The risks of surgery and anaesthesia. Dr Tim Cook at #NSC25 #AnSky #anesthesiology #PatientSafety

Splashes of Sunlight Steve Driscoll 2025

“You cannot get through a single day without having an impact on the world around you. What you do makes a difference, and you have to decide what kind of difference you want to make.” — Jane Goodall #RIPJaneGoodall

Development of a Standardized Perioperative Medicine Fellowship Curriculum journals.lww.com/anesthesia-a... ASA ad hoc committee identified and defined a standardized set of competencies and content to incorporate into #PerioperativeMedicine fellowship programs for anesthesiologists in US

I don’t hate cars. Like most North American males I was raised to think cars are cool, and as a design nerd, few objects are more eye-catching. I hate surrendering our streets, our cities and our lives to them. Car dependence isn’t freedom. Great cartoon by @robcowan.bsky.social #CarDependency

If you’re a learner in my OR, you’re going to get a steady diet of VL. After 30 years, I’m tired of both of us guessing about what you’re looking at.

🙏 💚

Vaccination during pregnancy was associated with lowered maternal risks of COVID infection, stillbirth, preterm birth (including a 34% lower risk of severe preterm birth before 28 weeks), neonatal intensive care admission, & congenital anomalies 1/2

"If we lose hope, we're doomed." We must continue Dr. Jane Goodall's mission and all fight for the future of the planet.

A landmark new study in JAMA Pediatrics shows the HPV vaccine is doing exactly what it promised & more. 17yrs after rollout, adolescent vaccination has slashed HPV infxns not only among those vaccinated but also those unvaccinated, showing powerful herd protection. jamanetwork.com/journals/jam...

There's a really nice new study using phone data from Americans who relocated from one city to another to look at the effect of walkable environments on physical activity. E.g., people move TO New York and walk more, they move FROM New York and walk less www.nature.com/articles/s41...

“Most complexity is unnecessary, but we manage it instead of removing it because deletion requires courage that addition doesn't.” - Shane Parrish, Farnam Street

It's odd that Republicans can do the mental gymnastics to link Tylenol to autism, but not link gun deaths to guns.

Switching just 1 trip a day from 🚗 to 🚴 or 🚶‍♂️ = almost 30% less transport CO2 for the ave UK urban resident. If 1 in 5 did this in 🇪🇺 it’d cut emissions from all 🚗 travel in 🇪🇺 by 8%. The potential impact of active travel on CO2 could be huge

New work from our AIMS Research Group and The Canadian Prehabilitation Network.

Any driver who has a problem with traffic cameras wants to put other people in danger without having to suffer any monetary consequences for their recklessness. It's really that simple.

Love this photo of Alison greeting Madeleine! 🇨🇦 #bikesky

No better way to spend an afternoon.

Small effect size but interesting, especially the effect on bleeding - transfusion. Big cases first?

New from @glaucomflecken.bsky.social The FLUID Trial! youtube.com/shorts/0iNTO...

The world’s pettiest man has the nuclear codes. What a time to be alive.

It’s always the money.

The Red Maple A.Y. Jackson 1914

In the Northland Tom Thomson 1915

Just back from Paris. The quiet on the streets was the first thing I noticed.

New paper just dropped today, a secondary analysis using data from my PhD! Hard work spearheaded by Eimear Lusby. Link: www.sciencedirect.com/science/arti...

Autumn Foliage Tom Thomson 1916

“adding gabapentin to multimodal analgesic regimes did not alter the length of hospital stay or the number of serious adverse events.”

Autumn Woods Tom Thomson 1915

@sthjournalclub.bsky.social #RCoAUpdates TIVA vs volatile - patient centred outcomes definitely better. Less sick +sore. (Sorry can’t do alt text quick enough)

#RCoAUpdates IV paracetamol in a glass vial is 12x the carbon footprint of a tablet. We’re paying for convenience… #ansky

This ought to be engraved somewhere.

ACOG reaffirms that acetaminophen is safe for managing pain and fever during pregnancy. No reputable studies support suggestions like those in HHS’s recent announcement linking acetaminophen use in pregnancy to autism; in fact, high-quality studies show no such risk. https://bit.ly/47Wxc59

journals.lww.com/monitor/full... 😬115 patients (48 deaths so far) due to anaesthesia-related meningitis in Mexico. Condolences to patients, families, friends and support to the carers.

hi, medical toxicologist that knows a lot about Tylenol here👋 Claiming that tylenol use in pregnancy causes autism is fearmongering here's what you need to know 🧵

Great #MethodologyMonday post on assessing acceptability in a pilot trial. Highlights the MRC complex intervention framework that AIMS Periop has used in its frailty research.

Today’s run.

“Our hearts were ringin' In the key that our souls were singin'” youtube.com/shorts/eS8RC...

Church and Horse Alex Colville 1964

The Enchanted Owl Kenojuak Ashevak ~ Inuk 1960

Excellent review on non-insulin diabetes medications and the guidelines informing their perioperative use. How does your department's care align? Link here. www.bjanaesthesia.org/article/S000...

Remember this one?

RIP Drummond Rennie, @jama.com dy editor The @retractionwatch.com has a nice set of quotes from him - worth a read retractionwatch.com/2025/09/15/d...

Excellent thread on the purpose of universities and other educational organizations.

humans complaining about invasive species will never stop being funny to me

View of Bedford Basin Arthur Lismer 1916

The “school shooting industry” is one of the most depressing term I’ve ever heard.

Area man who dropped out of college and worked at his dad’s business before becoming premier and only showing up for work 50% of the time stands on the lawn of the home he inherited from his mom to tell young people that if they can’t find a job it’s because they’re not looking hard enough.

A uni in Aus did a study that showed that over 50% of drivers see ‘cyclists’ as less than human. We use ‘people on bikes’ to try and help humanise them. There’s a fair way to go! www.monash.edu/news/article...

Some examples of how language matters. Via @sightline.org www.sightline.org/2015/03/31/s...