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Comparison of lactated Ringer’s solution and normal saline for IV therapy on ICU. #FOAMed #POCUS #FOAMcc #CCR25 #MedX criticalcarenorthampton.com/2025/06/12/har… Critical Care Reviews IMCrit

🫁 What happened to ARDS? 20 years ago ARDS was everywhere. Now we rarely see it. We didn't cure it. We just stopped causing it. Here’s how IV fluids quietly created (and solved) an epidemic of iatrogenic lung injury 🧵

Leeds FUSIC is back in November! Join us on 17-18th November for two days of #POCUS with international experts and a focus on hands on scanning. See booking link below, places get booked fast so please do fill if you are interested!

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The wait is over..it’s the start of something new! 👏 The Intensive Care Society 💙 ICS Cast begins … and where better to kick it all off than at #SOA25! 🔊 #FOAMed #POCUS #FOAMcc #Medx #Meded What’s in store??🤔

🧵1/ Hypovolaemia is the most overdiagnosed concept in medicine. We say it reflexively — especially in sepsis. But here’s the uncomfortable truth: We can’t measure blood volume. We infer it. Often wrongly. Let’s unpack why that matters. 👇 #MedTwitter #FOAMed

1/ Most people think the heart drives circulation. But what if that’s backwards? Anderson’s model flips the whole idea of cardiac output on its head — and it changes how you think about fluid, flow, and failure. 🧵👇 #physiology #FOAMed #MedTwitter #criticalCare #cardiacOutput

We are all very excited about the ICS Cast lineup at #SOA25 Intensive Care Society 💙 But what’s in store…? 🎧👇👇 Take a look! #FOAMed #POCUS #FOAMcc #Meded #Medtwitter @Turningthe_Tiden All casts recording live…then coming soon…watch this space! 👏🍺

First inaugural ICS Cast done with the fantastic Yunus Dudhuwala. What a gentleman and amazing orator. We can’t wait to release this one, amongst the many to come #FOAMed #POCUS #FOAMcc #SOA25 Intensive Care Society 💙 #medtwitter #meded

At Intensive Care Society 💙 #SOA25? Love #POCUS or want to learn more? Come and hear from Jennie Stephens how we got to a world-class accreditation programme with #FUSIC in the UK, and enjoy a competitive showcase of great examples of when #POCUS saved the day.

Hearing Kenneth Rockwood talk about how bad we all are at managing electrolytes and giving unnecessary IV fluids to the frail elderly at Intensive Care Society 💙 #SOA25 shows us that Turning the Tide has so much work to do to fix this!

Some of the Turning the Tide team at Intensive Care Society 💙 #SOA2025 delivering a tour de force of macro and micro circulation physiology, but also a reminder of how not to cause unintentional harm to critically unwell patients by not carefully managing fluid therapy.

Do you struggle with the Ultrasound Guided Ankle block? Think it’s tricky and not worth the hassle? In this video tutorial - I try to demystify it, as if we were at an ultrasound scanning workshop. No bells & whistles (apart from a lovely machine!) 👇🏼 youtu.be/Bl0_x-hn3yA?si…

Great to be able to contribute to a session on oedema, venous congestion and rational fluid prescribing at #SOA25 with 2 such passionate and talented presenters Andy Breen and Ross Prager. I’ve done lots of talks but hard not to feel nervous in such a big auditorium! Remember -

🧵 Lymphangions: The Hidden Pump Protecting You From Oedema 1️⃣ What if I told you that you have hundreds of tiny hearts quietly pumping litres of fluid every day? They’re called lymphangions—segments of your lymphatic system that actively contract to return interstitial fluid to

🧵 Starling’s Law: Misunderstood, Misapplied, and Still Misleading 1 🚨 “Starling’s Law explains how the heart increases cardiac output.” You’ve probably heard this a thousand times. But it’s wrong. Or at least - very incomplete. Let’s fix it. Because this matters - for heart

I’ve just released a video on my channel trying to demystify the Ultrasound Guided Ankle Block. This is a “stripped back” demo, on a #GEHC #VenueGo The aim is to mimic teaching you might get on a workshop Let me know what you think Video available here: youtu.be/Bl0_x-hn3yA?si…

🧵Why does low protein intake cause hyponatraemia? Most people find this confusing. But the underlying physiology is beautifully simple. Let’s walk through it 👇 #Hyponatraemia #FluidBalance #MedTwitter #FOAMed

💉 “Give a fluid challenge — see if we can get the norad down.” We’ve all heard it. Boluses are often given just to reduce vasopressor doses. Why? • Fear that pressors are harmful • Pressure to keep patients off ICU But topping up to drop the norad might not be the best move…

💧Fluid creep accounts for more fluid than resuscitation in ICU. But nobody prescribes it — and most don’t even notice it. The truth? 🧨 Most ICU patients don’t need routine maintenance fluids. Here’s what’s really going on 👇🧵