Sondage canadien sur la satisfaction de la vie par provinces.

Je dépose cela ici, entre deux discussions animées sur ce qui va mal tout le temps. 👇

Aerosol emission and exposure in non-invasive ventilation - Scientific Reports Scientific Reports - Aerosol emission and exposure in non-invasive ventilation

You know all those so-called aerosol-generating medical procedures? Some of them don’t generate any aerosols…
Via Joe Vipond.
www.nature.com/articles/s41...

Mammoth guidelines on vascular trauma, well worth a read: www.ejves.com/article/S107... #EMIMCC #MedSky

Plus d’un Québécois sur deux s’est privé de consulter un médecin dans la dernière année Le Collège des médecins sonne l’alarme: l’accès aux soins est «de plus en plus difficile» au Québec.

En 2022, 40 % des Québécois disaient avoir eu besoin de consulter un médecin au cours des 12 derniers mois et souhaitaient le faire, mais finalement ne l’avaient pas fait. Maintenant, c’est plus de 50 %. Le problème d’accessibilité est donc encore plus important qu’il y a 3 ans.
shorturl.at/4SYLX

Les conséquences scientifiques du démantèlement de l’État américain On peut s’attendre à des effets directs sur les activités de recherche du pays.

Les conséquences scientifiques du démantèlement de l’État américain www.ledevoir.com/opinion/idee...?

TLDR and take-home key points:

✅ PTZ 3.375g IV Q6H is effective for MIC ≤8 mg/L

✅ Neither standard nor high-dose achieves 90% PTA for MIC ≥16 mg/L w/ short infusions

✅ Extended infusions are key for high-MIC infections!

#medsky #pharmsky #EMsky #IDsky #MedEd #AMSky #emimcc

Paul with book

Trish with book

And it’s out! The 7th edition of How to Read a Paper, coauthored with new blood in the shape of my ex PhD student Paul Dijkstra @drpauldijkstra.bsky.social. So good working with you on this Paul!

If they pull PubMed, do we have a plan B? #academicsky?

Canada's health care is bruised, but not broken Reflections on the state of health care

Amid the political chaos in Ottawa, long-sought health reforms now look unlikely to pass.

@cmadocs.bsky.social president, Dr. Joss Reimer, and Health Minister Mark Holland weigh in on the challenges and the stakes — and what’s at risk if we fail to act in 2025.

canadahealthwatch.ca/2025/01/02/c...

Hello BlueSky! We are so excited to be here and are thrilled you're here too! At ACEP, we support all things emergency medicine and can be a reference for anything you need as an EP. #acepnation, we stand with you and are here for you 24/7/365!

Thanks for this interesting paper. Note that this is a small study using a surrogate outcome, personally I wouldn't immediately conclude that it actually works for stone prevention, don't you think?

Bonne nouvelle pour tout le monde 👇

cc @fmoq.bsky.social (vous devriez publier ici)

#MedSky

Really thought-provoking. Sensible arguments by John G. F. Cleland in JAMA cardiology question long-term aspirin in secondary prevention. jamanetwork.com/journals/jam....

hard cosign from a nicardipine stan 😁

in general the pathophysiology of most hypertensive emergencies is excess *vasoconstriction*

using a beta-blocker to treat vasoconstriction can precipitate hypoperfusion, because you’re not fixing the problem #EMIMCC

Scurvy in Canada Is a Symptom of Our Sick Politics | The Tyee And it reveals much about how we approach fairness and human rights.

Last year, the Canadian Medical Association Journal published an article on a scurvy case in Toronto.

Scurvy is almost never in advanced countries like Canada.

This year we learned of 27 more cases in the Lac La Ronge Indian Band in Saskatchewan.

En rappel, des éléments de réflexion de MQRP sur l'obligation des nouveaux médecins de travailler 5 ans au public.

Reconnaître que le privé est un enjeux, bravo!
Favoriser une solution temporaire rendant le privé possiblement plus accrocheur, pas si sûre...

mqrp.qc.ca/2024/11/frei...

On doit améliorer l’accès à notre système public de santé, dont l’accès à un médecin. C’est pourquoi on a déposé un projet de loi pour obliger les nouveaux médecins omnipraticiens et spécialistes à travailler dans le réseau public, au Québec, pendant les cinq premières années après leurs études.

‘Care delayed and care denied’: Doctor recalls 30 months under Missouri abortion ban Dr. Betsy Wickstrom understands where some of the voices opposed to abortion are coming from.  She used to be one of them.  The Kansas City OB-GYN specializing in high-risk pregnancies is a Republican...

Ever since the Dobbs ruling, when a Missouri doctor enters an ectopic pregnancy diagnosis into the electronic medical record, a large red banner pops up asking if she’s sure the diagnosis is accurate. If the embryo or fetus has a heartbeat, she has to consult an attorney.

Via Missouri Independent

Advertisement for Learning with the Book online evening course January to March 2025 hosted by Oxford Qualitative Courses

Coming January - online evening course based on the book ‘Qualitative Research in Health Care’ ed. Catherine Pope and Nicholas Mays. Self-paced learning with input from experienced qualitative researchers providing an accessible introduction to qualitative research. www.phc.ox.ac.uk/study/short-...

According to Dr. Goldman, 780 family doctors left the public system in Quebec in 2023, vs. only 14 in the rest of Canada. How can we avoid a downward spiral for our public system and our patients' access to care?
www.cbc.ca/listen/live-...

After rigorous appraisal: IVT + EVT recommended over EVT alone (Level B recommendation) ⬇️

Great, thank you for sharing this!

Important to combine tractable research questions with a complex systems approach to conceptualising problems & their solutions or mitigations. This paper is definitely worth reading.

Gordon Guyatt

Medicare Advocates Call on Feds to Deter Privatization – November 19, 2024 In Ottawa, representatives from two public health-care lobbying groups call on the federal government to do more to protect Medicare from privatization. Speaking with reporters are Melanie Bechard, ch...

We joined the Canadian Health Coalition and the Canadian Federation of Nurses Union on Parliament Hill today to urge PM Trudeau and Health Minister Holland to protect Canadians from out-of-pocket payments to access virtual care and nurse practitioner-led clinics.
www.cpac.ca/headline-pol...

Pistes cyclables et congestion routière : que dit la science? À Toronto, la présence des pistes cyclables fait débat. Selon le gouvernement Ford, elles sont la cause de la congestion routière. Mais que dit la science?

Entendu dans un reportage radio de Radio-Can que la Chambre de commerce demande à Montréal un moratoire sur l’aménagement de pistes cyclables et l’élargissement des trottoirs pour améliorer la fluidité automobile😮

Doug Ford sors de ce corps!

SVP : lire ce texte
ici.radio-canada.ca/nouvelle/211...

Wow. Such an important topic and very well exposed in this paper. Harmful phrases from patients' perspectives.