Alex Smith @doc_smithy
ICU SpR, England rugby fan and wishes he still lived in Melbourne. London, England Joined April 2017-
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🧵/ Identifying patients with RV dysfunction that are higher risk of RV failure and death in the dynamic and time critical ICU environment is hard. Choosing the right treatment at the right time is also hard! (1/12)
When I started in ICU as a Consultant 24 years ago our caseload was mostly reversible illness in the relatively well. Sometimes, of course, we couldn’t help. It’s now mostly irreversible illness in the debilitated sadly, & in a lot of cases we feel a little helpless. #lockdown…
YOU SEE IT DOESN’T FUCKING MATTER HOW YOU LABEL SYRINGES
On the topic of videolaryngoscopy and direct laryngoscopy skills, @derangedphys put it best … 🎯 derangedphysiology.com/main/required-…
On the topic of videolaryngoscopy and direct laryngoscopy skills, @derangedphys put it best … 🎯 derangedphysiology.com/main/required-… https://t.co/M0rX1oumQ0
Congratulations to our three new Honorary Fellows who were recognised for their contribution to echocardiography at Saturday's AGM: 💚@JudyHungMD, international speaker 💚@SSharmacardio, invited speaker 💚@EchoFoundations for services to education
The reason we've got such a terrible brain drain of British doctors abroad is because they're fucking good Well trained, capable, effective Other countries pay multiples of what we do to secure that talent What sort of fuckwit thinks the answer is to make our own doctors shit
The reason we've got such a terrible brain drain of British doctors abroad is because they're fucking good Well trained, capable, effective Other countries pay multiples of what we do to secure that talent What sort of fuckwit thinks the answer is to make our own doctors shit
Third year medical students arriving for the weekly consultant round of 12-bedded hospital ward, September 2025
Third year medical students arriving for the weekly consultant round of 12-bedded hospital ward, September 2025 https://t.co/RUkVJMUYYk
Results of the Crystalloid Liberal or Vasopressors Early Resuscitation in Sepsis (CLOVERS) trial will be published soon. Better to harm patients with fluid restriction or with lots of vasopressors? No difference, of course! What about just enough fluids and enough vasopressors?
Echo is one of the more skilled ultrasound exams you can do. Having learnt it and now teaching it, I see the same mistakes being made over and over again. I have put together thread on beginner mistakes in echo. #tweetorial #POCUS #FUSIC #askpocus
theguardian.com/world/2020/nov… @AlisonPittard @SusanMastersRCN @MattHancock Disappointing that none of your statements acknowledge that this is worse for patient safety. You are making it legal to put even more workload on the ICU nurses who continue to be asked to do more for less.
The first rule of transfer medicine...forget A-E...come back with treats! Trying to maintain the high standards taught by @FrimleyAnaes
Intensive Care Yoda: Refer, or do not refer; there is no “just to let you know…”
@BallouxFrancois 79% of what? Amongst whom? By what definition? No paper = No EBM = No change. We cannot conduct science through press release.
Royals as anaesthetists.
New toy at work! Not sure I'm going to be deemed senior enough to use it unsupervised...mainly as I can't afford to replace it! Great images though. Hey @ButterflyNetInc... Any chance of a trial probe for a keen intensive care trainee? #POCUS #ButterflyIQ #FUSIC
Pearl of wisdom from my consultant this week...If the anaesthetist can name the artery/vein that the surgeon has damaged, the patient is in trouble!
Just so you know how anaesthetists think....it’s hard work being this suspicious. We are the curtain twitchers of medicine.

Jan Hansel @VirtueOfNothing
4K Followers 3K Following NIHR Doctoral Fellow in ICM @OfficialUoM | Anaesthetics & ICM SpR | ‘The truth is not always beautiful, nor beautiful words the truth.' –Lao Tzu
Alice Willson @AliceW48009
7 Followers 90 Following
Hannah@ @GeorsgeMic89604
195 Followers 2K Following
Maria @moenmaria3
333 Followers 3K Following
iMobile Critical Care... @iMobileCCOT
818 Followers 848 Following iMobile Critical Care Outreach Team, Denmark Hill, Kings College Hospital NHS
Waqas Akhtar @DrWaqasAkhtar
2K Followers 2K Following Consultant in Intensive Care & Cardiology @GSTTnhs @RBandH | Treas @RoySocMed | Past RDC Chair @AoMRC @FICMnews | See @MLScourse https://t.co/MtkPPYaGlJ
Luna @Flechazo568609
7 Followers 734 Following
Luna @GentleDove32572
5 Followers 737 Following
Luna @caro_line894432
17 Followers 746 Following
Ryan Simpson 🦋 @RY51MMO
908 Followers 3K Following Passionate about innovation and challenging the Status Quo for the benefit of all. Butterfly 🦋 European GM. My views are my own.
Mustafa Al-jarshawi @MustafaAjlan
920 Followers 4K Following NIHR Academic Clinical Fellow (Cardiology) @keeleuniversity | Assoc. Editor @RCPEdin Journal | MBChB, MRCP, MSc (Clinical Education), PgCert (Clinical Research)
Gui Movio @guimovio
513 Followers 1K Following MBChB, iBSc @UrgEmergUK, Cardiac Arrest SFP Doctor @EssexCTC. Interested in Anaesthesia/ICM/Trauma.
DANIEL DANNN @DANIELDANN37297
60 Followers 2K Following
Dr Shahzaib Ahmad @cicu_nicu
265 Followers 701 Following UK Intensivist, sometimes anaesthetist. currently ECMOist. I cook and build stuff
Steve Mathieu @stevemathieu75
6K Followers 2K Following Medical Director @PHU_NHS| ICM Consultant @icu_portsmouth| Immediate Past President @ics_updates |SOA Congress Director 2018-21 |TBL @WICSBottomLine
Jesus Vidal Mayo @JesusVidalMayo1
2K Followers 5K Following Critical Care Medicine. Internal Medicine Physician in ED at INCMNSZ
Shirley @donahue26shirle
319 Followers 3K Following
Srinivas vemuri @Srinivasvemur12
52 Followers 663 Following
Pete @ICM_Pete
340 Followers 1K Following Interests in ICU and medical education. Trudging towards being a Physician Intensivist. My views are my own.
Dermot McGuckin @dermotmcguckin
1K Followers 4K Following Anaesthesia & Pain Medicine @uclh (He/Him)
Dr Stephen T Webb @stephen_t_webb
9K Followers 9K Following Past President @ICS_updates 🇬🇧 🩺🥼Consultant in Intensive Care @RoyalPapworth Cambridge 🏥 Follow for🫀🫁🚴♂️🦋🌳🍪⚔️☘️ Views=own
Jo Sopala 💙💛 @josopala
1K Followers 1K Following CEO at British Society of Echocardiography. Passionate about the NHS, politics, heavy metal and running! All my own views.
Sheila @rose73sheila
246 Followers 3K Following
Boeck schram @boeck_schram
286 Followers 7K Following Entrepreneur 🏅Business Administrator 💱Crypto_Consultant 🅱️Expert bitcoin trading https://t.co/hzaEXG4Hvl
Max Ridley (@maxridle... @MaxRidley3
351 Followers 305 Following Anaesthetist & Intensivist FRCA, FFICM, EDEC. Advanced Critical Care TOE/TTE.
Vasileios Zochios @vaszochios
2K Followers 5K Following Intensivist| ECMOlogist| Consultant @glenfield_aicu| #PRORVnet Chair| 🫀🫁Clinical Researcher| #ECHO, #ARDS, #RV, #FFICM exam, #ECMOed, https://t.co/F8CXNWqw2r
Mary @mary37bush
562 Followers 3K Following
Natalie @walkernatalie97
286 Followers 3K Following
Rich Carden @richcarden
2K Followers 3K Following ICM Trainee London | PhD Trauma Sciences | Neuro-Intensive Care SSY
Linda @linda_canada_
307 Followers 3K Following
Ashleigh Lowther @ashleighlowther
7K Followers 4K Following RCEM Dual Credentialed ED ACP @PHU_NHS | @RCollEM ACP Forum Chair | DipIMC RCSEd | ETC instructor | Good Patient Care | All views my own |
Mark Forrest @Obidoc
11K Followers 6K Following Cons Anaes, ICU & Pre-hospital Care, NHS Assoc Med Director, Med Director Cheshire Fire & Rescue, MD HFRS, MD NW Police, MD of ATACC/TAG
Poppyjuice @Poppyjuice
8K Followers 7K Following @poppyjuice.bsky.social Into safety, bias & human error. Swimming, cycling & running, sometimes mixed. Have been known to pass gas in front of strangers.
Rakish for Lord ✝�... @RakishSahotara
144 Followers 4K Following Servant of Jesus Christ 🕊. Happy to be his servant ✝️❤️. Make a joyful noise unto the Lord, all ye lands. 2 Serve the Lord with a gladness.(Psalm 100:1-2)
Dr Timothy Ho @tblho
2K Followers 917 Following Chief Medical Officer & Consultant Chest Physician, Frimley Health NHS FT. MBE. Views are my own.
Salman Naeem @salmannaeem217
2K Followers 1K Following Emergency physician with a love for #PHEM, # prehospital #POCUS, acute pain, regional anaesthesia in ED and #academia
Thomas Shanahan (Dr.)... @clifford0584
6K Followers 6K Following (PGY8) ED Research Registrar @ Royal Perth Hospital | Affiliate Researcher Monash University | EMJ Monthly Top 5 | EM researcher. Husband🏳️🌈🇮🇪🇬🇧
David Oliver (also on... @mancunianmedic
71K Followers 25K Following NHS Dr 36 y. Covid wards++ Gov, policy, academic, officer roles. Byline: @BMJ_latest. Columns: health press, papers. @mjauk. Manc-in-South. MCFC. Craic. Schlock
ACCESS London @ACCESS_London1
1K Followers 176 Following The New Pan London Adult Critical Care Transfer Service Consultant Line 0330 330 4357 - Operational 24/7
Hamilton Medical @HamiltonMedical
15K Followers 2K Following Hamilton Medical is a leader in mechanical ventilation for respiratory therapy offering intelligent ventilation solutions from mobile to clinical ICU.
Lina @Lina60169515
12 Followers 198 Following I am from Singapore and currently live and work in Manhattan, New York. I have my own business here and run a clothing foreign trade company in New York.
Dr. Ron Daniels BEM @SepsisUK
52K Followers 16K Following That Sepsis 6 guy. CEO @UKSepsisTrust (charity 1158843) & VP Global Sepsis Alliance. Compassion foremost. ICU doc. Solihull/Birmingham/London
Manoj Wickramasinghe ... @Manoj_Wickram
4K Followers 4K Following Anaesthetic trainee. Wannabe Intensivist. #POCUS. #FUSIC #FAMUS @ORACLE_Educ
Sumesh Arora @SumeshArora8
285 Followers 155 Following Intensivist Founder: Go the Extra Mile - World's Largest Collection of MCQ in Critical Care (https://t.co/cPVXG8XEC4) Critical Care MCQ App (iOS and Android)
Sarah Malone @sarah_malone14
57 Followers 279 Following
Mohamed Elwkhi @elwkhi
63 Followers 607 Following Anaesthetist, Husband, Father, love Imbakbaka 🍝 caffeine driven mood☕, 🇱🇾🇬🇧
Simon Fleming 🛠 @OrthopodReg
54K Followers 26K Following #handsurgery | #MedEd PhD | @Orthodiversity | @NHSProjectS | Culture | @BJSOpen Ed Board | @ClinEdResearch | He/Him
EK Rugby Analysis @ek_rugby
37K Followers 576 Following Analysis for the rugby obsessive. Always looking to learn and share what I love about rugby. ✉️ [email protected] https://t.co/IsPABmwAwW
Lance McCarthy @Lancemccarthy
2K Followers 559 Following Proud CEO at Frimley Health NHS Foundation Trust (@FrimleyHealth). Love the NHS. Father of 2; husband; fan of all sports; Peloton obsessed.
Ambroise Muchembled @DoctorAmbroise
326 Followers 331 Following Intensivist-prehospitalist-réanimateur 🚑 Organisational culture 🏥 Human/clinical performance in degraded environments 🗑️ Views my own...
St George's, Epsom an... @geshNHS
30K Followers 2K Following Home of St George's, Epsom and St Helier hospitals Group. We care for a population of four-million people across South West London and Surrey.
🇳🇴🇩🇰Asbj�... @strain_rate
6K Followers 773 Following Cardiovascular physiology. Academic tweets now also on bluesky. Staying on X for other contents.
Victoria Cornelius @VR_Cornelius
2K Followers 1K Following Medical Statistics and Trial Methodology. Director of Imperial Clinical Trials Unit.
Alison V Phillips �... @Miss_AVP
2K Followers 1K Following Family & friends are my world. Horses, Hats & Heels. science/med/corporate comms. Passionate about pt safety, ICU rehab, call4concern, NEWS - preventing harm.
FHFT Rapid Response T... @FHFTRapidRT
795 Followers 416 Following Critical Care Outreach & Resuscitation Team; bringing expert knowledge, skills & education to deteriorating patients & staff irrespective of location FHFT
Private Eye Magazine @PrivateEyeNews
634K Followers 0 Following Britain's best-selling news and current affairs magazine with a unique mix of jokes and investigative journalism. https://t.co/YxU5lc50Tn. Subscribe: https://t.co/GtTmLGqEPj
iMobile Critical Care... @iMobileCCOT
818 Followers 848 Following iMobile Critical Care Outreach Team, Denmark Hill, Kings College Hospital NHS
Koch (Michael Okocha) @TheTraumaSurg
2K Followers 4K Following Dad of 4. Colorectal & #EGS. Council @RCSEd. Past Pres of @ASGBI_MA. pelvic floor rep @dukes_club @ACPGBI. #50FacesofSurgery & @QIsouthwest creator.
SonoUK @sono_uk
489 Followers 407 Following SonoUK is the point-of-care ultrasound festival! A cornucopia of PoCUS learning - many courses running concurrently (not for profit!). Usually runs in May!
Waqas Akhtar @DrWaqasAkhtar
2K Followers 2K Following Consultant in Intensive Care & Cardiology @GSTTnhs @RBandH | Treas @RoySocMed | Past RDC Chair @AoMRC @FICMnews | See @MLScourse https://t.co/MtkPPYaGlJ
ORACLE Education @ORACLE_educ
1K Followers 6 Following Free, progressive, integrated, peer-reviewed and interactive learning resources in all modalities of medical imaging. Hosted by @pgvle #FOAM #POCUS
Ultrasound For The Ge... @GeneralistUS
2K Followers 998 Following Ultrasound cases from the front door. Online resources, accredited courses and a brand new textbook published by @CambridgeUP - https://t.co/mLi2nYXP1l for info!
Dr Asif Qasim MA PhD ... @DrAsifQasim
12K Followers 10K Following Interventional Cardiologist - Founder MedShr - Join 2,800,000 members globally! https://t.co/dFiqASu4ff
Enhanced Care Service... @enhanced_c_s
3K Followers 1K Following Event Medicine | Ambulance Operations | Education and Training @education_ecs | Robust governance and a focus on quality | 📞 02380 201561
Bonita Anderson @BonitaEcho
4K Followers 240 Following Cardiac sonographer, echo educator, author of Echo textbooks. 💗 #echocardiography #echofirst
Jon Barratt @EMDocJB
4K Followers 3K Following EM & PHEM Consultant @UHNM_NHS @DMS_MilMed @WMASMERIT Clinical Lead - Research and Clinical Innovation @YorkshireAirAmb
Danny Wong (黄永年... @dannyjnwong
7K Followers 2K Following Husband & Father of 2 | Anaesthetist | PhD in Health Services Research | Geriatric Millennial
Hayley @hayleymagill
10K Followers 852 Following Facial aesthetics doctor passionate about education and safety. Ex surgical trainee (#PlasticSurgery). Stepping off the treadmill provides a new perspective.
Dr Shahzaib Ahmad @cicu_nicu
265 Followers 701 Following UK Intensivist, sometimes anaesthetist. currently ECMOist. I cook and build stuff
Dermot McGuckin @dermotmcguckin
1K Followers 4K Following Anaesthesia & Pain Medicine @uclh (He/Him)
Pete @ICM_Pete
340 Followers 1K Following Interests in ICU and medical education. Trudging towards being a Physician Intensivist. My views are my own.
Jo Sopala 💙💛 @josopala
1K Followers 1K Following CEO at British Society of Echocardiography. Passionate about the NHS, politics, heavy metal and running! All my own views.
Retrieval 2027 @_retrieval
4K Followers 893 Following UK's national prehospital & retrieval conference. #retrieval2027
CAP Anaesthesia @CAPanaesthesia
3K Followers 2K Following Cardiothoracic Anaesthesia Partnership. Free, advanced, cardiothoracic anaesthesia education. [email protected]
Chris Yap @casualtysrus
2K Followers 852 Following Emergency Medicine Consultant & loves simple POCUS, bad speller of casualties. I’d rather be cycling/snowboarding aka @ctlyap (non-work) _chris_yap on Insta
Medic in The Middle @MedicMiddle
3K Followers 2K Following Pre-Hospital Emergency medicine Podcast featuring a range of guests from critical care to maternity. #FOAMed #PHEM #CPD UK 🇬🇧 #Paramedic Host -Tom Alderson 🚑
Ross Prager @ross_prager
19K Followers 1K Following Intensivist ⚕️ POCUS | Hemodynamics | Innovation Co-founder of https://t.co/A68FZcHc6b -AI research assistant Hemodynamic Calculators: https://t.co/3MMlpWXhRM
Huma Naqvi (on blue s... @doc_hnaqvi
2K Followers 1K Following Geriatrician, Medicine & perioperative care. passionate about the NHS. Senior Medic Well-being lead SWB, TPD WM Geris. views are my own. @humanaqvi.bsky.social
Chris Duncan @chrisfduncan
378 Followers 429 Following Intensivist | 🇬🇧🇦🇺 | Crit Care Echo (BSE ACCE/TOE) | Exped & Humanitarian Med | Editor - Ultrasound for the Generalist @GeneralistUS
ICUEdandToddCast @IcuCast
1K Followers 279 Following Two ICU guys walk into a recording studio and talk about the latest and greatest in ICU evidence
ℍ𝕒𝕟𝕟𝕒�... @cardiacACCP
1K Followers 730 Following Associate Professor MSc PGCHE FHEA | National FUSIC Heart🫀Lead | BSE, fTOE and HD Examiner | Co Chair PRORVnet | IJAP and JICS Peer Reviewer
Tom Woodcock @thomaswoodcock
2K Followers 1K Following Starling physiology, critical care medical law and ethics. Free Speech. Fly fishing.
Max Ridley (@maxridle... @MaxRidley3
351 Followers 305 Following Anaesthetist & Intensivist FRCA, FFICM, EDEC. Advanced Critical Care TOE/TTE.
Richard Lyon @drrichardlyon
4K Followers 366 Following EM & HEMS Consultant, UK | Deputy Med Dir KSS HEMS | Prof - Pre-hosp Emerg Care, Surrey Uni | Clinical Lead, Medic1 Edinburgh | views my own
Nick Fletcher @Echotrainer
3K Followers 1K Following Professor. Researcher. Educator. Institute Chair Anaesthesia and Critical Care, Cleveland Clinic London. Liverpool native. Opinions are my own
Alastair Proudfoot @ICUDocAP
1K Followers 149 Following Cardiac ICU @NHSBartsHealth. @The_MRC CARP programme supporting Cardiogenic shock research with @KnightGenetics & @QMUL. 🏏 and 🍷 often together..
Cathy Cichon @DocScribbles
9K Followers 828 Following ID doc with Med-Peds background. Interested in health equity, antimicrobial stewardship, medical illustration, and MedEd.
Vasileios Zochios @vaszochios
2K Followers 5K Following Intensivist| ECMOlogist| Consultant @glenfield_aicu| #PRORVnet Chair| 🫀🫁Clinical Researcher| #ECHO, #ARDS, #RV, #FFICM exam, #ECMOed, https://t.co/F8CXNWqw2r
Teddy Hla @teddyhla
2K Followers 2K Following Intensive care specialist. data science. I am not active on X. follow me on https://t.co/kYo4Wlxe0z
Dr @bykatewomersley.b... @bykatewomersley
6K Followers 1K Following Psychiatry Dr 🏴 | Research Fellow @georgeinstitute @ImperialCollege | Co-PI Sex+gender equity https://t.co/H4754CxkLe | Writes too
BSEcho @BSEcho
9K Followers 316 Following BSE was formed to promote the study & advancement of cardiac ultrasound imaging & Doppler techniques, through professional rep, education & quality benchmarking
The Hospitalist and R... @HandRConference
344 Followers 148 Following HR2023 is a cutting edge acute care medicine conference that will give you the latest in evidence based, physiology informed practice.
Joe Lycett @joelycett
1.3M Followers 1 Following I am the comedian formerly known as Hugo Boss. Joe Lycett’s Art Hole is out now.