Jonny Wilkinson
@Wilkinsonjonny
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ICU Cons + ICS Council. FUSIC committee ❤️POCUS / FOAMed. Editor: Ox. Handbook of Thoracic Anaesthesia & founder Critical Care Northampton. All views my own
Northampton, England
Joined May 2010
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Last Seen Profiles
I thought I would share this with you all. From Massimo Gianni. A synopsis of a videoconference held today by intensivists in northern Italy, all of them fighting the battle against
#COVID19
#FOAMed
#FOAMcc
#medtwitter
Also at
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830
1K
Ever get confused which coronary artery is the culprit…match territory with ECG and Echo findings! Check out this infographic👍
#FOAMed
#foamcc
#echofirst
#POCUS
#infographic
#ECG
12
482
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Today it’s Lung
#POCUS
for you!
It is:
Easy to perform
Accurate
Sensitive
Repeatable
Negates irradiation or transport elsewhere!
#FOAMed
#POCUS
#FOAMcc
#foamus
@icmteaching
@ICUltrasonica
Where do we scan then?? Linear/curvilinear or phased probe positions shown👍👇
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She’s here. Olivia Wilkinson. Not weighed yet. Baby and Mum very well. Apart from mum needing to go to theatre for a retained placenta; bless her!
#happydad
So proud of Hannah!!
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So here it is! All bundled together for you all to use. There’s help, protocols, checklists, presentations and teaching guides.
#COVID19
We will regularly update it and we hope it helps keep us all safe during uncertainty.
#FOAMed
#FOAMcc
#medtwitter
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1/13
Today’s Tweetorial for you!
We look at basic cardiac
#POCUS
views👍 🫀
First; the Parasternal Long Axis (PLAX)
#FOAMed
#FOAMcc
#echofirst
Probe position shown with marker to right shoulder, left Parasternal edge; roughly at intercostal spaces 2-3/3-4🤷♂️
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So, remember C3,4,5 keeps you alive?!
Yes, today’s Tweetorial from
@icmteaching
,
@ICUltrasonica
and myself is all about the diaphragm!
It’s a pretty vital muscle, and a muscle often forgotten. It’s no wonder why, when it’s weak, your patients won’t liberate from the ventilator!
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All you need to know about IV fluid safety here for you to download!
#FOAMed
#POCUS
#FOAMcc
#medtwitter
@icmteaching
@Manu_Malbrain
@Fluid_Academy
@Gas_Craic
@FOAMecmo
@iceman_ex
@avkwong
@bhealthcare
@hughgifford
@ICU_Management
@PulmCrit
@ThinkingCC
16
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My basic guide to statistics infogram. Just basic reminders to get you going! Thx
@pkakodkar001
#FOAMed
#FOAMcc
#VisualAbstract
@WhistlingDixie4
@avkwong
@matthewjrowland
@iceman_ex
@Gas_Craic
@ccpractitioner
@Manu_Malbrain
stuff you used to teach us
@IainMoppett
👍
11
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Need help with lung ultrasound? Here is the BLUE protocol in infographic form.
#FOAMed
#POCUS
@icmteaching
@iceman_ex
@ICUltrasonica
@sonophysio
@PARADicmSHIFT
#ultrascoundrels
Thx
@avkwong
for the peer review! Download here
6
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My
#POCUS
cheat sheet No. 1 - the eFAST exam…download to use at your leisure for teaching, presentations or whatever you wish.
#FOAMed
#FOAMus
#echofirst
#ultrascoundrels
@avkwong
@Gas_Craic
@iceman_ex
@icmteaching
@Aidan_Baron
@cianmcdermott
@sonophysio
@CreaghB
@NixLimerick
8
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Deresuscitation has become more and more ubiquitous within ICU practice. But what tools can we use to do it? Over the next 2 Tweetorials, i’ll explain some pharmacological methods. Focussing on the JICS mix!
My talk from
#ACCS2023
#FOAMed
#POCUS
#FOAMcc
#medtwitter
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A to E assessment of your patients, use
#POCUS
!
@SICStrainees
@sicsmembers
#ultrascoundrels
#FOAMed
#FOAMcc
#FOAMus
I will explain how at
#SICS18
and
#IFAD2018
@Manu_Malbrain
@Fluid_Academy
@avkwong
@iceman_ex
@Gas_Craic
@cianmcdermott
@ffolliet
@ccpractitioner
@ffolliet
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Confused with diastology? Check out my simple infographic to help you get to grips with a confusing concept. You can download it here.
#FOAMed
#POCUS
#FOAMcc
#echofirst
#FOAMus
Thx
@UltrasoundMD
for traces👍
@iceman_ex
@avkwong
@ICUltrasonica
@icmteaching
9
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Want to know how to calculate Cardiac Output? This basic cheat sheet demonstrates how to workout out using
#POCUS
#Echofirst
#FOAMed
#FOAMcc
#FOAMus
#Medtwitter
@vscan
@GEHealthcare
@jrobi09
@ICUltrasonica
@kerlijnevdb
@icmteaching
@lauraellen115
16
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The Starling curve like you never saw it before! Thx to
@kyliebaker888
for the idea!
#FOAMed
#FOAMcc
#POCUS
#echofirst
#FOAMus
@iceman_ex
@Gas_Craic
@matthewjrowland
@cianmcdermott
@avkwong
@icmteaching
@strachanjamie
@GorkiS
@PARADicmSHIFT
@ICUltrasonica
@hughgifford
9
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Ultrasound cheat sheet No.2 Basic Cardiac Views.
#FOAMed
#FOAMcc
#POCUS
Please download and use
#FOAMus
#ultrascoundrels
@avkwong
@cianmcdermott
@iceman_ex
@fluidloading
@Aidan_Baron
@ICUltrasonica
@r_wiersema
@kyliebaker888
@icmteaching
@ccpractitioner
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I've delivered a load of whole body
#POCUS
tweetorials over the past year.
Here they all are, in full, one page!
Happy Christmas to you all!
#FOAMed
#FOAMcc
#FOAMus
#Echofirst
#sonotwitter
#medtwitter
@icmteaching
@icultrasonica
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Itching to meet you all at
#ICSSOA2018
! We’ll teach you some immersive
#POCUS
at the
#Educationzone
. A taster..my latest ultrasound cheat sheet! The RUSH examination.
#FOAMed
#FOAMcc
@ATACCFaculty
@PARADicmSHIFT
@Obidoc
#ultrascoundrels
Downloadable at
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My attempt at a Tweetorial! Ascites, tense abdomen and low urine output. AKI. Overloaded. SOB worsening over last 6 months. Comes to ITU. I pop the probe on.....
#POCUS
#foamed
#echofirst
#FOAMcc
PLAX
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A beautiful POCUSgram from my great friend
@kyliebaker888
demonstrating lung pathology!
#pocus
#foamed
#foamus
#ultrascoundrels
1
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Welcome
@icmteaching
to our education portal. Amazing lecture on IV fluids!A massive area of passion of ours!
@Fluid_Academy
@Manu_Malbrain
#IVfluid
#Safety
#FOAMed
#FOAMcc
#POCUS
Plus, even more resources tucked away for you all! 👍 FLUIDS ARE DRUGS
7
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Your 3
#FUSIC
lung
#POCUS
accredited physios see your patient before your ward round. None of the “absent breath sounds at bases”..NOW “hydrostatic atelectasis, consolidation and a large pleural effusion. Go
@hannah_physio
@Tummie_Physio
@fiona_b89
@NGHnhstrust
@NGHTherapies
13
54
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A little
#COVID19
poem written by my 10 year old daughter during our ‘lockdown’
#FOAMed
#FOAMcc
#NHS
#medtwitter
Thanks Phoebe xxx
20
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I am proud as punch to announce the arrival of our son Finley James Wilkinson. Born at 04:26 weighing 8lb 4oz. Well done
@hannahwilko06
, you were truly awesomexx
#amazingmum
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The first in our Acute Intensive Care Management (AIM) series. Pulmonary hypertension Part 1.
#FOAMed
#FOAMcc
#POCUS
#FOAMus
#pulmonaryhypertension
@avkwong
@iceman_ex
@ccpractitioner
@ICUltrasonica
@icmteaching
@cianmcdermott
@kyliebaker888
@Gas_Craic
4
94
180
Forming the platform for my
#CCS2018
talk, ‘POCUS on ITU’! My infographic on the ABC’s of POCUS! Thx
@kyliebaker888
#POCUS
#FOAMcc
#FOAMed
#FOAMus
@iceman_ex
@avkwong
@Gas_Craic
@PARADicmSHIFT
@icmteaching
@NWCriticalCare
@ccpractitioner
@UltrasoundMD
13
105
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Don’t get caught out with an unanticipated surgical airway! Airway ultrasound can help.
#POCUS
Download here!
#FOAMed
#FOAMcc
#FOAMus
#ultrascoundrels
@doctimcook
@iceman_ex
@avkwong
@amit_pawa
@rosie_hogg
@PARADicmSHIFT
@icmteaching
@kyliebaker888
5
88
174
Right..here we go! My infographic on left sided heart valve pathology and anaesthesia implications.
@avkwong
@WhistlingDixie4
@matthewjrowland
@iceman_ex
@Gas_Craic
@ccpractitioner
@cianmcdermott
@PARADicmSHIFT
@Manu_Malbrain
#FOAMed
#FOAMcc
#POCUS
#VisualAbstract
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Happy Christmas to one and all on Twitter.
All our love and please stay safe…
The Wilkinson Clan xxx
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See some fantastic updates from Dan Martin and Hue Montgommery on the latest in
#COVID19
management here Full research updates and much more included in the resource packs
#FOAMed
#FOAMcc
#medtwitter
@cianmcdermott
@MJTB1987
@Gas_Craic
@FOAMecmo
2
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Part-2 of a 3 part series. Suggested (not gospel) aide for intubation of the suspected / confirmed
#COVID19
patient. Please use/share. Still room for change…
#FOAMed
#FOAMcc
#medtwitter
@jennyldb
Thx to
@PaulGroves82
@Martintastic
@chebbes
@Gas_Craic
Downloadable v soon.
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So; there are often debates regarding ultrasound probe manoeuvres 🤷♂️
Here we go with a graphical Tweetorial, courtesy of myself,
@ICUltrasonica
and
@icmteaching
Hope this helps (you may see these soon in a forthcoming book btw😉
#FOAMed
#POCUS
#FOAMcc
#echofirst
1/7
8
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Today’s Tweetorial focuses on Airway
#POCUS
No one wants to have to perform emergency front of neck access (eFONA) in their career!
So, why not be prepared?!
Let’s talk it through..
#FOAMed
#FOAMcc
#ultrasound
#FOAMus
#medtwitter
#echofirst
#airway
3
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Quick check on a newly placed CVC using the
@ButterflyNetInc
. CVC under direct vision✅ Wire and catheter visualised in vein✅ Lungs scanned✅ ❌pneumothorax. Then the pièce de résistance...subcostal view; agitated saline whoosh in Ra/RV✅✅ Safe to use👌
#POCUS
8
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Right peeps!! A bugbear of mine here. THINK ABOUT YOUR PATIENTS on ICU or in theatres!! Don’t slam the bins...look at this. Your patients do not need this! It shocks me; let alone them!
#FOAMed
#FOAMcc
#bekind
#beconsiderate
23
31
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ICYMI
Here’s how to perform lung
#POCUS
in one quick Tweetorial.
It’s the first modality I would learn if you are starting out👍👌
#FOAMus
#FOAMed
#FOAMcc
We are teaching our docs / Physios / Outreach nurses to embrace it to help our patients.
Today it’s Lung
#POCUS
for you!
It is:
Easy to perform
Accurate
Sensitive
Repeatable
Negates irradiation or transport elsewhere!
#FOAMed
#POCUS
#FOAMcc
#foamus
@icmteaching
@ICUltrasonica
Where do we scan then?? Linear/curvilinear or phased probe positions shown👍👇
12
301
672
3
47
140
Exceptional work by
@artibiotics
yet again. I wish I could draw like this!!! Causes of chest pain
#FOAMed
#FOAMcc
4
52
138
Confused with diastology? Check out my simple infographic to help you get to grips with a confusing concept. You can download it here.
#FOAMed
#POCUS
#FOAMcc
#echofirst
#FOAMus
Thx
@UltrasoundMD
for traces👍
@iceman_ex
@avkwong
@ICUltrasonica
@icmteaching
7
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Another of the Acute Illness Management series for you. Here we approach the diagnosis of hyponatraemia.
#FOAMed
#FOAMcc
#MedEd
#medtwitter
6
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I have popped in heaps more videos / checklists / infographics / news and much more. Trying my best to promote keeping us all safe during
#COVID19
#FOAMed
#POCUS
#FOAMcc
#medtwitter
. Anything else to include, let me know!
9
69
137
Want to know how to rapidly calculate LV function? This basic ultrasound cheat demonstrates how to work out fractional shortening and ejection fraction.
#Echofirst
#FOAMed
#POCUS
#FOAMcc
#FOAMus
#Medtwitter
4
64
137
COVID-19 - Your one-stop resource! Debunk some of the hysteria and take a look at what we have put together on all you need to know. All will be continuously updated.
#FOAMed
#FOAMcc
#medtwitter
#COVID19
#coronavirus
7
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3
40
130
@kyliebaker888
Here you go folks…the ABCDE of
#POCUS
@icmteaching
@ICUltrasonica
@PARADicmSHIFT
@iceman_ex
@zedunow
@ThinkingCC
@ICS_updates
@Assoc_Anaes
@amit_pawa
#RAUKISURA22
@ajrmacfarlane
@rosie_hogg
#FOAMed
#FOAMcc
#medtwitter
#foamus
3
55
129
What’s the Deal with Pocket Ultrasound? - Excellent article on my area of passion
#POCUS
#pocketultrasound
and our lovely fellow
#Ultrascoundrel
@RubbleEM
4
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Want to learn whole body
#POCUS
Here you go👇🙌👍
#FUSIC
#FOAMed
#FOAMcc
#medtwitter
#Echofirst
#FOAMus
@I_C_N
@ICS_updates
@RegionalAnaesUK
@KalagaraHari
@icmteaching
@ICUltrasonica
@PARADicmSHIFT
@amit_pawa
@jeffgadsden
@iceman_ex
@Manoj_Wickram
6
60
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So,
@NephroP
are proud to present this all in one VExUS card for you.
#FOAMed
#POCUS
#FOAMcc
#FOAMus
#echofirst
#medtwitter
Use this to help guide unnecessary fluid removal from your patients. 👍
2
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It’s finally arrived👏👏👏👏 Apps loaded and ready to go💪
#POCUS
#echofirst
@GEHealthcare
@jrobi09
@lauraellen115
@ThinkingCC
#GEvenue
10
29
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0
75
116
Need help with lung ultrasound? Here is the BLUE protocol in infographic form (JPEG version).
#FOAMed
#POCUS
@icmteaching
@iceman_ex
@ICUltrasonica
@kyliebaker888
@sonophysio
@PARADicmSHIFT
#ultrascoundrels
Thx
@avkwong
for the peer review! Download here
0
83
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As requested! My talk on POCUS guided IV fluid resuscitation delivered at the
#BCHSepsis20
day today. Thanks to
@drzaf_pic
for arranging such a well attended world-reaching. Meeting.
@Dr_Hari_Krishna
@docwt
#FOAMed
#POCUS
#FOAMcc
#echhofirst
#FUSIC
🙏👍
7
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Just wanted to share this.
A donation from my fantastic stepdad to our new ICU. He has made it through cancer👏
ICU played a big part in his journey - my team made me so proud!🙏
He certainly knows the way to our hearts!!
@NghCare
@NGHnhstrust
@ICS_updates
9
3
116
Look out for our review on one of the best wireless probes out there to date
1) What’s the hype
2) No curvi probe🤷♂️
3) Should you buy one?!
4) Image quality
And more….
With
@icmteaching
and
@ICUltrasonica
at
@GEHealthCare
#FOAMed
#FOAMcc
#POCUS
8
26
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Today’s Tweetorial is on DVT!
@icmteaching
and
@ICUltrasonica
take you through it.
-5-10% of ICU patients will have a silent one.
-Accounts for 12% of ICU deaths
-It is detectable and preventable!
Use
#POCUS
to your advantage👍
#FOAMed
#FOAMcc
#foamus
#echofirst
#FUSIC
2
55
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Fantastic article in JAMA today regarding the basics of Crit care of
#COVID19
patients. And it is the basics that count!
#FOAMed
#FOAMcc
#medtwitter
2
97
115
Basic Cardiac views
#POCUS
graphic! Go to for the animated downloadable version. Please use in your talks etc.
#FOAMed
#FOAMcc
#ultrascoundrels
@iceman_ex
@rosie_hogg
@amit_pawa
@elboghdadly
@PARADicmSHIFT
@avkwong
@cianmcdermott
2
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113
Unsurprising this patient was difficult to ventilate. CXR, remarkably unremarkable🙄 Probe on.
What do you see? 1/2
#FOAMed
#POCUS
#FOAMcc
#askPOCUS
#foamus
Diagnoses?🤔
@RubbleEM
@avkwong
@amit_pawa
@bhca
@POCUSClub
@NixLimerick
@FTeranMD
@ThinkingCC
@zedunow
@curromir
21
49
111
Look who has just turned up for a Starbucks…ready for
#ultralive
@GEHealthCare
It’s going to be a total sono-hoot!
@PARADicmSHIFT
@parulekar8550
@icmteaching
@ICUltrasonica
@vicl93
@RickMiles16
#FOAMed
#POCUS
#FOAMcc
#FOAMus
@DrAmirKhanGP
6
9
111
'Postnatal anxiety convinced me my baby was going to die' Uber proud of my wife
@hannahwilko06
for putting this out there. No one should feel they can’t speak up about this or suffer alone. Help and good ears are out there.
#postnatalanxiety
2
33
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Ever get confused with what’s best for your patients as far as fast-track major joint surgery is concerned?! Here is our infographic on it…choose your menu! Download and keep here
@PARADicmSHIFT
#FOAMed
#FOAMcc
#orthopaedics
#earlyrecoverysurgery
14
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2
58
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You can’t XRay them all, access to CT limited, stethoscopes useless...so🤷♂️ In summary...here’s Lung
#POCUS
for you. A highly relevant diagnostic modality in
#COVID19
.
#LearnlungUltrasound
#FUSIC
#FOAMed
#FOAMcc
Need help with lung ultrasound? Here is the BLUE protocol in infographic form.
#FOAMed
#POCUS
@icmteaching
@iceman_ex
@ICUltrasonica
@sonophysio
@PARADicmSHIFT
#ultrascoundrels
Thx
@avkwong
for the peer review! Download here
6
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1
54
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1
91
100
My latest ultrasound cheat sheet - starvation and gastric ultrasound! Download it here Ready for the
@AAGBI
meeting where we teach you this and more!
@Anaes_Journal
@rosie_hogg
@elboghdadly
#POCUS
@amit_pawa
#FOAMcc
#ultrascoundrels
4
58
97
Check out our moviegraphic on central line placement & checking using
#POCUS
! Ditch the unreliable CXR?! Download it here
#ultrascoundrels
#FOAMed
#FOAMcc
@bkm101
@avkwong
@ICUltrasonica
@iceman_ex
@amit_pawa
@icmteaching
@PARADicmSHIFT
@cianmcdermott
7
58
97
Put it all together in
@DanielLICHTENS1
’S BLUE protocol to see how amazingly useful Lung
#POCUS
is!
Happy scanning. All this and more to come in a book chapter with
@LukeFlower1
and some fab stuff with
@GEHealthcare
soon!
6
31
98
Lumbar Puncture with Ultrasound via
@YouTube
The legend
@UltrasoundMD
talks how to identify your ideal LP space with
#POCUS
. Watch and learn 👍👍
#FOAMed
2
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The happiest 1st birthday to our little Olivia!! So sorry I’m not there with you 😔
Well done for surviving an 12 months with us - no batteries swallowed, no bleach consumed, some soil eaten and a few candles / plants knocked over…but we love you dearly! 💕
@hannahwilko06
14
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Our article is out! Take a look at this and more from International clinicians, as we talk about everything
#COVID19
.
#POCUS
#FOAMed
#FOAMcc
@cianmcdermott
@avkwong
@iceman_ex
4
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Here is a short video to accompany the full presentation I have been delivering to my hospital on
#COVID19
. Full version to come tomorrow at and
@NGHnhstrust
@NghCare
#FOAMed
#FOAMcc
#medtwitter
4
37
93
Today’s Tweetorial is Gastric ultrasound!
A potentially rewarding
#POCUS
skill to learn.
Great 📄 from my good friends
@shaskinsMD
and
@JanBoublikMDPhD
#FOAMed
#FOAMcc
#foamus
👍 to assess NPO status and minimise post op pulmonary complication risk
2
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So
@StarbucksUK
and
@LidlGB
we cannot thank you enough for your kind donations to the front line!! It means so much to us!
@NghCare
@NGHnhstrust
.
#COVID19
Apologies we look scary..we aren’t!!
#TeamICU
4
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Now then...if you want to learn
#POCUS
and in a clear and fabulous, easy to follow format; check out this amazing website. I am in awe👏👏👏
@TheICUdoc
...well done!!!
#FOAMed
#FOAMcc
#echofirst
#foamus
#medtwitter
3
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1
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1/7
Here is a quick Tweetorial on Abdominal Aorta
#POCUS
for you all!
It’s a RULE IN study! Not a rule out ⚠️
Images from a forthcoming book chapter with
@LukeFlower1
@icmteaching
+
@ICUltrasonica
!
#FOAMed
#FOAMcc
#echofirst
#medtwitter
Hopefully we won’t see these?!
9
45
89
Fabulous article on IV fluid therapy by some BIG names in fluid therapy research. I had been lucky enough to see his pre-pub. 🙏
@CritCareReviews
for pointing it out.
@NGHnhstrust
we’re mentioned. Can you spot it?
#foamed
#foamcc
#pocus
2
57
87
My infograph on the SMART trial. Should we finally be laying N saline to bed?
@JAMyburgh
great editorial!
#FOAMed
#FOAMcc
@avkwong
@Manu_Malbrain
@Fluid_Academy
@Gas_Craic
@iceman_ex
@iamyourgasman
@VUMChealth
@ccpractitioner
@CritCareReviews
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It’s time for another Tweetorial:
#FOAMed
#POCUS
#FOAMcc
#FOAMus
#medtwitter
The Liver!
It is arbitrarily divided into 3 lobes:
1) R
2) L
3) Caudate
A crude line drawn between the GB, the main lobar fissure (MLF) and the IVC divides L and R!
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A system to consider before admitting
#COVID19
patients to your ICU. Includes frailty scoring, SOFA and co-morbidities. Adapted from the Royal Cornwall guidance.
#FOAMed
#FOAMcc
#MedTwitter
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Wow…whoever is the medical advisor to this programme, deserves a medal🙈🙄🙄
#innacuratecrap
#FOAMed
#FOAMcc
#meded
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