The Bottom Line @WICSBottomLine
Summary and Critique of the landmark papers in the Critical Care and EM literature #FOAMed #FOAMcc thebottomline.org.uk Joined April 2014-
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#TBL 448: NICO - Noninvasive Airway Management of Comatose Patients with Acute Poisoning thebottomline.org.uk/summaries/icm/… Article by Freund Review by @DrTomJudd #FOAMed
#TBL 447: Validation of the MIRACLE 2 Score for Prognostication After Out of Hospital Cardiac Arrest thebottomline.org.uk/summaries/vali… Article by @Nicksunderland5 Review by @davidslessor #FOAMed #cardiacarrest #Cardiology
Emergency Medicine Evidence Based Updates February 2024 thebottomline.org.uk/blog/emergency… Critical Care Evidence Based Updates February 2024 thebottomline.org.uk/blog/critical-… by @ClinicalLibsPHU #FOAMed
#TBL 446: ARiE RCT - Rifaximin for encephalopathy thebottomline.org.uk/summaries/arie… Article by @PrathitKulkarni Review by @ChrisCritCare #FOAMed #hepatology #encephalopathy
Emergency Medicine Evidence Based Updates January 2024 thebottomline.org.uk/blog/emergency… Critical Care Evidence Based Updates January 2024 thebottomline.org.uk/blog/critical-… by @ClinicalLibsPHU #FOAMed
#TBL 445: PROPHY-VAP: Ceftriaxone to prevent early ventilator-associated pneumonia thebottomline.org.uk/summaries/prop… Article by @ClaireDahyot Review by Achilleos #FOAMed
Emergency Medicine Evidence Based Updates December 2023 thebottomline.org.uk/blog/emergency… Critical Care Evidence Based Updates December 2023 thebottomline.org.uk/blog/critical-… by @ClinicalLibsPHU #FOAMed
#TBL 444: EARLYDRAIN - Effectiveness of Lumbar Cerebrospinal Fluid Drain Among Patients With Aneurysmal Subarachnoid Hemorrhage thebottomline.org.uk/summaries/icm/… Article by Wolf Review by Bridget Jones #FOAMed #Neurosurgery
#TBL 443: ACORN - Cefepime vs Piperacillin-Tazobactam in Adults Hospitalized With Acute Infection thebottomline.org.uk/summaries/icm/… Article by @EdQian Review b @hgmwalker89 #FOAMed #FOAMcc #Sepsis
Emergency Medicine Evidence Based Updates November 2023 thebottomline.org.uk/blog/emergency… Critical Care Evidence Based Updates November 2023 thebottomline.org.uk/blog/critical-… by @ClinicalLibsPHU #FOAMed
Emergency Medicine Evidence Based Updates October 2023 thebottomline.org.uk/blog/emergency… Critical Care Evidence Based Updates October 2023 by thebottomline.org.uk/blog/critical-… @ClinicalLibsPHU #FOAMed
#TBL 442 STRESS-L: Landiolol and Organ Failure in Patients With Septic Shock thebottomline.org.uk/summaries/stre… Article by @Whitehouse_ICU Review by @hgmwalker89 #FOAMed #Sepsis
#TBL 441: UK-REBOA - Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage thebottomline.org.uk/summaries/icm/… Article by @janjansenuk Review by @celiabradford #FOAMed #Trauma
Emergency Medicine Evidence Based Updates Setpember 2023 thebottomline.org.uk/blog/emergency… Critical Care Evidence Based Updates September 2023 thebottomline.org.uk/blog/critical-… by @ClinicalLibsPHU #FOAMed
#TBL 440: CRYOSTAT-2 - Early and Empirical High-Dose Cryoprecipitate for Hemorrhage After Traumatic Injury thebottomline.org.uk/summaries/earl… Article by @rossdavenport Review by @celiabradford #FOAMed #Trauma
#TBL 439: ECLS-SHOCK - Extracorporeal Life Support in Infarct-Related Cardiogenic Shock thebottomline.org.uk/summaries/ecls… Article by @thiele_holger Review by @AlastairBrown21
#TBL 438: ARREST - Expedited transfer to a cardiac arrest centre for non-ST-elevation out-of-hospital cardiac arrest thebottomline.org.uk/summaries/arre… Article by @drtpatterson Review by Achilleos #FOAMEd
Emergency Medicine Evidence Based Updates July 2023 thebottomline.org.uk/blog/emergency… Critical Care Evidence Based Updates July 2023 thebottomline.org.uk/blog/critical-… by @ClinicalLibsPHU #FOAMed
#TBL Mini: ADVOR: Acetazolamide in Acute Decompensated Heart Failure with Volume Overload thebottomline.org.uk/summaries/tbl-… Article by @WilfriedMullens Review by @hgmwalker89 #FOAMed
𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰
Cliff Reid @cliffreid
42K Followers 3K Following EM/ICM/PHEM doc. LOVE learning + teaching. I work in the sky above Sydney, have the attention span of a bullet, + often have days that are like cartoons #FOAMed
Intensive Care Medici.. @yourICM
71K Followers 156 Following International peer-reviewed medical journal for all involved in Intensive Care #FOAMed #FOAMcc 🖋 Write https://t.co/j4p0oZF5XA 📨 Submit https://t.co/BJMsQ4rNz3
Segun Olusanya (He/Hi.. @iceman_ex
19K Followers 3K Following Husband to @monanniecakes| Intensivist @nhsbartshealth| Ultrascoundrel |#FOAMed|@thosewecarry|@ics_updates|@wicsbottomline|@esicm|@tea_empathynhs| 🇳🇬
Ken Milne MD @TheSGEM
28K Followers 903 Following Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to EM. (he/him)
Critical Care Reviews @CritCareReviews
55K Followers 916 Following The leading critical care evidence dissemination platform. Website, newsletter, blog, book, podcast, livestream & meeting. #CCR24 June 12-14
𝘈𝘯𝘢𝘦𝘴�.. @Anaes_Journal
44K Followers 804 Following 𝘼𝙣𝙖𝙚𝙨𝙩𝙝𝙚𝙨𝙞𝙖 is the official journal of @Assoc_Anaes with comprehensive coverage in peri-operative medicine, critical care and pain. IF 10.7.
Anand Swaminathan MD .. @EMSwami
37K Followers 397 Following EM doc | Views my own | Medical commentary on CNN, Yahoo, MSNBC, NBC. he/him/his
Andrew Petrosoniak @petrosoniak
12K Followers 2K Following EM & trauma physician | #simulation & #design to improve care | speaker | high stakes decision making | Founding partner, @AdvPerformHD
Steve Mathieu @stevemathieu75
6K Followers 2K Following President @ics_updates |ICM Consultant @icu_portsmouth|Divisional Director Clinical Delivery @PHU_NHS|SOA Congress Director 2018-21 |TBL @WICSBottomLine
Hans Huitink @AirwayMxAcademy
13K Followers 9K Following Anesthesiologist🇳🇱Founder Airway Management Academy non-profit airway teaching #AAF24| Mobile Intensive Care Unit😷🚑🩺 | AirAmbulance🛩 @AirwayTriageApp
Charlotte Summers @charlot_summers
17K Followers 6K Following Director of @hlri_Cambridge & Professor of Intensive Care @Cambridge_Uni; Fellow @selwyn1882 Tweets represent only my personal views.
Adrian Wong @avkwong
12K Followers 1K Following Consultant ICM/Anaes @KingsCritCare PhD candidate @KCLDocStudies @KingsCollegeLon Editor @WICSBottomLine Views my own.
Alex Psirides @psirides
10K Followers 98 Following Co-director @WellingtonICU. National RRT/MET @HQSCNZ. Aeromedical retrieval @lifeflightnz. Once ventilated a chimpanzee.
Simon Carley @EMManchester
29K Followers 3K Following EM, Major Trauma & HEMS Consultant, Dean @RCollEM. Associate Dean. #FOAMed @StEmlyns @PHCCC @NWAirAmbulance PGY32: Prof at #MAHSC @officialUoM & @ManMetUni
Philippe Rola @ThinkingCC
10K Followers 1K Following #zentensivist, EMCrit Teammate, Proud daddy and husband. ICU chief at Santa Cabrini Hospital, @[email protected]
Critical Concepts @critconcepts
14K Followers 965 Following Critical care PA, FCCM. Proprietor of https://t.co/Qf4aPrrBRw, cohost of https://t.co/1KA4lxqiiO, former EMT. #FOAMcc #FOAMed
Aoife Abbey @WhistlingDixie4
15K Followers 1K Following Consultant in Intensive Care | Council @ICS_updates | Author: Seven Signs of Life @vintagebooks | Section editor @yourICM | She/Her | Abortion is Healthcare
Intensive Care Societ.. @ICS_updates
40K Followers 2K Following We are the oldest intensive care professional body and charity in the world. The home of the UK's #intensivecare community since 1970.
Nuno Costa @NunoDanielCosta
87 Followers 393 Following
Dhara Khedekar @DharaJK1411
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Jus @_Hola_olah_
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Jack @Jack1154546
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ANTONIO SERRANO @ANTONIOSERRAN35
118 Followers 366 Following Enfermero de emergencias. Las actividades en la naturaleza mi segunda pasión.
S Sindhu @drsindhusivana1
74 Followers 561 Following
Jyothi Reshma @JyothiReshma
2 Followers 77 Following
fagedog @fagedog
5 Followers 46 Following
Dr Siddhavivek @SiddhavivekM
28 Followers 254 Following Junior Resident Anaesthesiology, Pain Medicine and Critical Care at AIIMS Delhi
Angelica Lopez G. @Angie_LopGa
2 Followers 93 Following
Ahmed Abdelmonem @Kashraf95
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Richie Tovara Ala @Rala88
74 Followers 567 Following Serving Humankind With Dignity🙏 -J.M.G. Ala- EM Doc 🩺 Family First 👪 Music 🎶 Football ⚽️ Cooking 🍳
Eran Kalmanovich @KalmanovichE
32 Followers 80 Following
maicolcas05 @maicolcas051
7 Followers 92 Following
SANJAY NEMA @sanjaynema71
56 Followers 783 Following
Ameya Kasture @KastureAmeya
73 Followers 1K Following Med Student | Interests-Internal medicine/GI | Intern@SBHGMC, Dhule Work like a captain, play like a pirate.
Gibson Tse @tse_gibson
152 Followers 2K Following
Hashem @HashemWaleed4
4 Followers 112 Following
Isaac Sisco @IsaacSisco2
0 Followers 28 Following
Ryleigh Keith @ryleigh_keith
446 Followers 75 Following
Floyd Butz @floydbutz
1 Followers 44 Following
💭💫Teresita Cruz.. @Teresit02386441
153 Followers 2K Following después de la tormenta; regresa la calma.
sadr taheri @sadr_taheri
103 Followers 2K Following
Josh McBride @JoshRx813
1 Followers 24 Following
Niecee @Niece72031663
445 Followers 3K Following Nurse, Army Brat, Body-builder, Jogger, Biker, H2O,tea, fish, lentils, salsa,greens, & protein powder. Love Jesus, The USA, books, music, travel, ESPN & the NFL
CP @Polseta
133 Followers 2K Following
robertrodriguez @robertr83437932
7 Followers 82 Following
QS Neurocritical Care @QSNeuroCritCare
63 Followers 221 Following Official account of the Queen Square Neurosciences Critical Care Unit, London. Posts on education and research in neurocritical care.
AliMokhtari @AliMokh68885598
4 Followers 167 Following Emergenecy medicine specialist interested in the arts of the ER and critical care
Surafel Atale @SurafelAtale
7 Followers 133 Following
ashutosh chaurasia @ashutosh808
166 Followers 474 Following anaesthesiology & critical care resident.. or baki to hum hero hain hi apni life k..
Hannah Adams @hannahradamss
4 Followers 47 Following FY1 Doctor at @ChelwestFT | @EdinburghUni | NI | she/her
Clinical Guruji @ClinicalGuruji
6 Followers 53 Following
Florian Gallob @GallobFlo
20 Followers 82 Following
Samrita Chaudhary @SamritaCha90459
1 Followers 44 Following
Kenji Morimoto, MD MP.. @picukenji
480 Followers 171 Following PICU doc in Japan post extended training in Melb. interested in everything, now on the way to a clinician educator #かんわとーく faculty. Views are my own.
chhabi @bpkihs09chhabi
292 Followers 1K Following Pulmonary and Critical Care Fellow at One Brooklyn Health System (OBH) ll ## BLOSSOM WHERE YOU'RE PLANTED ## let's share the ideas. tweets ≠ endorsement
Ahmed Marei @Ahmed_M_Marei
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Thomas Tschoellitsch @ThomasTschoell1
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Kyle Lyman @lyman296456
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Isaac Bonisteel @iBonisteel
402 Followers 477 Following PGY2 Medicine, MBChB University of Edinburgh, McEuen Scholar, University of St Andrews, Pearson College UWC Alum.⚽️ Newfoundlander
AwesomeHealthcare @mmw2209
62 Followers 329 Following
Segun Olusanya (He/Hi.. @iceman_ex
19K Followers 3K Following Husband to @monanniecakes| Intensivist @nhsbartshealth| Ultrascoundrel |#FOAMed|@thosewecarry|@ics_updates|@wicsbottomline|@esicm|@tea_empathynhs| 🇳🇬
Steve Mathieu @stevemathieu75
6K Followers 2K Following President @ics_updates |ICM Consultant @icu_portsmouth|Divisional Director Clinical Delivery @PHU_NHS|SOA Congress Director 2018-21 |TBL @WICSBottomLine
Charlotte Summers @charlot_summers
17K Followers 6K Following Director of @hlri_Cambridge & Professor of Intensive Care @Cambridge_Uni; Fellow @selwyn1882 Tweets represent only my personal views.
Adrian Wong @avkwong
12K Followers 1K Following Consultant ICM/Anaes @KingsCritCare PhD candidate @KCLDocStudies @KingsCollegeLon Editor @WICSBottomLine Views my own.
Chris Nickson @precordialthump
23K Followers 1K Following Intensivist, Clinician Educator & Innovator at @AlfredHeath. Calm amid a #FOAMed storm @LITFLblog @resuscitology @RAGEpodcast @INTENSIVEblog @ANZCENIncubator
Omar Jundi @bi0marker
388 Followers 671 Following Dad, husband, intensivist and anaesthetist. Apparently dislike FOMO more than social media. Views my own (Obviously?!). he/him.
Alastair Brown @AlastairBrown21
37 Followers 82 Following Budding ICU Researcher. Proud husband and father. Passionate Cook
Rebecca the Clinical .. @ClinicalLibsPHU
508 Followers 293 Following Rebecca tweeting on behalf of the Clinical Librarians at Portsmouth Hospitals University Trust - helping all at team PHU [email protected]
luke_col @luke_col
76 Followers 524 Following
Celia Bradford @celiabradford
1K Followers 461 Following Intensivist in Sydney Australia. Interests: neuroICU,renal,organ donation,evidence. Editor The Bottom Line @WICSBottomLine #CODAchange #FOAMed #FOAMcc
David Slessor @davidslessor
536 Followers 209 Following Intensive Care & Emergency Medicine Consultant @WICSBottomLine
Duncan Chambler @DuncanChambler
2K Followers 216 Following Anaesthesia & ICM at @dchft. Training Programme Director for HEE Wessex ICM programme. Medical Examiner. Work tweets only. Opinions my own & still developing!
Wessex ICS @WessexICS
2K Followers 460 Following Twitter feed for the Wessex Intensive Care Society (WICS). Supporters of #FOAMed. Twitter stream collated by @mgt102
SC location really drove this primary outcome result - which intuitively makes sense… I still think plt txf decisions should be personalized here rather than a general rule. #medtwitter
#TBL 437: PACER - Platelet Transfusion before CVC Placement in Patients with Thrombocytopenia thebottomline.org.uk/blog/ebm/plate… Article by van Baarle Review by Ryo Ueno
Prophylactic platelet transfusion before CVC placement in pts. with <50,000 platelets? Data says: probably yes. My question would be: what's your limit in #ECMO? @imit_freiburg @ECMOdaily @MLSCourse @AlexanderSupady @EPTIG
#TBL 437: PACER - Platelet Transfusion before CVC Placement in Patients with Thrombocytopenia thebottomline.org.uk/blog/ebm/plate… Article by van Baarle Review by Ryo Ueno
Platelet Transfusion before CVC Placement in Patients with Thrombocytopenia – The Bottom Line thebottomline.org.uk/blog/ebm/plate… vía @WICSBottomLine
@PulmCrit Totally agree. It’s think 130-160 is good for typical hypertensive ICH. Consider lower if there’s potentially an underlying AVM or if the bleed doesn’t look / sound hypertensive on imaging / history and the pt usually has low BP e.g old lady with amyloid ICH with usual SBP 90-110
@PCCRG @JonathanCaseyMD @JAMA_current
#TBL 427: PREPARE II - Effect of Fluid Bolus Administration on Cardiovascular Collapse Among Critically Ill Patients Undergoing Tracheal Intubation thebottomline.org.uk/uncategorized/… Article by @DerekRussellMD Review by @bi0marker
Critical appraisal of TEAM trial comparing early active mobilization with usual care in adult patients receiving mechanical ventilation Usual care gets better over time. In this trial, usual care does not mean bedridden or ROM exercises. #FOAMcc
#TBL 425: TEAM Trial - Early Active Mobilization during Mechanical Ventilation in the ICU thebottomline.org.uk/summaries/team/ Article by @chodgsonANZICRC @TEAMtrialICU Review by @hgmwalker89 #FOAMed #physiotherapist #PhysicalTherapy
Created by me😊 the team also make other department/specialty updates so drop me a message to find out more
Emergency Medicine Evidence Based Updates November 2022 thebottomline.org.uk/blog/emergency… Critical Care Evidence Based Updates November 2022 thebottomline.org.uk/blog/critical-… by @ClinicalLibsPHU #FOAMed
@Dr_BellaR my fave accounts for learning @Wilkinsonjonny (Infographics ICM/fluid) @EM_RESUS ECG’s, @BrownHospMed infographics, @LITFLblog ICM/ED/ECGs, @WICSBottomLine journal club summaries ICM/ED, @TheResusRoom, @4hrEmergencyDoc, @EMJRespiratory CXRs
On the money, as usual.
#TBL 421: DOSEVF - Double Sequential External Defibrillation or Vector-change Defibrillation vs. Standard Defibrillation for Refractory VF thebottomline.org.uk/summaries/dose… Article by @DrCheskes Review by @davidslessor #FOAMed
I love good quality research of resus basics. This is must-read content! @DWKF @RespRate16 @domhnall13 @robpaquinRN
#TBL 421: DOSEVF - Double Sequential External Defibrillation or Vector-change Defibrillation vs. Standard Defibrillation for Refractory VF thebottomline.org.uk/summaries/dose… Article by @DrCheskes Review by @davidslessor #FOAMed
#TBL 420: Oxygen Targets in Comatose Survivors of Cardiac Arrest thebottomline.org.uk/summaries/box-… Article by Henrik Schmidt @cardiac_group Review by @davidslessor
👀 @TheResusRoom @WICSBottomLine
In a trial involving patients with refractory ventricular fibrillation, double sequential external defibrillation or vector-change defibrillation improved survival as compared with standard defibrillation. #AHA22 nej.md/3TWFwYJ
BOX Trial: Blood Pressure – The Bottom Line thebottomline.org.uk/summaries/box-… via @WICSBottomLine
As created by our own Rebecca @ClinicalLibsPHU - critical care and emergency evidence updates via The Bottom Line
Emergency Medicine Evidence Based Updates September 2022 thebottomline.org.uk/blog/emergency… Critical Care Evidence Based Updates September 2022 thebottomline.org.uk/category/blog/… by @ClinicalLibsPHU #FOAMed
Go check out this review of #TheBOXtrial by @WICSBottomLine @RigsHeart @CardResearchOuh @Rigshospitalet @jek_kj
#TBL 419: Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest thebottomline.org.uk/summaries/box-… Article by Kjaergaard @cardiac_group Review by Brown
Eräs tehohoidon "ikuisuuskysymys" taas tutkimuksen aiheena
#TBL 418: Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis thebottomline.org.uk/summaries/aggr… Article by @DeMadaria Review by @hgmwalker89
Claims lockdown was a disaster and unnecessary on the basis of Rishi Sunak’s interview with the Spectator have been made. Comment in @thetimes by retired Supreme Court Judge, Lord Sumption suggested the same today. A 🧵 from a frontline healthcare perspective. 1/16
There are physiological reasons why this isn’t a surprise (undetermined time of onset of bleeding, lack of hyperfibrinolysis in GI bleeding, different patient group). Full discussion of the trial from @WICSBottomLine here thebottomline.org.uk/summaries/halt…
Interestingly, the training involved in the Prague eCPR trial also improved the "standard care" arm, reducing statistical power. Paradoxical for EBM but great for patients. (@WICSBottomLine summary of the paper here: thebottomline.org.uk/summaries/icm/…) #EMSA2022
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Emergency Medicine Evidence Based Updates July 2022 thebottomline.org.uk/blog/ebm/emerg… Critical Care Evidence Based Updates July 2022 thebottomline.org.uk/blog/critical-… by @ClinicalLibsPHU #FOAMed
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