Lee Berry (@Bezza_lee) header
Lee Berry (@Bezza_lee) profile picture

RN , ACCP, USS and POCUS enthusiast. Deluded football player / manager. Ex 90s dance child.

Southampton, England
Joined March 2013
Photo by Lee Berry (@Bezza_lee)Photo by Lee Berry (@Bezza_lee)Photo by Lee Berry (@Bezza_lee)Photo by Lee Berry (@Bezza_lee)Photo by Lee Berry (@Bezza_lee)Photo by Lee Berry (@Bezza_lee)Photo by Lee Berry (@Bezza_lee)Photo by Lee Berry (@Bezza_lee)Photo by Lee Berry (@Bezza_lee)
RIP Patrick Stewart. What an actor. I still can’t believe he agreed to do this scene. And he didn’t even mind when I ruined every take. Legend.
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Lee Berry retweeted
Replying to @DrHuw @UHSFT
I can tell you, the ACCPs on PICU, on retrievals, are some of the finest colleagues I’ve ever had, and I’d trust any of them with my own child however sick he was. They’re not equivalent to a registrar; they are, within their own right, phenomenal at their job.
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New interface👍 Same job Sweep the latest🧹 Keep them for later🛟 Papers, sites, Substack, podcasts, what’s buzzing, still live, still sifted.🗞️ Each desk has its own pile: ICU bag Gel bag Emergency bag. Not another dump of everything🗑️
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Prefer the case in 30 seconds? ⏱️ 🫁🎥 October AOTM—in 30 seconds. The tube hides the target. A posterior mispass follows. 👀 🎯 Re-center. Keep the target visible. 💧 Clear the view. Re-identify landmarks. ✅ After visual passage, confirm with waveform capnography. 🔗 Go here for the Full case: airwayofthemonth.com/aotm-cu… #AirwayOfTheMonth #FOAMed
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Fundamental Principles of Hemodynamics: Ohm’s Law & Laplace’s Law 👉Hemodynamic Ohm’s law defines flow as Q = ΔP/R : pressure gradient drives flow, while vascular resistance opposes it. 👉Laplace’s law relates wall stress as T = (P × r)/(2h) : stress rises with ↑P or ↑r and falls with ↑h. 👉Clinically, these principles frame SVR/PVR, ventricular pressure/volume overload, hypertrophy/dilation, etc
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Precision fluid therapy in sepsis: fluid responsiveness vs. fluid tolerance CCR Journal Watch criticalcarereviews.com/late…
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Early Cycling The flow time scalar shows an upward deflection during the initial phase of expiration in a patient-triggered breath. This occurs because neural inspiration continues even after the end of mechanical inflation, a phenomenon known as early cycling.
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Lee Berry retweeted
In 1967 Britain had more electric vehicles on its roads than every other country on earth put together, and they were all delivering milk. There were tens of thousands of them. The milk float: open sided, battery under the floor, top speed of about 15 miles an hour, and a whine you could pick out in your sleep. It was charged overnight at the depot and was back there by lunchtime. It carried glass bottles. Each one was collected from your step the next morning, washed and refilled. A bottle went round like that 20 or 30 times before it broke. The foil cap went for scrap. There was no other packaging. The milk had come from farms within a few miles, through a local dairy, and was on the step before 7. So here is what the country had. A zero-emission delivery fleet. Reusable containers with a return rate any modern scheme would kill for. No plastic. A supply chain you could cycle the length of. A man who noticed if an old lady's bottles were piling up, and knocked. It was dismantled in about 15 years, because a supermarket could sell milk a few pence cheaper in a plastic jug as a way of getting you through the door. Every piece of that system is now the subject of a government target for 2040. It was running in 1967, silently, in the dark, and nobody thought it was worth a mention.
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Beyond Fluid Responsiveness: Why Venous Congestion Matters in Sepsis CCR Journal Watch criticalcarereviews.com/late…
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Since esophageal pressure monitoring and electrical impedance tomography are so frequently discussed in the literature, as a community hospital intensivist, I have to ask: do you all routinely use these in academic centers? 🎩 tip to the authors. eddyjoemd.com/foamed
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Thunderbastard 😢 – at Hillyfields, England
It’s 31 years since Tony Yeboah unleashed this truly biblical Thunderbastard at Selhurst Park. Sweet Lord Above. What a strike.
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Lee Berry retweeted
22 yrs yesterday since the passing of the greatest manager ever (in my eyes) thanks boss for changing my life and I hope your resting well ❤️
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In lung ultrasound, recognizing an artifact is only the beginning. The real clinical value comes from understanding how findings fit together across the chest .and what they mean in context The BLUE protocol provides a structured way to connect ultrasound patterns with the assessment of acute respiratory failure, helping guide the next diagnostic step rather than relying on a single sign. Lung sliding, the distribution of findings, and additional assessment for DVT or PLAPS can all change how the pattern is interpreted. Knowing how these elements work together can make bedside lung ultrasound more systematic and clinically useful.
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Replying to @topmedtalk
@topmedtalk#AI: @acumpstey @ChappellDesiree & guests John Whittle & Duncan McPherson discuss how early AI research shares safety & governance with other research while medical device regulation applies the same legal principles to AI as to other devices topmedtalk.com/podcasts/regu…
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La sorpresita de la tarde.
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STATIC vs. DYNAMIC COMPLIANCE 🫁 Understanding lung compliance can help you identify whether the problem is coming from the lungs or the airways. STATIC COMPLIANCE Cstat = VT ÷ (Pplat − PEEP) Measures compliance when airflow is zero. ↓ Cstat → Think decreased compliance / stiff lungs • ARDS • Pulmonary edema • Atelectasis • Pneumothorax • Fibrosis DYNAMIC COMPLIANCE Cdyn = VT ÷ (PIP − PEEP) Measures compliance during active airflow and is affected by airway resistance. ↓ Cdyn → Think: • Bronchospasm • Secretions • Kinked ETT • Airway obstruction TMC TIP: ↓ Cstat + ↓ Cdyn → Decreased compliance Normal Cstat + ↓ Cdyn → Increased airway resistance Easy reminder: STATIC → Pplat DYNAMIC → PIP Know the difference. Find the cause. Ace the TMC. #RespiratoryCare #LungCompliance #StaticCompliance #DynamicCompliance #MechanicalVentilation
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🫁⚙️Ventilación Mecánica Guiada por Fisiología 😮‍💨Esfuerzo Respiratorio 💥Estrés-Strain Pulmonar 💪Protección Diafragmática 🌬️NAVA y PAV+ 🤖Inteligencia Artificial 🔰📚World Journal of Critical Care Medicine 2026 Artículo Completo👇🏻✅🆓 t.me/DeCaUMX
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Today's Paper of the Day is: Bedside assessment of the respiratory system during invasive mechanical ventilation criticalcarereviews.com/late… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026
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