Pediatric appendectomy in Taiwan was associated with a 1.58-fold higher risk of future nontyphoidal #Salmonella infection, with the greatest risk observed in children younger than 5 years. ja.ma/4jX7CAN
Jo Poole
@jopodr.bsky.social
Anaesthesia. ICM. Mitochondria. Evolution. Once slept in a museum.
ICU culture varies across units… & uptake of EBM varies… but are they related? 🤔 Out today in #journal_CHESTCritCare, @chadhoc.bsky.social & colleagues show us they may be… at least for lung protective vent: www.chestcc.org/article/S294... @accpchest.bsky.social @iwashyna.bsky.social
does anyone know of a good iphone digital pupillometry app that doesn't store data in the cloud (i.e., doesn't have patient confidentiality issues)?
a close up of a human eye with brown eyes
ALT: a close up of a human eye with brown eyes
media.tenor.com
⏱️ Thrombectomy: Time vs Arterial Lines Dr. Rebecca Campbell: Most patients don’t need an arterial line—it didn’t reduce hypotension. Every 10-min delay reduces disability-free survival. Move fast, safely. 🧠💉 #StrokeCare #Thrombectomy #TimeIsBrain #PatientSafety #NACCS
Fantastic to see this published at last An objective assessment of the efficacy of home pulse oximeters on different skin tones Ping @iwashyna.bsky.social Open to comments from all #foamed #medsky www.bmj.com/content/392/...
The impact of skin tone on performance of pulse oximeters used by NHS England COVID Oximetry {at}home scheme: measurement and diagnostic accuracy study
Objectives To assess the impact of skin tone on the measurement and diagnostic accuracy of five fingertip pulse oximeters used by patients in the NHS (National Health Service) England COVID Oximetry {...
bmj.com
#emcrit cold platelets may benefit acute haemorrhage as they are activated by cold storage. But cleared faster . Look out for CHIPS trial phase 3
Anyone know if NHS pensions are tax deductible in terms of adjusted net income?
🧵1/15 Delighted to share our study on the naked mole-rat (NMR): a mammal with bizarre thermal biology, notorious longevity, and cancer resistance. But how do NMRs maintain (or fail to maintain) their body temperature? Our latest work digs deep! #ThermalBiology #Thermogenesis
Interesting biomarker for 24 hour and 28 day mortality in critically ill patients (reflects metalloproteinase tissue damage and angiotensin II activity). AUC 0.83 for 24 hour. Interestingly subgroup with elevated biomarker & ACEi use higher mortality ccforum.biomedcentral.com/articles/10.... #emimcc
Value of cDPP3 as a short-term prognostic biomarker in all-comers critically ill patients in the emergency department - Critical Care
ccforum.biomedcentral.com
What if something quick and free could cut your heart attack risk by 34%? Getting a flu vaccine each year is linked to a 34% lower risk of major cardiovascular events. jamanetwork.com/journals/jam...
Influenza Vaccination and Cardiovascular Risk
This meta-analysis updates a previous meta-analysis examining the association of seasonal influenza vaccination with prevention of adverse cardiovascular events for a new large clinical trial.
jamanetwork.com
Use of Intralipid in a Propranolol/Quetiapine induced cardiac arrest - our poster today at #SOA25 Evidence for lipid rescue is (and will likely remain) limited, but it really was an inspiring and uplifting case to have been a part of - ROSC after 76 mins CPR and an excellent neurological outcome.
My family had a recent experience of hospital care & we saw effect of this type of taskification of care. Pointless delays, miscommunication, unnecessary referrals etc. No one had the patient at the core of their thinking as they did their bit of the job - result was real anguish
Shaun Lintern@shaunlintern.bsky.social · last yr."For too long, we have trained ‘to role’ - often requiring individuals to complete years of training - when many tasks can be carried out with good supervision."
These cuts come as high-ranking US officials criticize top journals as ‘woke’ and ‘corrupt’. In May, RFK Jr threatened to bar government scientists from publishing in top medical journals. And several journals received letters in April from DOJ alleging political bias in the research they publish.
Once again, this is why we cannot ask pregnant trainees / early career faculty to attend scientific & medical conferences in states that outlaw abortion, and hence why we absolutely must not hold conferences in these states
ProPublica@propublica.org · last yr.NEW: More women have nearly bled to death during miscarriage under Texas’ abortion ban. Experts say the trend paints a troubling picture of the harms of unnecessary delays in care. “This is striking,” one doctor said. “The trend is very clear.”
Our next session is on the recent excellent @ncepod.bsky.social report on rehabilitation after critical illness This can be read here ncepod.org.uk/2025icur.html Spoiler alert: we have much to improve on #soa25
NCEPOD - Rehabilitation following critical illness: (2025)
The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) reviews clinical practice and identifies potentially remediable factors in the practice of patient care.
ncepod.org.uk
Honestly could have fed Prof Rockwood Questions for an hour!what a fantastic and relevant session on Frailty #SOA25
Aoife Abbey 📟 🩺 ⚕️@whistlingdixie.bsky.social · last yr.Really looking forward to this opening plenary - Prof Rockwood himself! Being literate in frailty is every clinician’s business, but it is especially our business…. The @ics-updates.bsky.social flagship conference SOA is in Birmingham in July, online and in person 📟⚕️
These are war crimes, missile attacks in areas full of defenceless civilians and children are pathetic - why is there so much inaction on the atrocities being committed by the IDF? We wouldn’t tolerate other nations doing this? www.theguardian.com/world/2025/j...
Witnesses describe grim aftermath of Israeli strike on busy Gaza cafe
Women, children and elderly people among at least 24 killed by attack that turned beach spot into scene of carnage
theguardian.com
the volume of an ellipsoid is ABC/2 so if a patient is in hemorrhagic shock with an 3x4x5 cm hematoma in their abdomen, the hematoma *cannot* explain their hemorrhagic shock (estimated 30 cc volume) keep looking for the source of bleeding (which statistically is likely to be a GI bleed) #EMIMCC
If you read one thing today, read this.
Jack Iwashyna@iwashyna.bsky.social · last yr.“On Not Betraying Our Trainees, Especially Now” I won an Extraordinary Achievement Award from the Critical Care Assembly last month The @atscommunity.bsky.social premier journal @atsblueeditor.bsky.social TODAY published the remarks I made on that occasion www.atsjournals.org/doi/10.1164/...
I've been diving into evidence on Covid vax in pregnancy & sorting through misinformation, incl the claim Pfizer never reported on its pregnancy trial. I ended up relieved! Check out studies in >1.5 million vaxed pregnant participants in my latest @plos.org absolutelymaybe.plos.org/2025/06/27/d...
Digging Into the Evidence on Covid Vaccines in Pregnancy - Absolutely Maybe
Decision-making about drugs in pregnancy can be very difficult. Our illogical aversion to clinical trials in pregnancy means people making particularly complex…
absolutelymaybe.plos.org
expert reaction to a Wellcome announcement on a new Synthetic Human Genome research project (SynHG) www.sciencemediacentre.org/expert-react...
expert reaction to a Wellcome announcement on a new Synthetic Human Genome research project (SynHG) | Science Media Centre
sciencemediacentre.org
The vaccine situation in US government is depressing. Watching a successful (of course imperfect) nation disassemble itself is eerie. What has brought that into being and how do we prevent that in Europe?
Prework walk near #PapworthWood Sound track = reed warbler, sedge warbler, wren, chiffchaff, greater whitethroat
