Consultant in Intensive Care Medicine & Anaesthesia @BTHFT, Evolutionary Biology Graduate, Evolutionary Medicine. Views my own. #evmed #FOAMed #ISEMPH

UK
Joined April 2009
A nasogastric tube is not a trivial procedure Our systematic review: 168 pts harmed by tube misplacement 🫁 54% airways 🧠 20% brain ⚠️ Mortality 29% (61% if brain) ✅ Only 30% verified by X-ray or pH No blind insertion after facial trauma. Open access: doi.org/10.22514/sv.2025.015
24
1
59
2,865
James Morgan retweeted
Take home points: ✅ Prescribe IV fluid with the care you would warfarin ✅ Achieve euvolaemia, then sit on your hands ✅ If urine output or BP stays low think “Is a different approach needed here?” rather than autoreaching for more IV fluid ✅ Break your AKI ➡️ fluid reflex
1
16
1
90
Central venous pressure: current uses and prospects for an old parameter CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/late…
38
1
171
10,681
PanEcho - does A.I have the edge on humans in cardiac Echo? #POCUS #FOAMed #FOAMcc #Meded #Medtwitter @EchoCases @EmergencyEcho @ASE360 @BSEcho criticalcarenorthampton.com/…
5
7
1,967
James Morgan retweeted
Dear friends and colleagues, It is with overwhelming sadness that we share news of the death of our colleague, mentor and friend, Rinaldo Bellomo. During recent days, both he and his family have received dedicated, expert and compassionate care from some of the finest in our ICU community. We share their pain and sense of loss. Over several decades, Rinaldo has made a profound and enduring impact on ICU practice in Australia, New Zealand and around the world. As a passionate researcher he challenged conventions, championed evidence-based practice in the care of the critically ill and supported countless colleagues in their research careers. As a compassionate mentor, colleague and friend, he touched and enriched numerous lives, and will be greatly missed. His loss will affect our whole community and in due course there will be opportunities to come together to celebrate his life. This will be a difficult time for many, but we know that our memories of Rinaldo’s relentless enthusiasm, warmth, optimism and boundless energy will help us all through the weeks ahead. In lieu of flowers, Rinaldo's family would welcome donations to support his research legacy at austin-health-community-fund… Our sincere condolences and best wishes go out to his family, friends and colleagues. Craig Carr, on behalf of the ANZICS community
37
109
42
290
65,304
New content: Donor heart echocardiography video. Unsure about what to include in echo for organ donation? We are excited to release this video that has been created in conjunction with the @NHSBT team and their donor heart echo proforma. As always ORACLE is completely free!
7
7
2
9
3,005
Lots lined up 2025 and we are kicking things off with a brand new module - CT head haemorrhage. This module complements our CT head anatomy module and provides 2 CPD points. Let us know what you think! ORACLE is completely free, if you haven’t signed up see link below!
1
8
1
9
1,593
We have lots of content lined up for the coming months! If you haven’t already signed up to ORACLE Education see the link below.
Happy new year! We are officially changing our name from ORCA to ORACLE Education! Whilst our logo has changed, our commitment to providing excellent, free and peer-reviewed acute radiology education has not. We have exciting things lined up for 2025 - watch this space! 1/2
1
3
493
James Morgan retweeted
The updated @AoMRC Code of Practice for the Diagnosis and Confirmation of Death comes into force today, 1 January 2025. See the website for more: ficm.ac.uk/diagnosing-death-…
20
22
4,265
James Morgan retweeted
Thanks for sharing the news that my article on how to test evolutionary medicine hypotheses gets a 100% novelty score! I am in the midst of writing a much simplified version and would be glad to hear from anyone interested in this topic. @isemph onlinelibrary.wiley.com/doi/…
Check out this ground-breaking research in evolution with a 100% context novelty score by @RandyNesse 🧬 This study emphasizes balancing creativity and critical thinking to understand traits that increase disease susceptibility. 📚 By addressing key questions, scientists can generate innovative ideas and advance medicine. 🥽 Read more here: bit.ly/4dH0bcc #Evolution #Medicine #Research #OpenScience
5
21
4,534
#OrganDonationWeek Confirm your decision to be an organ donor. It's the best thing you'll do today. Visit organdonation.nhs.uk . . . #YesIDonate #OrganDonation #DonateLife #BeADonor @Mel_Pickup @razdy @EvolutionaryICM @StovesJohn @BthftK @BradfordOrgDon
2
5
542
#OrganDonationWeek Ruban and Sarah Jane are both transplant recipients. 2 mins now could save up to 9 lives. Visit organdonation.nhs.uk . . #YesIDonate #OrganDonation #DonateLife #BeADonor @Mel_Pickup @razdy @EvolutionaryICM @StovesJohn @BthftK @BradfordOrgDon
4
5
563
James Morgan retweeted
I totally love this slide!! Can you harm a patient by doing an echo? Absolutely!! #ESCCongress
31
210
34
773
128,760
We have released a brand new interactive module covering CVC insertion using ultrasound guidance alongside a live demonstration video. This forms the first module of a series covering vascular access - to come includes peripheral IV access, midline and PICC modules/videos. 1/2
1
13
1
32
6,667
In ICUs across the country we intubated and palliated colleagues, while protecting ourselves from them with PPE they were denied. The corruption and wastage of this government will stay with me for a long time. bbc.co.uk/news/articles/cll4…
2
34
1
66
3,545
Great performance from the West Yorkshire ICM DiT @ICS_updates ! Well done @Fad1878 and @SmallzAlex @DanCummings_ in Critical Care Tales, and Holly and Andreia in e-posters. 🙌🏻👏🏻👊🏻
2
3
1
29
3,114
Sunny Liverpool! Looking forward to #SOA24 week. Looks like a great programme and speakers. @ORCA_education will be there for all three days at the innovation zone - come say hi to us!
4
13
1,549
If the problem with a 5 year degree is the debt accumulated over 5 years, Err I dunno Maybe try reducing the debt burden rather than the training time…?
7
21
201
9,135