Intensive Care and Acute Medicine doctor. Frequently absent husband and father of three wonderful children.
England
Joined June 2017
- Tweets160
- Following250
- Followers246
- Likes384
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
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.
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
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
@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
Greg Packer retweeted
A very thoughtful letter from a nurse in the current issue of @PrivateEyeNews. How we die matters as much as when we die.
Greg Packer retweeted
Airway closure frequent finding in anesthesia & #ICU: main cause of atelectasis (no/poor ventilation)
cause of V/Q mismatch
major cause of inflammation/stress
impairs estimation of driving P/compliance
-> detection/prevention crucial to optimize MV #FOAMcc rdcu.be/b5tP3
Greg Packer retweeted
After adjusting for imbalances in baseline characteristics, a reanalysis of the ECASS III trial does not find benefit and continues to support harms for the use of alteplase w/in 3-4.5 hrs of ischemic stroke.
ebm.bmj.com/content/early/20…
Greg Packer retweeted
Dexamethasone saves lives in COVID-19. RECOVERY trial shows dexamethasone decreases risk of death in those needing oxygen by 20%, and by 35% in those on a ventilator. On the shelf, cheap and can be taken by everyone - a real breakthrough.
Greg Packer retweeted
[thread] The paradox of treating ARDS is this: because we don't have a drug to reverse lung injury, we provide supportive care with two therapies - oxygen and mechanical ventilation - that can both cause ARDS.
Like treating cancer w/ carcinogens. Or infections w/ pathogens.
1/n
Greg Packer retweeted
TBL 324: ICU-ROX - Conservative Oxygen Therapy during Mechanical Ventilation in the ICU
thebottomline.org.uk/summari…
Greg Packer retweeted
1/14
Why does influenza have a "seasonal" trend with a winter peak?
As we enter flu season in the United States, it's worth asking what changes in the winter to allow influenza to infect so many.
What's your hypothesis?
22%Winter is drier
11%Winter has high due point
64%People are indoors more
3%Higher UV indices
8,518 votes • Final results Greg Packer retweeted
.@EMNerd_: The IRIS trial appears to finally settle the debate on the Sellick maneuver’s clinical benefit in favor of the procedure, but its conclusion is most likely a statistical analysis error #cricoidpressure #MythsinEM #FOAMed #FOAMres bit.ly/2TlKu1t
