Will Angus

Missed out on your ST4 Anaesthetics post? Come and work with us instead, mountains of portfolio building and critical care experience available within a large major trauma centre: careers.uhliverpool.nhs.uk/current-vacanc…

Lesson 1. Resuscitation is the easy part of caring for critically ill patients. Resuscitation or ‘rescue’ is one of the most exciting parts of the job, however, is only a fraction of what’s needed to care for a critically ill patient. Without being competent at resuscitation, the other aspects of patient care suffer, but hyper fixating on resuscitation can be at the detriment of patients. After some time (typically hours), care needs to shift from resuscitation into stabilization. The things that may have benefited patients early on (e.g. fluids) may harm the patient later on. Importantly, the intensity of resuscitation often corresponds to the intensity of deresuscitation required.

Did you miss out on your Anaesthesia ST4 post? Never fear, employment is here: careers.liverpoolft.nhs.uk/current-vacanc…

1000 applicants for an F3 post. How did we get here. Dark days for residents at the moment, the days of guaranteed employment as a doctor seem a distant memory.

@DrDavidWarriner It’s clear where this doctor lies on this graph

This is utterly patronising tosh. I realise it's from 2012 but seemingly still being shared regardless. "You don't have your comfort blanket with you" um what....? Please just try and remember what it was like to be an F2.

@drjgutt Were you doing this because it was the best thing for the patient or because it was a cool thing to do?

13/ Learning points: -POCUS ftw! - Go to DS defib early in refractory shockable rhythm. By the second unsuccessful shock start thinking about. More emerging data on its efficacy -Consider stellate ganglion block beyond that. Get good at guiding your needle to do this quickly.

1/ Wild cardiac arrest with #POCUS playing a major role An elderly male was sent from the nursing home in cardiac arrest. Per the prehospital report that we got, the patient was in vfib and refractory to 5 defib attempts. The patient got amio as well as several doses of epi.

If you missed out on that ST anaesthetics job and need to fill 6-12 months, come and work with us on Aintree ICU: careers.liverpoolft.nhs.uk/current-vacanc…

If you know, you know

God bless America

@peteturton85 I nailed it

I said what I said

If you missed out on that precious anaesthesia ST job and are looking for a post to build your portfolio, come and work at the busiest ICU in the region in a big major trauma centre. Weekly teaching, research and QI opportunities, SPA time, and me. careers.liverpoolft.nhs.uk/current-vacanc…

@peteturton85 Outing yourself as a GB news fan there

Comedy Hyrox face. Dear god the pain.

#ClassicMemeReg #ThrowBackThursday #MedicalMemes #MedMemes #MedTwitter #TBT

@PulmCrit Loving this: journals.sagepub.com/doi/pdf/10.117…

hypernatremia causes delirium & miserable thirst with few exceptions (eg ICP crisis), hypernatremia should always be aggressively fixed calculate free water deficit & give enterally or IV d5w persistent hypernatremia = marker of poor quality care more: #top" target="_blank" rel="nofollow noopener">emcrit.org/ibcc/hypernatr…

@Medic_Mermaid Just remember you’re a very capable doctor and the first day is always shit.

Guys I have spent all of 5 hours on Cardiology and I already feel like I'm going to burst into tears 🥺😭

For everyone 10 likes, I will make this ultrasound machine slowly take over the world and exert global dominance that leads to the end of human civilization. #medtwitter #foamed

@Medic_Mermaid Love it. He’s my hero too - I was also his FY2 back in the day!

I was gushing about my consultant this morning about how cool he is, how knowledgeable he is & how "I can't wait to be that knowledgeable one day" & he was LITERALLY WALKING RIGHT BEHIND ME 💀 HOW is it even possible to be this embarrassing as a human being. How am I this uncool