Graph showing cumulative incidence over person-years for appendectomy and control groups. The appendectomy group, in orange, shows a higher incidence than the control group, in blue, with P < .001. Number at risk given for both the groups.
Pediatric appendectomy in Taiwan was associated with a 1.58-fold higher risk of future nontyphoidal #Salmonella infection, with the greatest risk observed in children younger than 5 years. ja.ma/4jX7CAN
ICU culture varies across units… & uptake of EBM varies… but are they related? 🤔
Out today in #journal_CHESTCritCare, @chadhoc.bsky.social & colleagues show us they may be… at least for lung protective vent:
www.chestcc.org/article/S294...
@accpchest.bsky.social
@iwashyna.bsky.social
does anyone know of a good iphone digital pupillometry app that doesn't store data in the cloud (i.e., doesn't have patient confidentiality issues)?
⏱️ Thrombectomy: Time vs Arterial Lines
Dr. Rebecca Campbell: Most patients don’t need an arterial line—it didn’t reduce hypotension. Every 10-min delay reduces disability-free survival. Move fast, safely. 🧠💉
#StrokeCare #Thrombectomy #TimeIsBrain #PatientSafety #NACCS
Gosh interesting about the paired blood gas < 92 despite pulse ox > 94% when consider head injury etc and prolonged exposure (and all of it anyway, but also in Paeds!)
Fantastic to see this published at last
An objective assessment of the efficacy of home pulse oximeters on different skin tones
Ping @iwashyna.bsky.social
Open to comments from all #foamed #medsky
www.bmj.com/content/392/...
#emcrit cold platelets may benefit acute haemorrhage as they are activated by cold storage. But cleared faster . Look out for CHIPS trial phase 3
Thanks that’s super helpful!
Anyone know if NHS pensions are tax deductible in terms of adjusted net income?
@mike-ambler.bsky.social
Picture of a naked mole-rat in a fleece bed
🧵1/15 Delighted to share our study on the naked mole-rat (NMR): a mammal with bizarre thermal biology, notorious longevity, and cancer resistance. But how do NMRs maintain (or fail to maintain) their body temperature? Our latest work digs deep! #ThermalBiology #Thermogenesis
Interesting biomarker for 24 hour and 28 day mortality in critically ill patients (reflects metalloproteinase tissue damage and angiotensin II activity). AUC 0.83 for 24 hour. Interestingly subgroup with elevated biomarker & ACEi use higher mortality ccforum.biomedcentral.com/articles/10.... #emimcc
So very beautiful thank you 🤩 xx
Ha! Yes I’m thrilled eviction happened prior to this heat wave it was unacceptable!
#child#2 is earthside 🥰💕
I think for Colin alone 9/10
Very fair
What if something quick and free could cut your heart attack risk by 34%? Getting a flu vaccine each year is linked to a 34% lower risk of major cardiovascular events. jamanetwork.com/journals/jam...
Use of Intralipid in a Propranolol/Quetiapine induced cardiac arrest - our poster today at #SOA25
Evidence for lipid rescue is (and will likely remain) limited, but it really was an inspiring and uplifting case to have been a part of - ROSC after 76 mins CPR and an excellent neurological outcome.
Comes - there are a lot in AKI
I think target trial emulation is an interesting and hypothesis generating method, but I think unless the effect size fairly large, never possible to truly eliminate confounders - I’d also like to see trials start to enrich the likely responders using biomarkers that correlate with functional out
My family had a recent experience of hospital care & we saw effect of this type of taskification of care. Pointless delays, miscommunication, unnecessary referrals etc. No one had the patient at the core of their thinking as they did their bit of the job - result was real anguish
Not all airway compromises would be safe to travel - many of ours done for dental extractions - not sure our network tertiary centre would manage all of those! Huge increased rate since less nhs dentists too
In an ideal world there should be a level 1.5 care for such patients, but when bed bases often limited for level 2 and 3 care, is it justifiable to take patients for enhanced monitoring etc only? It’s not a straight forward situ
These cuts come as high-ranking US officials criticize top journals as ‘woke’ and ‘corrupt’.
In May, RFK Jr threatened to bar government scientists from publishing in top medical journals.
And several journals received letters in April from DOJ alleging political bias in the research they publish.
Just lmao
Once again, this is why we cannot ask pregnant trainees / early career faculty to attend scientific & medical conferences in states that outlaw abortion, and hence why we absolutely must not hold conferences in these states
Mervyn’s suggestions for the next stages of critical care #soa25
Next up: Professor Rockwood (yes, THAT Rockwood) discusses frailty
And here’s his definition
#soa25
Our next session is on the recent excellent @ncepod.bsky.social report on rehabilitation after critical illness
This can be read here ncepod.org.uk/2025icur.html
Spoiler alert: we have much to improve on
#soa25