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criticaredoc.bsky.social
Father, husband, intensivist, teacher. #medsky #ICUSky #critcaresky #pocus #Echofirst
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Prolific Poster

Published today: what we know about AF in critical illness, and where we need to focus our research efforts. link.springer.com/article/10.1...

This JAMA Insights explores the use of portable point-of-care ultrasound and focused cardiac ultrasound imaging in the diagnosis and treatment of patients with sepsis and septic shock in the emergency department and intensive care unit. https://ja.ma/3F9egEp

Thanks to all this rain, my roses have really popped this year… I might need to prune them back #gardensky #bloomscrolling

As a passionate section editor for 'From the Inside' in ICM @esicm.bsky.social I thought I'd use the next few weeks to spotlight some memorable pieces First two, on topic of inequity in healthcare: Would My Eriksen Waken up Again? rdcu.be/eleub Sometimes Less is Just Less rdcu.be/eleyx 📟⚕️#MedEd

OK, this is wild. In September 2023, geophysicists across the world started monitoring a very odd signal coming from the ground under them. It was picked up in the Arctic. And Antarctica. It was detected everywhere, every 90 seconds, as regular as a metronome, for *nine days*. What the HELL? 1/

I don’t mean to alarm anyone, but the orcas now have two F/A-18 Hornets

Today's Paper of the Day is: Advances in rhabdomyolysis: A review of pathogenesis, diagnosis, and treatment https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

So recently I was at the Manchester Critical Care Symposium where I presented my polemic: “Dedicated intensive care medicine exams are a waste of time” It brought up some interesting opinions, which I will share here in this thread 🧵

📘 New in #BJAEd: Revisit the fundamentals of clinical research with this clear guide to observational study design, bias, confounding & statistical methods. Essential reading for anaesthetists & researchers alike. 🔗 doi.org/10.1016/j.bj...

found kiddo’s tooth fairy letter from 2020 and im not handling it well

if you ever want to know if someone went to medical school just say “currant jelly” and see their reaction

Until I was a young I adult, I thought that a general anaesthetic was one that was used all over the country. And a local one was one that was just used where I lived.

Word of the day is a favourite, from old Scots. To ‘tartle’ is to hesitate while introducing someone because you have completely forgotten their name.

Spotted this nice bit of common sense in the product information for sodium bicarbonate today... 📟

At the end of the day, don’t we all just want a bookshelf with a rolling ladder?

One off doses of antihypertensives for asymptomatic hypertension is associated with increased risk of AKI. Similarly randomly throwing darts in the air for no reason is associated with increased risk of ADITH.* Will this madness never end? *A dart in the head jamanetwork.com/journals/jam...

The latest salvo in the hyponatremia wars takes off where Seethapathy left us (NEJM Evidence | NephJC). Last week, Juan Carlos Ayus published his latest study (JAMA Internal Medicine) on hyponatremia, a meta analysis of patient outcomes in the management of hyponatremia pbfluids.com/2024/11/its-...

Truth

Hyponatremia physiology in a minute, forty seconds. #IsHomeostasisAJokeToYou youtu.be/Q93D_SjaOEY

lucasarts exec: It’s game about a guy on an island named after a monkey lol. probably don’t need anything too crazy for the soundtrack michael land: [skull emanating deep hum and visibly pulsating, lightning arcs cracking in the air] no

“We can disagree and still love each other unless your disagreement is rooted in my oppression and denial of my humanity and right to exist” - James Baldwin

If you’re feeling like a failure that never seems to get anything right, remember that you have about 1x10¹¹ cell divisions a day. Meaning that you successfully copy DNA about 100 quintillion times. You make fewer than 1 mistake in a million, and catch 99.9% of those. Good job.

Honey, stop what you're doing, new hyponatremia research just dropped! What's it say? It looks like slow correction is associated with worse outcomes, like death and length of stay! Was it just a small study? No, it was a meta-analysis of almost 12,000 patients! jamanetwork.com/journals/jam...

Petition to call users of BlueSky “skylings”

The Ring Nebula looks like a portal - James Webb Space Telescope

this isn’t a new photo - I took it a few years ago - but wanted to share it regardless

As an editor I have the 'pleasure' of reading multiple clinical manuscripts each week. Content is key, there is no getting around this. But content needs to structured in an easily accessible way for the reader to engage... Is this called a "skeetorial"? Anyway, here we go. 🧪 #medsky #ansky

Anyone has seen a starter pack on simulation in med ed?

Parents cuddling their kids in a hospital bed always makes my one heart cell squeeze

Me: What in the world are you doing? 8: Just a little work on the computer.

1/14 🤔 Why do we use iodine as an intravenous contrast agent? The answer requires a review of the composition of the human body and a brief tour of one of my favorites, the Periodic Table of Elements.

so apparently they used froot loops and peanut butter and jelly sandwiches to catch the monkeys for me a bag of french fries would do the trick tbh what should we use to lure u back

Happy #Caturday ! Turns out that new foster cats Fitzy and Emmy are bookworms. Naturally not using the 20 or so blankets or beds etc around the house. This is the best spot 😂

This is my favorite post since the US election and it comes from a youngster in the UK

Someone needs to infect him with a kinder, more benevolent brain worm to neutralize the evil, science-denying brain worm.

Boards: "what is the next best step?" Real life: "ohhh btw totes forgot to mention they live 6 hours away from your hospital, across the Rocky Mountains, in a town of 500 people, 90 minutes from the nearest basic medical care/lab, are self pay with no insurance, and it's winter. Sooo now what?"

#emimcc

Good morning. Word of the Day is as beautiful as it is underused. ‘Confelicity’ is finding joy in the happiness and success of others.

Hello all: It is with a heavy heart that I remove my Starter Pack of "Trustworthy Mesopotamian Copper Ingot Merchants Within the City-State of Ur." I have been informed about some pretty unfortunate oversights on my part and ultimately platformed some creators who should not have been platformed.

This story makes it feel like life is semi-normal. @swilua.bsky.social is eternally the best.

if u are wondering about that red pin emoji here 📌 if u find a post u want to return to u can stick a pin in it by replying with the red pin emoji then use @jaz.bsky.social's red pin feed which keeps track of your red pins

Can we bring #hazpdf to sky please?

Our practice in the ICU is often so focused on minute details- titration by fractions of a unit, aggressively managing sometimes small margins of modifiable risk to give the patient the best chance we can... 🧵