Dr Stephen T Webb
@stephen_t_webb
Past President @ICS_updates 🇬🇧 🩺🥼Consultant in Intensive Care @RoyalPapworth Cambridge 🏥 Follow for🫀🫁🚴♂️🦋🌳🍪⚔️☘️ Views=own
Was dir gefallen könnte
The construction of the new Cambridge South rail station 🚊 is progressing well 👏 …opening in 2025 the station will improve access 🚝 to @RoyalPapworth (and @CamBioCampus) for staff 🩺 and patients 🏥 and relatives coming to Cambridge from the north ✅ and the south ✅👍
🧵 What is Critical Closing Pressure — and why does it matter for perfusion? A thread to clear up one of the most misused and misunderstood ideas in circulatory physiology. 👇
1/ Not all heart failure is low-output. Sometimes the heart pumps harder than ever — and still fails. High-output failure explained 🧵 #FOAMed #MedX
1/ SVR looks precise: (MAP – RAP)/CO. But this neat number hides traps. It’s not “afterload,” it’s not pure “tone,” and sometimes it’s not even valid. A thread on why systemic vascular resistance misleads — and when it still helps. 🧵 #MedX
17/ Want to dive deeper? 📘 Anderson’s Gross Physiology of the Cardiovascular System is free, clear, and game changing: cardiac-output.info/Cardiovascular… 🎥 And this 22-minute demonstration is essential: youtu.be/0bntSIg2Aqk?fe…
youtube.com
YouTube
The Determinants of Cardiac Output (Remastered w/ full captions)
At least enjoy the views if you’re not enamoured with another Pog exhibition. You‘ve got three months of velodromes & mud starting in a week.
If you’re going to read one thing today, this should be it.
🧵 The Cardiac Function Curve — why it misleads (Part 1) 1/ The cardiac function curve is one of the most recognisable images in physiology. Unfortunately, it’s also one of the most misdrawn, mislabelled, and misunderstood. Let’s redraw it — and see what it really tells us about…
British societies guideline on management of emergencies in patients on ECMO 🫀Recognition of cardiac arrest 🏥 Team structure 🕵️ Early troubleshooting @BritishCardioSo @FICMNews @ICS_updates @BACCNUK @SCTSUK @BSHeartFailure @ResusCouncilUK @ACTACCUK link.springer.com/article/10.100…
The FICM Intensivists in Training Conference 2025 is now open online to all FICM members! 📍 Birmingham & Online 📅 10 November 2025 🎟️ In-person attendees can take part in workshops! Don’t miss out – register now: 🔗 ficm.ac.uk/events/ficm-in… #FutureIntensivists
Pinned: Cardiovascular Physiology Hub Discovering physiology together: untangling the concepts most often misunderstood at the bedside. Foundations – Starling’s law as servo-control x.com/icmteaching/st… – Cardiac output & Anderson’s model x.com/icmteaching/st… – Preload…
1/ Most people think the heart drives circulation. But what if that’s backwards? Anderson’s model flips the whole idea of cardiac output on its head — and it changes how you think about fluid, flow, and failure. 🧵👇 #physiology #FOAMed #MedTwitter #criticalCare #cardiacOutput
🧵 The Cardiac Function Curve — why it misleads (Part 1) 1/ The cardiac function curve is one of the most recognisable images in physiology. Unfortunately, it’s also one of the most misdrawn, mislabelled, and misunderstood. Let’s redraw it — and see what it really tells us about…
One of the most famous graphs in haemodynamics might be teaching the wrong lesson. This picture is everywhere in critical care — but it misleads more than it helps. Full thread coming soon. #MedX #FOAMed
I hear a lot of BS at the moment - BS that goes “What does an EM clinician actually do? What value are they?” This from @EMManchester pretty much sums it up and separates us from other doctors. It’s what makes us unique in terms of decision making in medicine. #eusem2025
Dr. Stephan von Düring and Dr. Eddy Fan discuss their research on the association between mechanical power within the first 24 hours and ICU mortality in adult patients with acute hypoxemic respiratory failure who are mechanically ventilated. Listen now: hubs.la/Q03Ld6jC0
Cannulate... but not too late! #ECPR demonstration ongoing at #ELSO2025!! Extracorporeal cardiopulmonary resuscitation may improve outcome in refractory CA if 🎓done with a high #ECLS experience (it could be considered the most difficult mode of ECMO) ⚖️ patients are selected…
Thank you @Medtronic for supporting our @NHSBartsHealth ECMO course with their excellent new simulation centre. I call it the ECMOBus. 🎵the ECMO Bus is coming 🎵
New formalised Shock pathway for @GSTT_ICU live from 15th September. Inclusive pathway open to any referrals, classical ischaemic cardiogenic shock all the way through to undifferentiated shock/MOF needing further investigation & management. 24/7 experienced consultant delivered
Yay it's a new guideline!! Association of Anaesthetists guidelines: safe vascular access 2025 Get reading! #anaesthesa #MedTwitter doi.org/10.1111/anae.1…
Great news for everyone joining the National Cardiogenic Shock Summit next month: The summit has been officially approved for 5 CPD credits by the Royal Colleges of Physicians of the UK Registration is now full, but if you’d like to be notified when a place becomes available,…
1/ Anaesthetic challenge. Patient turns up at a district general hospital for urgent (cancer) surgery. 2 months earlier TTE showed this pericardial effusion considered to be neoplastic in origin. Colchicine and steroids had been prescribed. A repeat echo the day before surgery…
2025 ESC Guidelines for the management of myocarditis and pericarditis: Developed by the task force for the management of myocarditis & pericarditis of the European Society of Cardiology CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/latest-evidenc…
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Was dir gefallen könnte
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Intensive Care Society 💙
@ICS_updates -
ICUsteps
@ICUsteps -
Guy's & St Thomas' NHS Trust Critical Care
@GSTT_ICU -
Steve Mathieu
@stevemathieu75 -
FICMNews
@FICMNews -
GaneshSuntharalingam
@Ganesh_ICM -
ICNARC
@ICNARC -
Chris Bishop
@Pipes_n_pumps -
Zudin
@Zudin_P -
Adrian Wong
@avkwong -
Steve Gill 💙 🇺🇦
@ICMdoc -
Kate Tantam (She/her)
@TantamKate -
Paul Young
@DogICUma -
Jonny Wilkinson
@Wilkinsonjonny -
Shond Laha
@shond3
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