Niall Downey Dr Gabriel Scally Gareth Roberts  David Drew Dr Umesh Prabhu @DrMQureshi Edwin Jesudason Dr David Nicholl Jenny Vaughan | Just Culture for all in healthcare Will Powell Dorcas Crawford When Professionals from aviation observe Clinical Practice they say how much more complex it is compared with flying, but also how we haven’t even really started to understand principles of safety eg mishearing Hypo & Hyper so why allow use of the words! clinicalsafety.org/safe-clinical-…

After some years discussing risks vs benefits of aortic or carotid surgery with patients, it was clear to me that as a physician there are 2% risks and 5% risks and 15% risks. But to patients everything is 50/50. I'm either going to live or die. Wake up with a stroke or not...

Heartbreaking. On and off the pitch, this team is the very best of our country. They've done us proud. #EURO2020

Have we forgotten about the hidden burden of post-operative anaemia in our emergency surgical patients? British Journal of Anaesthesia Kate Kanga NATA - PBM, Thrombosis and Haemostasis bit.ly/3zMNhGh

⁦Hans van Huellen⁩ This week 4 years ago #Helsinki #AMEE

Why use capnography in EVERY PATIENT in ICU? Worth remembering it's role here is as an AIRWAY monitor (a monitor of here-&-now-ventilation) Many who fail to understand its value mistake it as primarily a respiratory monitor With Vincenzo Russotto sciencedirect.com/science/articl…

Finally, a plea. With a few exceptions disasters happen to normal people doing normal things they’ve done successfully everyday. Ask “why it made sense at the time?” and stay humble. Learn don’t judge. 8/8

It's #16sunsets final countdown! Please consider backing us and tell all your friends - we're looking for a big boost to get us to target in time - kickstarter here: kck.st/3JKCxA7. Here's a reminder from Dr Kevin Fong about why this is so exciting and relevant to us all.

If this is going to be anywhere near as good as 13 minutes (and I’m sure it will be) it’s well worth backing! Not long to go #16Sunsets

ICM trainees, I would be honoured to represent you on a national level. Whoever you support, make sure your voice is heard and cast a vote. Election statements are in the link, please DM me if you want to know more/let me know your thoughts

We are pleased to announce the candidates who will be standing in the next election to College Council. Ballot emails will be sent out on 16 Nov from [email protected]. Voting closes at midday on 14 Dec. See the full list of candidates here:  ow.ly/35pG50Q3oJT

Segun Olusanya (He/Him) [email protected] elevation in lactate means the epinephrine is working. lactate is a fuel for the heart. unless there is profound/refractory metabolic acidosis, would continue with epinephrine. blog: emcrit.org/pulmcrit/under…

as clinical medicine becomes more complex and research grants are harder to secure, the traditional "triple-threat" is becoming unachievable. "encouraging mastery across too many domains... can lead to mediocrity, lack of fulfillment, and disorganization"

Couldn’t think of a better candidate for a role for which integrity and compassion are so crucial. Go Jimmy!

🔓Peri-operative cardiac arrest: management and outcomes of patients analysed in the 7th National Audit Project of the Royal College of Anaesthetists. Among 881 cases of peri-operative cardiac arrest, the initial rhythm was non-shockable in 723 (82%) cases, most commonly pulseless electrical

Only 3 days left to cast your vote for #FFICM trainee representative! Representation matters.

We are pleased to announce the topic for our 8th National Audit Project (NAP8) will be complications of regional anaesthesia (peripheral blocks and central neuraxial blockade) and other neurological complications of anaesthesia. ow.ly/mLpR50QWqiK

🇬🇧 UK wide emergency resuscitation algorithm for LVADs 🫀⚙️ Developed and endorsed by all adult heart transplant centres & 8 national societies Resuscitation Council UK SCTS UK British Society for Heart Failure #theFword FICMNews Intensive Care Society 💙 BACCN 💙 ACTACC British Cardiovascular Society

Wes Streeting Thanks for asking As some one who has worked in the NHS for 35 yrs and examined its working throughout that time my list of what needs changing would start with Stop breaking the system by defunding it in the name of efficiency. It is way beyond the point at which trying to cut

Thanks for having me!