Acute Medicine Consultant, POCUS enthusiast @famusultrasound, England Rep for @acutemedicine... and big Saints fan!

Joined November 2014
If you're keen on POCUS, have an interesting case (with images) relevant to Acute Medicine AND fancy telling your peers all about it in Cardiff this Spring please consider submitting your abstract as below...
🚨Are you interested in Acute Medicine and POCUS?🚨 Do you have an interesting case to share? If so, our POCUS cases session is for you! Venue: SAMCardiff Date: 30th April A chance to present your case nationally - best presentation wins cash! eventsforce.net/eventage/281…
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Hi Matthew. You're conflating the specialty of Acute Medicine with the process of the acute take The take is undertaken by (G)IM docs and Shape of Training mandated many specialties gain experience in this. The concerns re service provision are real, but not caused by AIM at all
I sincerely hope this discussion happens across all medical specialties. The reality of the situation for Neurology is that bowing to the alter of acute medicine has wrecked neurology training for a generation. We need a whole scale rethink of the way we deliver training.
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Nick Smallwood retweeted
Standing room only for the POCUS cases that changed my practice session at #SAMontheCAM Cracking cases and presentations! FAMUS providing a prize for the most popular presentation and POCUS poster at the conference...good luck! @acutemedicine
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For anyone interested, here is the link to the finalised article POCUS reduces by a fair way the demand on downstream radiology services Open access so share widely! sciencedirect.com/science/ar…
Pretty chuffed with this work. We show that having POCUS trained clinicians performing and reporting scans as part of acute care leads to a dramatic reduction in departmental radiology requests. We help not hinder! More reasons to embed this in daily practice where possible...
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Pretty chuffed with this work. We show that having POCUS trained clinicians performing and reporting scans as part of acute care leads to a dramatic reduction in departmental radiology requests. We help not hinder! More reasons to embed this in daily practice where possible...
#hotoffthepress Ever wondered if POCUS leads to more work for radiology departments? The answer is no! Read the clear evidence that an internal medicine POCUS service dramatically reduces downstream radiology requests, by @NHSmallwood and colleagues 👇 sciencedirect.com/science/ar…
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A pleasure to teach on this course with friends from across EFIM. We hope the delegates enjoyed it as much as we did to teach them! @jtorresmacho @yaletung
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This is such a great idea. Improving the visibility of research in Acute Medicine, and giving people access to it is a major ambition of AIM Please spread the word far+wide and sign up! I've no doubt being engaged with these initiatives leads to better unit + patient outcomes
Calling #AcuteMedicine units. @jfdwolff and I are starting an online #JournalClub to discuss research relevant to our work in acute medicine. The plan is that acute medical units across the country can ‘tune in’, via MS Teams, every other month, over lunch time.
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There can be no better opportunity to learn critical care ultrasound than with @ICUltrasonica Don't miss this chance! Back in the day I did a fellowship like this and it was the best career decision of my life...
Want to learn #POCUS from scratch? Fancy extending your skillset to include the #wholebody? Or even crack #FUSICHD? Then look no further. @HHFTnhs has one of the best critical care ultrasound training ecosystems in the UK. And we are hiring. jobs.nhs.uk/candidate/jobadv…
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1/3 With one month until Medicine24 takes place, we’re looking at some of the fantastic speakers you can hear from at our flagship medical conference. @drkathrynmannix will give a Keynote Lecture on ‘talking about dying’.
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People reading this thread and saying 'obviously heart failure on CXR, POCUS added nothing' Welcome to hindsight bias! The team at the time felt this was CAP and required fluids I see this scenario at least weekly. So we're either all really bad, or POCUS really is helpful!
First time doing a #POCUS thread (and a little bit nervous about it!), but had a case over the weekend that once again reminded me how useful ultrasound is at the front door. Images posted with full consent. (1/5)
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These effusions are BIG! I suspect not many people would say the CXR shows large bilateral pleural effusions CXR is limited at assessing causes of hypoxia. The evidence shows it. Examination is ok, but also limited POCUS has evidence based superiority to both for most causes!
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Excellent opportunity for @acutemedicine interested clinicians to share interesting POCUS cases, present at a national conference and network with like-minded folk. All in beautiful Belfast in May! Spread the word. Abstract submission closes Feb 15th
Are you interested in both #POCUS and @acutemedicine? Do you have a cracking case to share? SAM are running a POCUS short cases session at #SAMBelfast and we want you there to present - all clinicians welcome! Details here: tinyurl.com/SAMPOCUS 🚨Abstracts close 15/2🚨
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We have a cross-specialty faculty from Intensive Care, Emergency and @acutemedicine delivering top class #POCUS education (I would say that, though, wouldn't I) Great fun and a bunch of really engaged attendees making a cracking day #VTEDub23 @iceman_ex
We are taking FAMUS and FUSIC heart to Dublin today @ThePillarDublin Excellent faculty, organisation and enthusiasm from the attendees as part of #VTEDub23 Hopefully the start of a long and fruitful collaboration! @cianmcdermott @ICUltrasonica @tomasbreslin @NHSmallwood
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Important SAM update. Statement regarding US support. Please share with others thanks ☺️ : acutemedicine.org.uk/blog/20…
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Nick Smallwood retweeted
SAM Members - Please cast your vote in the SAM Elections. Voting information is in the members hub on the SAM Website. acutemedicine.org.uk
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Nick Smallwood retweeted
🚨more big news🚨 FAMUS has now become a modular accreditation, giving more flexibility for those wanting to learn #POCUS We have thoracic, abdo/renal and DVT/peripheral vascular modules, with some nephrology offerings coming soon Head to acutemedicine.org.uk/FAMUS for details!
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Nick Smallwood retweeted
SAM Copenhagen will soon be here. 4th/5th May, Fantastic programme. Brilliant speakers. Great opportunity to meet, learn from and collaborate with colleagues from Europe. Wonderful, wonderful. Register now (early bird finishes 28th Feb). eventsforce.net/eventage/fro…
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Hi all in @acutemedicine and #cardiotwitter. I wonder if anyone can help with the query below? I'm on SDEC this week and atypical chest pain with just detectable trop 'for repeat' forms a fair part of the work. Would love to understand!
I need some #cardiotwitter / @acutemedicine help please Can someone explain why ESC NSTEMI 2020 mandates 0 and 1hr trop for chest pain regardless of symptom onset? Why does a trop below the 99th centile (but above limit of detection) >6hr post symptoms no longer 'rule out'?
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The adventure continues... Delighted to accept a Consultant post @HHFTnhs today, based in Basingstoke. Great team, great hospital and lots of potential for service development (and probs a bit of #POCUS). Can't wait to get started!
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I need some #cardiotwitter / @acutemedicine help please Can someone explain why ESC NSTEMI 2020 mandates 0 and 1hr trop for chest pain regardless of symptom onset? Why does a trop below the 99th centile (but above limit of detection) >6hr post symptoms no longer 'rule out'?
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