Greg Packer retweeted
We want to learn about current practice for antibiotic duration for Community Acquired Pneumonia hospital admissions, and the shortest duration people would feel comfortable with. Please can you fill out this short survey monkey poll? Thank you!
bit.ly/Short-Course-Antibiot…
Greg Packer retweeted
Many thanks to @pssld_official and @helpatologist for the opportunity to present at their 15th Annual Congress, on the ICU management of #ACLF. While the APASL, EASL & AASLD definitions differ, ICU management should be the same for all cohorts when organ failures ensue
Greg Packer retweeted
1/13
Why does adrenal insufficiency (particularly adrenal crisis) lead to hypotension?
I don't think of glucocorticoids as "pressors" and yet when they're lacking patients are at great risk for shock.
Let's have a look.
Greg Packer retweeted
Given that we work with our fabulous trainees every day, I suppose we have to ask: If 72% have failed, are we training them well (in my view, we are), are they good enough (in my view, the majority are) or is there a problem with the exam? I'll leave you to decide
Joint statement from the Faculty and @RCoANews following the release of the FFICM OSCE/SOE examination results yesterday. Once again, our sincere apologies to all concerned for the delay and confusion caused.
ficm.ac.uk/statement-followi…
Greg Packer retweeted
The RECOVERY Data Monitoring Committee reviewed data on patients randomised to convalescent plasma vs. usual care. The preliminary analysis based on 10,406 randomised patients with 1873 reported deaths shows no significant difference in the primary endpoint of 28-day mortality.
Thoughts 1/2 through my COVID itu week:
1)the nurses and junior drs are doing truly incredible work in hugely difficult circumstances 👏
2)we are properly surging again now, feels just like March
3)high community rate is reflected in many critically ill with incidental covid
4) people are tired. The emotional and physical reserve we burnt in the first wave isn't there. I'm in awe of the resilience people are showing
5) big thanks to the @Bham_Childrens nurses volunteering in adult itu!
6) the nurses and junior drs are doing a truly incredible job 👏
It might well get grim. But as @tessaoelofse says...
(@UHBCriticalCare)
This is graph of terrifying and giving me nightmares 🙈 @tessaoelofse @cesl1975 @drjminpat @bangash_mansoor @TomaszTorlinski @veenith_tonny @phileldalil @GregPacker3
Greg Packer retweeted
🚨Training in ICM with the Group 1 Physician Specialties🚨
Agreement reached with the @gmcuk and the Statutory Education Bodies for training to be undertaken from August 2022 in ICMe in association with the Group 1 physician specialties.
More info👉bit.ly/ICMTrainingUpdate
We absolutely need to use this emerging evidence in updating PPE guidelines.
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Greg Packer retweeted
1/This account was created in the summer purely to celebrate good news stories and positive feedback about our unit. We were proud of our team and how they had responded to unprecedented challenges in the first wave of COVID. Criticism should not be anonymous and is not our role.
Greg Packer retweeted
Latest paper from RECOVERY trial:
In patients admitted to hospital with COVID-19, lopinavir–ritonavir did not reduce 28-day mortality, duration of hospital stay, or risk of progressing to invasive mechanical ventilation or death.
thelancet.com/journals/lance…
Greg Packer retweeted
#SIMBA_AcuteMedicine_1 registration now open. Simulated cases cover @JRCPTB #GIM_curriculum_top20presentations. please visit bit.ly/simbasimulation or email [email protected] to register.
@vreddykolanu @UHBQEAMUClinEd @GregPacker3 @Dr_Adds @ZakiHassanSmith @IMSR_UoB
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Greg Packer retweeted
Replying to @unibirm_CMH
@unibirm_MDS students continue to lead from the front for @SIMBAsimulation. @P_Blaggan will be co-leading our first #SIMBA_AcuteMedicine session on 22 Aug 2020.
Registrations open 6 August. To register, please visit bit.ly/simbasimulation.
@IMSR_UoB @WMPA_UK @acutemedicine
Agree with this. Easy to fall into therapeutic nihilism. When a patient sees say 20% chance of survival on itu as worth it and we "experts" see 80% mortality as too much of a burden maybe we are more subconsciously protecting ourselves...
@ICUdecisions
The number needed to mourn.
I really like this from @yourICM
link.springer.com/article/10…
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…

















