Matt Thomas
@drmattthomas1.bsky.social
Resident Doctor - Intensive Care Medicine trainee | PhD in Mathematical Neuroscience | Christian | Erdos number: 5
A lovely walk this afternoon 🙂
January 27, 2026 at 8:47 PM
A lovely walk this afternoon 🙂
Stupid question: If vasopressor induced digital ischaemia is real, why can't we overcome vasoplegia secondary to sepsis to return to a normal vascular tone (and BP) before we cause peripheral ischaemia?
January 18, 2026 at 3:51 PM
Stupid question: If vasopressor induced digital ischaemia is real, why can't we overcome vasoplegia secondary to sepsis to return to a normal vascular tone (and BP) before we cause peripheral ischaemia?
A lovely rainbow to finish a very busy night 🙂
December 2, 2025 at 6:05 PM
A lovely rainbow to finish a very busy night 🙂
I'm not a clever artistic person, but I quite like this picture that I took this morning (obviously turned upside down).
October 16, 2025 at 11:45 AM
I'm not a clever artistic person, but I quite like this picture that I took this morning (obviously turned upside down).
Beautiful inversion in Snowdonia yesterday 🙂
October 14, 2025 at 7:58 AM
Beautiful inversion in Snowdonia yesterday 🙂
My Mum has just sent me a message wishing us a quiet night.
Better dust off the major incident plan...
Better dust off the major incident plan...
October 8, 2025 at 7:15 PM
My Mum has just sent me a message wishing us a quiet night.
Better dust off the major incident plan...
Better dust off the major incident plan...
Reposted by Matt Thomas
Oooh, this is interesting!
"Surgical start timing was an independent risk factor for increased short- and long-term postoperative mortality, morbidity and healthcare resource utilisation."
#AnSky
doi.org/10.1111/anae...
"Surgical start timing was an independent risk factor for increased short- and long-term postoperative mortality, morbidity and healthcare resource utilisation."
#AnSky
doi.org/10.1111/anae...
September 26, 2025 at 10:42 AM
Oooh, this is interesting!
"Surgical start timing was an independent risk factor for increased short- and long-term postoperative mortality, morbidity and healthcare resource utilisation."
#AnSky
doi.org/10.1111/anae...
"Surgical start timing was an independent risk factor for increased short- and long-term postoperative mortality, morbidity and healthcare resource utilisation."
#AnSky
doi.org/10.1111/anae...
Good ride today 🙂
August 27, 2025 at 8:57 PM
Good ride today 🙂
Reposted by Matt Thomas
Last week, we launched our guidance “The Decision Making and Transfer of Critically Ill Adults to Their Preferred Place of Death” – providing a framework for healthcare teams navigating one of the most important decisions in end-of-life care.
August 1, 2025 at 10:03 AM
Last week, we launched our guidance “The Decision Making and Transfer of Critically Ill Adults to Their Preferred Place of Death” – providing a framework for healthcare teams navigating one of the most important decisions in end-of-life care.
The shape of a life by Shing-Tung Yau is great.
Key lessons seem to be:
1) Work on projects you are passionate about.
2) Work hard, dedication matters.
3) Work on multiple projects in parallel - when one project stalls work on a different project for a while.
Key lessons seem to be:
1) Work on projects you are passionate about.
2) Work hard, dedication matters.
3) Work on multiple projects in parallel - when one project stalls work on a different project for a while.
July 28, 2025 at 3:27 PM
The shape of a life by Shing-Tung Yau is great.
Key lessons seem to be:
1) Work on projects you are passionate about.
2) Work hard, dedication matters.
3) Work on multiple projects in parallel - when one project stalls work on a different project for a while.
Key lessons seem to be:
1) Work on projects you are passionate about.
2) Work hard, dedication matters.
3) Work on multiple projects in parallel - when one project stalls work on a different project for a while.
Wonderful post-work swim 🙂
July 19, 2025 at 6:34 AM
Wonderful post-work swim 🙂
On-call shifts in medicine are so draining, not just because of the overwhelming workload during the shifts, but also because of the inability to rest for at least a week before due to the sense of dread at the thought of what is to come. I've never experienced this doing ICU, only in medicine.
July 6, 2025 at 2:27 PM
On-call shifts in medicine are so draining, not just because of the overwhelming workload during the shifts, but also because of the inability to rest for at least a week before due to the sense of dread at the thought of what is to come. I've never experienced this doing ICU, only in medicine.
Things that keep me awake at night:
1) Being post-nights.
2) Whether the pleural of GREATix is GREATices or GREATixes.
1) Being post-nights.
2) Whether the pleural of GREATix is GREATices or GREATixes.
June 5, 2025 at 5:26 AM
Things that keep me awake at night:
1) Being post-nights.
2) Whether the pleural of GREATix is GREATices or GREATixes.
1) Being post-nights.
2) Whether the pleural of GREATix is GREATices or GREATixes.
My self-management is escalating quickly. I have considered taking paracetamol. Presumably the next step is an adrenaline infusion.
(Unfortunately the paracetamol I have expired in 2016, reflecting the frequency with which I take them.)
(Unfortunately the paracetamol I have expired in 2016, reflecting the frequency with which I take them.)
My more senior form of Medical Student Syndrome means that whenever I am ill I immediately think of the person who I saw most recently whose illness started with the same symptoms and how they ended up on triple organ support and (nearly) died.
April 24, 2025 at 7:24 PM
My self-management is escalating quickly. I have considered taking paracetamol. Presumably the next step is an adrenaline infusion.
(Unfortunately the paracetamol I have expired in 2016, reflecting the frequency with which I take them.)
(Unfortunately the paracetamol I have expired in 2016, reflecting the frequency with which I take them.)
My more senior form of Medical Student Syndrome means that whenever I am ill I immediately think of the person who I saw most recently whose illness started with the same symptoms and how they ended up on triple organ support and (nearly) died.
April 24, 2025 at 2:39 PM
My more senior form of Medical Student Syndrome means that whenever I am ill I immediately think of the person who I saw most recently whose illness started with the same symptoms and how they ended up on triple organ support and (nearly) died.
Reposted by Matt Thomas
CT BRAIN QUIZ: Pre + post-contrast: Postural headaches. Cerebellar signs. What is the most likely diagnosis?
A: Subdural collection
B: Subarachnoid haemorrhage
C: Intraventricular haemorrhage
D: Extradural haematoma
E: Posterior fossa meningioma
Start Quiz bit.ly/3F2dhB8
A: Subdural collection
B: Subarachnoid haemorrhage
C: Intraventricular haemorrhage
D: Extradural haematoma
E: Posterior fossa meningioma
Start Quiz bit.ly/3F2dhB8
April 15, 2025 at 4:31 PM
CT BRAIN QUIZ: Pre + post-contrast: Postural headaches. Cerebellar signs. What is the most likely diagnosis?
A: Subdural collection
B: Subarachnoid haemorrhage
C: Intraventricular haemorrhage
D: Extradural haematoma
E: Posterior fossa meningioma
Start Quiz bit.ly/3F2dhB8
A: Subdural collection
B: Subarachnoid haemorrhage
C: Intraventricular haemorrhage
D: Extradural haematoma
E: Posterior fossa meningioma
Start Quiz bit.ly/3F2dhB8
Sea to summit to sea duathlon to try to fix my circadian rhythm after nights 🙂
April 6, 2025 at 3:45 PM
Sea to summit to sea duathlon to try to fix my circadian rhythm after nights 🙂
Interesting question: 'my best photo'. I think this would be mine.
www.bbc.co.uk/news/article...
www.bbc.co.uk/news/article...
March 24, 2025 at 10:48 AM
Interesting question: 'my best photo'. I think this would be mine.
www.bbc.co.uk/news/article...
www.bbc.co.uk/news/article...
Reposted by Matt Thomas
ICU Hemodynamic Secrets – The role of ScvO2:
There is not such a thing as a “normal” cardiac output (CO). A CO of 3.5 l/min may be adequate for a 90 years’ old, 100 pounds sedated patient but inadequate for a 40 years’ old, 250 pounds patient with septic ARDS. Ideally,
There is not such a thing as a “normal” cardiac output (CO). A CO of 3.5 l/min may be adequate for a 90 years’ old, 100 pounds sedated patient but inadequate for a 40 years’ old, 250 pounds patient with septic ARDS. Ideally,
March 16, 2025 at 3:25 PM
ICU Hemodynamic Secrets – The role of ScvO2:
There is not such a thing as a “normal” cardiac output (CO). A CO of 3.5 l/min may be adequate for a 90 years’ old, 100 pounds sedated patient but inadequate for a 40 years’ old, 250 pounds patient with septic ARDS. Ideally,
There is not such a thing as a “normal” cardiac output (CO). A CO of 3.5 l/min may be adequate for a 90 years’ old, 100 pounds sedated patient but inadequate for a 40 years’ old, 250 pounds patient with septic ARDS. Ideally,
Reposted by Matt Thomas
"…doctors had been turned into "factory workers" in an effort to deliver ever-increasing productivity."
A NHS doctor dies by suicide every 3 weeks.
A nurse attempts suicide daily.
Who cares for the carers?
The lonely death of Dr
Jagdip Sidhu
www.the-londoner.co.uk/nhs-doctor-s...
A NHS doctor dies by suicide every 3 weeks.
A nurse attempts suicide daily.
Who cares for the carers?
The lonely death of Dr
Jagdip Sidhu
www.the-londoner.co.uk/nhs-doctor-s...
The lonely death of Dr Jagdip Sidhu
He was a rising star of the NHS. Could his work have contributed to his death?
www.the-londoner.co.uk
March 16, 2025 at 10:34 AM
"…doctors had been turned into "factory workers" in an effort to deliver ever-increasing productivity."
A NHS doctor dies by suicide every 3 weeks.
A nurse attempts suicide daily.
Who cares for the carers?
The lonely death of Dr
Jagdip Sidhu
www.the-londoner.co.uk/nhs-doctor-s...
A NHS doctor dies by suicide every 3 weeks.
A nurse attempts suicide daily.
Who cares for the carers?
The lonely death of Dr
Jagdip Sidhu
www.the-londoner.co.uk/nhs-doctor-s...
From my cycle-walk-cycle today. In my opinion, one of the best three views in Snowdonia.
March 15, 2025 at 8:40 PM
From my cycle-walk-cycle today. In my opinion, one of the best three views in Snowdonia.
Not a good week, but some progress generating this phase space today, I was beginning to think it might not be possible to produce the properties I wanted.
March 14, 2025 at 9:43 PM
Not a good week, but some progress generating this phase space today, I was beginning to think it might not be possible to produce the properties I wanted.
Reposted by Matt Thomas
thrombolytics cause angioedema by increasing *bradykinin* generation
this will *not* respond to epinephrine
yes. I know many references recommend steroids/epi.
they're wrong.
(knowledge translation on this topic is super slow)
(#2/3)
(more on angioedema physiology: emcrit.org/ibcc/angioed...)
this will *not* respond to epinephrine
yes. I know many references recommend steroids/epi.
they're wrong.
(knowledge translation on this topic is super slow)
(#2/3)
(more on angioedema physiology: emcrit.org/ibcc/angioed...)
March 13, 2025 at 3:19 PM
thrombolytics cause angioedema by increasing *bradykinin* generation
this will *not* respond to epinephrine
yes. I know many references recommend steroids/epi.
they're wrong.
(knowledge translation on this topic is super slow)
(#2/3)
(more on angioedema physiology: emcrit.org/ibcc/angioed...)
this will *not* respond to epinephrine
yes. I know many references recommend steroids/epi.
they're wrong.
(knowledge translation on this topic is super slow)
(#2/3)
(more on angioedema physiology: emcrit.org/ibcc/angioed...)
Reposted by Matt Thomas
I need your help! The airway checklist card initiative grew to 17,000 cards across the 🌍, supported by major bodies & heavily propelled by Twitter 🪦. Please help me re-spread the message with a repost!
Adult, paediatric & global (LMIC) versions. NFP.
checklistcard@outlook.com.
#patientsafety
Adult, paediatric & global (LMIC) versions. NFP.
checklistcard@outlook.com.
#patientsafety
February 16, 2025 at 9:20 AM
I need your help! The airway checklist card initiative grew to 17,000 cards across the 🌍, supported by major bodies & heavily propelled by Twitter 🪦. Please help me re-spread the message with a repost!
Adult, paediatric & global (LMIC) versions. NFP.
checklistcard@outlook.com.
#patientsafety
Adult, paediatric & global (LMIC) versions. NFP.
checklistcard@outlook.com.
#patientsafety
I'm pretty happy with my DIY bouldering wall. Given it's freestanding, it is surprisingly stable 🙂
March 2, 2025 at 3:08 PM
I'm pretty happy with my DIY bouldering wall. Given it's freestanding, it is surprisingly stable 🙂