SadCrit @schistosomnia.bsky.social · 29/09/2026Big controversy today - TBI patient with DI, Na 168. Night Dr given 5% glucose to bring it down... What do we think team? #emimcc #ansky #neurosky 100
SadCrit @schistosomnia.bsky.social · 19/09/2026Overloaded post-op patient in "deresuscitation phase". Boss wants to offload with albumin and furosemide together, then notices a "loop diuretic allergy", so opts for just the albumin. This makes no sense, right?! #nephsky #emimcc 332
SadCrit @schistosomnia.bsky.social · 13/08/2026Levetiracetam can reduce methotrexate clearance #emimcc 031
SadCrit @schistosomnia.bsky.social · 08/08/2026Do we give loading levetiracetam because we're aiming for higher levels, or is it to get to therapeutic levels faster? Saw someone today "reload" a patient who had been on it for over a week, wondering if that makes sense? #emimcc 232
SadCrit @schistosomnia.bsky.social · 05/08/2026Happy first Wednesday in August to all those who celebrate 020
SadCrit @schistosomnia.bsky.social · 23/07/2026My current ICU has vitamin D supplementation as part of its admission bundle for all ICU patients.... #emimcc 230
SadCrit @schistosomnia.bsky.social · 21/07/2026My current unit seems to use spironolactone specifically to treat hypernatraemia in ICU patients - thoughts? #emimcc 421
SadCrit @schistosomnia.bsky.social · 26/05/2026My 5yo just asked for a general anaesthetic to have a splinter removed from his hand #AnSky 150
SadCrit @schistosomnia.bsky.social · 11/05/2026Hepatorenal syndrome (HRS-AKI) has cirrhosis in the criteria. So what do I call AKI in acute liver failure? Does the AKI have a different mechanism? #emimcc 110
SadCrit @schistosomnia.bsky.social · 04/04/2026Patient on unfractionated heparin infusion. APTT > 180, anti Xa 0.6. Which one should I believe? #emimcc 121
SadCrit @schistosomnia.bsky.social · 04/04/2026Acetylcisteine for ischaemic liver - yes or no? #emimcc 220
SadCrit @schistosomnia.bsky.social · 30/03/2026Guys help! My boss today says there's evidence that noradrenaline has better outcomes than metaraminol in septic shock, but I can't find the evidence! #emimcc 110
SadCrit @schistosomnia.bsky.social · 27/03/2026Oh boy Eddie and Todd are not going to like this acronym #emimcc @icucast.bsky.social 120
SadCrit @schistosomnia.bsky.social · 19/03/2026Fury on the ICU today from the spinal surgeons as the spinal trauma patient has a MAP of 75 instead of 80. Let's review the evidence supporting their claims... 120
SadCrit @schistosomnia.bsky.social · 17/03/2026Took this new (to me) wisdom out for a spin on the ICU today, was universally ridiculed. I hate it here. 120
SadCrit @schistosomnia.bsky.social · 04/03/2026Genuinely at a teaching session where the speaker has 20-30ml/kg crystalloid in their initial management for haemorrhagic shock.media.tenor.coma woman says guys i 'm thinking this might be like a cult while holding a bottle of waterALT: a woman says guys i 'm thinking this might be like a cult while holding a bottle of water 010
SadCrit @schistosomnia.bsky.social · 11/02/2026Got a lot of pushback today for giving acetazolamide for contraction alkalosis - I thought this was pretty standard practice? #emimcc 141
SadCrit @schistosomnia.bsky.social · 09/02/2026(Me on stage accepting my Froosy award) And I'd just like to thank the day shift, for giving everyone a billion litres of fluid every day, so I could along every night and sneak furosemide onto every drug chart while they sleep. You guys are the real heroes ❤️ 000
SadCrit @schistosomnia.bsky.social · 08/02/2026Ah shit I just realised that patient from last week might have had serotonin syndrome #emimcc 110
SadCrit @schistosomnia.bsky.social · 27/01/2026Consultant doesn't want to mobilise a patient with new diagnosis DVT (worried about dislodging some clot). Thoughts? #EMIMCC #hemesky 420
SadCrit @schistosomnia.bsky.social · 26/12/2025Fairy godmother: Don't forget the magic will fade at midnight Me: ok well the club doesn't open till 11.30, so this isn't going to help much 020
SadCrit @schistosomnia.bsky.social · 23/12/2025Without even reading the paper I learned 2 things. The spelling of "Monro" and the spelling of "Kellie" #AnSky 040
SadCrit @schistosomnia.bsky.social · 19/12/2025Today is my last anaesthesia shift for the foreseeable future, feeling very conflicted! 000
SadCrit @schistosomnia.bsky.social · 12/12/2025UK peeps, what are we doing with the results of RSI? Am I going to have to learn to use etomidate? #AnSky #emimcc 541
SadCrit @schistosomnia.bsky.social · 09/12/2025Is there anything with more inter-anaesthetist variation than sedation for cardioversion? What's your recipe? #AnSky #emimcc 1031
SadCrit @schistosomnia.bsky.social · 08/12/2025My consultant isn't letting me go home because he forgot to bring his glasses to work and can't see anything #ansky 230
SadCrit @schistosomnia.bsky.social · 05/12/2025How bradycardic would someone have to be for you to start CPR, even with a good strong pulse? (imagine your BP monitor is broken) #emimcc 210
SadCrit @schistosomnia.bsky.social · 01/12/2025Well that's a new low for me. Consultant didn't know the answer, but siding with a chatbot over me. Am I less trustworthy than a robot? 110
SadCrit @schistosomnia.bsky.social · 01/12/2025Listening to #emcrit ep with @pulmcrit.bsky.social Just wondering about the PI in darker skin and whether this has any effect? #emimcc 020
SadCrit @schistosomnia.bsky.social · 24/11/2025The discrepancy between the college referring to itself as RCoA and the exam being called FRCA annoys me every time #AnSky 000
SadCrit @schistosomnia.bsky.social · 21/11/2025How come we call 1.26% sodium bicarbonate isotonic? #ansky #emimcc 110
SadCrit @schistosomnia.bsky.social · 13/11/2025Ok I have another one. What if I have a COPD patient who I can see usually sits with a pCO2 of 8 kpa (60mm) and they sustain a TBI. Ventilate them down to a pCO2 of 4.5-5, even if it means I make them alkalaemic? #emimcc 211
SadCrit @schistosomnia.bsky.social · 13/11/2025DKA with ?cerebral oedema, self ventilating her own pCO2 down to 2 (15 in 🦅 units). If she gets tubed, do I try to keep the CO2 the same, or do I aim for neuroprotective CO2? #emimcc 232
SadCrit @schistosomnia.bsky.social · 11/11/2025NIV for community acquired pneumonia - how do we feel about this? #emimcc 331
SadCrit @schistosomnia.bsky.social · 07/11/2025Acidosis causes a coagulopathy, right? But how acidotic to you have to be? And what degree of coagulopathy do you get? #emimcc 220
SadCrit @schistosomnia.bsky.social · 06/11/2025Pharm bros! My boss today wouldn't give meropenem to a patient with a history of (non-anaphylactic) penicillin allergy. Is there any evidence to support this? @alaurx.bsky.social @sarajpharmd.bsky.social #emimcc 310
SadCrit @schistosomnia.bsky.social · 04/11/2025Got a bad case of Anaesthetist Thumb. Too much scrolling. 000
SadCrit @schistosomnia.bsky.social · 31/10/2025Oh so it's MY spinal that's failed because it took YOU two and a half hours to do a knee replacement is it? 010
SadCrit @schistosomnia.bsky.social · 24/10/2025Vindicated. Despite looking well and having a good BP this patient is now on .5 of noradrenaline and intubated. Another CT but still no diagnosis... 010
SadCrit @schistosomnia.bsky.social · 22/10/2025Neutrophils of 45, lactate of 5 and HR 130 day 1 post laparoscopic reversal of ileostomy. CT doesn't find anything definitely wrong in the abdomen. How worried are we? #ansky #medsky 220
SadCrit @schistosomnia.bsky.social · 11/08/2025Fairly widespread practice to target a magnesium of >1 mmol/l (>2 mg/dl) in ICU patients. Is there any evidence to support this? #emimcc 111
SadCrit @schistosomnia.bsky.social · 13/07/2025Heading to night shift - Am I supposed to wear the day face cream or the night face cream? 000
SadCrit @schistosomnia.bsky.social · 10/07/2025Managing hypertriglyceridaemic pancreatitis - thoughts anyone? #emimcc 411
SadCrit @schistosomnia.bsky.social · 02/07/2025Enteral methylene blue with IV linezolid. Serotonin syndrome risk? @alaurx.bsky.social @sarajpharmd.bsky.social #emimcc 110
SadCrit @schistosomnia.bsky.social · 25/06/2025Does anyone check the QTc before starting vasopressin? #emimcc 310
SadCrit @schistosomnia.bsky.social · 07/05/2025I don't like to be rude about my colleagues, but I hope this consultant's teicoplanin is always full of bubbles 010
