JustinM (@icmwk) header
JustinM (@icmwk) profile picture

JustinM

@icmwk

Consultant intensivist/anaesthetist. Bucks, UK.

 UK
icmwk.com
Joined July 2014
  • Tweets915
  • Following342
  • Followers439
23Media
Photo by JustinM (@icmwk)Photo by JustinM (@icmwk)Photo by JustinM (@icmwk)Photo by JustinM (@icmwk)Photo by JustinM (@icmwk)Photo by JustinM (@icmwk)Photo by JustinM (@icmwk)Photo by JustinM (@icmwk)Photo by JustinM (@icmwk)Photo by JustinM (@icmwk)
Updated version of the COVID patient daily review. Allows non-ICU doctors reviewing patients to have prompts, guides and escalate when necessary. Any comments are welcome. #COVIDー19 @PradShanmuga @ifor_capel @avkwong @AlikiManoras @SamHarmer13 @drgeorgechapman @icmwk @PDuggleby
Image from Tahir Ali (@TahirAl14)
Image from Tahir Ali (@TahirAl14)
8
2
19
I'm looking for a scoring system to help make decisions on escalation in covid-19. It needs to be infallible, and I need it by Monday. Many thanks in advance.
5
4
Did Scientific officer just say if any family member ill ALL family to isolate? Presume #NHS will need mitigation for this. #COVID19
15
11
2
65
Very pleased to advertise our first Critical Care Echo Fellow post in our ICU dept @BucksHealthcare. Achieve BSE Level 1 Echo under expert supervision from @icmwk. Advert at bit.ly/2YCVAW0 #POCUS
1
8
3
15
Multispecialty in situ simulation in our resus between ICM and EM.Start of many more to come. Thanks @TahirAl14 @daveajholland. Abhishek,Seema,Sara,Juliana from ED and the ITU team.
1
5
1
20
Image from Tahir Ali (@TahirAl14)
Image from Tahir Ali (@TahirAl14)
Image from Tahir Ali (@TahirAl14)
Image from Tahir Ali (@TahirAl14)
1
2
2
Anaesthetic Core Trainee SIM day at Bucks @BHTMedEd
Image from Tahir Ali (@TahirAl14)
Image from Tahir Ali (@TahirAl14)
Image from Tahir Ali (@TahirAl14)
Image from Tahir Ali (@TahirAl14)
1
5
3
9
Multicenter, retrospective cohort, • 400 critically ill mech vent • association between even/negative day 3 fluid balance and mortality, • no causation demonstrated • Small group sizes, multiple uncorrected statistical comparisons. Thank you Dr. Hansebout for reviewing!
Image from Hopkins ACCM ICU Education (@HopkinsSICUDrG)
5
6
In one month ANZICS CORE has collected the biggest ICU frailty database in the world. Well done! And frailty is an independent prognostic factor, over and above existing ANZROD risk factors #CICM2018ASM
Image from David Tripp (@tripp_advisor)
1
28
2
43
Did you think you had seen everything? Look this “mammoth” LVH ... From @afshinfarzan ... Thanks for sharing!! xitter.cf/afshinfarzan/status/99…
Afshin Farzaneh-Far, MD PhD (@afshinfarzan) profile pictureAfshin Farzaneh-Far, MD PhD@afshinfarzan28 Apr 2018
Replying to @almasthela
We reported this case of "mammoth" ventricular hypertrophy in Circulation @CircAHA circ.ahajournals.org/content… Septum was 5.8cm ! @purviparwani
1
15
2
27
GCS 15, and this gas!
Image from JustinM (@icmwk)
21
24
10
79
Gradually normalised pH within 24hr of saline and K/Mg replacement, and some antiemetics!
2
6
I find this particularly worrying Lots of intensivists don’t see themselves doing #ICM to the end of their career How can we support and retain intensivists? @iceman_ex @DannytheBaker @stevemathieu75 @avkwong journals.sagepub.com/doi/10.…
Image from Nitin Arora (@aroradrn)
4
5
2
JustinM retweeted
NICE (@NICEComms) profile picture
NICE
@NICEComms11 Apr 2018
We’re developing a guideline on the diagnosis and management of pancreatitis. You can read our draft recommendations and submit your comments here: bit.ly/2p9Xny5
Image from NICE (@NICEComms)
1
8
5
Replying to @mastinmd
Actually lack of fever in sepsis is an ominous sign: rebelem.com/fever-new-hotnes… #AAEM18 #FOAMed
Image from Salim R. Rezaie, MD (@srrezaie)
9
1
16
Everyone (UK) using the ICS eye care guideline? ics.ac.uk/AsiCommon/Controls…. Brief page summary icmwk.com/wp-content/uploads…
So @iceman_ex and I have put together our top 5 #POCUS articles in 2017.....
Image from Adrian Wong (@avkwong)
6
54
4
84
#Prone position in #ards : a simple maneuver still underused! it should be considered in all moderate/severe ARDS patients—irrespective of the level of hypoxemia—to attenuate ventilator-induced lung injury and improve hemodynamics. rdcu.be/EIEZ
Image from Intensive Care Medicine (@yourICM)
6
154
16
176
A guide to the statistical methods you can use for comparing functional outcomes in RCTs with high mortality bmj.com/content/360/bmj.j574…
Image from The BMJ (@bmj_latest)
32
2
42
Load more