Let's talk about using carbapenem antibiotics in patients with valproic acid (VPA) poisoning /1🧵

After multiple failed attempts, the conch was blown at 10:37. The 2025 Barkley Marathons begins in one hour. #bm100.

Arterial trauma is a rare, but potentially life-threatening complication of central venous catheter insertion. In this interrogation of two national databases of incident reports, outcomes included: • stroke (10%) • death (4%) #AnSky #MedSky https://doi.org/10.1111/anae.16570

Really nice article on TAPSE/TRVmax as a potential prognostic marker From the team at Nepean ICU, led by Emma Bowcock annalsofintensivecare.springeropen.com/articles/10....

Lucy Gossage wins the women's race at the Montane Winter Spine Race 2025 This was a redemption story for Lucy who was looking to reclaim this race after events in her personal life last year, soured the memory of her amazing 3rd placed finish…

Skytorial: pH management in DKA! I've been following debates about this for a *long* time (eg wrote this blog in 2016, which stands up pretty darn well: emcrit.org/pulmcrit/bic...) after years of arguing, lemme break down my take on this 😁

Looking forward to teaching on this again. Brilliant faculty and a really engaging group of delegates last year, I'm sure it will be just as good in 2025!

Another cracking thread from @katiewiskar.bsky.social !

Just occasionally, the physics and equipment stuff I learnt for the primary is actually useful.

A great selection. I'd also add CAPE-COD to this list. On the theme of less is more, HOT-ICU and ICU-ROX are interesting. Perhaps MEGA-ROX will give us a definitive answer.

Let's see how long this lasts then ...