Acute Medicine Consultant in Birmingham.
West Midlands, UK
Joined November 2014
- Tweets3K
- Following818
- Followers863
- Likes3.1K
Adam Seccombe retweeted
Thank you! We’re very excited to start sharing updates about SAMBA (and our upcoming #SAMBA2021) with you all on Twitter, and hearing from acute medics about how we can make SAMBA work for you @acutemedicine @DanLasserson @csubbe @Catatkin @acutemed2 @twh_knight
Acute physicians! Your one and only national benchmarking audit has got its own Twitter account! Go follow that @SAMBA_Acute
@acutemedicine @AcuteMedEd @AcutemedSarbc @DanLasserson @SannaWaseem @KatrinaSheikh @DrOKaneAgain
Adam Seccombe retweeted
West Midlands trainee group (WAMC) @Dr_Adds @DrJoeWhee (when trainees) did some great work. Model works.
rcpjournals.org/content/clin…
Adam Seccombe retweeted
I have had fantastic teachers and mentors over the years to help me start doing this @AcutemedSarbc @AndrewW21023349 @NHSmallwood @avkwong @MattMaw @Dr_Adds
We're very excited about POCUS and the virtual ward to manage pts. Currently creating pathways for conditions which could be managed in the virtual ward ie pt safely at home instead of in hospital. And very excited by @DanLasserson work on POCUS in care homes.
Adam Seccombe retweeted
Recently I considered that we could actually produce pretty impressive prognostic databases. This in the context of the metformin lactate thread.
teapaw.org/jfdwolff/status/135479…
With the ubiquity of venous blood gases and people taking metformin, what kind of lactate will you accept in someone who is otherwise stable? @acutemedicine
16%<2 mmol/l
31%<3 mmol/l
17%<4 mmol/l
36%Depends on my mood
186 votes • Final results
Adam Seccombe retweeted
Most people with sepsis have only modestly reduced total body water (sweating, tachypnoea). Vasodilation and extravasation as well as cardiac impairment are jointly the cause for hypotension. Which is why too much fluid is barmy. @Dr_Adds
Adam Seccombe retweeted
Today marks an important milestone in the fight against #COVID19. Interim data show the #OxfordVaccine is 70.4% effective, & tests on two dose regimens show that it could be 90%, moving us one step closer to supplying it at low cost around the world>> bit.ly/oxford-vaccine-result…
Adam Seccombe retweeted
Today’s the day! Looking forward to getting our acute medicine family together. Let’s do this! #SAMGlasgow
Massive congratulations to @djbeckett
and colleagues who have put together a great programme for #SAMGlasgow.
Feels bittersweet watching it at home but so pleased that it's still on.
Adam Seccombe retweeted
‘Brexit deal never made sense’ says man who negotiated it, signed it, prevented MPs from scrutinising it, campaigned for it and won a general election on the back of it:
Adam Seccombe retweeted
Prof Singhal thinks he is an acute physician, and that this gives him the right to take pot shots at the entire specialty.
He exhibits a breathtaking lack of insight. A CTPA may be indicated... @acutemedicine
Adam Seccombe retweeted
#SAMBA2020 unit questionnaire is now open! Your chance to tell us more about how COVID has affected acute medicine services across the country
Log in via data.casecapture.com/ or email us [email protected]
@acutemedicine @DanLasserson @acutemed2 @csubbe @twh_knight
While the NHS's preparation is world-class, we need to be careful about sensationalising Coronavirus.
In 2017-18, 26,408 people in the UK alone died of flu.
This feels very relevant to my recent decision to step away from academia.
Hard to find a work-life balance when you're regularly asked to do unrelated work in your own time.
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Adam Seccombe retweeted
Opportunity to join the great multispecialty @qehbham and @uhbtrust consultant Acute Medicine team. Either as pure AIM or 50/50 with another GIM specialty jobs.nhs.uk/xi/vacancy/91611…
Adam Seccombe retweeted
6. Lactate and base excess tell you almost nothing about how much fluid to give.
7. Most elevated lactate is not causes by insufficient oxygen delivery at a microvascular level.
8. Ask patients about thirst but not if they're also hypernatraemic.
9. Maintenance fluid at night? No