Athlone, Ireland
Joined March 2007
- Tweets495
- Following275
- Followers235
- Likes498
Sean Croughan retweeted
Evidence-free interventions are a big bugbear of mine. Especially for complex interventions rolled out across the NHS.
I have skeptical of SDEC services for some time.
First systematic review here done by a good team.
emj.bmj.com/content/42/10/64…
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Sean Croughan retweeted
1/37
Back for IABP basics pt 2, @CardioNerds style!
AKA things I've gotten wrong on rounds so you don't have to, round 2.
ICYMI, check out the first tweetorial for background. (Thanks for the unexpectedly awesome response!)
Today we'll discuss timing & triggering Ready? Go!🚦
Sean Croughan retweeted
1/28
You are the resident on CICU. A patient arrives with an intra-aortic balloon pump (IABP). What is it? How does it work? How do you troubleshoot?
It's ⏰ for a @CardioNerds tweetorial!
AKA things I've gotten wrong on rounds so you don't have to.
First up: the basics
Sean Croughan retweeted
1/12 I have been pondering the meaning of “consider” in the new @NICEComms HI Guideline. For patients who are back to baseline and only indication for CT is ‘aged >65y on a DOAC’ how would I “consider”?
Sean Croughan retweeted
World Health Organization's (WHO) International Agency for Research on Cancer (IARC) today published long-awaited report on cervical screening.
It's 108 pages long.
Wow. Pretty much eviscerates the Irish legal system and the 'unfair' tactics of lawyers in Ireland 🧐 😳
🧵
Sean Croughan retweeted
In 2018, "Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial" was published in the British Medical Journal.
It sought to determine if wearing a parachute when jumping from a plane had any impact on survivability.
It did not.
Sean Croughan retweeted
Earlier this week, we discussed excess deaths and pressures in A&Es with Dr Adrian Boyle, @RCEMpresident, and NHS England.
RCEM estimates that there are at least 300-500 excess deaths associated with A&E pressures. Watch below as Dr Boyle explains how they reached this estimate:
Sean Croughan retweeted
Having worked nights over the weekend, I am extremely concerned at how few sick, elderly patients we saw in ED. I don’t for one second think that they’re not unwell. I think they’re at home, terrified to come to ED because of the “don’t go to hospital” statements last week. 1/n – at Fingal, Ireland
Sean Croughan retweeted
Awful example of what happens to rotating drs when permanent staff don't support them/ are actively cruel. Non-rotating health workers: please challenge toxic behaviour in your departments. Culture is everyone's responsibility.
NB OP overwhelmed by response so username removed.
ALT Reddit post on "Am I The Asshole" subreddit. Title "AITA for crying when I wasn't allowed a slice of pizza". Author is an FY1 doctor in the NHS, who has been isolated, lonely and burnt out due to the job and was working the Christmas long weekend. The doctor contributed to a collection to buy pizza on Christmas day, but on the day was shouted at for trying to take some, and told it was only for nurses, that they were selfish and other cruelty. Excluded from multiple other Christmas activities also.
Sean Croughan retweeted
🚨A reminder to all that work with sick children that @ 9am tomorrow we’re running the @PaedEmergencies course on @YouTube for free
A great success the last 2 2 years with>2000 live participants & >20,000 streams per course to date
Link👇
bit.ly/3VtQS77
#FOAMed
#PedsICU
Sean Croughan retweeted
Watch Paediatric Emergencies 2022 Livestream at 9am UK time on Friday 25th November at youtu.be/HQsqy630-cg No fee or registration required. For more details see paediatricemergencies.com/co… #PaediatricEmergencies2022
Sean Croughan retweeted
The @TEAMtrialICU has now made it to the print edition of the @NEJM
nejm.org/doi/full/10.1056/NE…
Here are some reasons people have said our findings should be disregarded...
Sean Croughan retweeted
Launching this Friday @UHW_Waterford EM handbook app- information, guidelines, and helpful tips in a near patient format! Thanks to @MEG_Healthcare for pushing over the line! #EM #PEM
Sean Croughan retweeted
#TBL 418: Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis
thebottomline.org.uk/summari…
Article by @DeMadaria
Review by @hgmwalker89
Sean Croughan retweeted
Highlight of my career so far! From an idea conceptualised during my PhD, cultivated by 4 generations of PhD students after me under the watch of @WilfriedMullens, to a @NEJM publication and novel treatment for acute #HeartFailure
#acetazolamide #advor
nejm.org/doi/full/10.1056/NE…
Sean Croughan retweeted
Last night we had a case that demonstrates an extremely important cause of shock that many ED clinicians know little or nothing about
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Sean Croughan retweeted
Hot take: I hate the SPin/SNout mnemonic. It is misleading at best and I've heard many medical professionals misuse it in practice.
Higher sensitivity does not necessarily mean a test is the better 'rule-out' test.
🧵
1/5
#MedTwitter