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David Richards Profile
David Richards

@ICU_Diaries

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2009 H1N1-ARDS survivor and ECMO patient at @GHFT_DCC (GRH) and @glenfield_aicu #Delirium | #PICS | #ICUdiary | #PTSD I Single parent and former Athlete.

Lamphey, Pembrokeshire, Wales.
Joined March 2024
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@ICU_Diaries
David Richards
2 months
Very proud of my 15-year-old son, William, who has been selected to receive his first international vest for Wales in discus.🏴󠁧󠁢󠁷󠁬󠁳󠁿.
@WelshAthletics
Welsh Athletics
2 months
✨Team Announcement - Pickering Throws International ✨ . 1️⃣4️⃣ Welsh athletes have been selected to compete for Wales at the Pickering Throws International!. Congratulations to all athletes!👏. 📆June 3 2025.📍Loughborough . 🔗Read the full announcement ➡️
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@ICU_Diaries
David Richards
2 months
This arm belongs to my cousin and he is pictured making his 100th #blooddonation earlier today. I received multiple transfusions during my time on #ECMO, which was beset by bleeding complications so I have many reasons to be grateful and proud of this achievement. #blooddonor
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@ICU_Diaries
David Richards
2 months
My handwritten notes provide a unique real-time perspective of my ICU experience, while I was in the grip of #delirium. I expressed my fears to my partner by telling her, “I'm frightened” and the impact this had upon her can be seen in the response, “This upset me very much.”
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@A_MacLullich
Alasdair MacLullich
2 months
“She would lie in her bed really quietly. but she always had this frightened look on her face and when her family came to visit . they told us that . she felt really scared because she was seeing someone in the room with her.”. #Delirium.
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@ICU_Diaries
David Richards
2 months
The format of the book may not appeal to everyone but I enjoy comic art. Beautifully paced and illustrated, with much I recognise in my own #delirium experience and each time I read it, I am led down a different path of reflection. The author describes her #ICU event wonderfully.
@ICUSEdinburgh
ICU Steps Edinburgh
2 months
In May 2013, Zara Slattery's persistent sore throat turned into a deadly bacterial infection, leading to a 15-day drug-induced coma, which she describes as 'being trapped in a nightmare state that you can't wake up from'. A graphic memoir.
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@ICU_Diaries
David Richards
2 months
I had a dreadful time with #delirium, driven by auditory and visual hallucinations. It is evidenced repeatedly through my real-time handwritten responses, from when I was unable to communicate verbally, that were saved and incorporated in my #ICUdiary (
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@A_MacLullich
Alasdair MacLullich
2 months
Direct yet gentle questioning on hallucinations for people with #delirium:. "Have you noticed anything odd recently, like seeing unusual or unexpected things?"
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@ICU_Diaries
David Richards
3 months
My written response to a senior nurse at @GHFT_DCC when asked that very question:. #delirium #ICUdiary
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@A_MacLullich
Alasdair MacLullich
3 months
In #delirium, patients rarely volunteer that they are hallucinating. Here's one useful way of asking about hallucinations:. "Have you recently experienced anything strange, like visions or voices that seem very real but others don't notice?"
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@ICU_Diaries
David Richards
3 months
Fantastic!.Seeing my bed-space and the layout of the unit, provided an additional layer to my psychological healing that complemented my #ICUdiary. Transitioning to reality - the diary of an ARDS survivor: #PICS #PTSD #delirium #ICUdiary.
@ICUTallaght
@ICUTallaght University Hospital
3 months
Thrilled to have secured funding to deliver our "ICU Virtual Tour" to help patients and families make sense of their experience after discharge. Watch this space for more. A huge thank you to @AdelaideHealthF for funding this worthy project 🙏.
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@ICU_Diaries
David Richards
3 months
Congratulations Dr. Ely @WesElyMD.
@VUMCDiscoveries
Vanderbilt University Medical Center
3 months
The American Thoracic Society (@atscommunity) has selected @WesElyMD, the Grant W. Liddle Professor of Medicine at @VUMChealth, and co-director of the @CIBScenter, to receive the 2025 John W. Walsh PAR Award for Excellence. Congratulations, Dr. Ely!.
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@ICU_Diaries
David Richards
3 months
RT @ECMO143: 🫁 In 2009, David Richards became one of the UK’s H1N1 adult ECMO survivors after swine flu led to severe ARDS. His journey—fro….
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@ICU_Diaries
David Richards
3 months
A vital service for ICU patients that should be accessible for all. The psychological recovery is every bit as hard as the physical recovery and often longer lasting. #PICS #delirium #PTSD #ICUdiary.
@ICUTallaght
@ICUTallaght University Hospital
3 months
Our Critical Care Psychology team presenting an overview of the service, now four years young in @TUH_Tallaght. Hundreds of critically ill patients have recieved support during and/or following their illness, with families and staff supported also. @TUH_Psychology #IHPG2025
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@ICU_Diaries
David Richards
3 months
In the days following my release from four-weeks of sedation, my partner made the following note in my #ICUdiary:. “I think Dave is confused.”. #delirium
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@A_MacLullich
Alasdair MacLullich
3 months
Families usually know before clinicians: "Dad is not usually confused." . Yets staff still are inconsistent in using the word "delirium". If we as professionals can't get it right, we are failing families - there is no other way of describing this. #delirium
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@ICU_Diaries
David Richards
3 months
Return visits to ICU @GHFT_DCC (GRH) and @glenfield_aicu, were a big part of my psychological healing and provided an added layer to my #ICUdiary (.However, it should be approached with caution because it does have the potential to re-traumatise. #delirium.
@ICUTallaght
@ICUTallaght University Hospital
3 months
A patient returned for an ICU visit recently; struggling w/memories of #delirium. Met a nurse who provided care. Didn't remember her until. she took his hand. Memories of her holding his hand, "the warmth", came flooding back. Compassionate care matters. #ICUDelirium #Nursing.
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@ICU_Diaries
David Richards
4 months
Fifteen years after my ICU event (H1N1-ARDS), the residual issue that continues to impact me the most on a daily basis is my short-term memory. I can trace the source back to the post-coma #delirium period, through the written communications that were incorporated in my #ICUdiary
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@A_MacLullich
Alasdair MacLullich
4 months
For many, #delirium has a long shadow. E.g. cognitive dysfunction may persist long after discharge:. 40% have new /worsened cognitive impairment at 3 months. 25% show effects at 1 year. Many never return to baseline. ➡️ Always consider the need for follow-up.
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@ICU_Diaries
David Richards
4 months
While trach'd and on the vent, these are my responses to being told that what I was seeing and hearing was not real, in an attempt to calm me. But it was real to me. #Delirium is a miserable and terrifying experience that is never really over, the memories linger. #WDAD2025
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@ICU_Diaries
David Richards
4 months
Yes, #delirium can be frightening, as I experienced and expressed to my family through scrawled writing. All my written notes were saved and incorporated in my #ICUdiary. Transitioning to reality - the diary of an ARDS survivor: #WDAD2025
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@A_MacLullich
Alasdair MacLullich
4 months
Delirium isn't just confusion—it's often frightening, & carries high risks. Patients may hallucinate, become agitated, or unusually withdrawn. Family awareness helps in early recognition. Check this guide on symptoms: #WDAD2025 #delirium.
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@ICU_Diaries
David Richards
7 months
RT @A_MacLullich: ⭐️ 𝗧𝗵𝗲 𝗿𝗼𝗹𝗲 𝗼𝗳 𝗮𝗻 𝗜𝗖𝗨 𝗱𝗶𝗮𝗿𝘆 𝗶𝗻 𝗵𝗲𝗹𝗽𝗶𝗻𝗴 𝗿𝗲𝗰𝗼𝘃𝗲𝗿𝘆 𝗳𝗿𝗼𝗺 𝗱𝗲𝗹𝗶𝗿𝗶𝘂𝗺. David Richards @ICU_Diaries survived a severe case of ARDS….
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@ICU_Diaries
David Richards
7 months
RT @WhistlingDixie4: Seeing a former ICU patient authored @yourICM ‘From the Inside piece’ referenced in this @bmj_latest.new clinical rev….
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@ICU_Diaries
David Richards
7 months
It dismays me to hear flu trivialised as “Just the flu”. There is no 'just' about it when you are fighting for every breath in the ICU.
@Azeem_Majeed
Professor Azeem Majeed
7 months
I sometimes hear the comment “It’s just the flu”. Please remember that influenza like other viral illness can have devastating consequences for people; resulting in serious illness, hospitalisation, long-term complications and sometimes death. Let’s not trivialise any illness.
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@ICU_Diaries
David Richards
7 months
The precipitating cause of my ICU event was flu (H1N1), that also put me on #ECMO at @glenfield_aicu so I echo Dr Sampson's call. Below, I am promoting the flu vaccine for an ARDS Foundation campaign back in 2017. The diary of an ARDS survivor:
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@caz_sampson
Caz Sampson
7 months
Influenza cases rising rapidly in the UK. If you’ve been considering getting your ‘flu vaccine this year but haven’t quite got around to it yet, now would be an excellent time. BW.An ICU & ECMO doctor.
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@ICU_Diaries
David Richards
7 months
RT @bmj_latest: Optimisation of pain and sedation in the intensive care unit is important because inappropriate sedation and pain managemen….
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