Shai
@shaiuk.bsky.social
Consultant in Intensive Care & Acute Medicine
Work interests in admission avoidance, ward deteriorating patient, POCUS & Critical Care Outreach.
Peri-sporty dad to two sporty boys. Step count up due to puppy. Sanity maintained by Consultant Resp wife
Work interests in admission avoidance, ward deteriorating patient, POCUS & Critical Care Outreach.
Peri-sporty dad to two sporty boys. Step count up due to puppy. Sanity maintained by Consultant Resp wife
Reposted by Shai
Here’s a short skeetorial to raise awareness about the surprisingly high sodium content in some IV antibiotics...clinically important for patients with CHF. Judicious use matters!💧🧂 #emimcc #medsky #EMsky #IDsky #pharmsky #AMSky #FOAMed
a man wearing sunglasses and a white t-shirt is holding something in his hands .
ALT: a man wearing sunglasses and a white t-shirt is holding something in his hands .
media.tenor.com
December 8, 2025 at 9:28 AM
Movie you've watched more than six times with a gif. Hard mode: no star wars, Marvel etc.
December 7, 2025 at 10:49 PM
Movie you've watched more than six times with a gif. Hard mode: no star wars, Marvel etc.
Reposted by Shai
There’s a whole pile of people in our government who really need a visit from the Christmas ghosts this year.
Each post like this from the government just condemns their soul that little bit further.
Each post like this from the government just condemns their soul that little bit further.
December 7, 2025 at 9:17 AM
There’s a whole pile of people in our government who really need a visit from the Christmas ghosts this year.
Each post like this from the government just condemns their soul that little bit further.
Each post like this from the government just condemns their soul that little bit further.
Reposted by Shai
Further more the ADHD this is getting on my nut.
I had a child school had sent in for a referral for ADHD as he was unhappy at school (and school only)
A few questions and it was obvious he was being bullied.
STOP PATHOLOGISING NORMAL HUMAN BEHAVIOUR!
I had a child school had sent in for a referral for ADHD as he was unhappy at school (and school only)
A few questions and it was obvious he was being bullied.
STOP PATHOLOGISING NORMAL HUMAN BEHAVIOUR!
December 6, 2025 at 10:07 AM
Further more the ADHD this is getting on my nut.
I had a child school had sent in for a referral for ADHD as he was unhappy at school (and school only)
A few questions and it was obvious he was being bullied.
STOP PATHOLOGISING NORMAL HUMAN BEHAVIOUR!
I had a child school had sent in for a referral for ADHD as he was unhappy at school (and school only)
A few questions and it was obvious he was being bullied.
STOP PATHOLOGISING NORMAL HUMAN BEHAVIOUR!
Reposted by Shai
Patients suffering from the effects of NHS understaffing should understand that
politicians and commentators who dabble in xenophobia, and the citizens who support them, bear responsibility for this. The rise of petty nationalism since Brexit is also a factor.
www.theguardian.com/society/2025...
politicians and commentators who dabble in xenophobia, and the citizens who support them, bear responsibility for this. The rise of petty nationalism since Brexit is also a factor.
www.theguardian.com/society/2025...
Rising racism blamed for collapse in number of foreign nurses coming to UK
Number of overseas nurses and midwives registered between April and September was half that of a year ago
www.theguardian.com
December 5, 2025 at 5:42 AM
Patients suffering from the effects of NHS understaffing should understand that
politicians and commentators who dabble in xenophobia, and the citizens who support them, bear responsibility for this. The rise of petty nationalism since Brexit is also a factor.
www.theguardian.com/society/2025...
politicians and commentators who dabble in xenophobia, and the citizens who support them, bear responsibility for this. The rise of petty nationalism since Brexit is also a factor.
www.theguardian.com/society/2025...
Reposted by Shai
In honor of World AIDS Day, I'd like to share a story that breaks my heart whenever I tell it. Please read it. It's the story of David Carroll.
December 1, 2025 at 9:56 PM
In honor of World AIDS Day, I'd like to share a story that breaks my heart whenever I tell it. Please read it. It's the story of David Carroll.
Reposted by Shai
And it was also poor flow 15 years ago and every year since
The 'clogging up' of A+Es is not due to the 2% of people coming to ED with this quite arbitrary list of conditions. The main reason they're clogged is poor flow through hospitals!
www.bbc.co.uk/news/article...
www.bbc.co.uk/news/article...
Patients clogging up A&E with hiccups, sore throats and niggles
NHS bosses warn the public to use hospitals wisely amid concern this could be a tough winter.
www.bbc.co.uk
December 4, 2025 at 10:08 AM
And it was also poor flow 15 years ago and every year since
Reposted by Shai
Nigel Farage is still on Cameo
according to farage's cameo page his most recent video was about 7 hours ago 🙃
Nigel Farage - Personalized videos on Cameo
Nigel Farage on Cameo! Cameo lets you request a personalized video message for any occasion.
www.cameo.com
December 3, 2025 at 4:15 PM
Nigel Farage is still on Cameo
Reposted by Shai
LEVOECMO RCT
💉 levosimendan, 0.15 μg/kg/min, to be increased to 0.20 μg/kg/min after 2 h or placebo
⚖️ no significantly shorten time to successful weaning of #ECMO at day 30: routine use not supported
⚖️ run duration, #ICU LoS, 60-day mortality did not differ significantly
@jama.com
🖇️ bit.ly/4iAwGwT
💉 levosimendan, 0.15 μg/kg/min, to be increased to 0.20 μg/kg/min after 2 h or placebo
⚖️ no significantly shorten time to successful weaning of #ECMO at day 30: routine use not supported
⚖️ run duration, #ICU LoS, 60-day mortality did not differ significantly
@jama.com
🖇️ bit.ly/4iAwGwT
LEVOECMO RCT: early administration of levosimendan to facilitate weaning from VA #ECMO in severe but potentially reversible cardiogenic shock
🔍 205 adults/11 ICUs in 🇫🇷
⚖️ early levosimendan administration did not significantly shorten the time to successful weaning of #ECLS at day 30
🔗 bit.ly/4iAwGwT
🔍 205 adults/11 ICUs in 🇫🇷
⚖️ early levosimendan administration did not significantly shorten the time to successful weaning of #ECLS at day 30
🔗 bit.ly/4iAwGwT
December 2, 2025 at 6:29 PM
LEVOECMO RCT
💉 levosimendan, 0.15 μg/kg/min, to be increased to 0.20 μg/kg/min after 2 h or placebo
⚖️ no significantly shorten time to successful weaning of #ECMO at day 30: routine use not supported
⚖️ run duration, #ICU LoS, 60-day mortality did not differ significantly
@jama.com
🖇️ bit.ly/4iAwGwT
💉 levosimendan, 0.15 μg/kg/min, to be increased to 0.20 μg/kg/min after 2 h or placebo
⚖️ no significantly shorten time to successful weaning of #ECMO at day 30: routine use not supported
⚖️ run duration, #ICU LoS, 60-day mortality did not differ significantly
@jama.com
🖇️ bit.ly/4iAwGwT
Ping @rajlb.bsky.social
Just a quick heads up.
Just a quick heads up.
December 1, 2025 at 7:17 PM
Ping @rajlb.bsky.social
Just a quick heads up.
Just a quick heads up.
Reposted by Shai
Last chance to submit your experiences of getting (or not getting) IPed at popular resus courses. We shall be sharing the results with the resus council next year. Please share - open to all specialities and all grades. Thanks so much forms.gle/7ZhpWvSqpRCR...
Experience of Gaining Instructor Potential (IP) in Resuscitation Courses
This is an anonymous survey to assess doctors experience of gaining Instructor Potential for popular resuscitation courses. The nomination means you are eligible to enrol on the Generic Instructors Co...
forms.gle
December 1, 2025 at 6:20 PM
Last chance to submit your experiences of getting (or not getting) IPed at popular resus courses. We shall be sharing the results with the resus council next year. Please share - open to all specialities and all grades. Thanks so much forms.gle/7ZhpWvSqpRCR...
Reposted by Shai
Reposted by Shai
EMCrit 413 - Translating Recent Sepsis Papers to the Bedside with @PulmCrit (Farkas)
- Confounding Effects of Vasopressin
- Perfusion Index?
- Echo-Pressor-Echo
& so much more...
[#FOAMed for now]
emcrit.org/413
- Confounding Effects of Vasopressin
- Perfusion Index?
- Echo-Pressor-Echo
& so much more...
[#FOAMed for now]
emcrit.org/413
EMCrit 413 - Translating Recent Sepsis Papers to the Bedside with PulmCrit (Farkas)
Ok, new sepsis papers, but what should we actually do?
emcrit.org
November 30, 2025 at 12:22 AM
EMCrit 413 - Translating Recent Sepsis Papers to the Bedside with @PulmCrit (Farkas)
- Confounding Effects of Vasopressin
- Perfusion Index?
- Echo-Pressor-Echo
& so much more...
[#FOAMed for now]
emcrit.org/413
- Confounding Effects of Vasopressin
- Perfusion Index?
- Echo-Pressor-Echo
& so much more...
[#FOAMed for now]
emcrit.org/413
Reposted by Shai
Read this.
A scrappy indie outlet standing up to Farage’s bullyboy lawyers in a way that should shame better-funded outlets
A scrappy indie outlet standing up to Farage’s bullyboy lawyers in a way that should shame better-funded outlets
”Reform UK's barrister tried to scare us. Our advice to other news sites: don't play the bullies game." Martin Shipton from @nation.cymru on being bullied by Reform's lawyers: www.thenerve.news/p/reform-nat...
Reform UK’s barrister tried to scare us. Our advice to other news sites: don’t play the bully’s game
My news organisation, Nation.Cymru, was threatened with legal action over a story involving Nigel Farage’s party in the Senedd. Instead of hiring our own lawyer, we simply told them to go away, writes...
www.thenerve.news
November 28, 2025 at 12:49 PM
Read this.
A scrappy indie outlet standing up to Farage’s bullyboy lawyers in a way that should shame better-funded outlets
A scrappy indie outlet standing up to Farage’s bullyboy lawyers in a way that should shame better-funded outlets
Reposted by Shai
This is what happens when as a single condition health charity you’re overly focused on those who die of your condition and you don’t consider outcomes for those who don’t, or the opportunity costs involved for NHS. PCUK are particularly guilty but they’re not alone.
www.thetimes.com/article/4487...
www.thetimes.com/article/4487...
Start prostate cancer testing regardless of advice, Wes Streeting told
NHS advisers are expected to rule against a mass programme for the disease, which causes more than 12,000 deaths a year
www.thetimes.com
November 28, 2025 at 8:46 AM
This is what happens when as a single condition health charity you’re overly focused on those who die of your condition and you don’t consider outcomes for those who don’t, or the opportunity costs involved for NHS. PCUK are particularly guilty but they’re not alone.
www.thetimes.com/article/4487...
www.thetimes.com/article/4487...
Reposted by Shai
Welcome Shabana Mahmood to your next four years of headlines!!!
Foreign doctors trained by the NHS face deportation under visa rules
Foreign doctors trained by the NHS face deportation under visa rules
www.thetimes.com
November 28, 2025 at 9:32 AM
Welcome Shabana Mahmood to your next four years of headlines!!!
Reposted by Shai
Thought-provoking blog post on a head & neck surgeon who got a H&N cancer - www.bda.org/news-and-opi...
As a maxillofacial surgeon, I never expected to get mouth cancer myself
Neil Shah shares his unique insight from surviving the very cancer he is trained to operate on.
www.bda.org
November 28, 2025 at 10:40 AM
Thought-provoking blog post on a head & neck surgeon who got a H&N cancer - www.bda.org/news-and-opi...
Reposted by Shai
It's part of the electionification of everything, which is why we as a country are failing to have a proper conversation about our actual problems. It's bad for the left *and* the right.
It's such a bizarre framing. Labour MPs think taking 450k kids out of poverty is putting the country first! That's why they wanted it to happen! It's not because they personally benefit.
Headline on The World at One just now:
"Sir Keir Starmer has denied putting the Labour Party before the country by ending the two-child benefit cap".
Can we please go back to reporting the actual news, not someone's partisan take on it?
"Sir Keir Starmer has denied putting the Labour Party before the country by ending the two-child benefit cap".
Can we please go back to reporting the actual news, not someone's partisan take on it?
November 27, 2025 at 10:17 PM
It's part of the electionification of everything, which is why we as a country are failing to have a proper conversation about our actual problems. It's bad for the left *and* the right.
Reposted by Shai
💔 #MND Pls support the @mndassoc.bsky.social
November 24, 2025 at 9:10 PM
💔 #MND Pls support the @mndassoc.bsky.social
Reposted by Shai
I'm not sure how much it is appreciated that there will be significant emigration coming. Those here on graduate visas coming to an end, the toughening up of skilled worker rules re. salaries/sponsorable roles and the 'earned settlement' changes to come. Lots of people are going to leave.
November 27, 2025 at 11:08 AM
I'm not sure how much it is appreciated that there will be significant emigration coming. Those here on graduate visas coming to an end, the toughening up of skilled worker rules re. salaries/sponsorable roles and the 'earned settlement' changes to come. Lots of people are going to leave.
Reposted by Shai
Todays #ThankYouThursday is for our A&E department!
November 27, 2025 at 9:01 AM
Todays #ThankYouThursday is for our A&E department!
Reposted by Shai
🟢🟡 A Point. One Solitary Point. Wahoo!
🗣️ @garygowers.bsky.social
▪️Fair play to the optimists... salutations
▪️A team that's forgotten how to win
▪️We're Norwich - we're not allowed nice things
LINK: norwichcity.myfootballwriter.com/2025/11/26/a...
#ncfc
🗣️ @garygowers.bsky.social
▪️Fair play to the optimists... salutations
▪️A team that's forgotten how to win
▪️We're Norwich - we're not allowed nice things
LINK: norwichcity.myfootballwriter.com/2025/11/26/a...
#ncfc
November 26, 2025 at 10:16 AM
🟢🟡 A Point. One Solitary Point. Wahoo!
🗣️ @garygowers.bsky.social
▪️Fair play to the optimists... salutations
▪️A team that's forgotten how to win
▪️We're Norwich - we're not allowed nice things
LINK: norwichcity.myfootballwriter.com/2025/11/26/a...
#ncfc
🗣️ @garygowers.bsky.social
▪️Fair play to the optimists... salutations
▪️A team that's forgotten how to win
▪️We're Norwich - we're not allowed nice things
LINK: norwichcity.myfootballwriter.com/2025/11/26/a...
#ncfc
Reposted by Shai
EXCLUSIVE
Racist Offended by Accusations of Racism.
Expressing his frustration that he keeps getting called a racist, a Clacton racist finally broke his silence on Monday.
More:
mrhenrymorris.substack.com/p/racist-off...
Racist Offended by Accusations of Racism.
Expressing his frustration that he keeps getting called a racist, a Clacton racist finally broke his silence on Monday.
More:
mrhenrymorris.substack.com/p/racist-off...
Racist Offended by Accusations of Racism
Expressing his frustration that he keeps getting called a racist, a Clacton racist finally broke his silence on Monday.
mrhenrymorris.substack.com
November 25, 2025 at 1:14 PM
EXCLUSIVE
Racist Offended by Accusations of Racism.
Expressing his frustration that he keeps getting called a racist, a Clacton racist finally broke his silence on Monday.
More:
mrhenrymorris.substack.com/p/racist-off...
Racist Offended by Accusations of Racism.
Expressing his frustration that he keeps getting called a racist, a Clacton racist finally broke his silence on Monday.
More:
mrhenrymorris.substack.com/p/racist-off...
Reposted by Shai
All the supposedly progressive people saying 'Nigel Farage's racism doesn't matter. His fans love it'.
It matters whether the leader of the party leading all the opinion polls is an outright racist. It matters if he called black people 'wogs' and said 'gas them' to Jews. Not everything is a game
It matters whether the leader of the party leading all the opinion polls is an outright racist. It matters if he called black people 'wogs' and said 'gas them' to Jews. Not everything is a game
November 25, 2025 at 8:30 AM
All the supposedly progressive people saying 'Nigel Farage's racism doesn't matter. His fans love it'.
It matters whether the leader of the party leading all the opinion polls is an outright racist. It matters if he called black people 'wogs' and said 'gas them' to Jews. Not everything is a game
It matters whether the leader of the party leading all the opinion polls is an outright racist. It matters if he called black people 'wogs' and said 'gas them' to Jews. Not everything is a game
Reposted by Shai
Reminder that In the 1990s Farage sought the backing of the disgraced former Conservative MP and notorious racist Enoch Powell and twice asked him to stand as a candidate for UKIP.
www.theguardian.com/politics/201...
www.theguardian.com/politics/201...
Nigel Farage asked former Conservative MP Enoch Powell to back Ukip
Despite his ‘rivers of blood’ speech, the Ukip leader has said the central thrust of Powell’s immigration arguments hold true
www.theguardian.com
November 24, 2025 at 10:59 PM
Reminder that In the 1990s Farage sought the backing of the disgraced former Conservative MP and notorious racist Enoch Powell and twice asked him to stand as a candidate for UKIP.
www.theguardian.com/politics/201...
www.theguardian.com/politics/201...