS Paediatric registry data and #NAPLAN data to predict poor school performance following #ICU admission 👇 link.springer.com/content/pdf/10…… Another example of how registry data can be used to provide insight into problems #BeyondTheICU

Royal Commission on Doctor’s & Dentist’s Pay reported in 1960. It arose from industrial unrest caused by government holding back Drs pay. Was accepted in full - despite a country broke from war & wracked by inflation. Could have been written yesterday @hmtreasury @Number10press

#CCR23: In the DEVICE trial, the use of video laryngoscopy in critically ill patients undergoing intubation in the ED or ICU resulted in a higher incidence of successful intubation on the first attempt than direct laryngoscopy. nej.md/43H2t79

Targeted temperature management in patients with intracerebral haemorrhage, subarachnoid haemorrhage, or acute ischaemic stroke: updated consensus guideline recommendations by the Neuroprotective Therapy Consensus Review (NTCR) group☆

Attention📢📢 : New aneurysmal subarachnoid hemorrhage guidelines just dropped! Lots of new updates to the last guidelines published in 2012, lets check them out below 👇 link.springer.com/article/10.100…

Everything you need to know on the furosemide stress test ‼️in the ICU #ISICEM23 via @JohnProwle ▶️1mg/kg bolus furosemide IV ▶️Wait for 2 hours ▶️If UO > 200 ml, then the test = passed ✅ ▶️and less risk for AKI ▶️and more kidney reserve

🚩 Tranexamic Acid - it's complicated.... ➡️It's widely used for treatment & prevention of haemorrhage ➡️It's in the WHO's List of Essential Medicines & recommended in the European Traumatic Haemorrhage guideline (2023) ➡️But is it as efficacious as we think? 🧵 1/17

@anzca guidance about axillary node clearance and use of same side arm…very sensible advice @GongGasGirl anzca.edu.au/resources/pati…

Junior doctors have voted YES to strike action in England. This is a giant step forward for junior doctors and #PayRestoration. Thank you to everyone who worked so hard for this. Keep an eye out for next steps. #BMADoctorsVoteYes bma.org.uk/our-campaigns/…

🚨BREAKING: Nurses to strike for a continuous 48 hours at over 120 NHS organisations on March 1. For first time nurses in A&E, ICU, cancer units and other exempt areas will strike too in what is a big escalation by @theRCN in face of @DHSCgovuk intransigence on pay #NursesStrike

Line up for STAR conference is up- its looking good! First up @bengibbison. Dr Ben Gibbison is a Consultant in Cardiac AnaesthesiaIntensive Care at University Hospitals Bristol; an associate Professor at the University of Bristol and an associate editor for Anaesthesia.