If you're not in Christchurch, you're missing out! Come join the busiest emergency department in Australasia (Southern Hemisphere?) with incomparable small-city quality of life. "Fellow" positions open for applications for 2026: cdhb.careercentre.net.nz/Job/Emergenc...

... with 300,000 Actual Cases out there, every ICU bed in the U.S. would have (more than one!) post-influenza vaccine GBS ventilated patient occupying it. Literally everyone in the U.S. has died of vaccine-related harms, if enough of their theories are to be believed ....

Kiss of death.

My name is Ozymandias, King of Kings. Look upon my works, which contain sequences of flashing lights and images that may affect photosensitive viewers.

First peripheral vasopressors, now deferred arterial catheterization – critical care is becoming less-invasive every day. #medsky www.evidencetriage.com/p/arterial-c...

"The 2.3% gain in FEOBV binding in the anterior cingulate achieved over a 10-week intervention may offset the estimated 2.5% decline typically observed over a decade of natural aging." The face validity of a wee digital game "de-aging" your brain is just about nil. games.jmir.org/2025/1/e75161/

It's ANDROMEDA-SHOCK 2, another addition to this season's sequel list. Does the CRT assessment make it better than "usual care", or is the protocol the real star here? How can we unpack it to find out? #medsky www.evidencetriage.com/p/perfusion-...

🚀🌖

Happy Monday!

Don’t let this article make you anxious there’s something you’ll miss by not performing neuroimaging on children with behavioral disturbances. Even in this cohort grossly confounded by indication, truly important findings were rare. #medsky www.evidencetriage.com/p/lets-overs...

Re-skeet if you know what this is (and age yourself, publicly).

"Roseman University College of Medicine in Las Vegas welcomed its first class of 64 students in July. The school will feature a character-based curriculum that prioritizes ethics, empathy and integrity alongside medical knowledge." How many RVUs do you get for empathy. 😐

Just me and a few of my closest friends will be savoring your succulent data.

If you fly enough, eventually you'll encounter a medical emergency. Here's the result of over 70,000 in-flight consultations: #medsky www.evidencetriage.com/p/is-there-a...

"Private equity purchases of health-care assets increased from $2 billion in 2001 to $151 billion in 2021. Such firms now own at least 460 US hospitals, 409 hospices, 8% of dermatologists, 7% of gastroenterologists, 10% of medical oncologists ..." 🤢 #medsky www.thelancet.com/journals/lan...

I couldn't help but chuckle at seeing this on the PDF for an article today. It must be a high bar to hurdle to require a "sponsored content" label, when so much NEJM content is already grossly distorted by the study sponsors ....

Hard to think of someone who has been more influential in Clinical Informatics education – decades of enthusiasm and evangelism for our specialty, bringing critical informatics skills to practicing clinicians. 👏

"Phoenix Sepsis Criteria" is another well-meaning attempt to objectively define sepsis, but can we predict that future deterioration early in the emergency department? Yet again, probably not. #medsky #mlsky www.evidencetriage.com/p/hopeless-s...

Ahem we also had, at various times:

“No, Donald Trump does not look like that because he was exposed to ‘Agent Orange’, but that’s a reasonable question to ask, kiddo.”

unscheduled Epic downtime

Maybe the LLM has heard what you did last summer, but now it can be trained to *know* what you did last summer. #medsky #MLsky www.evidencetriage.com/p/llms-now-p...

<me, reading about New Delhi CRE> "Man, we don't even have MRSA, here." Mind-blowing, still.

The bizarre weather where the temperature goes up 5C at sunset.

You no longer have to hide in shame if you've been giving kids ondansetron all along. It works at home the way it works in the ED – a little bit, and a little bit is sometimes enough to make a difference. #medsky www.evidencetriage.com/p/you-can-ke...

I’ve had a theory that “authenticity” will be the most valued construct for the current generation growing up. As artificially-generated content explodes, verifiable human creations will become increasingly treasured.

If you’re excited about non-specific markers of infection claiming to be the next great (and $$$) thing in “sepsis diagnosis”, then you’ll be pumped for TriVerity. #medsky www.evidencetriage.com/p/triverity-...

A survey of "physician leaders" and interesting to see little mention of AI, but much more concern over the ongoing crescendo of unfortunate economic events: www.beckersasc.com/asc-transact...

Everyone who presents to a U.S. emergency department is federally mandated to receive care as per EMTALA c 1986, regardless of status. This is either paid for by emergency Medicaid or the hospital eats it (and cost-shifts it, ultimately). Nothing in the current shutdown conversation relates to it.

Looks like he misspelled “Epstein”.

Companies pushing fringe treatments (see: testosterone supplementation, various 'longevity medicine' treatments) have no incentive to test their therapies for efficacy, because then the general medical establishment would start offering them, cutting into their market share ... 🤔

"Doctors don't report what patients tell them" is actually "doctors don't record ICD-10 codes for all the symptoms reported". Not as exciting as I hoped when I started reading it, with fewer direct clinical implications. #medsky www.evidencetriage.com/p/doctors-do...

"Video Killed the Energy Budget" 😂 (tl;dr: AI video creation runs real hot) #mlsky arxiv.org/abs/2509.19222

This is kinda fun – if you wrap a baby in permethrin, you get less malaria. And less malaria leads to fewer hospitalizations and less malnutrition. A wee bit more frequent of a rash. 👍 www.nejm.org/doi/full/10....

Don't like doing your own coding? Well, why are you? #medsky #MLsky www.evidencetriage.com/p/yes-the-ai...

When a hospital is purchased by private equity, there is some evidence 1) salary/headcount gets cut, and 2) patients are harmed by it. This is another one of those stories. #medsky www.evidencetriage.com/p/private-eq...

Levadopa/carbidopa supplementation didn't seem to do much to help with motor recovery after stroke. Interesting question, thanks for studying it. #medsky jamanetwork.com/journals/jam...

#birdoftheyear Did you vote yet? www.birdoftheyear.org.nz

Oops – seems like the OpenPayments data is incompletely capturing the financial influence AI/ML vendors have over physicians and institutions. #medsky #MLsky www.evidencetriage.com/p/a-new-phys...

#birdoftheyear Did you vote yet? www.birdoftheyear.org.nz

How it started/how it’s going #nzpol Restoring something they cancelled and hoping everyone forgot …

So — yes, my guessing is non-optimal in a general sense, but knowing the Wordle is curated by an editor and biased towards “interesting” words, I find the lower-scoring strategy is rewarding more often than not …

“I’d like to join your professional network on LinkedIn.”

... there are a lot of countries that could use to their advantage the rapid degradation of trustworthiness with the U.S. Software engineers are eligible for straight-to-residence in NZ – a lovely place for a satellite office .... www.immigration.govt.nz/work/require...