The Second Cut: DeBakey, the Shah, and the Hubris of the Comforting Explanation 1. The Legend, the King, and the Hostile AbdomenOn March 28, 1980, in a military hospital on the banks of the Nile, Michael DeBakey removed a spleen the size of a football from a dying exile.The patie...

Interesting essay on the splenectomy of the Shah by DeBakey

#SurgSky

www.leezhaomd.org/post/the-sec...

Supernovas blast iron into interstellar space

Isn’t it cool that the iron in our bodies came from a 5 billion year old supernova?

www.esa.int/ESA_Multimed...

We are…..literally stardust

(🎤 drop)

#NephJC

These are a gem.
My old town had a tool library, my new town has a sewing library.
Gifts. 🎁

Using time series graphs to make causal claims be like

Large, circular, leaded stained glass window with circular designs in the center and around the edges that bring to mind geometric flowers. Concentric circles radiate from the center in black, white, blue. Past the blue circle are panels in yellow, brown, and green that represent crops (it looks like it could be wheat). Below the window are 12 smaller elongated stained glass windows in a variety of colors and designs, mostly evoking flowers.

Rose Window at Strasbourg Cathedral, France
#Stunday
#AlphabetChallenge #WeekYforYellow

Crewson’s Rules of Medicine:
The patient you suspect of having Giant Cell Arteritis will also be the one that is on anticoagulation or a diabetic that might go into DKA if you don’t watch them like a hawk on high dose steroids.

Cart top medication template in use at Seattle Children’s. Couldn’t imagine working without it!

Welcome to our new series - Core Topics in Anaesthesia

"Measurement and interpretation of central venous pressure: a narrative review"

#AnSky #MedSky #ICUSky

doi.org/10.1111/anae...

🎥Permissive hypercapnia is key in #ARF management. Join this #ESICMWebinar for a focused #ICU session to learn physiology & clinical tips on:

🔹Hypercapnia in right heart failure/PHT
🔹TBI-patients considerations
🔹Adjustments in pregnancy

🗓️ 𝗝𝘂𝗻𝗲 𝟭𝟳, 𝟭𝟲:𝟬𝟬 𝗖𝗘𝗦𝗧🔗 lives-stream.esicm.org/en/catalog/w...

Here’s a cannula from this morning (venous, but exactly the same technique). Seeing the cannula glide into the vessel is very satisfying.

I've been thinking about buying a butterfly probe recently but their decision to remotely brick old hardware means it's now never going to happen.

Japan Develops Universal Artificial Blood — This Changes Everything Japan may have just cracked the code on one of medicine’s toughest problems—universal blood. Researchers have developed synthetic blood that works across all blood types, can be stored as powder, and ...

Artificial blood has been a holy grail of medicine. This will be a vast and potent change to medicine if it is proven successful in further trials.

I hope volunteers and donors will continue to march to needs in the meantime, and afterwards.

engineerine.com/japans-unive...

#MedSky #ScienceSky

So I’ve found a David Austin Roses fanatic group on Facebook and I am happy 😆 - check out my DA Paul’s Himalayan Musk blooming. It smells divine too

Atrial fibrillation in critical illness: state of the art - Intensive Care Medicine Atrial fibrillation (AF) is the most common arrhythmia experienced by critically ill patients. It has been associated with adverse short-and long-term outcomes, including an increased risk of thromboe...

Published today: what we know about AF in critical illness, and where we need to focus our research efforts. link.springer.com/article/10.1...

Image shows website.

This JAMA Insights explores the use of portable point-of-care ultrasound and focused cardiac ultrasound imaging in the diagnosis and treatment of patients with sepsis and septic shock in the emergency department and intensive care unit.

https://ja.ma/3F9egEp

A host of red roses

Thanks to all this rain, my roses have really popped this year… I might need to prune them back #gardensky #bloomscrolling

As a passionate section editor for 'From the Inside' in ICM @esicm.bsky.social I thought I'd use the next few weeks to spotlight some memorable pieces

First two, on topic of inequity in healthcare:

Would My Eriksen Waken up Again? rdcu.be/eleub

Sometimes Less is Just Less rdcu.be/eleyx
📟⚕️#MedEd

Unsplash image of the Earth, mostly the nightside with a tracery of city lights on every continent.

OK, this is wild.

In September 2023, geophysicists across the world started monitoring a very odd signal coming from the ground under them.

It was picked up in the Arctic. And Antarctica. It was detected everywhere, every 90 seconds, as regular as a metronome, for *nine days*.

What the HELL?

1/

I don’t mean to alarm anyone, but the orcas now have two F/A-18 Hornets

Today's Paper of the Day is:

Advances in rhabdomyolysis: A review of pathogenesis, diagnosis, and treatment

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

a fast and furious advertisement with vin diesel ALT: a fast and furious advertisement with vin diesel

So recently I was at the Manchester Critical Care Symposium where I presented my polemic:

“Dedicated intensive care medicine exams are a waste of time”

It brought up some interesting opinions, which I will share here in this thread 🧵

📘 New in #BJAEd: Revisit the fundamentals of clinical research with this clear guide to observational study design, bias, confounding & statistical methods.

Essential reading for anaesthetists & researchers alike.

🔗 doi.org/10.1016/j.bj...

Jar of red currant jelly

if you ever want to know if someone went to medical school just say “currant jelly” and see their reaction

Until I was a young I adult, I thought that a general anaesthetic was one that was used all over the country. And a local one was one that was just used where I lived.

Word of the day is a favourite, from old Scots.

To ‘tartle’ is to hesitate while introducing someone because you have completely forgotten their name.

Patients requiring iv sodium bicarbonate are unlikely to be fit enough to breast feed

Spotted this nice bit of common sense in the product information for sodium bicarbonate today...

📟

At the end of the day, don’t we all just want a bookshelf with a rolling ladder?

One off doses of antihypertensives for asymptomatic hypertension is associated with increased risk of AKI.

Similarly randomly throwing darts in the air for no reason is associated with increased risk of ADITH.*

Will this madness never end?

*A dart in the head
jamanetwork.com/journals/jam...