Cardiac Output (@CardiacOutputMC) header
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Cardiac Output is a podcast on cardiothoracic anaesthesia and intensive care medicine by Dr Mike Charlesworth and Dr Calum Downes.

Manchester, UK
Joined July 2026
Delighted to receive a mention in @Assoc_Anaes @Anaes_News!🎙️ The rule we set ourselves is that anything a listener could find in a textbook gets thirty seconds, and the remaining time goes to the things you would otherwise only learn by being in the room.
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A must read for anyone involved in training and exams. Although stressful and imperfect a face-face viva still remains AI free !!
Cheap knowledge, scarce experience: training Generation Alpha. doi.org/10.1111/anae.70452 This is a brilliant paper - how the @RCoANews exams ensure ‘AI-proofing’ on knowledge application. Scary to read though! #FOAMed #FOAMcc @Assoc_Anaes
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Cardiac Output retweeted
Cheap knowledge, scarce experience: training Generation Alpha. doi.org/10.1111/anae.70452 This is a brilliant paper - how the @RCoANews exams ensure ‘AI-proofing’ on knowledge application. Scary to read though! #FOAMed #FOAMcc @Assoc_Anaes
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Replying to @Anaes_Journal
@CardiacOutputMC Thanks! AI literacy for us trainers would go a long way too. We can only judge the trainee output if we are aware of the caveats.
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Cheap knowledge, scarce experience: training Generation Alpha "There is also a paradox that anxiety about this generation tends to miss. Knowledge may be cheap to those who arrive after us, but experience is not, and they will know the difference." #anaesthesia #MedX #MedTwitter doi.org/10.1111/anae.70452
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The Right Ventricle, Part 1: Anatomy, Physiology and Views👇 podcasts.apple.com/gb/podcas… The Right Ventricle, Part 2: Function and Congestion👇 podcasts.apple.com/gb/podcas…
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The Mitral Valve, Part 1: Anatomy, Views and Mechanism👇 podcasts.apple.com/gb/podcas… The Mitral Valve, Part 2: Grading Regurgitation and Stenosis👇 podcasts.apple.com/gb/podcas…
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This episode is about anaesthesia for primary PCI — one of the few places where you're surrounded by people and still somehow on your own. We cover the range of patients the call can mean, and why the walk to the lab is the time to make your plan. podcasts.apple.com/gb/podcas…
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In carcinoid syndrome, you must never give adrenaline. Most of us were taught that — but it comes from decades-old experiments in end-stage patients who had never been near octreotide. So does the rule still stand? podcasts.apple.com/gb/podcas…
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Sixty-five per cent of patients on standard-dose heparin on ECMO have a severe bleed. This is a journal club on RATE, published in @TheLancet: the first adequately powered randomised trial of anticoagulation intensity on ECMO. podcasts.apple.com/gb/podcas…
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In this editorial, @dr_imranahmad & @doctimcook consider the PUMA tracheal extubation guidelines and ask - towards clarity or complexity? "Should we continue to develop guidelines tailored to specific clinical scenarios, considering factors such as location, speciality and patient characteristics? Or is it possible for a single, universal guideline to be applied globally, like the PUMA group envisages?" #anaesthesia @NicholasChrimes @UniversalAirway doi.org/10.1111/anae.70436
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This episode is the cardiomyopathies: the main types, how they present, what they look like on echo, and why getting the label right changes what you do with your hands. 6 pictures, 6 diagnoses and 6 different treatments for the same low blood pressure. podcasts.apple.com/gb/podcas…
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Cardiac Output Monitoring: Believe the Patient. This episode is cardiac output monitoring, for the exam and for the bedside: how each device works, the physiology underneath, when we actually use them, and where each one misleads you. podcasts.apple.com/gb/podcas…
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Cardioplegia makes planned ischaemia survivable in five ways — arrest, cool, empty, feed and buffer, and limit reperfusion injury — and arrest does most of the work. podcasts.apple.com/gb/podcas…
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This is atrial fibrillation on the cardiothoracic ICU, top to bottom. And it matters beyond the bedside: in a recent @RCoANews Fellowship paper it was the worst-performing question on the whole exam, with a pass rate of about 43 per cent. podcasts.apple.com/gb/podcas…
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TOE in Theatre: The Probe Earns Its Keep. A foundation guide on the use of TOE for cardiac surgery – EF, the RV, wires/pipes and much more! podcasts.apple.com/gb/podcas…
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TOE for Mechanical Support 2: VADs and the Impella. People say "VAD" and mean five different machines, sitting in different places, for different lengths of time. podcasts.apple.com/gb/podcas…
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TOE for Mechanical Support 1: Balloon Pumps and ECMO. In mechanical circulatory support, transoesophageal echo is not an investigation you order. It is part of the device. podcasts.apple.com/gb/podcas…
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