Rhys J @rhys_jon

Part time doctor, full time air drummer. Intensive care registrar. Welsh. Views are my own/rubbish. Cardiff, Wales Joined March 2014

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Rhys J @rhys_jon

a year ago

Sorry Rachel, I don't want their shitty cars thank you. bbc.co.uk/news/articles/…

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Ineluctable Chris @BoveFromAbove

a year ago

Rumour has it Liz Truss is in talks to join Reform. If she opened a pub with Nigel Farage, what should they call it?

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Segun Olusanya (He/Him) [email protected] @iceman_ex

a year ago

It’s a delight to announce that the @echonepean / @BartsEcho collaboration is back for its 3rd iteration And we have the most amazing special guest- the incredible Andre Denault, for the first time in Europe. Book here events.humanitix.com/bartsheart2025

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Rhys J @rhys_jon

a year ago

*if a little dubious as to whether ALS should have been started/continued in the first place

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Rhys J @rhys_jon

a year ago

Really interesting case!

Josh Guttman @drjgutt

a year ago

1/ Wild cardiac arrest with #POCUS playing a major role An elderly male was sent from the nursing home in cardiac arrest. Per the prehospital report that we got, the patient was in vfib and refractory to 5 defib attempts. The patient got amio as well as several doses of epi.

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Katie Wiskar @katiewiskar

2 years ago

A quick #VEXUS thread 🧵- 3 reasons why the portal vein is the most useful single venous doppler waveform 🥇 (if you're only going to do ONE site to look for venous congestion, this is probably the most useful one!)

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Giacomo De Luca @jackdeliuc

2 years ago

🎬 2nd chapter ...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care. ☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻. x.com/jackdeliuc/sta…

Giacomo De Luca @jackdeliuc

2 years ago

...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care. This the first part in a series of three about sodium bicarbonate 🧂in critical care: 🧐I will get in deep to complexities, benefits, risks and clinical implications of this (overused) drug.

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Rhys J @rhys_jon

2 years ago

@ProfMarkTaubert They would make the choice to live. However, I still feel quite strongly that a lack of a properly resourced health system is in principle still not a reason to give others the choice. Call me idealistic, but that's my conviction.

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Rhys J @rhys_jon

2 years ago

@ProfMarkTaubert You see way more of this than I, and I totally appreciate this argument. I also understand the point of view that regardless of safeguards there may still be people who are overtly or covertly influenced into making the decision perhaps unnecessarily, and that with better support

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Rhys J @rhys_jon

2 years ago

@ProfMarkTaubert I would totally agree it's essential, but also appreciate how difficult it must be to run a robust RCT in this area.

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Rhys J @rhys_jon

2 years ago

@ProfMarkTaubert I agree that the evidence isn't necessarily there, but how much high quality evidence is there around the experience in dying in general?

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Rhys J @rhys_jon

2 years ago

@ProfMarkTaubert Agree that an emphasis on high quality and equitable palliative care should be at the forefront of this debate and process, but I still don't feel that should prevent those of sound mind the choice of choosing assisted dying if they want to. The two things should run in parallel

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Rhys J @rhys_jon

2 years ago

Excellent thread which makes me reflect on the few cases I have managed in the past

Ross Prager @ross_prager

2 years ago

(1/x) Here's a potentially fatal flaw in how thyroid storm is taught in medical school & residency —and why sticking to the textbook can be deadly for your sickest thyroid storm patients. ⚡️⚡️⚡️ I've seen this happen several times. A 🧵 #FOAMed #MedTwitter #endocrine #FOAMcc

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Luke Edwards @LukeEdwardsTele

2 years ago

If you’re getting worked up about the change in inheritance tax for farmers have a listen to this and stop being manipulated into believing this is something it isn’t. Go on I dare you. Or just keep furiously believing Farage, Clarkson, the Tory party and Musk (who hasn’t got a clue about what is actually happening and believes he doesn’t need to do so to compare Stalin to Starmer) meaningless drivel

The Rest Is Money @therestismoney

2 years ago

How many farmers will actually be affected by the changes to inheritance tax? @DanNeidle does the math...

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Rhys J @rhys_jon

2 years ago

@ChefReactions "Melt" or "Plum" are also excellent substitutes

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Rhys J @rhys_jon

2 years ago

@Gruff_boi Depends what your definition of great is

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Rhys J @rhys_jon

2 years ago

I’ve been looking for a way to say this neatly for about 20 years

Grace Blakeley @graceblakeley

2 years ago

All over the rich world, people’s lives are getting worse. It’s harder to afford the basics, keep a roof over your head, and access care when you’re sick. People will keep voting for whoever they think will bring back prosperity. 1/