Let's talk about using carbapenem antibiotics in patients with valproic acid (VPA) poisoning

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After multiple failed attempts, the conch was blown at 10:37. The 2025 Barkley Marathons begins in one hour. #BM100.

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Superb gif.

So much so that I laughed and knocked my drink over my laptop.

Expect the bill in the post @icmtim.bsky.social.

Arterial trauma is a rare, but potentially life-threatening complication of central venous catheter insertion.

In this interrogation of two national databases of incident reports, outcomes included:
• stroke (10%)
• death (4%)

#AnSky #MedSky

https://doi.org/10.1111/anae.16570

The value of right ventricular to pulmonary arterial coupling in the critically ill: a National Echocardiography Database of Australia (NEDA) substudy - Annals of Intensive Care Background Right ventricular (RV) function is tightly coupled to afterload, yet echocardiographic indices of RV function are frequently assessed in isolation. Normalizing RV function for afterload (RV...

Really nice article on TAPSE/TRVmax as a potential prognostic marker

From the team at Nepean ICU, led by Emma Bowcock

annalsofintensivecare.springeropen.com/articles/10....

Yeah ... my comment now appears to lack forward planning

Clearly your reputation is that you're not a fast enough runner

Lucy Gossage wins the women's race at the Montane Winter Spine Race 2025

This was a redemption story for Lucy who was looking to reclaim this race after events in her personal life last year, soured the memory of her amazing 3rd placed finish…

a cartoon of donald duck with the words " do you want to fight lets get it on then " ALT: a cartoon of donald duck with the words " do you want to fight lets get it on then "

Skytorial: pH management in DKA!

I've been following debates about this for a *long* time

(eg wrote this blog in 2016, which stands up pretty darn well: emcrit.org/pulmcrit/bic...)

after years of arguing, lemme break down my take on this 😁

Looking forward to teaching on this again. Brilliant faculty and a really engaging group of delegates last year, I'm sure it will be just as good in 2025!

Another cracking thread from @katiewiskar.bsky.social !

Yup, have recruited for this and looking out for the results!

Subtyping and timing make perfect physiological sense.

I'll await the RCT to disprove this!

The ever-changing steroid pendulum continues on ...

Just occasionally, the physics and equipment stuff I learnt for the primary is actually useful.

A great selection.

I'd also add CAPE-COD to this list.

On the theme of less is more, HOT-ICU and ICU-ROX are interesting. Perhaps MEGA-ROX will give us a definitive answer.

Ahh, the exception that proves the rule ...

Let's see how long this lasts then ...