Comic of the beetle from the cover of Massive Attack's "Mezzanine" meeting the crab from the cover of The Prodigy's "Fat of the Land".

Hi this joke is for me

#ICM-Quizz #MedEd A patient on peripheral VA-ECMO without venting develops severe dyspnea and tachypnea despite normal lung imaging and preserved oxygenation. Radial blood gases show respiratory alkalosis. What is the most likely mechanism? zurl.co/ESRyr

Relatively Increased CO2 Delivered to the Brain From the Descending Aorta Leading to an Elevated Respiratory Rate Causing Differential Hypocapnia (RIDDLER or East-West Syndrome): New Pitfalls in Awake... Relatively Increased CO2 Delivered to the Brain From the Descending Aorta Leading to an Elevated Respiratory Rate Causing Differential Hypocapnia (RIDDLER or East-West Syndrome): New Pitfalls in Awake...

This was described by Rosenberg et al as the RIDDLER syndrome or East-West syndrome

pubmed.ncbi.nlm.nih.gov/39869669/

As long as people get paid to deliver mandatory training, it will never die.

Sobering talk from Timothy Walsh from Oxford, UK on the rising antibacterial resistance even to the NOVEL agents

For example we are already seeing growing reports of Cefiderocol resistance - and we have barely started using it.

As usual we are being outrun by the bacteria

#EscmidGlobal2026

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

West Midlands Critical Care Transfer Course at Midland Metropolitan Hospital in Birmingham. June 12th 2026.

The secret to mastering 3D imaging?

Repetition. Set up your views the exact same way every time, and you'll always know where you are, and where you're going.

This is just a snippet from Dan Bourque's in the Echo Chamber. Replay available for Premium Members! #echofirst

Acetyl CoA is woke now

From @maggiesmithpoet.bsky.social, the “we” being her then husband and her:

“We became friends in a creative writing workshop. When I got good news related to my writing a publication, a grant, an invitation-I sensed him wince inwardly. So I stopped sharing good news. I made myself small, folded…

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

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

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

Antibiotic Stewardship: IV Amoxiclav with Dr George Zhanel

🎙️ NEW EP — Could IV amoxicillin-clavulanate replace pip-tazo? We sit down with Dr. George Zhanel — 1200+ manuscripts, CLEAR registry data, and a fresh take on antibiotic stewardship. Listen now. 🎧 #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute open.spotify.com/episode/0Obc...

Joint Statement on Workplace Violence in Healthcare This April, in recognition of Workplace Violence Prevention Month, our organizations are joining together to affirm that workplace violence in healthcare is not inevitable—it is preventable.

"Workplace violence in healthcare is not inevitable—it is preventable. Health care workers are the foundation of a safe and effective healthcare system, but every day they face an unacceptable reality: the risk of violence on the job."
@acepnation.bsky.social

I think regulating what poor people are allowed to eat is one of the most disgusting things I've ever heard of.

Use of sterile gowns for single‐shot spinal anaesthesia: consensus guidelines from the Association of Anaesthetists, Royal College of Anaesthetists, Obstetric Anaesthetists' Association, Regional Anae... Introduction International guideline recommendations vary on the use of sterile gowns during spinal anaesthesia. There is limited evidence of benefit for their routine use and debate about environme.....

Stop press: sterile gowns are no longer mandatory for spinal anaesthesia.

I’m so proud to have been part of this process trying to simplify our practice, making us efficient, more sustainable without increasing risk

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

I’m actually astounded how far its influence is

I recently completed Persona 5 Royal and there’s so much Chrono Trigger DNA in it

Ditto Clair Obscur

Adapting to clinical responsibility: Challenges and learning environment in early practice—a longitudinal study The transition from medical student to doctor is widely recognized as a challenging period, yet most studies capture this transition at single time points and provide limited guidance on how educat...

It's rare to have 3 years of longitudinal qualitative data spanning the transition from medical student to doctor.

TLDR: the challenge isn't knowledge (or lack of it). The challenge is the necessary professional, personal and social adaptation.
#MedEd
#MedSky
www.tandfonline.com/doi/full/10....

A reminder: many health care providers (like my psych clinic) give out Narcan *for free,* no questions. I got one for my car & a spare.

You don’t need to be trained on Narcan to administer it (you can watch a YouTube video!), worst case is that you never use it. Or rather, that’s the best case.

I swore blind there was a YouTube video showing that it worked against her but I can’t find it

Anyway Death’s Poker goes brr youtu.be/YPsb6pQn_44?...

Really true re: consort

I was same to be fair. Played a greatsword bleed build first time

Then I discovered that Death’s Poker goes brr

IMO the problem isn’t Waterfowl (even though it’s a terrible attack. The original version was even worse)

It’s the life drain which is utter nonsense

If you took the life drain away (or nerfed it) you could even keep original Waterfowl and she’d be fine

In a patient with high-risk pulmonary embolism, but no sign of hypoperfusion, would you start LMWH or UFH? #emimcc #cardisky #cccsky #critcaresky

IFEM 2026: Will we see you in Hamburg? Join the global emergency medicine community at ICEM 2026 in Hamburg. Explore the programme, St Emlyn’s speakers, and why IFEM still matters.

Join the global emergency medicine community at ICEM 2026 in Hamburg. Explore the programme, St Emlyn’s speakers, and why IFEM still matters. (and Noah Wyle too!)

It’s all ending in tiers

I’ll get my coat

Hey! @jeffgadsden.bsky.social are delighted to let you know that #BILIH #BlockItLikeItsHot @bilih.bsky.social have teamed up with GEHealthCare to bring you a brand new VIDEO podcast series with discussions & demonstrations on common blocks.
Register for free 👇🏽👇🏽

bit.ly/3PvuXi4

Great read this