Lee Berry

UMARF Occupational Safety & Health Department reminds all that danger of sitting next to full natural gas cylinders, while low is never zero.

Chuck Norris held a 183-10-2 record and was a 6x world champion in full contact bare knuckle karate. On top of that, he beat heavyweight kickboxing world champion Joe Lewis 3 consecutive times and also had a brutal sparring match with undefeated kickboxing world champion, Bill Superfoot Wallace, that lasted an hour and a half. According to Wallace, they practically stalemated and "beat the crap out of each other". Chuck was trained in kickboxing/boxing by Benny The Jet Urquidez and was also trained in BJJ by the Gracies and Machados for 20 years. Even being able to submit Carlos Machado himself on occasion. Chuck had a 315 Ibs bench press at 180 lbs bodyweight and was said to have a grip back in the day that nobody could escape from because he was so strong. Even Jean Claude Van Damme said he'd never fight Chuck Norris, despite being a kickboxing world champion himself. Chuck held a 10th degree black belt in Chun Kuk Do, a 9th degree black belt in Tang Soo Do, an 8th degree black belt in Taekwondo, a 5th degree black belt in Karate, a 3rd degree black belt in Brazilian Jiu Jitsu and a black belt in Judo. Rest in peace, Chuck!

Driving pressure is simple! • It’s not just for research. • It’s your daily bedside "fit check." • Anatomical size ≠ Functional lung volume. Stop being an ARDSNet robot. Use physiology to guide your volume. Comment to discuss.

It’s out, your Critical Care Papers update for the weekend! 👇👇 criticalcarenorthampton.com/episode-4-marc… #CriticalCare #ICU #IntensiveCare #Anaesthesia #Anesthesia #Anesthesiology #CritCare #ICUnurse #ICUMedicine #FOAMcc #FOAMed #Medicine #Medical #MedEd #EmergencyMedicine #Resuscitation #echofirst #POCUS

The global oxygen delivery (DO2) formula - critical to understanding and approaching “big sick” patients This was something I learnt very early on in my clinical perfusion career and one of the first things I teach trainees and students - whether the pump is the native heart or extracorporeal pump, the principle is the same

Cardiogenic shock and the DO2 formula The oxygen delivery formula is the only math that matters in a crash! DO2 depends on your Hgb, O2 Sat, and Cardiac Output. Don't be fooled by 100% SpO2—if the pump isn't circulating that "cargo," the organs are still starving.

At the Royal College of Anaesthetists’ Centre for Perioperative Care (CPOC) Perioperative Leads Day in London, James White, Simon Rang & @denny_levett discuss how UK perioperative medicine policy is implemented through evolving NHS structures. topmedtalk.com/podcasts/perio…

This morning. One GP practice. One hour. 240 clinical tasks before most people had started work. Four every minute. No political thanks. No headlines. Just a small teamy doing what they do every single day. When these practices close, nothing replaces them. Nothing.

The image outlines the ROSE conceptual model, a framework used in intensive care to manage intravenous fluid therapy through four distinct phases: Resuscitation, Optimization, Stabilization, and Evacuation. link.springer.com/article/10.118…

Why we obsess over Driving Pressure Plateau 30/PEEP 5 (DP 25) ➡️ High risk Plateau 30/PEEP 15 (DP 15) ➡️ Lower risk Same Plateau, different mortality. Driving Pressure tells you how much "baby lung" is under strain. Comment to discuss.

LVOT VTI Podcast: The Critical Care Echo Skill Every Doctor Should Know youtu.be/Z6spra-uFdQ?si… #Echo #POCUS #CriticalCare #LVOT

Review Right Ventricular Function in Patients With Significant Tricuspid Regurgitation doi.org/10.31083/RCM47… #cardiophile #MedEd #Cardiology #Pocus #Echofirst #echofirst

Rapid explanation : Pathophysiology of Laryngospasm: Part 1 This film explains the pathophysiology of laryngospasm. In part 2 (coming out soon), I’ll explore how techniques (Larson’s manoeuvre & gentle chest compressions) can help relieve laryngospasm. @WWLNHS #medicaleducation

New paper out! Radiologic patterns of ILD — a pictorial review aligned with the 2025 ERS/ATS classification. Highlights CT features of key ILD entities and the updated framework for pattern recognition in clinical practice. dirjournal.org/articles/doi/d…

The only vent math you need! Driving Pressure = Plateau Pressure - PEEP Goal: Less than 15 High DP: Volume too big or lung too small Low DP: Safe ventilation Compliance isn't stiffness; it’s functional size. Comment to discuss.

Introducing the #VCIscore: a reliable, standardised tool for reporting #videolaryngoscopy-assisted #trachealintubation. High inter-rater agreement means better data and safer care. Read more: bjanaesthesia.org/article/S0007-…

I think this is a fundamental misunderstanding of how to use procalcitonin. If you need a lab test to suspect sepsis you are doing it wrong. The better - and more evidence based - way to use procalcitonin is for stoping antibiotics not to start them.

It’s out - March 26 grabs of the latest goodies in critical care papers, guidelines and more… There’s so many, as @CritCareReviews says (featured in this edition).👇👇 criticalcarenorthampton.com/episode-3-marc… #FOAMed #POCUS #FOAMcc #CriticalCare #ICU #IntensiveCare #Anaesthesia #Anesthesia #Anesthesiology #CritCare #ICUnurse #ICUMedicine #Medicine #Medical #MedEd #EmergencyMedicine #Resuscitation

English comedian Jimmy Carr breaks down why, in 25 years, you'd give every dollar you have just to be as healthy as you are today. Pause the scroll for a moment and watch this.

🧵regarding Lord of the Rings - related traumatic injuries, and whether access to modern Level 1 trauma centers could have decreased morbidity and mortality within the Fellowship. Here we will take a more evidence-based approach to some of the injuries in Middle Earth (1/ )