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This week's #lightninglearning is aortic dissection. Lots more at RCEMLearning including this podcast rcemlearning.co.uk/foamed/aortic-…

Looking for a refresher on how to spot the signs and symptoms of Necrotising Fasciitis? We have a handy #LightningLearning that covers it, along with the relevant investigations and immediate management 👍

High Flow Nasal Cannula (HFNC) - Part 1 - How It Works via Frank Lodeserto, MD & Thomas Lettich, DO rebelem.com/high-flow-nasa… #FOAMed #FOAMcc #HFNC

This expert analysis reviews the mechanism of action & the anti-inflammatory effect of colchicine, and provides an overview of the landmark trials of colchicine in pericardial disease. Read more: bit.ly/2sKhh8l

"To suddenly owe that kind of money is very frightening. I feel rather ashamed of myself for being so naïve. Perhaps a savvier person would have avoided at least some of this tax?" Powerful blog valuing The BMA Dr Tony Goldstone modeller rcpch.ac.uk/news-events/ne…

Along with rising numbers of donors, The #1 form of renal replacement therapy in the U.K. is now... Renal transplants! I did not know this! Why have we not publicised this more? #ICSSOA

Add ferritin to blood tests in every febrile patient not getting better to try to pick up more HLH. >4000 for suspicion. >10k is poor sign #ICSSOA #rheumatology in ICU. This is a great talk!

5 ECG Patterns You Must Know rebelem.com/five-ecg-patte… #FOAMed #STEMI #OMI #ECG #EKG 1st Diagonal of LAD Occlusion De Winter's T Waves Left Main Coronary Artery Stenosis Wellens' Syndrome Posterior Wall MI

The latest BTS Adult Community Acquired Pneumonia audit report is available to download at bit.ly/2OFG0TN Positive results, mortality further decreased to 10.4% (from 17.7% in 2014 audit)

Remembering the criteria for diagnosing SIADH Urine sodium >30 (Just think 30dium) Urine Osmolality >100 (Cos the zeroes in 100 look like the letter O for Osmolality) #MedEd

Hey, Health Boards in NHS Scotland - you really, really ought to sort your shit out about fixing your medical staffing problems by having costed business cases ready and waiting for refugee doctors from England, Wales and NI.

How do we make sure that we know what matters to people about their care? This e-learning module by NES on shared decision-making will show you how: learn.nes.nhs.scot/24729

Thanks to all our speakers and helpers for making yesterday such a brilliant day @rosieICM Andrew Elder @drlynndickson claire gordon NHSG AcuteMed Malcolm Macleod #FBPE 👏👏👏

See that tiny dot? That's Mercury as it passes in front of the sun. Roughly 13 times per century, Mercury passes between Earth and the sun in a rare astronomical event known as a planetary transit. This time-lapse shows the most recent occurrence two years ago. 📽️: NASA

This week's #LightningLearning is now out on Diabetic Ketoacidosis (#DKA) in Adults. DKA is a medical emergency with significant morbidity and mortality. It should be diagnosed and managed promptly. DON'T FORGET: patient education is the best prevention.

There are 6,500 children near Fir Park who are entitled to free school meals. Some don't get a meal when schools are closed for holidays. For those times, we provide hot food and physical activity free of charge. bit.ly/2S2ZlAq

An Update on Peripheral Vasopressors via Justin Morgenstern first10em.com/update-on-peri… #FOAMed #FOAMcc Extrav Rate ≈3 - 6% Use good prox PIV Limit Time of Infusion Have IV Monitoring Protocol Have Extrav Protocol Be Careful Extrapolating OR pts to ER pts

The Latest on Tranexamic Acid TXA via Coda Change codachange.org/2019/12/26/the… #FOAMed #TXA

REBEL Review 93: Myasthenia Gravis via J. Yosuf Alam rebelem.com/rebel-reviews/ #FOAMed #myastheniagravis

If anyone ever wants an example of the "normalisation of deviance", the return of corridors as clinical areas in UK Emergency Departments is surely a prime candidate. #QIgoingbackwards #crowdingkills x.com/toxic_harpy/st…