“To the rest of the Galaxy, if they are aware of us at all, Earth is but a pebble in the sky. To us it is home, and all the home we know.”

— Issac Asimov, Pebble in the Sky

The single most important thing in a scientific presentation is clarity.

A good presentation is a clear presentation.

Normal urine is not sterile!
Urine microbiome being introduced by @nicoledenisco.bsky.social
#ESCMIDGlobal2026 #UTISky

Today's Paper of the Day is:

Therapy of Aspiration: Out-of-Hospital and In-Hospital-Acquired

criticalcarereviews.com/latest-evidence/paper-of...

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026

Flyer for the BIHCA trial result at CCR26

➡️ Does bicarbonate improve outcomes in in-hospital cardiac arrest?

➡️ Or could correcting acidosis during CPR be ineffective—or even harmful?

➡️ Join us in June to hear the BIHCA trial results

Register now: criticalcarereviews.com/meetings/ccr...

#emimcc

Today's Paper of the Day is:

Are corticosteroids in intensive care immunosuppressive? Reflections and hypotheses

criticalcarereviews.com/latest-evidence/paper-of...

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026

Migraine in the ED: NSAIDs + fluids… but do the fluids actually matter?💧 This study might make you rethink your practices

Read more www.annemergmed.com

#EmergencyMedicine #EMDocs #EM #Neurology #Neuro #Migraine #Pharm #Pharmacology #FOAMed #MedED #MedicalEducation #EvidencedBasedMedicine

Post-intensive care syndrome remains fragmented across care settings and needs a shared framework. zurl.co/zeIp3

Eye on the Milky Way

This "eye" on the Milky Way is a Chilean lagoon reflecting our galaxy. The smooth band contains billions of stars, light-absorbing dust, and glowing nebulae. Jupiter and Saturn are also visible.

Credit: Miguel Claro
(TWAN,
Dark Sky Alqueva)

Sans doute l'une des vidéos les plus incroyables jamais prise par un téléphone !
Le coucher de Terre depuis la capsule Orion pendant la mission Artemis II

Positive end-expiratory pressure in pediatric acute respiratory distress syndrome: a narrative review

CCR Journal Watch
criticalcarereviews.com/latest-evidence/journal-...

zurl.co/5p6Ig Refractory septic shock now has structured bedside criteria, while key thresholds, timing and validation remain unsettled.

#emimcc

This is a heartfelt, touching piece that everyone should read.

Interesting phase II trial of adding Daptomycin to Ceftriaxone for pneumococcal meningitis in France 🇫🇷

Needs more study but encouraging signal for a reduction in disability

#escmidglobal2026

Consensus criteria define refractory septic shock using tissue perfusion, fluid responsiveness, vasopressor dose and critical care ultrasound. zurl.co/oSXbR

Today's Paper of the Day is:

Clinical review of non-invasive ventilation

criticalcarereviews.com/latest-evidence/paper-of...

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026

Comparison of 8.4% Sodium Bicarbonate vs. 3% Sodium Chloride in Severe Hyponatremia: A Retrospective Cohort Study - PubMed This study found that a single 50 mL dose of HTB more often resulted in obtainment of guideline-recommended post-intervention serum sodium goal concentrations than a 100 mL HTS dose. Additional studies...

Cool study - an amp of sodium bicarbonate (50 ml 8.4%) raises sodium similar to a boils of 3% - as expected of course!

pubmed.ncbi.nlm.nih.gov/41937305/

@pulmcrit.bsky.social @kidneyboy.bsky.social

#nephsky #emimcc

Dynamic driving pressure in acute brain injury was associated with mortality, with interpretation varying across oxygenation severity and ventilation modes. zurl.co/GplK3

▶️Optimising treatment of severe infections due to DTR organisms
Bookmark this table, everyone's favorite table!
#ESCMIDGlobal2026 #IDSky #EMIMCC

“If knowledge can create problems, it is not through ignorance that we can solve them.”

— Isaac Asimov

“Every kid starts out as a natural-born scientist, and then we beat it out of them. A few trickle through the system with their wonder and enthusiasm for science intact.”

― Carl Sagan

🛌🏽Rest is NOT Sleep!
🧠 Uncovering the seven types of rest can highlight diverse needs: physical, mental, sensory, creative, emotional, social, and spiritual
👀Check out our latest MIND Episode on the 7 Dimensions of Rest: https://loom.ly/IZcGTlQ

#FOAMed #MedED @MRamzyDO @Marco_Propersi @EMSwami

Cardiogenic Shock: A State-of-the-Art Review Cardiogenic shock (CS) is a life-threatening state of poor tissue perfusion, historically thought to be caused by acute myocardial infarction (AMI) but increasingly linked to non-AMI etiologies, most ...

State of the art in cardiogenic shock www.ajconline.org/article/S000... #cardiosky

In heterogeneous syndromes like ARDS and sepsis, I believe we generally are more likely to be able to find what causes iatrogenic harm than actual therapies. #emimcc #critcaresky

ICU delirium is common and is linked to mortality and long-term cognitive impairment. zurl.co/Ded3h

Anti-intellectualism has been a constant thread winding its way through our political and cultural life, nurtured by the false notion that my ignorance is just as good as your knowledge.

-- Isaac Asimov