Damage Control for the Failing Heart - Part 2
Cardiogenic shock in the ED: Spotting CS in heart failure. Staging severity. Phenotyping.
Damage Control for the Failing Heart - Part 2 (a blog series about cardiogenic shock in the ED).
Spotting cardiogenic shock in heart failure. Staging severity. Phenotyping.
#EmergencyMedicine #EM #EMedSky #EMSky #MedSky #cardiogenicshock
robertlloyd.substack.com/p/damage-con...
07.03.2026 09:41
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Culture & Machines (2.0)
My thoughts on how healthcare organisations can reliably create and harness knowledge in a changing world.
Culture & Machines (2.0): My thoughts on how healthcare organisations can reliably create and harness knowledge in a changing world.
This is the blog write-up of a talk I gave to EHAAT earlier today on the subject of organisational knowledge management.
#EMedsky #Medsky #Coffee&Cases #AI #LLM
17.06.2025 19:20
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Good take on this Robbie. Some work needed for me on ensuring I have CPD and carry on learning
31.05.2025 17:25
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We are in the process of putting ours together actually…
01.06.2025 10:38
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Worth a read.
A well written article on the natural clinical development of POCUS and how it continues to integrate in actual practice and acumen.
Robbie describes something I suspect we all naturally now do.
The next step is how to teach this
The challenge is how to govern it.
#emimcc
31.05.2025 16:35
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Cheers mate! Yeah for sure. Big challenge for consultants is staying current. Cons attendance at workshops and training days needs to happen, but competing priorities etc.
01.06.2025 10:36
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UK ED POCUS has matured
From binary thinking to Bayesian reasoning
The conversation around point-of-care ultrasound in UK EDs has matured
#EMedsky #Medsky #POCUS
31.05.2025 08:22
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UK EM Field Notes #8
My take on sepsis, circulation management in septic shock, peripheral noradrenaline
My take on sepsis, circulation management in septic shock, peripheral noradrenaline
#EmergencyMedicine #EM #Sepsis #MedSky #EMedSky #MedEd #EMSky
21.05.2025 08:39
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Don’t run towards an emergency. Deliberately walk.
Managing personal performance when the emergency alarm goes off.
Don't run towards an emergency. Deliberately walk.
#EmergencyMedicine #EM #Performance #HighPerformance #MedSky #EMedSky #MedEd #EMSky
18.05.2025 07:23
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My QI journey (so far)
I was interviewed about my quality improvement work by my good friend Robin Pap - Paramedicine academic and QI legend...
I was interviewed about my quality improvement work by my good friend Robin Pap - Paramedicine academic and QI legend...
#EmergencyMedicine #EM #QI #Quality #QualityImprovement #MedSky #EMedSky #MedEd #EMSky
12.05.2025 19:11
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UK EM Field Notes #7
Ketamine calamities, refractory laryngospasm, emergency PEEP
Ketamine calamities, refractory laryngospasm, emergency PEEP
01.05.2025 16:10
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@rcemlearning.bsky.social there is potentially some outdated information in your Acute Aortic Dissection module (last updated 2023) on the subject of dissection/haemopericardium. Obviously a controversial topic but I've flagged in the below blog post. Might be worth a look/revision. Cheers!
27.04.2025 21:09
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UK EM Field Notes #6
Cardiac tamponade, pericardiocentesis, aortic dissection + tamponade
Cardiac tamponade, pericardiocentesis, aortic dissection + tamponade
#EmergencyMedicine #EM #Asthma #MedSky #EMedSky #MedEd #EMSky
27.04.2025 21:04
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Unfortunately not actually, but it looks like a cool event. Definitely should grab a coffee if you’re in London soon. I’ll text you
25.04.2025 10:51
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Hey dude thanks a lot! Hope you’re well and that we get a chance to catch up soon
25.04.2025 07:18
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UK EM Field Notes #5
The sickest asthma patients (periarrest or worse), finger thoracostomies, VV ECMO
The sickest asthma patients (periarrest or worse), finger thoracostomies, VV ECMO
#EmergencyMedicine #EM #Asthma #MedSky #EMedSky #MedEd #EMSky
24.04.2025 21:44
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UK EM Field Notes #4
When to start NIV in COPD, ABGs vs VBGs, IV morphine and the "RV Death Spiral"
When to start NIV in COPD, ABGs vs VBGs, IV morphine and the "RV Death Spiral"
21.04.2025 10:34
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UK EM Field Notes #3
When to stop the resus, intra-arrest thrombolysis, and new RBBB
When to stop the resus, intra-arrest thrombolysis, and new RBBB #EmergencyMedicine #EM #ECGSky #MedSky #EMedSky #CardioSky #MedEd #EMSky #EUSEM
18.04.2025 13:44
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#EMSky do your thing!
07.01.2025 17:14
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UK EM friends… I have just taken on the role of POCUS lead for my new ED. Anyone out there with same role willing to have a virtual (MS teams) coffee and give me some tips? I’d be hugely grateful. Keen to do the job well and sustainably (and love POCUS of course). @rcem.bsky.social
07.01.2025 13:46
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In case you missed it - the cognitive forcing strategy I employ EVERY time I review the ECG of a patient with palpitations or syncope
Don’t want to miss subtle signs of risk of sudden cardiac death, and I don’t trust my fallible primate brain
EVERY. TIME.
22.11.2023 17:59
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Me too please Nat. Thank you!
11.11.2024 19:01
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