Brian Johnston
@briwbri
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Anaesthetist / intensive care medicine / PhD 🫀 🩺 researcher / (lazy) 🏃♂️🚴🏼♂️ / probably too political / my own views 🇬🇧🇮🇪☘️🇪🇺🏳️🌈
Liverpool/Belfast/Manchester
Joined January 2012
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The anaesthetics and intensive care team hoping to inspire medical students from
@UoLmedicine
@LivUni
to pursue the best career in medicine
#bias
#notsorry
@ICS_updates
@MerseyICM
@cmccn
@RCoANews
@RoyalLpoolHosps
@FICMNews
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My PhD is on atrial fibrillation - faced with a patient in AF on night shift I couldn’t decide if I wanted to go for DCCV / amiodarone / beta blocker / magnesium / potassium / all the above / none of the above 😂 - humbling
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Does 500ml crystalloid peri-intubation prevent cardiovascular collapse? = NOPE. May cause harm - quite abit to unpick in this 🤔
#prepare2
#PrePARE2
#CCR22
#prepare2trial
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43 is an ok age to become a consultant yes? 😑 feels lonnnngggggggg
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‘Let’s unravel some of this bollocks!’ 👏👏👏
This mornings
@BBCBreakfast
interview with the Health Minister on strike action by Junior doctors was an absolute disgrace
For the Junior doctors who sacrificed so much to keep us safe during the pandemic let’s put the record straight -they deserve better than this
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Does anyone else add things they have already completed to their to do list just so it can be ticked off? Only me?
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If there’s a ban on overnight stays away from home in the northwest does that mean I can’t do night shifts? 😳🧐🧐🧐🤫
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Consultants that send you pizza 🍕 when on call over the weekend are legends!
#teamanaesthesia
#anaesthesia
#medic
#oncall
#medtwitter
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@Mayhew1Mayhew
@TheBSCCP
If everyone presented posters with such cute babies present I’d probably listen to more poster presentations!
@TheBSCCP
have missed a publicity and marketing opportunity here!
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@NadineDorries
Actually
@NadineDorries
it’s everyone’s business if
@BorisJohnson
is corrupt or lying or breaking the law or in debt to someone 🤷🏻♂️
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@drphiliplee1
I like the idea that we might be hiding all the patients - like a really elaborate game of hide n seek 🤷🏻♂️
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Seems I can’t cannulate today - missed three in one morning - how many do I have to miss before I have to hand back my anaesthetist card 😮🙁😕
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After 3 years out of anaesthetics - forgotten how much fun an epidural can be - said no one - EVER!
#relearning
#musclememory
#deskilled
#anaesthetist
🤔
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@NadineDorries
@NadineDorries
please do the country a huge service and only comment on things that you actually have first hand experience of - there’s just not enough bandwidth for any other rubbish!
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May have just bought a horse 😕🐴🐴 meet Guinness - spending the first night in his new home!
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@MattHancock
Maybe ask the doctors in the nhs what tech they need! The problem with tech companies is they don't engage with the staff / patients and ask them what they need until the product is produced. Then they are amazed that it doesn't work! Also need to ensure all tech has evidence
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🩻💉🫀Thrilled to have secured my first large grant as part of my PhD
@LivHospitals
@LiverpoolCCS
to develop a core outcome set for trials investigating atrial fibrillation in critically unwell patients. Funded by
@NIHRresearch
RfPB. More info
@COS_ABACUS
🫀💉🩻
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@RCPhysicians
@DrSarahClarke
There’s no evidence that strikes impact patient safety. Is the
@RCPhysicians
implying it does? Also sounds awfully like you’re suggesting only those belonging to a trade union support strikes. Simply wrong!
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The new Royal
@LivHospitals
beside the old Royal. Little bit of me will miss the old building!
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@Mike_Fabricant
@USAinUK
@USAmbUK
Not sure members if the
@UKParliament
should be advocating shooting anything in London - disgraceful sloppy suggestion
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@Azeem_Majeed
Whose gonna train them? - hospital doctors are already so stretched | the current crop of med students already get a bum deal for their 9k per year! How are we going to accommodate a whole group of apprentices? 🤷🏻♂️
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Officially enrolled for my PhD (cardiovascular sciences) at
@LivUni
today. Enjoying this feeling before all the hard work makes me regret my decision 😂 Looking forward to getting started (and student discount again😳).
@livuniPGRDev
@LiverpoolCCS
@LivuniILCaMS
@LivuniIcat
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@WelshGasDoc
Oh god - can’t believe this bloke has made me side with
@sajidjavid
🙄😕 I feel icky!
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@MatthewJud86483
@JCharitySpring
@afneil
@mailplus
You mean like the Scottish deal that was accepted! First step is for the health secretary to speak to doctors! The blame lies solely with
@SteveBarclay
and
@RishiSunak
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Another two ballots in support of
@TheBMA
industrial action
#juniordoctors
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@SteveBarclay
@NHSEngland
@Daily_Express
Not sure you can say the backlog is exclusively due to covid. Waiting times have been worsening every year for the last 10-13 years - I think the conservatives backlog better reflects reality!
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Is this a joke? I’d just like to be able to log onto a working computer 😂
The NHS 🤝 New tech.
This type of collaborative innovation can help to take the burden off NHS staff and improve access to care by removing causes of delays in discharging patients.
Visiting great UK-based business
@WeMakeAI
👇
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Thrilled to open the PREFIBRILLATE trial
@LivCritCare
@LivHospitals
| huge thanks to everyone that’s helped get the study up and running | 🛑detecting arrhythmias before clinical onset in critically ill patients🛑
@isansys
@LivuniILCaMS
@LiverpoolCCS
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@sarahandrews77
@tomhfh
Nah I’d still be striking if labour had messed up the nhs similar to 13 years of the tories!
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@bbcquestiontime
@JuliaHB1
@JuliaHB1
just showed her racism full throttle on
@bbcquestiontime
absolutely grotesque.
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@DrOKaneAgain
@timricketts_
@DrSarahClarke
@RCPLondon
@DrSarahClarke
is wildly out of step with how trainees are feeling. All royal college presidents should be engaging with their membership and voicing membership concerns - not drawing the bridge up behind them. Soon there will be no one left to pay college fees!
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🚨💥 Thrilled to recruit our final patient into the pre-fibrillate trial. 8 years from conception to completion (thanks to covid). Too many people to thank for making my first ever trial a success
@NIAAResearch
@isansys
@LiverpoolCCS
@LivuniILCaMS
@LivUni
@LivHospitalsRI
💥🚨
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@parthaskar
@gmcuk
@the_mdu
@MPS_Medical
Who ‘police’s’ the MPTS? The repercussions are far reaching and this should be challenged / clarified.
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Massively impressed with the
#rehablegends
at
@LivCritCare
@LivHospitals
presenting original work at
@ICS_updates
#SOA24
on the importance of rehab MDT including SLT, OT, Physio, Clin Psychology - well done
@BeckyVarnouse
👏👏👏
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Quite frankly this is grotesque and I hope
@TheBMA
@BMA_JuniorDocs
will be looking into this as a matter of urgency!
Incredible contempt for junior doctors from
@royalhospital
CEO Dr. Hal Spencer.
“Ultimately we need to make it not too comfortable for them”.
To fund it from the educational pot?
These are doctors FOR FUCK SAKE.
Context from OP provided in the last pic. Doctor is now in NZ.
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Excited to have won a
@wellcometrust
clinical seed award to get started with research into atrial fibrillation with
@LivCritCare
@LivUni
@RoyalLpoolHosps
and
@IngeborgWelters
@RichardBJ1
- exciting times ahead!
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@LiangRhea
Calm down - I don’t care what people say when they are making a referral I just understand that they are usually trying their best and if they don’t give me all the information that I want or need then it’s my failing not theirs - we just need to remember to be nice 👍
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‘More than 60% feel negative or somewhat negative about life and about their future in anaesthesia’ taken from
@RCoANews
survey - what the heck is going on in anaesthesia - disaster for the profession if this is not taken seriously and addressed!!!
#MedTwitter
#anaesthesia
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@AngelaRayner
@vickyford
Don’t think anyone on
@bbcquestiontime
was impressed with
@vickyford
today - it’s clear the government have got this badly wrong
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@IsabelOakeshott
Gosh - maybe you need to look at why we are in this situation in the first place and consider if its because of right wing policies?
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😍😍😍
You can tell Micael Fernandes is a veterinarian that loves his patients.🤗🐕❤🐶❤🐕🤗.(🎥:Micaelfernandesvet)
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Mild coffee consumption (0.5-3 cups/d) independently lowered risks of stroke (-21%), cardiovascular (-17%) and all-cause death (-17%) - in largest study on this topic with 468,629 participants
#ESCCongress
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Take home message from
@kennethbaillie
- ‘
#LOVIT
#LOVITtrial
will change rational minds on using Vit C’ 👏👏👏
#CCR22
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🚨 Great to see this published 🚨
An International Survey of the Management of Atrial Fibrillation in Critically Unwell Patients
@IngeborgWelters
@dfmcauley
@docsibley
Critical Care Explorations
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Well done
@peterahampshire
on
@BBCBreakfast
making it clear that
#COVID19
is a real issue putting huge pressures on the nhs - great interview!
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Just finished last shift after a year in tertiary paeds - PICU ❌ (not for me) paeds anaesthesia ✅ (absolutely loved it) what’s not to love about sevo and bubbles! 😂 in a different life I reckon id sub specialise in paeds - just to get access to the sticker collection!
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@ShaunLintern
I think everyone in
@LivHospitals
knows who red scrub doctor is. He’s aware but very chilled about the fame (I think). Excellent doctor also! I think he should remain anonymous like the Stig on top gear 😂
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🚨Calling all intensive care health professionals🚨
We want to know your views on treating atrial fibrillation in critically unwell patients🫀
Please complete our international survey and retweet/share
@FICMNews
@RCoANews
@RCPhysicians
@RCEMLearning
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@ShaunLintern
‘The plan’ - any plan that doesn’t start with retention is likely going to fall at the first hurdle. This is all pie in the sky!
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@alexwickham
Bonkers - how do they explain the other 40 odd countries doing the same thing 🤷🏻♂️
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@jjhambly
@TomStocks1982
@NHSBartsHealth
@mdstbarts
@shanedegaris
Prob is I suspect any response will be seen as a failure of corporate communications rather than a failure to support clinical staff! No change!
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👏👏 Our
@LivUni
@LivCritCare
@LivUniMedicine
MSc student has just won the
@BJA_Research
John Snow Anaesthesia Intercalated award for his project on serum high-sensitivity cardiac troponin concentrations and AF. Very proud supervisor!
@BJAJournals
@RCoANews
@NIAAResearch
👏👏
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The editorial and discussion following presentations at
#eCCR21
is what really makes this conference stand out among
#ICU
#criticalcare
conferences! Really helps bring trials into focus. Well done
@CritCareReviews
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@docib
@_VivekTrivedi
@SteveBarclay
Employing trusts sorting themselves out will never happen - this sounds like a complex solution that will depend on doctors raising concerns and defending why they should get band 3. I don’t think this is workable.
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First presentation from
@LivCritCare
in Munich at
#euroanaesthesia24
#ea24
#esaic
@ESAIC_org
| Dr Silvia Manes presenting her systematic review on continuous vs intermittent vital signs monitoring and risk of patient deterioration
@MerseyICM
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Found a bemble bee 🐝 nearly dead and decided to attempt resuscitation (only had honey)
#SaturdayMorning
#bumblebee
#nature
#NatureIsHealing
#PositiveTweetOfTheDay
@BumblebeeTrust
#NaturalHealthService
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Just completed out next home purchase - thanks to
@ltd_bell
@Karl_Tatler
and
@ANSolicitors
for making it a relatively painless process - all in 6 weeks from offer to completion - saving us a fortune on stamp duty phew! Huge huge huge relief!
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This is the type of research I want to get involved in - why do corgis butts float. Forget AF and critical care 😂
Today I learned that corgi butts can float. Not sure what to do with this info, other than share it with you. 14/10 what a good buoy
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Excited to announce that we have secured funding from
@NIAAResearch
and
@AAGBI
to start research developing new predictive monitoring tools for atrial fibrillation with
@LivCritCare
@LivUni
@LiverpoolCCS
@RichardBJ1
@IngeborgWelters
@RoyalLpoolHosps
@KnowYourPulse
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@Andrew_F_Smith
@campbellclaret
@MattHancock
@BorisJohnson
Prefer to see a campaign to properly fund the nhs in the future.
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