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bakkehk.bsky.social
Anesthesiologist (ICU), dabble in (trauma)research now and then. University Hospital of North Norway. Interests: Outdoors, litterature, philosophy, research, intensive care medicine Gen. world-view: Man’s greatest advantage is their ability for cooperati
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Any meeting shorter than 15 min should be an email. Most meetings can be fitted within 15 min

I’ve seen a number of trial applications in development over recent weeks with lots of discussion about appropriate sample size calculations. A good time to remind everyone about the perils of the “sample size samba” 1/8 #MethodologyMonday #111

Greia er at jeg stadig snakker med folk som tenker og tror at dette bare er en hvilken som helst politiker som gjør ting som er gjort mange ganger før, men fører en politikk mange nordmenn er uenige i. Dette er en krise i de vestlige demokratiene som stikker dypere enn det.

ICU Hemodynamics: We are all familiar w the concept of "protective ventilation": aiming for normal blood gases entails significant risks What if we apply the same idea in hemodynamics & try to limit the damage associated w excessive vasoconstriction? Let's welcome the CLEAR strategy:

www.forskersonen.no/arbeid-samfu... It’s time to make time worthless and useless again. Thoughts on time by an anthropologist (In Norwegian, but do take the time to translate and read it)

The kids are bicycling on the pavement. In February, in the subarctic..

This is a big deal, y'all. Federal health websites are being stripped of content or removed in their entirety. Stick with this thread for a look at what's disappeared so far! 1/x

Since everyone is talking about research funding, this perspective by the vice-president of the European Research Council might be of interest. Blue states: Consider joining a multinational research council.

vasopressin challenge: this group evaluated 1U bolus of vasopressin to evaluate patient responsiveness I love this for a few reasons: [1] allows vaso to have rapid onset (rather than taking 30-60 min to build up) [2] we can get a sense of whether the vaso is helping 🧵 1/5 #EMIMCC

The smell of fresh snow

direct.mit.edu/qss/article/...

Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers. Day 17 (The Day Nils Vik Died, by Frode Grytten) #Books #BookSky #BookChallenge

Severe frostbite treatment options #medsky #emedsky #emsky em.umaryland.edu/educational_...

Weather forecast this week, in January, in the sub-arctic is 7 degrees C. I know weather isn’t climate and all that, but…

Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers. Day 16 #Books #BookSky #BookChallenge

So many disasters in so many places. Some evidently human caused (Ukraine, Gaza), some less evidently but still directly (Wildfires, extreme weather events). How I wish we had leaders who took effective action to stop human made disasters like Climate Change or War - but we don’t 👇🏼

Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers. Day 15 (The Last Viking by Johan Bøker. It’s about fishermen right before the fisheries were mechanised) #Books #BookSky #BookChallenge

When we evacuated from a climate catastrophe last year I thought about how the imperial core is becoming increasingly more hostile to refugees even as more people in the imperial core become refugees themselves, and how “Crime” propaganda is deployed to fight the natural human inclination to help!

This will be obvious to anyone in the NHS since 2010. The NHS was *deliberately* run as ever more "optimised", despite clinicians screaming that empty beds were a necessary safety buffer Then the pandemic hit, and the perils of running a health system at 95-99% occupancy came home to roost

Suggested New Year's Resolution: more mindful prescribing of IV fluids 🫧 Far too often I see IV fluids thrown around with minimal consideration; meanwhile, we'll deliberate for hours about a dose of lasix 🤦‍♀️ Here are the 10 most common fluid prescription mistakes I see 🧵 #emimcc

Backcountry skiing in the back yard. Polar nights ≠ no light. Blue light season 😄

Researcher: "We let the data speak for itself." Earlier that day:

Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers. Day 14 (The Solitaire Mystery) #Books #BookSky #BookChallenge

When people say “both sides are too extreme” I tend to think they actually have no idea what they are talking about and are taking the easy route of not bothering to find out.

🧵 #MedSky #IDSky #PublicHealth IMPORTANT The case of this 🇨🇦 adolescent with #H5N1 #BirdFlu is terrifying. Her only medical history was mild asthma, & symptoms started w/ fever and conjunctivitis. On d5 from symptom onset, she was admitted in respiratory failure, kidney failure, in shock … /1

Hundreds of relevant accounts to follow: #Medsky #Ansky #Anaesthesia #Anaesthetist #ICM #ICU #Intensivist #Anaesthesiologist #PHEM #HEMS Anaesthesia & ICM Packs 1 go.bsky.app/4N4D7MW 2 go.bsky.app/QEgekcF 3 go.bsky.app/CaeuLtL 4 go.bsky.app/7gHUdmc 5 go.bsky.app/FXJxs91 PHEM go.bsky.app/NWQRhE1

I have updated the Academic Workload Tracker for 2025. I strongly encourage all academics to track how long you actually work, and at what tasks. It's a crucial way to counter the deliberate wage-theft of obfuscatory university workload models. docs.google.com/spreadsheets...

Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers. Day 13 #Books #BookSky #BookChallenge

That time when antivaxxers thought so hard that they accidentally re-invented vaccines.

I wish more physicians talked with their patients about end of life care options and wishes BEFORE becomes imminent decision—-please everyone think about this and tell your loved ones your wishes! Even better write them down in living will!!!!!! #newyearresolution #spreadknowledge

Viktig perspektiv i debatten!

#icanhazpdf First time trying this - if any one has access to this article it would be most appreciated. Thanks. academic.oup.com/cid/article-...

How I Do It: Interpreting Clinical Trial Results An excellent rubric for understanding and interpreting randomized clinical trials in #journal_CHESTCritCare: hubs.la/Q030pjgL0 #JournalCHEST

#medsky who should I follow? Send me your recommendations, starter packs etc. looking to compile something for BMJ.

Why should kids have all the fun? Too often we focus on science literacy for kids but not adults. Cochrane Evidence Essentials is a free resource offering an intro to health evidence designed for healthcare consumers (patients, caregivers, family members) #medsky training.cochrane.org/essentials

Science affords us the luxury of forgetting the impact of infectious diseases - In the 1st half of the 19th century 40-50% of children in US did not make it past the age of 5 - TB killed 1 in 7 people in US and Europe - smallpox killed 80% of infected children theconversation.com/infectious-d...

I would enjoy reading through the #BookChallenge post a lot more if there actually was some explanation for why it’s been picked #Books #BookSky #BookChallenge

This is horrifying.

Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers. Day 12 (The Summer Book) #Books #BookSky #BookChallenge

Definitions, epidemiology, and outcomes of persistent/chronic critical illness: a scoping review of 99 studies ccforum.biomedcentral.com/articles/10....

www.ambulance.vic.gov.au/groundbreaki... CellAED trial due to be completed Feb 2025 #EMSSky

I need some inspiration for the New Year people - what are your plans/resolutions for 2025? #MedSky