Caz Sampson
@cazsampson.bsky.social
Consultant in Anaesthesia, Critical Care and Adult ECMO, Leicester. Posts/opinions my own (mainly medical with the odd cat-related one thrown in for balance)
Pinned
Caz Sampson
@cazsampson.bsky.social
· Nov 11
I’m new at this school so here’s my intro. I work in the East Midlands, UK as a consultant in ICU & Adult ECMO & occasionally give an anaesthetic. Main interests are critical care transfer, SARF, PICS/critical care follow up and large cats (here is Oli with my niece) #medsky #criticalcare
Had such a lovely day at Twickenham today. 10s of thousands of people came & celebrated England’s success. We proudly waved the English flag. We celebrated women’s sport. Everyone was welcome. Everyone was kind. We cheered the teams that came 2nd, 3rd & 4th. This is what matters.
September 27, 2025 at 10:52 PM
Had such a lovely day at Twickenham today. 10s of thousands of people came & celebrated England’s success. We proudly waved the English flag. We celebrated women’s sport. Everyone was welcome. Everyone was kind. We cheered the teams that came 2nd, 3rd & 4th. This is what matters.
Reposted by Caz Sampson
Daily Mail previews a "weekend of anarchy".
Calls for mass protests outside 14 asylum hotels appear to seen up to 1500 anti- turn up, with several hundred counter-protestors.
The police made two arrests in Canary Wharf, one from each side. Have not yet seen reports of arrests elsewhere tonight.
Calls for mass protests outside 14 asylum hotels appear to seen up to 1500 anti- turn up, with several hundred counter-protestors.
The police made two arrests in Canary Wharf, one from each side. Have not yet seen reports of arrests elsewhere tonight.
August 8, 2025 at 8:59 PM
Daily Mail previews a "weekend of anarchy".
Calls for mass protests outside 14 asylum hotels appear to seen up to 1500 anti- turn up, with several hundred counter-protestors.
The police made two arrests in Canary Wharf, one from each side. Have not yet seen reports of arrests elsewhere tonight.
Calls for mass protests outside 14 asylum hotels appear to seen up to 1500 anti- turn up, with several hundred counter-protestors.
The police made two arrests in Canary Wharf, one from each side. Have not yet seen reports of arrests elsewhere tonight.
I still lurk on “the other place” (mainly to try and provide some scientific/medical sense amongst the sea of awfulness, although very much appreciate it would be better for my well being if I didn’t). Saw this today and thought Bluesky would appreciate
April 12, 2025 at 11:21 PM
I still lurk on “the other place” (mainly to try and provide some scientific/medical sense amongst the sea of awfulness, although very much appreciate it would be better for my well being if I didn’t). Saw this today and thought Bluesky would appreciate
The Glenfield hospital magnolia tree in all its glory. Enjoy
March 12, 2025 at 11:16 PM
The Glenfield hospital magnolia tree in all its glory. Enjoy
Reposted by Caz Sampson
A recent pre-print yet to be peer reviewed has been published that explores the very rare side effects of covid vaccine. It’s an important study but one that is quickly being weaponised. I wanted to try and clarify what this preprint does and does not say 🧪
The rare flip-side of the immunological coin: Post-vaccine syndrome (PVS).
Vaccines are transformational medicines at the population level, saving millions of lives over hundreds of years. However, any medicine can carry rare individual risks.
open.substack.com
February 28, 2025 at 9:16 AM
A recent pre-print yet to be peer reviewed has been published that explores the very rare side effects of covid vaccine. It’s an important study but one that is quickly being weaponised. I wanted to try and clarify what this preprint does and does not say 🧪
Reposted by Caz Sampson
Sudden Cardiac Arrest Among Young Competitive Athletes Before and During the COVID-19 Pandemic
No, just no, vaccines also did not cause more cardiac arrests among athletes. They just did not.
"Died suddenly" is all a lie, it always was.
jamanetwork.com/jour...
No, just no, vaccines also did not cause more cardiac arrests among athletes. They just did not.
"Died suddenly" is all a lie, it always was.
jamanetwork.com/jour...
Sudden Cardiac Arrest Among Young Athletes Before and During the COVID-19 Pandemic
This cohort study compares the prevalence of sudden cardiac arrest or death among young athletes in the 3 years before vs the first 3 years of the COVID-19 pandemic.
jamanetwork.com
February 24, 2025 at 9:10 PM
Sudden Cardiac Arrest Among Young Competitive Athletes Before and During the COVID-19 Pandemic
No, just no, vaccines also did not cause more cardiac arrests among athletes. They just did not.
"Died suddenly" is all a lie, it always was.
jamanetwork.com/jour...
No, just no, vaccines also did not cause more cardiac arrests among athletes. They just did not.
"Died suddenly" is all a lie, it always was.
jamanetwork.com/jour...
Reposted by Caz Sampson
Check out this upcoming study day all about ventilator associated pneumonia from @ics-updates.bsky.social
Not too late to register!
ics.ac.uk/learning/eve...
Not too late to register!
ics.ac.uk/learning/eve...
ICS/BIA : Update on Ventilator Associated Pneumonia
Join us for an overview of the latest updates and advances in Ventilator Associated Pneumonia
ics.ac.uk
January 24, 2025 at 5:27 PM
Check out this upcoming study day all about ventilator associated pneumonia from @ics-updates.bsky.social
Not too late to register!
ics.ac.uk/learning/eve...
Not too late to register!
ics.ac.uk/learning/eve...
Officially out of office
January 4, 2025 at 11:41 AM
Officially out of office
Reposted by Caz Sampson
I am not big on personal heroes and role models, but if I had a little gallery of inspiring people on my office wall, this guy would be one of them.
‘I’m a pain in the backside ... an awkward sod’: Alan Bates on love, justice and the Post Office scandal
He became a household name after ITV turned Britain’s biggest miscarriage of justice into a drama. He reflects on his fight for compensation, turning down an OBE – and getting married on Richard Brans...
www.theguardian.com
December 23, 2024 at 7:23 AM
I am not big on personal heroes and role models, but if I had a little gallery of inspiring people on my office wall, this guy would be one of them.
Flu cases rising fast in the UK. If you’ve been condidering a ‘flu vaccine but haven’t got around to it yet, getting it done asap would be a good idea
BW
An ICU & ECMO consultant
#medsky
BW
An ICU & ECMO consultant
#medsky
December 7, 2024 at 1:40 PM
Flu cases rising fast in the UK. If you’ve been condidering a ‘flu vaccine but haven’t got around to it yet, getting it done asap would be a good idea
BW
An ICU & ECMO consultant
#medsky
BW
An ICU & ECMO consultant
#medsky
Random amusing facts that I want from social media
What Joe Bloggs (just normal men) are known as in seven different languages:
7. Joe Little Carrot (Slovak)
6. Otto Normalconsumer (German)
5. Wang Number Five (Mandarin)
4. Average Svensson (Swedish)
3. Name Nameson (Danish)
2. Mid-range Vasya (Russian)
1. Statistical Kowalski (Polish)
7. Joe Little Carrot (Slovak)
6. Otto Normalconsumer (German)
5. Wang Number Five (Mandarin)
4. Average Svensson (Swedish)
3. Name Nameson (Danish)
2. Mid-range Vasya (Russian)
1. Statistical Kowalski (Polish)
December 5, 2024 at 11:56 AM
Random amusing facts that I want from social media
Need some inspiration?
242 best Christmas gifts for 2024: perfect present ideas chosen by the experts
242 best Christmas gifts for 2024: perfect present ideas chosen by the experts
From Monty Don’s top garden tool to Sali Hughes’s perfect lipstick and Yotam Ottolenghi’s favourite ever present, we asked everyone what they wanted – so you don’t have to
A selection of little treats for all ages Continue reading...
www.theguardian.com
November 23, 2024 at 10:31 AM
Need some inspiration?
A must read for intensivists/ECMOlogists out there.
Shared definitions and clear physiology are the basis of good clinical practice.
#Medsky #FOAMed #FOAMcc #ECMO #EMIMCC
Shared definitions and clear physiology are the basis of good clinical practice.
#Medsky #FOAMed #FOAMcc #ECMO #EMIMCC
Position paper on physiology & nomenclature of dual circulation in VA #ECMO in adults
🩸retrograde blood flow & dual circulation
📖 historical & recommended nomenclature
🩸dynamic nature of mixing point
💨 differential O2 & CO2
🩺 clinical management
💨 hypoxemia & hyper/hypocapnia
#FOAMcc
🔓 rdcu.be/d0KSQ
🩸retrograde blood flow & dual circulation
📖 historical & recommended nomenclature
🩸dynamic nature of mixing point
💨 differential O2 & CO2
🩺 clinical management
💨 hypoxemia & hyper/hypocapnia
#FOAMcc
🔓 rdcu.be/d0KSQ
November 19, 2024 at 10:29 PM
Reposted by Caz Sampson
Reminder: Continuing angiotensin-converting enzyme inhibitors or angiotensin 2 receptor blockers 24 h before non-cardiac surgery was associated with intra-operative hypotension and postoperative acute kidney injury.
#AnSky #MedSky #PharmSky 🧪
https://buff.ly/48YtnLp
#AnSky #MedSky #PharmSky 🧪
https://buff.ly/48YtnLp
November 19, 2024 at 4:00 PM
Reminder: Continuing angiotensin-converting enzyme inhibitors or angiotensin 2 receptor blockers 24 h before non-cardiac surgery was associated with intra-operative hypotension and postoperative acute kidney injury.
#AnSky #MedSky #PharmSky 🧪
https://buff.ly/48YtnLp
#AnSky #MedSky #PharmSky 🧪
https://buff.ly/48YtnLp
Excellent article from @rosieicm.bsky.social about how best to care for autistic patients and support autistic staff members in critical care
#medsky #ICUsky
#medsky #ICUsky
It’s #SelfPromotionMonday so may I present an article I wrote recently on how to use the SPACE framework (see next post) to support autistic patients and staff in the ICU
It’s free to read and has points relevant to all healthcare settings
journals.sagepub.com/doi/10.1177/...
It’s free to read and has points relevant to all healthcare settings
journals.sagepub.com/doi/10.1177/...
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
journals.sagepub.com
November 18, 2024 at 5:06 PM
Excellent article from @rosieicm.bsky.social about how best to care for autistic patients and support autistic staff members in critical care
#medsky #ICUsky
#medsky #ICUsky
Important thread. Please don’t start regular salbutamol for anything that vaguely sounds like wheeze in ICU unless you are happy it is due to bronchospasm. Appropriate for bronchospasm but entirely the wrong drug for pulmonary oedema and myriad other pathologies that sound like wheeze in ICU #medsky
Rant #1: Salbutamol is poison...
Salbutamol is prescribed freely by trainees and frequently requested by nurses for "wheeze" on ICU and/or as a hangover from initial managment in ED.
It is not a benign drug though and more careful thought is required before prescription
#medsky #ansky #icusky
Salbutamol is prescribed freely by trainees and frequently requested by nurses for "wheeze" on ICU and/or as a hangover from initial managment in ED.
It is not a benign drug though and more careful thought is required before prescription
#medsky #ansky #icusky
Over the years I've developed a number of "rants" (aka teaching) that seem to resonate with trainees on #ICUsky ward round.
This pedogogical style might make educationalists wince but keeps me and (crucially) trainees, interested
Interested in any counter rants, refined rants or rant affirmation
This pedogogical style might make educationalists wince but keeps me and (crucially) trainees, interested
Interested in any counter rants, refined rants or rant affirmation
November 18, 2024 at 11:51 AM
Important thread. Please don’t start regular salbutamol for anything that vaguely sounds like wheeze in ICU unless you are happy it is due to bronchospasm. Appropriate for bronchospasm but entirely the wrong drug for pulmonary oedema and myriad other pathologies that sound like wheeze in ICU #medsky
Reposted by Caz Sampson
New onset ICU wheeze....
If a critically ill patient suddenly develops wheeze is it more likely that they have developed salbutamol-responsive bronchoconstriction or that we have fluid overloaded them (future rant)?
Is reflex salbutamol prescription appropriate given the potential harms?
If a critically ill patient suddenly develops wheeze is it more likely that they have developed salbutamol-responsive bronchoconstriction or that we have fluid overloaded them (future rant)?
Is reflex salbutamol prescription appropriate given the potential harms?
November 18, 2024 at 5:58 AM
New onset ICU wheeze....
If a critically ill patient suddenly develops wheeze is it more likely that they have developed salbutamol-responsive bronchoconstriction or that we have fluid overloaded them (future rant)?
Is reflex salbutamol prescription appropriate given the potential harms?
If a critically ill patient suddenly develops wheeze is it more likely that they have developed salbutamol-responsive bronchoconstriction or that we have fluid overloaded them (future rant)?
Is reflex salbutamol prescription appropriate given the potential harms?
Reposted by Caz Sampson
Critical care intubation hills I’m willing to die on (collating an occasional series from elsewhere).
Each hill is based on experience and other people’s research (I claim no other expertise) #EMIMCC #PCCM #AnSky
Each hill is based on experience and other people’s research (I claim no other expertise) #EMIMCC #PCCM #AnSky
a cartoon drawing of a mountain with the sun shining through it
Alt: a cartoon drawing of a mountain with the sun shining through it, a dinosaur climbs the mountain and roars
media.tenor.com
November 17, 2024 at 7:26 PM
Reposted by Caz Sampson
So this place seems cool? Just gotta try something
(taps mic)
Bike helmets are pretty good at protecting people's brains and most people who ride a bike should wear one
(ducks for cover) 😬
(taps mic)
Bike helmets are pretty good at protecting people's brains and most people who ride a bike should wear one
(ducks for cover) 😬
November 17, 2024 at 7:30 PM
So this place seems cool? Just gotta try something
(taps mic)
Bike helmets are pretty good at protecting people's brains and most people who ride a bike should wear one
(ducks for cover) 😬
(taps mic)
Bike helmets are pretty good at protecting people's brains and most people who ride a bike should wear one
(ducks for cover) 😬
Reposted by Caz Sampson
Hi everyone 👋
Bluesky is growing so rapidly – so we want to share some key information about cancer, for anyone here who might need it.
Nearly 1 in 2 people in the UK will get cancer – so if this thread might be of use to anyone you know, please pass it on to them.
1/3
Bluesky is growing so rapidly – so we want to share some key information about cancer, for anyone here who might need it.
Nearly 1 in 2 people in the UK will get cancer – so if this thread might be of use to anyone you know, please pass it on to them.
1/3
November 15, 2024 at 4:22 PM
Hi everyone 👋
Bluesky is growing so rapidly – so we want to share some key information about cancer, for anyone here who might need it.
Nearly 1 in 2 people in the UK will get cancer – so if this thread might be of use to anyone you know, please pass it on to them.
1/3
Bluesky is growing so rapidly – so we want to share some key information about cancer, for anyone here who might need it.
Nearly 1 in 2 people in the UK will get cancer – so if this thread might be of use to anyone you know, please pass it on to them.
1/3
Reposted by Caz Sampson
This 2021 paper "The female medicla workforce" covers the basics of gender bias, and discusses isses relevent to anaesthetists such as menstruation, fertility, pregnancy and menopause
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
The female medical workforce
In the UK, the proportion of female medical students has remained static over the last decade, at around 55%; however, at consultant level, only 36.6% of doctors are women. The reasons for this drop ...
associationofanaesthetists-publications.onlinelibrary.wiley.com
November 14, 2024 at 12:11 PM
This 2021 paper "The female medicla workforce" covers the basics of gender bias, and discusses isses relevent to anaesthetists such as menstruation, fertility, pregnancy and menopause
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
Reposted by Caz Sampson
Hi everyone.
The Onion, with the help of the Sandy Hook families, has purchased InfoWars.
We are planning on making it a very funny, very stupid website.
We have retained the services of some Onion and Clickhole Hall of Famers to pull this off.
I can't wait to show you what we have cooked up.
The Onion, with the help of the Sandy Hook families, has purchased InfoWars.
We are planning on making it a very funny, very stupid website.
We have retained the services of some Onion and Clickhole Hall of Famers to pull this off.
I can't wait to show you what we have cooked up.
The Onion Buys Alex Jones’s Infowars Out of Bankruptcy
The satirical news site planned to turn Infowars into a parody of itself, mocking “weird internet personalities” who peddle conspiracy theories and health supplements.
www.nytimes.com
November 14, 2024 at 2:09 PM
Hi everyone.
The Onion, with the help of the Sandy Hook families, has purchased InfoWars.
We are planning on making it a very funny, very stupid website.
We have retained the services of some Onion and Clickhole Hall of Famers to pull this off.
I can't wait to show you what we have cooked up.
The Onion, with the help of the Sandy Hook families, has purchased InfoWars.
We are planning on making it a very funny, very stupid website.
We have retained the services of some Onion and Clickhole Hall of Famers to pull this off.
I can't wait to show you what we have cooked up.