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Perks of doing residency in Nova Scotia- you spend Friday/Sunday on call taking care of critically ill patients then Saturday you go to Blomidon Park for a mean sand castle competition with your nephew 🏖

PGY2 ✅ Incredible year, with lots of highs and lows, growth and learning. Bittersweet to say goodbye to new found friends The Ottawa Hospital, as I wrap up my ICU elective. Looking fwd to meeting our new PGY1s in the coming week!! 😊 #OnwardTogether #MedicalNewYear

One of the best moments of medical education is when you walk someone through their first time with a procedure and watch their nervousness transition to a big smile as they’re successful and then remembering you were in their exact shoes a year ago ✨ #Heartisfull #MedTwitter

Honoured and humbled to be mentioned amongst these physicians! Truly a testament to our amazingly supportive residency program, incredible mentors and fantastic co-residents! ❤️

Beautiful ❤️

Such a great thread on how to learn and improve upon skills! #MedTwitter

We've gotten used to scrolling. We've gotten used ignoring news that does not directly involve us. We've normalized suffering in certain parts of the world to the point that disasters are no longer breaking news. The truth is we don't like discomfort, Cont.🧵👇 #syria #turkiye

Congrats to our very own star Tommy Brothers!! So well deserved and truly a change-maker in our institution 🙌🏼

Of the many things that happen in a hospital when the power goes out, one haunts my memory, a story I have also heard over and over from other doctors who also worked in a hospital when it suddenly went dark A thread about mothers and their children👇🏽

At Al-Shifa hospital #Gaza is without power. We have premature babies who need incubators, we have patients in the ICU who need respirators, we have over 600 patients that need medical care. A hospital needs power. We need an immediate ceasefire.

This absolutely broke me. I work and train in the ICU without a question of whether there will be enough oxygen, power and resources that day to keep my patients alive. Imagine being a healthcare provider at #AlShifaHospital How do you ever unsee this and continue to work?

1/ A woman presents after a v fib cardiac arrest, ROSC achieved at 30 mins. She has been comatose for 2 days. No sedation. Fever prevention has been achieved. 36 hours after arrest, she develops generalized myoclonus. This is a dismal prognostic sign… right? Image: PM 27351833

If you intubate you need to read the #PREOXI trial! -n=1301 people requiring intubation in ED/ ICU were randomized to preoxygenation with oxygen mask vs non-invasive ventilation (NIV) -NIV HALVED the risk of hypoxemia: 9 vs 18% -NIV reduced mortality: 0.2% vs 1.1% #CCR24 🧵 1/

It's that time of year again! Here's one approach to neurologic examination (the most important diagnostic test!) of the comatose patient for those rotating in #neurology or the #ICU for the first time.

Yesterday I received one of the highest and most ancient honors in London, the Freedom of the City. But the celebration soured into an experience of indignity when upon arriving, I found that there was no ramp for me to access the stage. 🧵