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Segun Olusanya (He/Him) iceman_ex@critcare.social Profile picture
Segun Olusanya (He/Him) iceman_ex@critcare.social
@iceman_ex
Husband to @monanniecakes| Intensivist @nhsbartshealth| Ultrascoundrel |#FOAMed|@thosewecarry|@ics_updates|@wicsbottomline|@esicm|@tea_empathynhs| 🇳🇬
May 5, 2023 • 27 tweets • 9 min read
Is #POCUS a waste of time?

I thought I’d convert my recent talk at #accs2023 @CC_Symposium into a Twitter thread.

#foamed #FOAMcc This is a difficult presentation to do as I have multiple conflicts of interest related to #POCUS - here they are:
Oct 6, 2021 • 7 tweets • 13 min read
Soon to be published in @yourICM:

A consensus statement on head to toe ultrasound skills in the general and neuro ICU population

Massive piece of work led by @AVBmir @chiara_robba and @avkwong

Building on stuff published here ccforum.biomedcentral.com/articles/10.11…

#lives2021 @yourICM @AVBmir @chiara_robba @avkwong After Delphi a decent consensus was reached- here are some summaries
1. Cranial ultrasound- TCCD guided PI is weakly recommended as a BASIC skill (over ONSD)
2. Lung US- strong recommendations for PTX, Effusion, and consolidation

#LIVES2021
Oct 5, 2021 • 6 tweets • 4 min read
Ok. @esicm #lives2021 🔥 HOT TOPIC 🔥

Results of the HYPO-ECMO study- therapeutic hypothermia post cardiogenic shock requiring ECMO

clinicaltrials.gov/ct2/show/NCT02… Physiological rationale and clinical question
Oct 5, 2021 • 5 tweets • 4 min read
Now watching: @RKleinpell discussing digital strategies in family care

#LIVES2021 @RKleinpell Our changed visitation policies had…consequences #lives2021
Oct 5, 2021 • 15 tweets • 12 min read
Want to learn how to review a paper?

Check out @HalliePrescott on channel 7

Your first two questions should be:
1. Accept or reject?
2. How do I optimise this paper for acceptance?

Recommended reading: atsjournals.org/doi/10.1513/An… @HalliePrescott Recommends learning from Jean-Luc Dumont on scientific communication presentationzen.com/presentationze…

#LIVES2021
Oct 4, 2021 • 6 tweets • 5 min read
So it’s our first HOT TOPIC

The convalescent plasma arm of @remap_cap

Currently on channel 1 at #lives2021 @remap_cap Preprint available here

medrxiv.org/content/10.110…

#foamed #FOAMcc #LIVES2021
Jun 2, 2020 • 27 tweets • 10 min read
Webinar is now LIVE. I’ll be providing some coverage on Twitter. @DrMCecconi is describing his experience.

It’s been written up here jamanetwork.com/journals/jama/…

And he did a superb webinar with @JAMA_current where he spoke directly from the front lines esicm.org/blog/?p=2626
Apr 17, 2020 • 9 tweets • 6 min read
Fascinating discussion from the @ICS_updates webinar

Differing opinions on HFNC, CPAP and intubation

The risk of P-SILI described by @bjoern_weiss

Versus the benefits of avoiding intubation

Again: NO ONE can predict who will successfully manage with noninvasive therapies. Up to 50% of patients will manage with noninvasive therapies alone (CPAP/HFNC)

But which 50%? Does everyone warrant a trial? And where should this trial take place?

#icswebinar #covid19foam
Nov 23, 2019 • 12 tweets • 3 min read
I think it may be worth talking a little bit about “faking” from a medical perspective. (1/n) There are several ways of looking at “faking”

1. The body experiencing symptoms of pain, or disease, that don’t represent any actual ongoing physical harm. What we call “psychosomatic” symptoms
2. People pretending to be ill for personal gain.
Sep 13, 2019 • 14 tweets • 7 min read
This is a brilliant slide that covers why ICU follow up matters.

A standard GP will see about one ICU survivor a year. In a 10 minute appointment, how can they cover all these issues?

We all need to support our ICU survivors #icmtrainingday I’m not even sure ICU “survivor” is the right word.

Someone please help me with a better, kinder term

#icmtrainingday ping @drjoelmeyer
May 24, 2019 • 11 tweets • 6 min read
Just in case you guys don’t know who Sheldon Magder is...

mcgill.ca/physiology/dir…

A GOD among intensivists and physiologists #hrmed19 On the topic of blood pressure ncbi.nlm.nih.gov/m/pubmed/30305…

#Hrmed19

Pressure is not equivalent to blood flow...
Oct 24, 2018 • 23 tweets • 13 min read
Now @Manu_Malbrain arguing for the retirement of the surviving Sepsis guidelines #lives2018 The fall in Sepsis mortality hasn’t coincided with the introduction of the guidelines #lives2018 🤔
Oct 23, 2018 • 4 tweets • 2 min read
So what about albumin in the critically ill? Yasser Sakr talks us through it

It might be good- especially in Sepsis #lives2018

It’s also the colloid with the highest safety margin... And as if by magic in a parallel stream... #lives2018
Oct 23, 2018 • 22 tweets • 13 min read
Good morning everyone! For my first session of day 2, I’ve decided to come and learn all about vasculitis in the ICU - being presented by Marlies Ostermann from @GSTT_ICU #lives2018 Marlies starts with a couple of case histories:

Middle aged women, presenting with undifferentiated pulmonary and renal failure, raised inflammatory markers, Nonspecific chest X-ray changes...

But which one has vasculitis? #lives2018
Oct 22, 2018 • 6 tweets • 4 min read
Now listening- Sheldon Magder: How does the venous system respond to changes in arterial pressure? #lives2018 “a compliant system is necessary for pulsation flow”- S Magder



#lives2018 #foamed #foamcc
Oct 22, 2018 • 19 tweets • 12 min read
Now debating “endpoints of fluid resuscitation” featuring @Manu_Malbrain and @PrXaMonnet #lives2018

Up first: Manu!

Follow him @Fluid_Academy and check his work annalsofintensivecare.springeropen.com/articles/10.11… The ROSE concept emphasised by @Manu_Malbrain #lives2018
Aug 20, 2018 • 9 tweets • 10 min read
@BrowofJustice @maheshramanan @nobleultrasound @bagheera79 It’s like those magic eye pictures in the 80s.

The more you look, the clearer it becomes.

With lungs, it’s important to remember that you’re not actually looking at anything real- you’re interpreting artefacts created by the machine. @BrowofJustice @maheshramanan @nobleultrasound @bagheera79 OK. Quick TWEETORIAL.

This is the “A” profile, generated by normal lung. It can also be seen in COPD, asthma, or pulmonary embolus- essentially any condition where there is no interstitial or parenchymal pathology.