Giles
@Neal94G
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Turns out it’s more likely that the subgroup with NEWS 7 and normal procalcitonin actually made the difference. Significantly more in that group deemed to have non-infectious diagnosis vs the NEWS 7+ no procal group. Causes people to re-evaluate.
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How can we get to the bottom of this seeming paradox? We need to go deep into the supplement! The key is understanding how clinicians deal with discrepant information. The reduction in mortality was driven by the subset with a high NEWS score and a low procalcitonin. These are
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Procalcitonin 2+ warranting urgent senior review regardless of NEWS2 reduces overall mortality a bit. What’s more worthwhile here: procalcitonin, or senior delivered care? Were there any knock on effects to other patient cohorts who would otherwise have had senior reviews?
Procalcitonin testing combined with NEWS2 evaluation compared with usual care based on NEWS2 for identification of sepsis and antibiotic initiation in the emergency department (PRONTO): a multicentre, open-label, phase 3 RCT CCR Journal Watch https://t.co/Sp06oA6IDG
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Procalcitonin testing combined with NEWS2 evaluation compared with usual care based on NEWS2 for identification of sepsis and antibiotic initiation in the emergency department (PRONTO): a multicentre, open-label, phase 3 RCT CCR Journal Watch https://t.co/Sp06oA6IDG
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Peripheral vasopressor administration in critically ill adults was associated with a low incidence of adverse events—major events were rare using short peripheral intravenous catheters, and use avoided central venous catheter placement in 60% of cases. https://t.co/cInCBzu8x8
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"We've never needed them... They stayed a little back, a little off the front lines" This was Trump last month. Now he says he needs us. Fight your own war.
"The UK has been very uncooperative" President Trump criticises Sir Keir Starmer's decision not to get involved in the U.S. offensive against Iran, and decisions regarding immigration and energy https://t.co/PAiZ4D1jU3 📺 Sky 501, Virgin 602, Freeview 233 and YouTube
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Well done to the Scottish government and SRDC getting this over the line - without a single day of industrial action & making a significant dent to prior pay erosion of resident doctors #PayRestoration
Resident doctors in Scotland have voted overwhelmingly to accept the latest pay offer. Increasing pay by 10% this year and 9.4% next year. This is an important step forward, but years of pay erosion mean the journey isn’t over. The BMA in Scotland will keep pushing for full pay
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Breaking: America threatens sanctions on the UK if we keep complaining about child porn.
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As @fletchjack says, doctors want a reasonable deal over a number of years aka a “journey” For the record re: 28.9% doctors have received - it’s over 3 years - @wesstreeting unequivocally did NOT award us it himself - inflation still occurred in that time so real terms was less
Thousands of resident doctors, formerly known as junior doctors, are set to strike from tomorrow for five days, despite receiving a nearly 29% pay rise over the past three years. @susannareid100 questions @fletchjack, the Chairman of the BMA’s Resident Doctors Committee.
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A few questions: - are the 4,000 extra jobs permanent (ie not just a few extra jobs for a few years)? - are they core training posts I.e. with an impending HST bottleneck? - what is stopping lots of senior registrars being stuck in 5-8 years time with no consultant posts?
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What has happened to those following very shortly behind is appalling. I don’t know the answers, but I do know as a new father, it will take a huge overhaul for me to ever recommend medicine to my child now. Sorry, Ish, this is shit and NHSE/ Gov have failed you miserably.
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I graduated in 2018, and successfully interviewed for ACCS-AM in FY2. My portfolio was alright, but not this good. The advice I received from CMTs as they were around that time was, “so long as you don’t stroll in and take a dump on the floor, you’ll leave with a job”.
man i literally did MRCP part 1, have an MSc in immunology from a SCHOLARSHIP THE RCP GAVE ME (which doesn’t count for anything), and a PGCert in MedEd etc etc and got rejected from IMT what’s the point lol
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5️⃣ The UK Squeezes Doctors While Having Fewer of Them Compared with its peers, the UK has: •fewer doctors per capita •fewer hospital beds •fewer training spots •higher attrition It is one of the few systems that simultaneously undersupplies clinicians and underpays them.
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Most people have no idea how bad the UK doctor training system really is. It demands double the training time of other countries, pays doctors less at every stage, and then often keeps them “junior” even after they finish all their training. Look at the numbers. 🧵⬇️
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I actually live in a small English village. It’s total codswallop what @elonmusk is saying. We’re not “hobbits under siege” we’re ordinary people - how rude to patronise us like this. It’s fear-mongering dressed up as folklore.
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@ShaunLintern @wesstreeting @cazjwheeler This is extraordinary from a health sec. Threatening to wilfully sabotage care provision unless doctors stop exercising their lawful right to strike. From a labour government. No words.
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UTI is uncommon with SGLT2i - mycotic infections are common This study has important clinical implications ⚠️ After UTI, 1 in 3 patients stopped SGLT2i Discontinuation led to higher CV & renal risk, with no reduction in recurrent UTIs. 💡 Following UTI - continue SGLT2i
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Nothing like a take shift to remind yourself each year when Winter’s arrived.
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