Dr Pamela Page 💙 @PamPage16
Critical care nurse and academic, passionate about person and family centred care. 2019 Churchill Fellow, ICUsteps trustee. England, United Kingdom Joined December 2014-
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Really important messages below…
🧠 ICU Survival Is Not Enough: Memory Matters For decades, critical care focused on keeping patients alive. Today, a different question is emerging: What kind of life are we returning survivors to? A thought-provoking 2026 editorial in Intensive Care Medicine reminds us that
"Health and care happens in so many settings, and so research should mirror that." As our current Chief Executive Officer, Professor @LucyChappell2 is leading us into our next phase, building on strong foundations and driving forward a more inclusive, innovative and globally connected organisation. She shares her perspective on NIHR’s role in a changing health and care landscape and how we've made research inclusion a condition of funding. #NIHR20
Creating a shared narrative: A qualitative study on the impact of nurse-written ICU diaries for TBI-survivors and their family caregivers Impressive study by @gruvlisa and team tandfonline.com/doi/full/10.10…
Please support this research to enhance family centred care in ICU - a global study @TantamKate @ZoeWilligen @ICUsteps @chodgsonANZICRC @RanaAwdish @DrSamuelBrown
Family involvement in ICU care activities - mailchi.mp/cecddb39d7c0/f…
Family involvement in ICU care activities - mailchi.mp/cecddb39d7c0/f…
“We have seen a trebling of presentations of anaphylaxis to emergency departments in 20 years” @DrAdamFox presents examples of tragic and avoidable cases of young people dying from an allergic reaction, in similar circumstances highlighting the case for full ingredient lists on menus in restaurants. He points to the @OwensLaw1 campaign which advocates for this to be passed into law. @JimBethell | @BrineHealth | @BSACI_allerg | @NatashasLegacy | @AllergyUK1 | @AnaphylaxisUK
“ICU Rehabilitation is so incredibly important” “Our patients need it and deserve it” Hear @DrDaleNeedham discuss “Why Early #ICURehab Matters” 15th Johns Hopkins #ICURehab Conf In-Person at Johns Hopkins Nov 5-6, 2026 Register: ICURehabnetwork.org @APTAcvp, @AOTAInc, @ATSCritCare, @AcuteCareAPTA, @HopkinsAMP
Sustainability in ICU is not an “extra”. It is a patient safety, governance, and quality-of-care issue. The challenge isn’t staff motivation — it’s organisational design. 🔗 doi.org/10.1111/nicc.7…
Who Knows the Patient Best? An Epistemological Approach to Family-Centered Care for Unconscious Patients in the Adult Intensive Care Unit Food for thought onlinelibrary.wiley.com/doi/10.1111/nh…
Family-centred ICU care often forgets children. Excluding children from bereavement doesn’t protect them — it may increase distress and confusion. Children need honest, supported inclusion, not silence. 🔗 doi.org/10.1111/nicc.7…
Dr. @RanaAwdish nearly died during residency, as a patient, inside her own hospital. What she learned changed how she thinks about medicine, compassion, and what we ask physicians to suppress in order to survive. New episode of How I Doctor is out now 🧵 Listen: offcall.com/learn/podcast/… #HowIDoctor #MedTwitter #PhysicianBurnout #CompassionateCare
👵🏼Older adults already account for the majority of ICU days in many healthcare systems. Yet modern critical care is still largely designed around: ⚙️ disease centered models ⚙️ organ centered endpoints ⚙️ short term survival metrics rather than: 🧠 cognition 🚶 mobility 🏠 independence 👥 quality of recovery ❤️ what actually matters to older patients. The document repeatedly emphasizes that: • frailty • baseline functional status • cognition • disability • mobility • social vulnerability often predict outcomes better than age itself. Notably, the guideline highlights principles that are often overlooked in traditional ICU culture: 📌 minimizing restraints 📌 reducing unnecessary catheters 📌 deprescribing anticholinergics 📌 hearing optimization 📌 mobility preservation 📌 occupational therapy integration 📌 delirium prevention strategies This reflects an important evolution: Modern critical care is no longer only about survival. It is increasingly about survivorship. One particularly important concept is the Age Friendly Health System “4Ms” framework: 🧠 Mentation 💊 Medications 🚶 Mobility ❤️ What Matters Most In practice, this means ICU decisions should not focus exclusively on: • vasopressor dose • ventilator settings • creatinine trends but also: • whether the patient may walk again • preserve cognition • return home independently • maintain social identity and autonomy The delirium recommendations are also notable. The guideline suggests: ⚠️ avoid prophylactic antipsychotics for delirium prevention in older ICU adults. This is important because antipsychotics are often perceived as “low risk ICU routine medications,” while older adults are particularly vulnerable to: • oversedation • falls • prolonged cognitive dysfunction • inappropriate continuation after discharge Another fascinating area: 🩸 permissive hypotension in older vasodilatory shock patients. The panel ultimately made no formal recommendation regarding MAP 60-65 mmHg versus traditional targets >65 mmHg because evidence remains uncertain. However, the discussion reflects a broader critical care transition: ⚖️ balancing organ perfusion against vasopressor burden and iatrogenic harm. Perhaps the most clinically meaningful line in the entire document: Older adults often prioritize maintaining independence over survival itself. That single concept should fundamentally change: • goals of care discussions • ICU communication • rehabilitation planning • discharge decisions • outcome measurement in research This guideline is less about “geriatric ICU protocols” and more about redefining what successful critical care truly means. 📖 Society of Critical Care Medicine Guidelines on Caring for Older Adults in the ICU. Critical Care Medicine, 2026. DOI: 10.1097/CCM.0000000000007085
BACCN are proud to offer financial support to members through grants for conference attendance, events, and research. We have also made it easier than ever before with the launch of our new online grant application process. Full details on our website: baccn.org/grants/info
Delirium treatment should involve *brain care* AND *mind care*. #delirium
In 2014, aged just 18, university student Emma Musson developed severe #sepsis after a perforated appendix. Now, she’s sharing her story to encourage young survivors struggling after sepsis to seek support 🧡 Read Emma’s story: sepsistrust.org/sepsisvoices/e…
The Dutch Clinical Practice Guideline: Pain, analgesia/sedation, delirium, immobility and sleep disturbances; PADIS pubmed.ncbi.nlm.nih.gov/42090788/
The University of Technology, Sydney are partnering with the James Lind Alliance (JLA) to identify the top research priorities about communication and swallowing difficulties after critical illness. View further information here: baccn.org/mediacentre/ne…
'We must put AHP leadership at the table at every level.' MPs highlighted the value of physiotherapy at the first-ever House of Commons debate on the contribution of allied health professionals. Thank you @SoniaKumarMP @SWDevonRebecca @lukeakehurst Read more: csp.org.uk/news/2026-04-2…
#ICUThoughtForToday: Doing your best looks different every day
Nicki Credland 💙 @credland_nicki
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Kate Tantam (She/her) @TantamKate
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Dr Stephen T Webb @stephen_t_webb
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Lou Gallie @RehabLegendLou
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Ⓙⓐⓜⓔⓢ Ⓑ�... @jimmibruce
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ICUsteps @ICUsteps
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BACCN 💙 @BACCNUK
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Jim Jackson @DrJimJackson
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sequins r 4 life 🤩 @sequinaddict
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Critical Care Support... @cc_sn1
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claire18 💞 @clairer71j
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Suzi M-R @SuziMasonRo
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emma wilkinson @emmawil14437744
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SPACE XⓂ️ @elonmusk_x_111
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Sarah Park @SarahPark_UK
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43 Followers 967 Following I'm a Chief Marine Engineer currently working with KCA DEUTAG Oil and Gas Petroleum platform on the Irish Deepwater.
Palliative Care in Cr... @PCICC25
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Healthcare Quality Im... @HQIP
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ARCC KSS @ArccKss
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Assemble Universal Pa... @UniversalPannel
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Kate Tantam (She/her) @TantamKate
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Dr Stephen T Webb @stephen_t_webb
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WesElyMD @WesElyMD
56K Followers 343 Following Husband & Dad. ICU Doc. Vanderbilt. @CIBScenter studies Covid & Long Covid, ICU Survivorship, PICS, Dementia, Delirium. Tweets my own. Still learning.
Lou Gallie @RehabLegendLou
2K Followers 995 Following Lived experience of #ICU | #Achalasia | ICU #rehablegend volunteer @uhp_nhs | Sharing #PatientExperience & blogging about my journey through ICU,Rehab & Beyond
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Ⓙⓐⓜⓔⓢ Ⓑ�... @jimmibruce
2K Followers 2K Following Clinical Specialist Occupational Therapist ICU@ Bristol Royal Infirmary/SW 🏴 AHP CC network co-chair @SwCritical/chair ICS AHP PAG @ICS_updates
Intensive Care Societ... @ICS_updates
40K Followers 2K Following We are the oldest intensive care professional body and charity in the world. The home of the UK's #intensivecare community since 1970.
Hopkins ICU Rehab @icurehab
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The RCN @theRCN
168K Followers 3K Following This account has been archived. Follow us on other social media channels.
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5K Followers 243 Following RN, MScN, PhD. Critical Care and beyond. All views are my own
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260K Followers 4K Following Palliative care doctor 👩🏻⚕️ Author 📚 Winner 2025 Women's Prize for Non-Fiction 🫀 Founder: @hospiceukraine 🇺🇦 Rep: @AitkenAlexander 📝
ICUsteps @ICUsteps
9K Followers 1K Following ICUsteps is run by ex-patients, relatives and intensive care staff to support patients and families through the long road to recovery from critical illness.
BACCN 💙 @BACCNUK
11K Followers 9K Following The British Association of Critical Care Nurses - BACCN - is one of the leading Organisations in critical care nursing.
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David Oliver @mancunianmedic
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sequins r 4 life 🤩 @sequinaddict
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Trish McCready RN �... @TrishMcCready
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Andrea Sutcliffe 💙... @Crouchendtiger7
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James Murray @jamesmurray_ldn
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Catherine Roy @catherineroyuk
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Michelle Paton @Michelle_ICU
213 Followers 105 Following Advanced Critical Care Physiotherapist, Post-doctoral researcher investigating the effect of exercise dosage in ICU
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OfficialCAHPR @OfficialCAHPR
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Emma Gaskin RD @ICUdietitian
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United Kingdom Acquir... @UKABIF
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Roger Kenyon @roger_kenyon
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533 Followers 412 Following Senior Physiotherapist Team Leader in Critical Care & Research at the Queen Elizabeth Hospital Birmingham.
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Kenneth Rockwood @Krockdoc
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ClareW @ClareMWindsor
204 Followers 374 Following Consultant Intensivist TRFT. Mum to twins and another. @ICS_updates council. ICS Standards & Guidelines Committee. ICS National Patient Safety Lead.
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387 Followers 545 Following Occupational Therapist working in Critical Care interested in neuro & cognition, early intervention, delirium & the humanisation of care. All views are my own
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Laura Fulcher @_1aura
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Carol Davis @CarolUHS
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Essex Suffolk Norfolk... @PylonsEAnglia
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NIHR Involvement @NIHRinvolvement
18K Followers 582 Following We share learning, events and advice from @NIHRresearch on engaging patients, service users, carers and the public in health and care research
Dr Asif Qasim MA PhD ... @DrAsifQasim
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Dr Lisa Ledger Assist... @LLedger1
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Dr Jody Ede @JodyEdeOx
543 Followers 465 Following Senior Lecturer University of Exeter. Interested in Human Factors, patient deterioration and system resilience. All views my own.
Andrew Mikhail @andrew_mikhail
4K Followers 830 Following Chairman of https://t.co/iiIN8zPTw1 Huge respect for every doctor,nurse and their team members at the #NHS, my hero’s and I’ll be forever grateful.
National Rehabilitati... @NRCrehabUK
1K Followers 393 Following Bringing research, innovation, education and training alongside clinical practice to drive excellence in rehabilitation
NHS Providers (now kn... @NHSProviders
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Nina Holden @NinaHoldenPT
207 Followers 247 Following Critical care physiotherapist at Tallaght University Hospital 🏥
AoMRC @AoMRC
7K Followers 336 Following Promoting and facilitating the work of Medical Royal Colleges and their Faculties for the benefit of patients and healthcare.
Heather Parsons @Heathernoshoes
524 Followers 900 Following Personal and professional coach. Founder of Where There's a Will, support for anyone affected by critical illness. Barefoot dancer #StrictlyComeDancingAlumni
ITAPS Team @TeamItaps
205 Followers 86 Following We are ITAPS at UHL! Also known as Intensive care, Theatres, Anathetics, Pain & Sleep
Community Rehabilitat... @CommunityRRN
212 Followers 148 Following The CRRN is an NIHR-supported multi-professional network of community practitioners that aims to grow rehabilitation research capacity in underserved groups.
Walk4Pics @Walk4Pics
89 Followers 103 Following Official X account of the https://t.co/5fKRcANKXy Patient team - @SGFesquire for Inquiries
Critical Care Occupat... @CriticalCareOT
2K Followers 264 Following Offering support for OTs who work in Critical Care. A forum to share best practice and develop existing services.
National Institute fo... @NIHRresearch
96K Followers 4K Following Sharing news and info from the National Institute for Health and Care Research (NIHR). We drive life-changing research for the health and wealth of the nation.
Agnieszka Lewko PhD (... @AgnieszkaLewko
927 Followers 366 Following Passionate about respiratory physiotherapy. Assistant Professor (Research), Coventry University. Chair of the ACPRC Editorial Board. Views are my own.
Health and Social Car... @CommonsHealth
29K Followers 1 Following We are a cross-party group of @HouseofCommons MPs. This account is not being monitored. Follow us at @HOCcommitteesUK.
Aidin @aidinmckinney
74 Followers 80 Following Lecturer, School of Nursing and Midwifery, QUB, PhD research area: Patient and family involvement in escalation of care
Craig Mackinlay @cmackinlay
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