If COVID resulted in everyone getting harmless, untreatable, utterly gross pustules covering their entire face for weeks we wouldn't still be in a pandemic.

1. I've said exactly this for quite some time. Expanding on Adrian's @sillyputty78.bsky.social point on X / Twitter here, Covid-19 has three distinct characteristics as a disease that enables it to be denied at a societal level.

Omg.

I am so sorry this was done to you
Awful
Wishing you well in your recovery

From the man who debunked both RSI & MILNS. Can’t wait!

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/abs/10.1...

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

#Medsky🧪 #IDsky #pedsky #immunosky The recently published #Fluvaccine after #MyocardialInfarction trial showed that #Fluvaccine within 72 h of hospitalization for MI led to a significant 28% reduction in MACE and a 41% reduction in CV mortality, without any excess in serious adverse events…

A photo of Viola Ford Fletcher with her hands clasped

Today is the 111th birthday of Viola Ford Fletcher, the oldest living survivor of the 1921 Tulsa race massacre

PowerPoint slide that says: “does America do it, if yes, then no”

Just passing along some friendly advice on how to approach potential changes to the Australian health care system @drruthmitchell.bsky.social

I think
In medicine
The highs are high and the lows are really low

The privilege of the relationship we share with patients is a treasure

But
The way our good will is used to extract value in the form of service provision that eats away at our life and lifespan …sucks

🚀🚀

Wow! @aidanbaron.bsky.social congrats on your new podcast.

This first episode on dental/oral health taught me a lot. Recommended listening for anyone interested in health and health inequalities.

Looking forward to more.

Third measles death This is not normal. For three reasons.

So far there have been three measles deaths in under six weeks in the ongoing US measles outbreak.

Prior to this year there had only been three measles deaths in the United States in total in the entire last thirty years.

I just have to shout into the void that patient safety incident investigations are so additionally traumatic for families who've already been through the worst. I'm so drained with being promised reports that don't arrive-and communication about their absence I have to instigate.

High-frequency location data show that race affects citations and fines for speeding Prior research on racial profiling has found that in encounters with law enforcement, minorities are punished more severely than white civilians. Less is known about the causes of these encounters and...

Traffic stops are one of the most common civilian and police interactions. Does race influence such interactions?

Our new paper published in @science.org using a rideshare data set shows that there is considerable racial bias. Paper can be downloaded here: www.science.org/doi/10.1126/...

The best time to have a baby during a medical career - InSight+ Advice about delaying pregnancy or parental leave may be dismissed as an innocent attempt to help early career doctors achieve their goals, but it constitutes a breach of the Sex Discrimination Act. T...

“The best time to have a baby? Preferably at the end of the third trimester.”

Great stuff from Leanne Rowe over in MJA

insightplus.mja.com.au/2025/12/the-...?

Wait what
There’s an orally dissolving prochlorperazine ?

I have just been informed that Ondansetron wafers are actually not absorbed by the oral mucosa and instead need to trickle down with spit to be absorbed by the gastric mucosa

Am I being punked?

What the Venezuelans Deported to El Salvador Experienced Exclusive photos of the arrival of Venezuelan detainees deported from the U.S.

“One young man sobbed when a guard pushed him to the floor. He said, ‘I’m not a gang member. I’m gay. I’m a barber.’ I believed him. *** He “began to whimper,” as his head was roughly shaved, “folding his hands in prayer as his hair fell.” He “asked for his mother & cried as he was slapped again.”

Formula 1 teams obsess over data to shave milliseconds off lap times. 🚥🏁 Ambulance Victoria takes the same approach to cardiac arrest survival—their latest report shows a record 41% survival rate, making Victoria the 3rd safest place in the world for OHCA.
www.ambulance.vic.gov.au/about-us/res...

Today I lost an NIH grant training clinicians to do research about intimate partner violence with perinatal women.

More women are murdered in the perinatal period than die of obstetric complications.

I didn't just lose a grant. We lost an entire cohort of people building careers to prevent that.

Guys on American military podcasts call each other ‘sir’ like people in The Bear™ call each other chef in the Kitchen

I love Paul Simpson’s suggestion that researchers should take a methodological pause to consider “am I heading in the right direction?” the same way we’d take a clinical pause managing complex illness

I’m as guilty as any of us of (ab)using surveys in the past
A great reminder

Doing better with survey-based research in paramedicine - Paul Simpson, 2025

An important recent editorial

Surveys - they often suck*

*lack methodological rigour, misappropriate validated tools, fail to appropriately analyse qualitative data etc

Poor surveys have become almost ubiquitous in paramedic research

journals.sagepub.com/doi/full/10....

23 cases of epidurals being blamed for masking acute compartment syndrome pain. In 19 of these, the patients complained of pain but were ignored.

@maggieholtzmd.bsky.social at #ASURA2025 #AnSky #RASky

When I joined an ambulance service 20 years ago there were 8 women in our recruit class of 32. Last week I taught a new group of first years and had 70% female students. I'm excited about the evolution of Paramedicine given our traditional gender bias. Demographic change brings structural change.

Today's Paper of the Day is:

Preventing unrecognized esophageal intubation in the emergency department

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 2025

Trans women transferred to men’s prisons despite rulings against Trump’s order Incarcerated trans women report being groped by male guards and suicidal thoughts: ‘I’m punished for existing’

We've confirmed the US Bureau of Prisons has transferred trans women to men's prisons despite three court rulings blocking Trump's executive order

“I’m continuing to be punished for existing. I'm a pawn in others' political games" -Whitney, 31-year-old woman taken to men's prison this week, told us

Systematic reviews of non-RCT evidence: building dry stone walls To bake good cookies, start with good cookie dough. To use a different metaphor, to build a brick wall, take a large collection of bricks—all the same size and in perfect shape—and line them up neatly...

In the excitement over our new review of PAs, I forgot to tell you about the OTHER paper published in BMJ today, my commentary on the challenges of doing systematic reviews of evidence when there's no RCTs and most of the primary studies were unique and non-standardised.🧪
www.bmj.com/content/388/...

I tried something new this week

Took a mini fold-up camping stool into work overnight in the Emergency department so I could sit down with patients when I take a history.

Game Changer.
Seriously felt like it improved the quality of interactions