Sian Williams

5 iv) Fenestrations: Have higher rate of complications (56% vs. 16%) Longer average weaning duration (12 vs. 7 days) Risks include: -Granulation tissue (Stuck TT; TT partial/complete TT obstruction) -Surgical emphysema -Tracheal stenosis -Tracheomalacia

Auscultating Lung Sounds via stephbeggs #MedEd

Did you know that the use of blood gas analysis for pH and PCO2 in clinical practice began during the poliomyelitis epidemic of the 1950s?! Dr Ian Shaw and Dr Patrick Magee discuss the key historical developments of acid-base quantification. bjaed.org/article/S2058-…

@Pink What wonderful news to wake up to

@SCCM A

Test your knowledge with today's #CriticalCareQuiz. A 45-year-old woman with obesity is admitted to the ICU with pneumonia. Despite maximal intervention, she develops acute respiratory distress syndrome and requires mechanical ventilation. 1/2

Fantastic to see our Medical Illustration Department using its skills to develop a new training virtual reality training programme that has the potential to save lives. Read the full story here sbuhb.nhs.wales/news/swansea-b…

There were 2,357 new cases in the 24 hours to Friday and three deaths bbc.in/2V2b7iE

Very happy my colleagues and I have had our abstract poster accepted for the @BACCNUK conference.

@Deb178 Absolutely, Morriston Hospital ITU would love one! Long stay patients would really benefit from this

A Theradog at Morriston Hosptial would help us all - staff and patients 😍😍😍

@NHSMillion More footage of the capitol riots?...nope just another person trying to incite violence against people who their own welfare aside to help the public..

This is what NHS staff woke up to this morning. A rally talking about hanging doctors and nurses. This has caused considerable distress amongst NHS staff. If you’re still behind NHS staff please tweet with the hashtag #gotyourbackNHS. Let’s show staff they are appreciated 🙏🏻

1/3 WARNING: A number of people are seriously ill in Morriston Hospital after overdosing on what is believed to be a bad batch of illegal recreational drugs possibly being miss-sold as Valium and Xanax.

2 days to go until our digital #ACCP conference. A fantastic half day packed with excellent lectures! Busy on the day? Lectures will be available after the conference too! 📅4 June 2021 🕐9:00 - 12:45 📚3 CPD points 💻Programme & booking: bit.ly/ACCP2021

New @ResusCouncilUK guidelines for anaphylaxis: ⭐️ Adrenaline IM is priority ⭐️ Fluids if low BP or no response to 1st adrenaline ⭐️ Salbutamol neb if wheeze ⭐️ No routine antihistamine (only if itchy rash) ⭐️ No routine steroids for treatment resuscitationjournal.com/article/S0300-…

Frontline staff at Morriston Hospital have given a harrowing account of the impact the second wave of Covid-19 is having. Patients coming into intensive care are sicker than during the first. Sadly, most put on intensive ventilation will not survive sbuhb.nhs.wales/news/swansea-b…

@LianneBeynon It's unbelievable!!

If one more person tells me Covid is a hoax I’m going to beat them! 31 available shifts for Thornbury agency in ITUs across south west Wales tonight and no nurses to fill them 🙈 what a bloody state!

Changes to the 2 metre rule announced by UK government today only apply in England. The 2m rule remains in place in Wales to help limit the spread of the virus. We keep this rule under constant review – our focus is on helping to save lives.

@Hev_J_Reading @ccpractitioner @DentonGavin I agree, they have been fantastic. I have definitely seen a curiosity about critical care nursing from our new colleagues

IT DOES NOT WORK!

@DentonGavin @ccpractitioner By pushing staff to these limits, what potential burnout numbers are we unfortunately going to see?

@ccpractitioner It does, but at a cost, what cost are we willing to pay.

@DentonGavin From a nursing perspective, the collaboration we have between ITU and theatre's during this time will definitely open doors for the future, improve communication and understanding of each others roles

Thinking aloud. Professional boundaries have never been more blurred in critical care. I wonder what this might mean for ICU over the next 20 years. Will professional tribalism dissolve, particularly between HCPs/advanced practice and medicine?