Segun Olusanya (He/Him)
@drfreeze.bsky.social
Aka iceman_ex. Husband, Intensivist, Ultrascoundrel. @ics-updates.bsky.social. All about the #medsky, #foamed and #foamcc. Meme: papers ratio over 9000
Guys, I'm breaking the thread for a moment. This should be a regular reminder: Make somebody feel seen. A nurse, a teacher, the dish busser at your favorite coffee shop, somebody with whom you share a slender but real connection. There will come a time when those moments are precious to you.
Thirst is an unreliable alarm in old age. The sensation blunts, so an older person can be genuinely dry and never feel it. Offer fluids, do not wait to be asked, and put the drink in the hand, not on the far table. #geriatrics
New post: those wanting Jason Arday to face 'justice' of some kind are not going to get what they want willd10.substack.com/p/how-the-ja...
How the Jason Arday affair will fizzle out
Truth is a social system. Sorry.
willd10.substack.com
Increasingly demanding is a really weird way to say “exploitative”
From October employers will be liable for racial harassment of their staff by third parties such as patients if they have failed to take reasonable steps to prevent. The extent to which reasonable steps might involve withholding treatment will be an interesting question for Tribunals
interesting that even in an article that is very much pro-nurse the early frame is that nurses are not willing to work in jobs that have become increasingly demanding and not jobs are underpaying nurses
Memento (artemis) Morty 🌙@mementomorty.bsky.social · yesterdayhospitals want us to do more with less without a concern for patient safety or our own wellbeing while refusing to pay us adequate wages
As a physician who now works in public health & policy, & as the father of a pre-teen boy who will inevitably be exposed to messages from the manosphere, I'm concerned about how MAHA, MAGA, & masculinity influencers have merged Here's my new OpEd on the risks www.medpagetoday.com/opinion/seco...
Opinion | The Manosphere and MAHA Have Merged. I Worry for My Pre-Teen Son.
This culture is driving three main kinds of health risks
medpagetoday.com
Read the latest Voices blog post from @iwashyna.bsky.social: Choosing Humility in the Face of My Ignorance https://nej.md/4yVP1fO
Who owns our health service? Who owns our data? These questions are hitting us hard because of a combustible mix of market forces and artificial intelligence, says @kamranabbasi.bsky.social in Editor's Choice https://bit.ly/4yLn61T
Ferrero Rochero boxes are perfect for storing Game Boy games.
Here's the video. Seems to me that she needs support from the people close to her. That's a lot of psychic distress. She's vague about the actual trauma, so I can't comment, but the whole book adaptation process can be brutal (ask me how I know). I wish her well.
Tomi Adeyemi Speaks Out on Children of Blood and Bone Film: The Worst Thing I've Ever Lived Through
YouTube video by Blex Media
youtu.be
That in the UK we use the start of team brief as a some sort of meaningful measure of theatre efficiency. ANAESTHETISTS HAVE TO SEE PATIENTS THE TIME OF THE BRIEF IS ENTIRELY DEPENDENT ON THE NUMBER AND COMPLEXITY OF PATIENTS #AnSky
Sanjay Srivastava@sanjaysrivastava.com · 6d agoWhat is an extremely nerdy/obscure/specific thing you hate with a white-hot wrath?
Yes-this is a huge problem and "vibes" is unfortunately accurate. Hopefully faster diagnostics will help soon! We're working on other approaches as well www.ovid.com/jnls/ccmjour... www.medrxiv.org/content/10.6...
Two-step deep-learning candidemia prediction model using two large time-sequence electronic health datasets
Background Candidemia is a rare but life-threatening bloodstream infection that remains difficult to predict using conventional risk stratification approaches, highlighting the need for improved predi...
medrxiv.org
Triple M overlap syndrome in the intensive care unit: differential diagnosis and management CCR Journal Watch criticalcarereviews.com/latest-evide...
The @ics-updates.bsky.social advanced accreditation in haemodynamic ultrasound- FUSIC HD- has been updated. Read about the updates and the rationale here journals.sagepub.com/doi/10.1177/... #foamed #foamcc #pocus #medsky
Developing a comprehensive haemodynamic ultrasound assessment for critical care: Rationale and methodology from the FUSIC programme - Ashley Miller, Marcus Peck, Hannah Conway, Prashant Parulekar, Ant...
Haemodynamic ultrasound is central to bedside assessment of circulatory failure in critical care. The Focused UltraSound in Intensive Care HaemoDynamics (FUSIC ...
journals.sagepub.com
of course the trick is finding which patients would benefit from early antifungals we're not there yet but I think we'll see very useful molecular panels at reasonable cost within our careers
Emily Moin@emilymoin.com · 5d agoTo crib from Hemingway, molecular diagnostics are going to change sepsis management gradually, then suddenly.
Beautifully written, as always. But even if pts did get early antifungals, the mortality benefit would be marginal, don’t you think? A trial might settle the issue, but I fear it will only delay development of good tools that help us to recognise those pts in the ICU that we cannot rescue .
great essay on humility amid the evolving uncertainty we deal with as medicine continues to advance by @iwashyna.bsky.social in @nejm.org
Jack Iwashyna@iwashyna.bsky.social · 5d agoI hate candidemia-caused septic shock. So much. Why do we still not know which patients would benefit from early empiric antifungals? I reflect a bit at @nejm.org on living with uncertainty when the patient is dying in front of you: voices.nejm.org/doi/full/10....
New from me: Until recently, the gap between comfortably-off and just-getting-started could plausibly be crossed in a decade or two of hard work. Growth in asset prices means that’s no longer true: even a lifetime of striving doesn’t offer a realistic prospect of feeling you’ve “made it”.
This really made me pause. I have stood by the data from EMPIRICUS for a long time. And now I recognise that there are probably patients for whom it does not apply. Jack is right. There must be a better way. #medsky #idsky
Jack Iwashyna@iwashyna.bsky.social · 5d agoI hate candidemia-caused septic shock. So much. Why do we still not know which patients would benefit from early empiric antifungals? I reflect a bit at @nejm.org on living with uncertainty when the patient is dying in front of you: voices.nejm.org/doi/full/10....
What is in Fifa's 25-page sales pitch: a reference to more than doubling the number of global tournaments held each year, from 200 to 450 What is not in Fifa's 25-page sales pitch: a single reference to women's football
Fifa’s sales pitch revealed: more tournaments, more debt … but no mention of women’s game
Fifa’s sales pitch to persuade members to approve the sale of the World Cup’s commercial rights clearly states that their plans for financial growth will be achieved by staging more tournaments, havin...
theguardian.com
Congratulations to Spain on winning the last ever World Cup.
'Too crooked for Concacaf' is a really impressive bar to clear, congrats to Giovanni Infantino.
Pardeep Cattry@pcattry.bsky.social · 6d agoNEW: Concacaf joins UEFA in rejecting FFE, instead imploring FIFA to find ways to increase funding for FIFA Forward through its current means and asking that "any matter follows the proper governance processes" in future full statement: www.concacaf.com/competitions...
B Hirsch & E Viglianti discuss the challenges of addressing GOC during chronic critical illness in their thoughtful #journal_CHESTCritCare editorial: Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294... It’s #OpenAccess, so why not ✔️ it out? @accpchest.bsky.social
Hayley Gershengorn@hbgmd.bsky.social · last mo.#ICU care is interprofessional 👩⚕️👨⚕️… but how do we each engage with patients’ goals of care? Walker & colleagues explore our differing perspectives ⬇️⬆️, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... #OpenAccess as always! @accpchest.bsky.social
every shape is wrong every location is wrong there are a couple where you can kinda see a relation (Nigeria's and Malawi's locations and !shape are in the general neighborhood, generously)...
Phil Lewis@phillewis.bsky.social · 6d agoA U.S. government map of Africa mislabeled every country during a state department presentation at a global conference www.theguardian.com/us-news/2026...
35.4% of pts with very high risk died within 48 hours of surgery, and 77.2% of those changed to end-of-life/comfort care in that time. This is clearly nonbeneficial. We all (pts and relatives included) need to get better at deciding when *not* to operate. jamanetwork.com/journals/jam...
Nonbeneficial Emergency Surgery in Older Adults at Risk for Early Mortality
This cross-sectional study examines the incidence of and factors associated with early mortality among older adults undergoing emergency general surgery as a marker of nonbeneficial surgery.
jamanetwork.com
