Your analysis here ignores several ancillary factors affecting pay including the loss of free accommodation in 2008 and the increasing burden of student loan repayments

How do Plan 2 student loans work, and how have they changed over time? | Institute for Fiscal Studies Plan 2 student loans were issued to English students who started university between 2012 and 2022.

RPI is used to calculate student loan repayment (Interest is RPI+3%) so there is a reasonable argument to be made to use it in this case, especially as many doctors won't even start paying down the balance of their student loans until they reach consultant
ifs.org.uk/articles/how...

The always has been meme with the first astronaut saying "the stock market is just vibes and herd mentality?"

Inglourious Basterds meme, with “medical shows” as Michael Fassbender holding up 3 fingers, with “health care workers” as the German officer looking on skeptically

a man in a blue shirt is talking about the moon Alt: The janitor from Scrubs saying "I don't believe in the moon, I think it's just the back of the sun"

Not to mention how it has reawakened the "did we really land on the moon" conspiracy theory which I was surprised to learn some people I know have seriously considered 🤦‍♂️

two pieces of cheese are sitting on a wooden table and the words food and wine are on the bottom Alt: two pieces of cheese are sitting on a wooden table and the words food and wine are on the bottom

Only just learned this great fact- the white crust on cheeses like brie and camembert is actually penicillium mold! Only produces trivial amount of penicillin so cross reactive allergies are very rare
en.wikipedia.org/wiki/Penicil...

Fresh blog on the HI-PEITHO trial 😁

🔊 ~18 mg alteplase over 7 hrs is safe (no ICH, no difference in bleeding rates)

🔊 Alteplase reduces the risk of cardiopulmonary decompensation and poor functional outcomes

#1/2 #EMIMCC

There are lots of ongoing studies

The PRECARE study from Sydney suggested malposition 89% of the time

pubmed.ncbi.nlm.nih.gov/40090608/m

Transesophageal Echocardiography During CPR in Patients With Out-of-Hospital Cardiac Arrest This randomized clinical trial tests whether the use of transesophageal echocardiography during cardiopulmonary resuscitation (CPR) increases the rates of sustained return of spontaneous circulation a...

#TEElovers @drfreeze.bsky.social @thinkingcc.bsky.social @load-dependent.eurosky.social any thoughts ?

jamanetwork.com/journals/jam...

🙋‍♂️ TPD so I'm seeing the groundwork that is going in to create new posts. I also suspect there won't be as many as were promised but it will be a reasonable number

a man with a mustache says but why in yellow letters Alt: a man with a mustache says but why in yellow letters

Bizarre move. No way they'll cancel strikes over this. If Streeting follows through it will just mess up lots of people's lives unnecessarily. I suspect it's an empty threat

The plot thickens @pulmcrit.bsky.social

💯 Classic case of nerfing the control group. I would argue they should have been given half dose tPA!

I don't think that's necessarily inaccurate tbh. We've known for a decade since SAPS came out that there was a suggestion that PCT reduced mortality rates when used for discontinuation of ABx in the critically unwell. Subsequent meta-analyses also suggest this

Any consultants who find their sympathy for resident doctors waning in the wake of the newly announced strike action would do well to read the conditions of their current student loan repayments. If you don't find it monstrously unjust, you don't understand it.

I wonder if it means that when PCT tells us the high NEWS2 is not sepsis, we think a bit harder.

The need for more study into the outcome won’t identify this unless we have sufficient granularity (of clinical reason).

“When the PCT is ⬇️, we find ⬆️ time is spent with the patient, with more DDxs”

#emimcc

Procalcitonin testing combined with NEWS2 evaluation compared with usual care based on NEWS2 for identification of sepsis and antibiotic initiation in the emergency department in England and Wales (PR... Making a procalcitonin-guided algorithm available to clinicians in emergency departments did not change intravenous antibiotic initiation at 3 h in patients managed as suspected sepsis, but a decrease...

This study is a real headscratcher. None of the other studies of PCT in ED have shown any benefit so my priors lean towards not believing it. But even so...
www.thelancet.com/journals/lan...

45th International Symposium on Intensive Care and Emergency Medicine Original Article | Mar 17, 2026 | NEJM.org High-Flow or Standard Oxygen in Acute Hypoxemic Respiratory Failure (SOHO) Figure 2A. Overall Survival.

Presented at #ISICEM:

In a multicenter trial involving patients with acute hypoxemic respiratory failure, 28-day mortality with high-flow oxygen was not significantly different from that with standard oxygen. Full SOHO trial results: www.nejm.org/doi/full/10....

@isicem.bsky.social

Peripheral Vasopressors for Shock Interest in the use of peripheral intravenous (PIV) catheters to administer vasoactive medications to patients in shock has grown in recent years. Potential benefits include faster shock reversal as w...

commentary by @zentensivist.bsky.social in @jamanetworkopen.com on the safety of peripheral pressors:

"PIV administration of vasopressors likely can be accomplished safely, with perhaps less discomfort and harm, compared with conventional CVC-based approaches in some critically ill patients."

Paediatric and adult neurological point-of-care ultrasound: Review of the evidence, and the UK accreditation pathway - Manprit Waraich, Bogdana Zoica, Emma Alexander, Jennie Stephens, Hannah Conway, M... Neurological emergencies such as stroke and traumatic brain injury are major contributors to morbidity and mortality in critically ill patients. These condition...

Paediatric and adult Neuro POCUS: The UK Accreditation Pathway

New article demonstrating the latest addition to #FUSIC in the UK

journals.sagepub.com/doi/10.1177/...

#POCUS #medsky

The Long Silent Scream into the NHS I’ve been in hospital with a relative this week.

Found on the other place

Terrifyingly accurate

davetriska.substack.com/p/the-long-s...

If we use smoking as a counterexample, how much better is it if people never start smoking at all?
I think we agree more than we disagree here and our main area of difference is the role of public health interventions in managing obesity.

Forsan Et Haec Olim Meminisse Iuvabit: Will Remembering Help or Please? Why don’t more translators think it will be helpful to remember in Aeneid 1.203?

We also got the great line "Forsan et haec olim meminisse iuvabit". Dozens of interesting ways to translate it but my favourite is "Perhaps there will come a time when you remember these troubles with a smile"
medium.com/in-medias-re...

I think you're misinterpreting him here- if you read it again, nowhere does he suggest restricting access to GLP1As.
I think his point is just the approach to this issue had to be more nuanced than "let's medicate everyone forever"

Hard disagree with you pal. Societal public health interventions are not to be neglected. Few better than whitty to articulate this.

Counterpoint: he's just saying that from a societal perspective the approach to obesity needs to be mutlifactorial

PulmCrit: Catheter-directed lysis = Peripheral lysis for PE (STRATIFY trial!) Catheter-directed thrombolysis for PE has always been a silly idea, for numerous reasons: Clots are widely distributed throughout both lungs. 100% of the

Link to fresh blog below

The trial surely has limitations, but it's been increasingly clear that catheter-directed thrombolysis is silly for over a decade now

TBH, this is a wild story about device manufacturers using sponsored RCTs to torture EBM

emcrit.org/pulmcrit/cdt/

I'm still confused by the fact that we think POCUS accreditation is important enough to be on ICM ST3 scoring criteria and POCUS governance is stressed heavily in GPICS V3 but when it comes to the curriculum...

Would be very interested to hear his reasoning on this. I can see the downsides to the accreditation model but I am concerned that an entrustment model leads to a wild west of 'dabblers' in reasonably short order and unless you have a tight rein on governance, all sorts of things can happen