I give up. I’m moving into a cave.

Interesting editorial on an interesting paper www.ovid.com/jnls/ccejour... TLDR: No single echo parameter can identify dobutamine responders in sepsis Perhaps we should rethink using EF/VTI to phenotype…

Stop Predicting, Start Testing: A Dynamic... : Critical Care Explorations

Abstract was not provided for this article.

ovid.com

I think the reason why Doctordle fascinates me is that it shows how terrifying medical training is With a few scraps of (albeit customiser) information, people are able to identify syndromes.

I talked this week about the mental health crisis afflicting young people, in particular the isolation and loneliness caused by the neoliberal smashing of society. Everyone needs community. Everyone needs belonging. We cannot survive without them.

Damn this piece by @iwashyna.bsky.social is just so very good I know MedTwitter is dead but pieces like this make me wish it weren't voices.nejm.org/doi/full/10....

Ann Patchett Reminded Me to not Always Be a Doctor

Reflections on the challenges of stepping outside of the clinician role to support a friend on her post-op journey

voices.nejm.org

This is excellent

Jack Iwashyna@iwashyna.bsky.social · 4d ago

New @nejm.org Voices column reflecting on how hard, sometimes, it is to avoid being a doctor voices.nejm.org/doi/full/10....

Can guide wire-free technology improve vascular access? Join Vygon at AVA Annual Scientific Meeting 2026 for a symposium exploring the clinical advantages of guidewire-free AST technology and key factors affecting vascular access 📍Oct.2, 12:30-2pm Learn more here: campusvygon.com/global/ava/#...

AVA 2026 | VYGON

Join Vygon at AVA 2026 Scientific Meeting for an educational experience focused on advancing vascular access practice through innovation, evidence, and shared clinical expertise. Vygon is proud to ho...

linkedin.com

But, like, better to read studies about not working, than for us to not know, right? Agree, if they would work, that would be less fatiguing

"Still often wrong, but in new ways each year" is such a weird vibe for a device intended to identify who is at risk of imminently dying

I think Face/Off may well be his best film Although I need to watch Red Cliff again

Letterboxd@letterboxd.social · last wk.

Celebrating the films of John Woo today on his 80th birthday 🎈 What was the first John Woo film you saw, and your current favorite?

Sigh Can we fix the devices already please?

Jack Iwashyna@iwashyna.bsky.social · last wk.

Performance Inconsistency of Pulse Oximeters Over Five Years of Clinical Use: A Single-Center Study of Masimo Devices. @ashfawzy.bsky.social, Qin MM, Sun X, Yan L, @chadhoc.bsky.social, Dziedzic PH, Suarez JI, Xu Y, Jackson JW, Iwashyna TJ pubmed.ncbi.nlm.nih.gov/42768440/ @annalsats.bsky.social

If you’re going to @esicm.bsky.social #lives2026 Do me a favour and check out the Medtronic immersive ICU simulation. I had some input into its design so would love some feedback! Limited places available- scan the QR code below or use the link: calendly.com/d/dz6c-8kg-whn

Americans: oh, look, a systemic issue. I will solve it individually

The Once-Conventional 48-h Elective #Cardioversion Threshold for “Recent-Onset” #AtrialFibrillation Is No Longer Recommended doi.org/10.1111/1742... #LetterToTheEditor @wileyhealth.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM

EMA Journal@emajournal.bsky.social · 5mo ago

Terminology used to describe acute-onset #AtrialFibrillation doi.org/10.1111/1742... #Opinion @wileyhealth.bsky.social @firstdonoharm.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM

@redoubters.bsky.social if you’re not watching this live catch up on the replay as it’s INSANE

rain 🌦️@sunshowers.io · last wk.

bingo brawlers grand finals time!! www.twitch.tv/captain_domo

#Batmanday

🌎 #SCAISHOCK closed out its scientific programming with challenging #CardiogenicShock cases from around the world, highlighting the global footprint of shock care and perspectives from across the international community. A fitting close to three days in St. Louis! #CardioSky

That primary endpoint tho

Critical Care Reviews@criticalcarereviews.com · last wk.

The 2nd trial for CCR Frankfurt is CONFIDENCE To be presented by Frederique Paulus & Siebe Blok Can lung ultrasound-guided fluid removal increase ventilator-free days? Join us 22–23 February, 2027 Registration opens shortly criticalcarereviews.com/meetings/ccr... #CCRFrankfurt

Mortality risk is primarily important when thinking about the ethics of resource use, not for the individual I think, who likely cares much more about what quality of life they can expect to recover if they survive.

So @amaclullich.bsky.social posted this on X: x.com/a_maclullich...

Alasdair MacLullich (@A_MacLullich) on X

Something that bothers me about access to intensive care (ICU) for older people is how variable these decisions can be. The informational basis of these decisions is sometimes not that solid. Like a second hand account of someone's functional status pre-admission. Studies show that Clinical Fra…

x.com

Amazing

Nathan Tankus@nathantankus.bsky.social · last wk.

Apparently more than one outlet has been doing the bizarre "interview AI generated actor Tilly Norwood" thing and on Piers Morgan it glitches out and starts speaking Chinese. I promise its much, much funnier than it sounds.

Oh that’s what the tech bros were talking about it killing everyone, cos it’s shit and in the military.

Sageyonce and Drake look at laptop

ALT: Sageyonce and Drake look at laptop

static.klipy.com

CNN@cnn.com · 2w ago

Exclusive: An AI-assisted intel report, circulated across the US military during the Iran war, nearly triggered an operation but was false, sources say. https://cnn.it/4y9MBJO

🦈 Welcome to the Shark Tank: the C-suite will see you now. At #SCAISHOCK, Andrew Gill explores the essential pieces of a compelling business case for a #CardiogenicShock program, including the financial and operational principles behind securing institutional support. #CardioSky

🔭 What’s next for #CardiogenicShock care? Bindu Akkanti, MD, looks ahead at what’s coming in the field and the evolving approaches shaping the future of shock care. #SCAISHOCK #CardioSky

🌎 #SCAISHOCK is officially underway! We kicked off the full conference with Top Shock Case Presentations, featuring challenging #CardiogenicShock cases. Take a look at highlights from our opening session and explore the abstracts ➡️ https://ow.ly/7CqF50ZOXrx #CardioSky

call it good citizen-maxxing or society mogging or something if it helps i swear to god

This is why I’ve been saying for years games need a “so you took a break and forgot how to play” tutorial option on the main menu.

Lupita Nihongo@otsumamiboy.blacksky.app · 2w ago

My wife saved over my Ghost of Yotei file so I asked her to 100% it & grind all the collectibles so I could do NG+. She almost did & got to the end but an optional boss made her quit & she hasn’t touched it since January & now the game is too hard for both of us to complete bc we forgot how to play

New ad from the Norwegian Consumer Council @forbrukerradet.bsky.social about the declining lifespan, repairability and enshittification of products: Planned obsolescence v 2.0 Read their report forbrukerradet.no/shortlife

Thomas Hansen@thomashansen.bsky.social · 7mo ago

For our new readers: A Day in the Life of an Ensh*ttificator Norwegian Consumer Council #Digital #products and #services keep getting worse. In the new report Breaking Free: Pathways to a fair technological future, Norwegian Consumer Council has delved into #enshittification & how to resist it.