David Juurlink
@davidjuurlink.bsky.social
Internal Medicine, Clinical Pharmacology & Toxicology, and drug safety research at the University of Toronto. Inexplicably fortunate husband.
COHb of 32% — should you dive this patient? The answer is more complicated than your tox textbook lets on. New EMCrit with Dave Juurlink unpacking why it is not the slam dunk you were taught. [#FOAMed for a bit] emcrit.org/423
EMCrit 423 - Hyperbaric Therapy for Carbon Monoxide Poisoning?
HBOT for CO???
emcrit.org
Entering our neuro ICU. Someone needs to update this photo.
Remember all the talk of healthy young people dying suddenly after COVID-19 vaccination? Our new study in @plosmedicine.org shows there's absolutely nothing to that. journals.plos.org/plosmedicine...
wait wait WHAT? Apparently a "medical journal" in canada has been publishing fictionalized case reports for decades without indicating to its readers that they were fictionalized... retractionwatch.com/2026/03/03/c...
A medical journal says the case reports it has published for 25 years are, in fact, fiction
A Canadian journal has issued corrections on 138 case reports it published over the last 25 years to add a disclaimer: The cases described are fictional. Paediatrics & Child Health, the journal…
retractionwatch.com
The official journal of the Canadian Paediatric Society has just acknowledged that more than 100 of its case reports are fabricated. Incredible reporting from @retractionwatch.com retractionwatch.com/2026/03/03/c...
Why is a 20-year-old study "still under fire"? Because: - it was wrong - the lead author lied to conceal it - millions of women and infants were harmed - other death investigations were misled - when shown this, major institutions looked away www.cbc.ca/news/health/...
This story is jaw dropping: one very bad actor, but also scientific journals (the Lancet!), a medical examiner, a hospital, & other establishment pillars who were taken in & now refuse to correct the record. Victims include not just baby who died but others removed from parents based on bad science.
David Juurlink@davidjuurlink.bsky.social · 6mo agoI’ve spent 15 years challenging a flawed explanation for an infant’s death. Credit to The New Yorker for patient investigative journalism that corrected the record when institutions did not.
Oh, it *will* make noise
Philip Gourevitch@pgourevitch.bsky.social · 6mo agoterrific new Ben Taub piece — it cracks a long-cold case of infanticide; it's a bombshell for maternal health, child protection & opiate toxicology protocols; it exposes the Lancet’s scandalous indifference to validity of what it publishes — it should make noise www.newyorker.com/magazine/202...
Absolutely wild story even for those of us who know the context of Motherisk (!)
David Juurlink@davidjuurlink.bsky.social · 6mo agoI’ve spent 15 years challenging a flawed explanation for an infant’s death. Credit to The New Yorker for patient investigative journalism that corrected the record when institutions did not.
This story is so wild and so well told. I woke my husband up gasping at the "we made it up" part.
David Juurlink@davidjuurlink.bsky.social · 6mo agoI’ve spent 15 years challenging a flawed explanation for an infant’s death. Credit to The New Yorker for patient investigative journalism that corrected the record when institutions did not.
I’ve spent 15 years challenging a flawed explanation for an infant’s death. Credit to The New Yorker for patient investigative journalism that corrected the record when institutions did not.
The New Yorker@newyorker.com · 6mo agoA paper by a renowned toxicologist argued for the first case of opioid overdose by breast milk in history. But in the years that followed, researchers began to suspect that the science was bunk. newyorkermag.visitlink.me/AUASqK
New rule: If you order the D-Dimer, you have to interpret the D-Dimer
For those contemplating a detox or cleanse in the new year, here’s a toxicologist’s explanation of how they work: They don't.
Canadian MDs are relying less on opioids. That is a good thing. New commentary from me in @cmaj.ca www.cmaj.ca/content/197/...
Opioid prescribing in Canada: a continued retreat from God’s own medicine
[See related article at www.cmaj.ca/lookup/doi/10.1503/cmaj.250670][1] Key points In this issue’s research article, Rebić and colleagues show that rates of opioid prescribing across 6 Canadian provin...
cmaj.ca
PSA: When a naturopath recommends chelation “to remove the metal from your body,” that is exactly what you should not do.
Join us for UofT Therapeutics Day November 1st - drug interactions - NSAID allergy - within-class safety differences - complex polypharmacy - pharmacogenetics - SGLT2 inhibitors - buprenorphine Register here: eventbrite.com/e/the-drugs-we…
Drs. Jessica Kent Rice @jessicakentrice.bsky.social & David Juurlink @davidjuurlink.bsky.social study on trends in opioid agonist therapy retention after non-fatal #OpioidOverdose: www.psifoundation.org/funded-resea... #InternationalOverdoseAwarenessDay #IOAD2025 @sunnybrookhsc.bsky.social
Funded Research - PSI Foundation
List of projects funded by PSI Foundation.
psifoundation.org
Toronto-area MDs and pharmacists: Join us for Therapeutics Day 2025 - Relevant topics - Great speakers (but also me) - You will be fed - You will get CE credits Register here: tinyurl.com/mr447y5n
I'm not saying these "ivermectin cured my cancer" testimonials are entirely fabricated but THEORETICALLY if someone: 1) no longer had a medical license, and 2) profited from pushing ivermectin, and 3) had no qualms about lying to desperate people ... Just putting this out there
🚨 ICYMI - #Opioids prescribing webinar recording featuring pharmacologist @davidjuurlink.bsky.social 🚨 💊 What have we learned about #prescribing? 💊 How should we treat pain when opioids overdoses have become an intractable epidemic? 👉🏽 ti.ubc.ca/juurlink-ana... #pain #MedEd #medsafety
Dr. David Juurlink: Relieving pain in the era of fentanyl
YouTube video by Therapeutics Initiative
youtube.com
Let's talk about using carbapenem antibiotics in patients with valproic acid (VPA) poisoning /1🧵
Returning home from an international medical conference in Vancouver. In 25 years of attending these meeting I have *never* heard so many American physicians talk so openly about possibly moving to Canada.
It takes a unique kind of genius to fuck up the US-Canada relationship.
Not starting a detox today because I have a liver and kidneys
For those contemplating a detox or cleanse in the new year, here’s a toxicologist’s explanation of how they work: They don’t
I don’t know who needs to hear this but short, focused progress notes are better than long, detailed progress notes. By a mile.