Sean Croughan

[1/16] Deeply flawed and completely misleading modelling from Medifintech’s own @gdcuk Graham Crossley at @Quilter. Here's why the £125k pension headline is erroneous, misleading, and deeply flawed 👇

Evidence-free interventions are a big bugbear of mine. Especially for complex interventions rolled out across the NHS. I have skeptical of SDEC services for some time. First systematic review here done by a good team. emj.bmj.com/content/42/10/… 1/

1/37 Back for IABP basics pt 2, @CardioNerds style! AKA things I've gotten wrong on rounds so you don't have to, round 2. ICYMI, check out the first tweetorial for background. (Thanks for the unexpectedly awesome response!) Today we'll discuss timing & triggering Ready? Go!🚦

1/28 You are the resident on CICU. A patient arrives with an intra-aortic balloon pump (IABP). What is it? How does it work? How do you troubleshoot? It's ⏰ for a @CardioNerds tweetorial! AKA things I've gotten wrong on rounds so you don't have to. First up: the basics

1/12 I have been pondering the meaning of “consider” in the new @NICEComms HI Guideline. For patients who are back to baseline and only indication for CT is ‘aged >65y on a DOAC’ how would I “consider”?

World Health Organization's (WHO) International Agency for Research on Cancer (IARC) today published long-awaited report on cervical screening. It's 108 pages long. Wow. Pretty much eviscerates the Irish legal system and the 'unfair' tactics of lawyers in Ireland 🧐 😳 🧵

In 2018, "Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial" was published in the British Medical Journal. It sought to determine if wearing a parachute when jumping from a plane had any impact on survivability. It did not.

Earlier this week, we discussed excess deaths and pressures in A&Es with Dr Adrian Boyle, @RCEMpresident, and NHS England. RCEM estimates that there are at least 300-500 excess deaths associated with A&E pressures. Watch below as Dr Boyle explains how they reached this estimate:

Having worked nights over the weekend, I am extremely concerned at how few sick, elderly patients we saw in ED. I don’t for one second think that they’re not unwell. I think they’re at home, terrified to come to ED because of the “don’t go to hospital” statements last week. 1/n

Awful example of what happens to rotating drs when permanent staff don't support them/ are actively cruel. Non-rotating health workers: please challenge toxic behaviour in your departments. Culture is everyone's responsibility. NB OP overwhelmed by response so username removed.

@DrMakz Fantastic news man, well done

FRCEM ✅

🚨A reminder to all that work with sick children that @ 9am tomorrow we’re running the @PaedEmergencies course on @YouTube for free A great success the last 2 2 years with>2000 live participants & >20,000 streams per course to date Link👇 bit.ly/3VtQS77 #FOAMed #PedsICU

Watch Paediatric Emergencies 2022 Livestream at 9am UK time on Friday 25th November at youtu.be/HQsqy630-cg No fee or registration required. For more details see paediatricemergencies.com/conference/pae… #PaediatricEmergencies2022

The @TEAMtrialICU has now made it to the print edition of the @NEJM nejm.org/doi/full/10.10… Here are some reasons people have said our findings should be disregarded...

Launching this Friday @UHW_Waterford EM handbook app- information, guidelines, and helpful tips in a near patient format! Thanks to @MEG_Healthcare for pushing over the line! #EM #PEM

#TBL 418: Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis thebottomline.org.uk/summaries/aggr… Article by @DeMadaria Review by @hgmwalker89

🚨Your pager is going off!🚨 80M w h/o CAD on the inpatient medicine floor reporting burning epigastric pain after eating. Here is his EKG:

Highlight of my career so far! From an idea conceptualised during my PhD, cultivated by 4 generations of PhD students after me under the watch of @WilfriedMullens, to a @NEJM publication and novel treatment for acute #HeartFailure #acetazolamide #advor nejm.org/doi/full/10.10…

Last night we had a case that demonstrates an extremely important cause of shock that many ED clinicians know little or nothing about 1/