Kristian Strand
@docstrand.bsky.social
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Intensivist in Stavanger, Norway. Jack of all trades, master of none. Sometimes I do research.
Aslak Sira Myhre treffer spikeren pĂĄ hodet.
www.aftenbladet.no/meninger/kom...
8 days ago
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I have a hard time finding a reason for not providing BVM (add PEEP valve) or NIV between induction and intubation in critical care unless you enjoy the thrill of a rapidly desaturating patient.
add a skeleton here at some point
29 days ago
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Og det hjalp ikke akkurat når en forsker fra FHI løp til mediene og erklærte at hvert sparte menneskeliv kostet 133 mill kr. Noe som selvsagt var 100% vrøvl.
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2 months ago
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Kristian Strand
Eivind Trædal
2 months ago
En av vår tids største forbrytelser. Alle som snakker varmt om «vestlige verdier» i årene framover må svare på hvordan vi tillot dette.
www.vg.no/nyheter/i/ny...
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Bildene av Muhammed (1) ryster en hel verden
Til VG forteller fotografen hva opplevelsen har gjort med ham.
https://www.vg.no/nyheter/i/nyq1nL/gaza-her-er-historien-bak-bildene-av-den-sultende-gutten
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IMHO Trump seems to be slightly underperforming with regard to the promised dealmaking with foreign countries.
3 months ago
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This.
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4 months ago
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Tim Norfolk
5 months ago
Procalcitonin- the more we learn, the less we love it 💔 ▪️94% of non-septic AKI pts had a Pct >0.5 prior to commencing CRRT ▪️Even using a threshold of >3.2 the specificity was only 38% 🗑️ “Pct in pts with AKI/ESRD should not be measured”
#EMIMCC
ccforum.biomedcentral.com/articles/10....
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Procalcitonin levels in septic and nonseptic subjects with AKI and ESKD prior to and during continuous kidney replacement therapy (CKRT) - Critical Care
Background Procalcitonin is a 14.5 kDa protein used clinically as a marker of sepsis and therapeutic response to antibiotic therapy. However, its utility in critically ill patients with either acute k...
https://ccforum.biomedcentral.com/articles/10.1186/s13054-025-05414-7
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Jon Blund
5 months ago
Agreed. If "comprehensive" and "multidisciplinary" critical care means the outsourcing of every core task, there's not much of a discipline left.
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Also applies to US vs Scandinavian practice.
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7 months ago
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Kristian Strand
Ina Holst-Pedersen Kvam
7 months ago
In the discussion of how 'America First' might affect US-Norwegian defence cooperation along NATO's northern flank moving forward, a credible threat assessment is an absolute minimum. Instead, overly simplified evaluations of the nature and character of the Russian threat dominate discourse đź§µ
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Kristian Strand
9 months ago
As I tell my residents, in the unconscious, undifferentiated patient with shock, the only safe crystaloid is saline.
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Pilar Garcia-Vello
9 months ago
The Christmas cocktail no one wants: 22 Dec: Piperacillin/Tazobactam 26 Dec: Meropenem+Linezolid 28 Dec: Negative cultures→ Meropenem+Soltrim +Fluconazole A nightmare—we need faster & better
#diagnostics
#AMR
#fungi
#bacteria
#fungalinfections
#science
#GlobalHealth
#SciComm
#MedSky
#publichealth
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Tom Nichols
9 months ago
I might have more to say later, but all the reviews of Carter's presidency emphasize his character, his success in the Mideast, and inflation/gas prices. But left out of all that: His Cold War policies were abject failures and left America in a precarious situation by 1980. /1
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Call me a nazi, but this may not be the way we should interact
www.dailydot.com/debug/jesse-...
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Bluesky suffered a full-on meltdown after a journalist users don't like joined
Was the 'safe' alternative to X violated? Or did Bluesky users reveal their true colors?
https://www.dailydot.com/debug/jesse-singal-bluesky-death-threats/
10 months ago
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Depressing.
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10 months ago
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Remind me again, why we left X...
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10 months ago
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SĂĄnn er det med den saken
add a skeleton here at some point
10 months ago
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Kristian Strand
Nic B Foss
10 months ago
One of my favourite reads, and a wonderfull quote: "The worse the hypothesis, the more complicated the statistical analysis"
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Prof. Vincent never got it right.
With all due respect to Prof Vincent, our problem is not the randomized clinical trial.
https://thethoughtfulintensivist.substack.com/p/prof-vincent-never-got-it-right
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Lars Mølgaard Saxhaug
11 months ago
Actually, the pretty normal TAPSE is a kind of artefact. If you had an apical view, you would see the apex rocking, the lateral LV wall dragging the limp dilated RV. If you measured the relative RV free wall shortening wrt apex, it would be low.
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Geir Kvile
11 months ago
Høstens første hvite nedbør kom i dag, men dessverre i form av ubrukelig hagl. Engelskmenn er eksperter på å få i gang en prat, med å starte helt uskyldig om været. «Oh, isn’t it cold today?» «Yes, but you are so clever wearing that fancy hat!» «Oooh, thanks!» Følg meg for denne type innsikter.
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you reached the end!!
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