Gav
@dentongavin.bsky.social
Advanced Critical Care Practitioner. Registered nurse. Ultrasound nut.
Reposted by Gav
Fluids in HyperK
-Restore volume, incr kidney perfusion leading to incr urine output + K elimination
-0.9% saline: pH 5.5, big Cl load. Worsen acidosis leading incr serum K
-LR superior: small amount of K in it won’t raise serum K. Won’t contribute to acidosis
youtube.com/shorts/3G4yc...
#EMIMCC
-Restore volume, incr kidney perfusion leading to incr urine output + K elimination
-0.9% saline: pH 5.5, big Cl load. Worsen acidosis leading incr serum K
-LR superior: small amount of K in it won’t raise serum K. Won’t contribute to acidosis
youtube.com/shorts/3G4yc...
#EMIMCC
Fluids in Hyperkalemia #criticalcare #emergencymedicine
YouTube video by EMSwami
youtube.com
November 21, 2025 at 2:31 PM
Fluids in HyperK
-Restore volume, incr kidney perfusion leading to incr urine output + K elimination
-0.9% saline: pH 5.5, big Cl load. Worsen acidosis leading incr serum K
-LR superior: small amount of K in it won’t raise serum K. Won’t contribute to acidosis
youtube.com/shorts/3G4yc...
#EMIMCC
-Restore volume, incr kidney perfusion leading to incr urine output + K elimination
-0.9% saline: pH 5.5, big Cl load. Worsen acidosis leading incr serum K
-LR superior: small amount of K in it won’t raise serum K. Won’t contribute to acidosis
youtube.com/shorts/3G4yc...
#EMIMCC
Reposted by Gav
Sandwell and West Birmingham Critical Care Transfer Course.
Midlands Metropolitan University Hospital. 13th February 2026
Midlands Metropolitan University Hospital. 13th February 2026
November 21, 2025 at 1:29 PM
Sandwell and West Birmingham Critical Care Transfer Course.
Midlands Metropolitan University Hospital. 13th February 2026
Midlands Metropolitan University Hospital. 13th February 2026
Reposted by Gav
UK government is responding to concerns about migrants arriving on overcrowded small boats. To deter them, it’s threatening to seize their cars and e-bikes. Surely, if they had such things, they wouldn’t be on a small boat? 10/10 for cruelty AND stupidity.
www.theguardian.com/uk-news/2025...
www.theguardian.com/uk-news/2025...
Asylum seekers’ jewellery could be seized to pay for processing costs, says Home Office minister
Idea borrowed from Denmark is latest attempt to reduce number of people seeking asylum in UK
www.theguardian.com
November 17, 2025 at 12:35 PM
UK government is responding to concerns about migrants arriving on overcrowded small boats. To deter them, it’s threatening to seize their cars and e-bikes. Surely, if they had such things, they wouldn’t be on a small boat? 10/10 for cruelty AND stupidity.
www.theguardian.com/uk-news/2025...
www.theguardian.com/uk-news/2025...
Reposted by Gav
⚡️ The November issue of POCUS Journal, Vol 10 Issue 2, is out now! We invite you to visit our website (pocusjournal.com) to read articles of interest! 📷 pocusjournal.com/current-issue/ #POCUSJournal #POCUS #FOAMed #FOAMus #MedEd #echofirst #echo #ultrasound
@drgalen.bsky.social
@drgalen.bsky.social
November 17, 2025 at 8:54 PM
⚡️ The November issue of POCUS Journal, Vol 10 Issue 2, is out now! We invite you to visit our website (pocusjournal.com) to read articles of interest! 📷 pocusjournal.com/current-issue/ #POCUSJournal #POCUS #FOAMed #FOAMus #MedEd #echofirst #echo #ultrasound
@drgalen.bsky.social
@drgalen.bsky.social
Reposted by Gav
It's a revealing moment...
J.D. Vance welcomes a two-legged robot helping on the job site. But if that helper is a person named Jose, he calls it a threat. Same tasks, same productivity boost.
The inconsistency reveals this isn’t about economics.
J.D. Vance welcomes a two-legged robot helping on the job site. But if that helper is a person named Jose, he calls it a threat. Same tasks, same productivity boost.
The inconsistency reveals this isn’t about economics.
November 16, 2025 at 12:52 PM
It's a revealing moment...
J.D. Vance welcomes a two-legged robot helping on the job site. But if that helper is a person named Jose, he calls it a threat. Same tasks, same productivity boost.
The inconsistency reveals this isn’t about economics.
J.D. Vance welcomes a two-legged robot helping on the job site. But if that helper is a person named Jose, he calls it a threat. Same tasks, same productivity boost.
The inconsistency reveals this isn’t about economics.
Reposted by Gav
Community-acquired pneumonia is the leading infectious cause of morbidity and mortality globally.
Yet, there are several challenges associated with diagnosis, treatment, and long-term management of Community-acquired pneumonia.
Find out more in a new Seminar: tinyurl.com/hd2fwz7n
Yet, there are several challenges associated with diagnosis, treatment, and long-term management of Community-acquired pneumonia.
Find out more in a new Seminar: tinyurl.com/hd2fwz7n
October 20, 2025 at 2:47 PM
Community-acquired pneumonia is the leading infectious cause of morbidity and mortality globally.
Yet, there are several challenges associated with diagnosis, treatment, and long-term management of Community-acquired pneumonia.
Find out more in a new Seminar: tinyurl.com/hd2fwz7n
Yet, there are several challenges associated with diagnosis, treatment, and long-term management of Community-acquired pneumonia.
Find out more in a new Seminar: tinyurl.com/hd2fwz7n
Reposted by Gav
It's real, and it's mind-blowing.
A complete lack of awareness and a national embarrassment.
A complete lack of awareness and a national embarrassment.
Just some British patriots in Benidorm, taking over a street in Spain to shout in their own language about unwanted foreigners. It’s a blessing that they are too thick to understand irony.
November 15, 2025 at 11:34 AM
It's real, and it's mind-blowing.
A complete lack of awareness and a national embarrassment.
A complete lack of awareness and a national embarrassment.
Reposted by Gav
Bigotry is always fed by lies.
November 16, 2025 at 3:15 PM
Bigotry is always fed by lies.
Reposted by Gav
𝗠𝗮𝗶𝗻 𝗖𝗮𝗿𝗱𝗶𝗮𝗰 𝗙𝗲𝗮𝘁𝘂𝗿𝗲𝘀 𝗼𝗳 𝗔𝗰𝗿𝗼𝗺𝗲𝗴𝗮𝗹𝘆.
Panel A shows the main cardiac features of acromegaly. The exclamation point (middle image) indicates aortic insufficiency. Panel B shows cardiac ultrasound findings in a representative patient with acromegaly.
Learn more: nej.md/3JPVdBg
Panel A shows the main cardiac features of acromegaly. The exclamation point (middle image) indicates aortic insufficiency. Panel B shows cardiac ultrasound findings in a representative patient with acromegaly.
Learn more: nej.md/3JPVdBg
November 16, 2025 at 2:01 PM
𝗠𝗮𝗶𝗻 𝗖𝗮𝗿𝗱𝗶𝗮𝗰 𝗙𝗲𝗮𝘁𝘂𝗿𝗲𝘀 𝗼𝗳 𝗔𝗰𝗿𝗼𝗺𝗲𝗴𝗮𝗹𝘆.
Panel A shows the main cardiac features of acromegaly. The exclamation point (middle image) indicates aortic insufficiency. Panel B shows cardiac ultrasound findings in a representative patient with acromegaly.
Learn more: nej.md/3JPVdBg
Panel A shows the main cardiac features of acromegaly. The exclamation point (middle image) indicates aortic insufficiency. Panel B shows cardiac ultrasound findings in a representative patient with acromegaly.
Learn more: nej.md/3JPVdBg
Reposted by Gav
I came to this country as a child refugee. No English, no certainty, no idea what my life could become. Britain gave me refuge.
Not on a timer, not with conditions attached, but with a chance to grow roots.
A thread 🧵 1/8
www.bbc.co.uk/news/article...
Not on a timer, not with conditions attached, but with a chance to grow roots.
A thread 🧵 1/8
www.bbc.co.uk/news/article...
UK set to limit refugees to temporary stays
Shabana Mahmood is expected to say the era of permanent protection for refugees is over, in major changes to the UK's asylum and immigration system.
www.bbc.co.uk
November 15, 2025 at 10:29 AM
I came to this country as a child refugee. No English, no certainty, no idea what my life could become. Britain gave me refuge.
Not on a timer, not with conditions attached, but with a chance to grow roots.
A thread 🧵 1/8
www.bbc.co.uk/news/article...
Not on a timer, not with conditions attached, but with a chance to grow roots.
A thread 🧵 1/8
www.bbc.co.uk/news/article...
Reposted by Gav
The silence from Yaxley-Lennon or Farage over this (and other similar appalling examples of white sex offenders) is inexplicable.
www.bbc.co.uk/news/article...
www.bbc.co.uk/news/article...
Medomsley Detention Centre officer was 'prolific sex offender'
An inquiry catalogues missed opportunities to stop abuse at Medomsley Detention Centre.
www.bbc.co.uk
November 12, 2025 at 7:10 PM
The silence from Yaxley-Lennon or Farage over this (and other similar appalling examples of white sex offenders) is inexplicable.
www.bbc.co.uk/news/article...
www.bbc.co.uk/news/article...
Reposted by Gav
Nursing staff dedicate their lives to caring for others, and too often they are faced with the most appalling hatred and intimidation.
The government must stop pandering to dangerous anti-migrant sentiments and employers must prioritise tackling racism. Staff have the right to be safe at work.
The government must stop pandering to dangerous anti-migrant sentiments and employers must prioritise tackling racism. Staff have the right to be safe at work.
NHS staff who visit patients at home say St George’s flags can mean ‘no-go zones’
NHS staff who visit patients at home say St George’s flags can mean ‘no-go zones’
Black and Asian staff left feeling ‘deliberately intimidated’, according to chief executive of one NHS trust
www.theguardian.com
November 11, 2025 at 9:30 AM
Nursing staff dedicate their lives to caring for others, and too often they are faced with the most appalling hatred and intimidation.
The government must stop pandering to dangerous anti-migrant sentiments and employers must prioritise tackling racism. Staff have the right to be safe at work.
The government must stop pandering to dangerous anti-migrant sentiments and employers must prioritise tackling racism. Staff have the right to be safe at work.
Reposted by Gav
**TOMORROW**
Echo for mechanical circulatory support with Segun Olusanya @drfreeze.bsky.social
Wednesday 12th November, 6-7pm UK time
Link to join here:- meet.google.com/pbn-paoq-iqn
Echo for mechanical circulatory support with Segun Olusanya @drfreeze.bsky.social
Wednesday 12th November, 6-7pm UK time
Link to join here:- meet.google.com/pbn-paoq-iqn
November 11, 2025 at 1:02 PM
**TOMORROW**
Echo for mechanical circulatory support with Segun Olusanya @drfreeze.bsky.social
Wednesday 12th November, 6-7pm UK time
Link to join here:- meet.google.com/pbn-paoq-iqn
Echo for mechanical circulatory support with Segun Olusanya @drfreeze.bsky.social
Wednesday 12th November, 6-7pm UK time
Link to join here:- meet.google.com/pbn-paoq-iqn
Reposted by Gav
This is really desperate and underlines why such incredibly important care services should not be funded through charity 😢
www.bbc.co.uk/news/article...
www.bbc.co.uk/news/article...
Hertfordshire hospice consults staff on tackling £1.1m shortfall
A hospice is starting a consultation with staff and patients to see where budget cuts could be made.
www.bbc.co.uk
November 10, 2025 at 10:12 PM
This is really desperate and underlines why such incredibly important care services should not be funded through charity 😢
www.bbc.co.uk/news/article...
www.bbc.co.uk/news/article...
Reposted by Gav
There was a time when I'd have cared deeply about the BBC.
But they adopted a deliberate policy of kowtowing to the right, backing away from every fight, believing compliance would protect the license fee, and the right would leave them alone.
Stand up to bullies, or get knocked down by reality.
But they adopted a deliberate policy of kowtowing to the right, backing away from every fight, believing compliance would protect the license fee, and the right would leave them alone.
Stand up to bullies, or get knocked down by reality.
November 10, 2025 at 5:34 PM
There was a time when I'd have cared deeply about the BBC.
But they adopted a deliberate policy of kowtowing to the right, backing away from every fight, believing compliance would protect the license fee, and the right would leave them alone.
Stand up to bullies, or get knocked down by reality.
But they adopted a deliberate policy of kowtowing to the right, backing away from every fight, believing compliance would protect the license fee, and the right would leave them alone.
Stand up to bullies, or get knocked down by reality.
Reposted by Gav
Our latest blog is out:
Faith, Evidence and the Stars: The ANDROMEDA‑SHOCK‑2 Trial
https://criticalcarereviews.com/blog/current
Faith, Evidence and the Stars: The ANDROMEDA‑SHOCK‑2 Trial
https://criticalcarereviews.com/blog/current
November 7, 2025 at 7:54 PM
Our latest blog is out:
Faith, Evidence and the Stars: The ANDROMEDA‑SHOCK‑2 Trial
https://criticalcarereviews.com/blog/current
Faith, Evidence and the Stars: The ANDROMEDA‑SHOCK‑2 Trial
https://criticalcarereviews.com/blog/current
Reposted by Gav
Reposted by Gav
Next week's talk...
Echo for mechanical circulatory support with Segun Olusanya @drfreeze.bsky.social
Wednesday 12th November, 6-7pm UK time
Link to join here:- meet.google.com/pbn-paoq-iqn
Echo for mechanical circulatory support with Segun Olusanya @drfreeze.bsky.social
Wednesday 12th November, 6-7pm UK time
Link to join here:- meet.google.com/pbn-paoq-iqn
November 5, 2025 at 10:38 PM
Next week's talk...
Echo for mechanical circulatory support with Segun Olusanya @drfreeze.bsky.social
Wednesday 12th November, 6-7pm UK time
Link to join here:- meet.google.com/pbn-paoq-iqn
Echo for mechanical circulatory support with Segun Olusanya @drfreeze.bsky.social
Wednesday 12th November, 6-7pm UK time
Link to join here:- meet.google.com/pbn-paoq-iqn
Reposted by Gav
harvard medical school got bombed yesterday and it barely made news
A device exploded inside the Goldenson Building in Harvard’s Longwood medical campus early Saturday morning, according to a message from the Harvard University Police Department to University affiliates.
Matan H. Josephy and Laurel M. Shugart report.
www.thecrimson.com/article/2025...
Matan H. Josephy and Laurel M. Shugart report.
www.thecrimson.com/article/2025...
Authorities Investigating Explosion on Harvard’s Medical Campus, Believed To Be Intentional | News | The Harvard Crimson
A device exploded inside the Goldenson Building in Harvard’s Longwood medical campus early Saturday morning, according to a message from the Harvard University Police Department to University…
www.thecrimson.com
November 2, 2025 at 7:14 PM
harvard medical school got bombed yesterday and it barely made news
Reposted by Gav
The pariah formerly known as Prince
October 30, 2025 at 7:26 PM
The pariah formerly known as Prince
Reposted by Gav
Aerial of the damage hurricane Melissa did to Jamaica.
October 30, 2025 at 4:47 PM
Aerial of the damage hurricane Melissa did to Jamaica.
Reposted by Gav
No more PSV trials! RSBI is not a weaning parameter! Respiratory muscle fatigue is a myth! And more hot takes from the great Martin Tobin, this week on the show.
icuscenarios.com/episode-95-s...
#medsky #emimcc #intensivecare
icuscenarios.com/episode-95-s...
#medsky #emimcc #intensivecare
Episode 95: Spontaneous breathing trials with Martin Tobin – Critical Care Scenarios
icuscenarios.com
October 29, 2025 at 3:47 PM
No more PSV trials! RSBI is not a weaning parameter! Respiratory muscle fatigue is a myth! And more hot takes from the great Martin Tobin, this week on the show.
icuscenarios.com/episode-95-s...
#medsky #emimcc #intensivecare
icuscenarios.com/episode-95-s...
#medsky #emimcc #intensivecare
Reposted by Gav
Reposted by Gav
💬 Editorial: The BICARICU-2 trial finds IV sodium bicarbonate may delay or reduce kidney replacement therapy in #criticallyill patients with severe #acidemia and #AKI, but its effect on mortality remains uncertain.
#LIVES2025 @esicm.bsky.social
ja.ma/47NwK8E
#LIVES2025 @esicm.bsky.social
ja.ma/47NwK8E
October 29, 2025 at 1:25 PM
💬 Editorial: The BICARICU-2 trial finds IV sodium bicarbonate may delay or reduce kidney replacement therapy in #criticallyill patients with severe #acidemia and #AKI, but its effect on mortality remains uncertain.
#LIVES2025 @esicm.bsky.social
ja.ma/47NwK8E
#LIVES2025 @esicm.bsky.social
ja.ma/47NwK8E