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Rhys J
1.8K posts
Rhys J
@rhys_jon
Part time doctor, full time air drummer. Intensive care registrar. Welsh. Views are my own/rubbish.
Cardiff, Wales Katılım Mart 2014
664 Takip Edilen233 Takipçiler
Sorry Rachel, I don't want their shitty cars thank you.
bbc.co.uk/news/articles/…
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Rhys J retweetledi
Rhys J retweetledi
It’s a delight to announce that the @echonepean / @BartsEcho collaboration is back for its 3rd iteration
And we have the most amazing special guest- the incredible Andre Denault, for the first time in Europe.
Book here events.humanitix.com/bartsheart2025
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Really interesting case!
Josh Guttman@drjgutt
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.
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Rhys J retweetledi
A quick #VEXUS thread 🧵-
3 reasons why the portal vein is the most useful single venous doppler waveform 🥇
(if you're only going to do ONE site to look for venous congestion, this is probably the most useful one!)
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Rhys J retweetledi
🎬 2nd chapter
...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care.
☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻.
x.com/jackdeliuc/sta…
Giacomo De Luca@jackdeliuc
...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care. This the first part in a series of three about sodium bicarbonate 🧂in critical care: 🧐I will get in deep to complexities, benefits, risks and clinical implications of this (overused) drug.
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@ProfMarkTaubert They would make the choice to live. However, I still feel quite strongly that a lack of a properly resourced health system is in principle still not a reason to give others the choice. Call me idealistic, but that's my conviction.
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@ProfMarkTaubert You see way more of this than I, and I totally appreciate this argument. I also understand the point of view that regardless of safeguards there may still be people who are overtly or covertly influenced into making the decision perhaps unnecessarily, and that with better support
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Health Secretary Wes Streeting said part of the reason he could not vote for assisted dying was because palliative care was not good enough. Now is the time to fix that.
bbc.co.uk/news/articles/…
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@ProfMarkTaubert I would totally agree it's essential, but also appreciate how difficult it must be to run a robust RCT in this area.
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@rhys_jon A fair bit now, evidence base has grown from poor to better. Ethics of researching this area can be challenging, but I would argue it is essential
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@ProfMarkTaubert I agree that the evidence isn't necessarily there, but how much high quality evidence is there around the experience in dying in general?
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@ProfMarkTaubert Agree that an emphasis on high quality and equitable palliative care should be at the forefront of this debate and process, but I still don't feel that should prevent those of sound mind the choice of choosing assisted dying if they want to. The two things should run in parallel
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Excellent thread which makes me reflect on the few cases I have managed in the past
Ross Prager@ross_prager
(1/x) Here's a potentially fatal flaw in how thyroid storm is taught in medical school & residency —and why sticking to the textbook can be deadly for your sickest thyroid storm patients. ⚡️⚡️⚡️ I've seen this happen several times. A 🧵 #FOAMed #MedTwitter #endocrine #FOAMcc
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Rhys J retweetledi
If you’re getting worked up about the change in inheritance tax for farmers have a listen to this and stop being manipulated into believing this is something it isn’t. Go on I dare you. Or just keep furiously believing Farage, Clarkson, the Tory party and Musk (who hasn’t got a clue about what is actually happening and believes he doesn’t need to do so to compare Stalin to Starmer) meaningless drivel
The Rest Is Money@therestismoney
How many farmers will actually be affected by the changes to inheritance tax? @DanNeidle does the math...
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I’ve been looking for a way to say this neatly for about 20 years
Grace Blakeley@graceblakeley
All over the rich world, people’s lives are getting worse. It’s harder to afford the basics, keep a roof over your head, and access care when you’re sick. People will keep voting for whoever they think will bring back prosperity. 1/
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1% - 3% complication rate of peripheral vasopeessors
4% complications of CVC lines (CLOVER Trial)
Take away peripheral pressors safe in the ED.
#EUSEM2024
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I’ve been doing night shifts for most of my working life. Now, on the verge of 50, the dread as I get in to bed to try to ‘bank some sleep’ is reaching a point where I do wonder if it’s good for me physically or psychologically. The shift will be fine, but before and after suck.
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