Tamsin Cargill

Readmission rates only tell part of the story. 🏥 In @FrontGastro_BMJ, this timely piece asks how studies of complex interventions in cirrhosis can move beyond readmission and focus on outcomes that are clinically meaningful, patient-centred and relevant to real-world care. Essential reading for anyone designing or interpreting cirrhosis intervention studies. Read more: fg.bmj.com/content/early/… #Cirrhosis #PatientCentredCare #OutcomesResearch #Hepatology #FrontlineGastro #GItwitter #LiverTwitter #ClinicalResearch #QualityImprovement #PatientOutcomes @TamCarg @DanLasserson @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @EASLnews @AASLDtweets @DrLChina @acv69cardenas @GeriKeane @jamesbmaurice @drobeirne @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

🚨 NEW: Nearly 780 people die every day in Europe from liver disease — a largely preventable crisis. The new EASL–Lancet Commission calls for urgent policy action on alcohol, diet, viral hepatitis & more. 👉Full report: thelancet.com/commissions-do…

🚨New piece in ⁦@FrontGastro_BMJ⁩ Complex interventions for cirrhosis - how should we measure outcomes? ✅ Study designs with mixed methodologies ✅Difficult to reach populations ✅Patient centred outcomes fg.bmj.com/content/early/…

🎙️ #BavenoVIII takeaways — distilled by @tom_marjot, @MattiasMandorf1 & Cristina Ripoll 🎧 Listen now: - EASL Campus: easlcampus.eu/tltm/episode-06 - Spotify: open.spotify.com/episode/4TfvNE… - Apple: podcasts.apple.com/us/podcast/tal… #LiverTwitter #LiverX

NEWS: Liver care beyond the hospital Liver disease is a growing and urgent challenge for the NHS. Dr Tamsin Cargill, NIHR-funded Academic Clinical Lecturer @NDMOxford and hepatology registrar at @OUHospitals, has developed Hepatology at Home. medsci.ox.ac.uk/news/hepatolog…

BLEEDING FROM PHG AND GAVE => Portal hypertensive bleeding: first line NSBB, definitive treatment TIPS => GAVE: EBL is superior to APC #BavenoVIII

COMPLICATIONS OF ASCITES: AKI, HRS-AKI and SBP => Temporary NSBB withdrawal only if MAP <65 mmHg or HRS-AKI => HRS-AKI: continuous IV infusion ↓ adverse events => Rifaximin cannot be recommended for secondary SBP prophylaxis #BavenoVIII

HEPATIC ENCEPHALOPATHY => Previous HE is not a contraindication for TIPS, frequency and severity of HE episodes matter => Rifaximin is recommended for primary HE prophylaxis after TIPS => Recurrent HE despite SOC treatment: consider LOLA or shunt embolization #BavenoVIII

Really important study on living and dying with advance chronic liver disease @FrontGastro_BMJ in the UK, showing we still have a way to go to provide timely advanced care planning for many in this patient cohort

🏥🩺 Living & Dying with Advanced Chronic Liver Disease Advanced chronic liver disease is not just about MELD scores and varices — it’s about people, trajectories, and timely conversations. This powerful FG paper explores the lived experience, prognostication challenges, and the integration of supportive & palliative care in ACLD. Clinical realism. Compassionate care. Earlier planning. 📖 Read: fg.bmj.com/content/early/… #Hepatology #ACLD #Cirrhosis #PalliativeCare #LiverDisease #FrontlineGastro @basl_events @heppharm @livernursing @LiverAHPs @Liver4Lifeuk @f4liverresearch @IQILS_Liver @LiverTrust @EASLedu @EASLnews @BritSocGastro @BavenoCoop @BCLC_group @ILCAnews @APASLnews @liverfellow @my_ueg @UKCPAGastro @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGtrainees @drkeithsiau @ebtapper @DrLChina @acv69cardenas @GeriKeane @jamesbmaurice @ClinicLiver

A Tribute to Dr Ahmed Elsharkawy

Beautiful article from @DrLKVaughan about The Thinking Doctor and The Protocol Doctor. Short yet full of truth. journals.sagepub.com/doi/10.1177/01… @DrGrumble @AndrewElder @somersetwyvern @rakeshspatel

Point-of-care ultrasonography (#POCUS) is a noninvasive bedside imaging modality used to assess intravascular volume status in hospitalized or emergency department patients with possible #VolumeOverload. POCUS evaluates the inferior vena cava, internal jugular vein, and lung parenchyma with high-frequency linear, low-frequency phased-array, and low-frequency curvilinear probes.

📢Want to stay up to date with ToRcH-UK projects, audits, and opportunities in hepatology research? 📬 Join our mailing list: torchuk.org Consider signing up with a non-rotational email address. #Collaborate #Contribute #Improve #hepatologycare

Cannot recommend this enough. If you’re remotely interested in hepatology and/ or research, this is a great way to get to know other people in the community and discover research opportunities! @BSGTrainees @BASLedu #livertwitter

🧐Are you a UK healthcare professional? 🩺Do you assesses patients with decompensated cirrhosis? 🖊️Please complete 5min survey on using BASL/BSG bundle and performing ascitic tap! @BASLedu @BritSocGastro @acutemedicine @NHSEngland @NHSEnglandMedia forms.gle/uN9rUFDKXzQEQR…

The message for clinicians is to try incorporating symptom management in clinic. Your expertise is rare The message for researchers is to go beyond seeing the referral or consult as an outcome and evaluate how well the patient is doing

When a patient is intensely symptomatic and, for example, they are not a transplant candidate and the plan is “refer to palliative” 1. What about those symptoms while they wait for a visit? Access can be limited 2. What if the consultant doesn’t know how to manage the symptoms?

Link here forms.gle/uN9rUFDKXzQEQR…

🧐Are you a UK healthcare professional? 🩺Do you assesses patients with decompensated cirrhosis? 🖊️Please complete 5min survey on using BASL/BSG bundle and performing ascitic tap! @BASLedu @BritSocGastro @acutemedicine @NHSEngland @NHSDigital @NHSEnglandMedia @OTavabie

@reah2207 @drkeithsiau Please do fill in the survey, for all healthcare professionals in the UK who assess patients with decompensated cirrhosis! Takes 5 mins. Results will inform how to improve bundle usage and time to tap!

@TamCarg @drkeithsiau Not a Dr, but hell yes!

It’s 11pm and a patient comes in with fever and abdominal pain. What would you do? #WithConsent