You know all those so-called aerosol-generating medical procedures? Some of them don’t generate any aerosols… Via Joe Vipond. www.nature.com/articles/s41...

Mammoth guidelines on vascular trauma, well worth a read: www.ejves.com/article/S107... #EMIMCC #MedSky

En 2022, 40 % des Québécois disaient avoir eu besoin de consulter un médecin au cours des 12 derniers mois et souhaitaient le faire, mais finalement ne l’avaient pas fait. Maintenant, c’est plus de 50 %. Le problème d’accessibilité est donc encore plus important qu’il y a 3 ans. shorturl.at/4SYLX

Les conséquences scientifiques du démantèlement de l’État américain www.ledevoir.com/opinion/idee...?

TLDR and take-home key points: ✅ PTZ 3.375g IV Q6H is effective for MIC ≤8 mg/L ✅ Neither standard nor high-dose achieves 90% PTA for MIC ≥16 mg/L w/ short infusions ✅ Extended infusions are key for high-MIC infections! #medsky #pharmsky #EMsky #IDsky #MedEd #AMSky #emimcc

And it’s out! The 7th edition of How to Read a Paper, coauthored with new blood in the shape of my ex PhD student Paul Dijkstra @drpauldijkstra.bsky.social. So good working with you on this Paul!

If they pull PubMed, do we have a plan B? #academicsky?

Amid the political chaos in Ottawa, long-sought health reforms now look unlikely to pass. @cmadocs.bsky.social president, Dr. Joss Reimer, and Health Minister Mark Holland weigh in on the challenges and the stakes — and what’s at risk if we fail to act in 2025. canadahealthwatch.ca/2025/01/02/c...

Hello BlueSky! We are so excited to be here and are thrilled you're here too! At ACEP, we support all things emergency medicine and can be a reference for anything you need as an EP. #acepnation, we stand with you and are here for you 24/7/365!

Bonne nouvelle pour tout le monde 👇 cc @fmoq.bsky.social (vous devriez publier ici)

Really thought-provoking. Sensible arguments by John G. F. Cleland in JAMA cardiology question long-term aspirin in secondary prevention. jamanetwork.com/journals/jam....

hard cosign from a nicardipine stan 😁 in general the pathophysiology of most hypertensive emergencies is excess *vasoconstriction* using a beta-blocker to treat vasoconstriction can precipitate hypoperfusion, because you’re not fixing the problem #EMIMCC

Last year, the Canadian Medical Association Journal published an article on a scurvy case in Toronto. Scurvy is almost never in advanced countries like Canada. This year we learned of 27 more cases in the Lac La Ronge Indian Band in Saskatchewan.

En rappel, des éléments de réflexion de MQRP sur l'obligation des nouveaux médecins de travailler 5 ans au public. Reconnaître que le privé est un enjeux, bravo! Favoriser une solution temporaire rendant le privé possiblement plus accrocheur, pas si sûre... mqrp.qc.ca/2024/11/frei...

On doit améliorer l’accès à notre système public de santé, dont l’accès à un médecin. C’est pourquoi on a déposé un projet de loi pour obliger les nouveaux médecins omnipraticiens et spécialistes à travailler dans le réseau public, au Québec, pendant les cinq premières années après leurs études.

Ever since the Dobbs ruling, when a Missouri doctor enters an ectopic pregnancy diagnosis into the electronic medical record, a large red banner pops up asking if she’s sure the diagnosis is accurate. If the embryo or fetus has a heartbeat, she has to consult an attorney. Via Missouri Independent

Coming January - online evening course based on the book ‘Qualitative Research in Health Care’ ed. Catherine Pope and Nicholas Mays. Self-paced learning with input from experienced qualitative researchers providing an accessible introduction to qualitative research. www.phc.ox.ac.uk/study/short-...

According to Dr. Goldman, 780 family doctors left the public system in Quebec in 2023, vs. only 14 in the rest of Canada. How can we avoid a downward spiral for our public system and our patients' access to care? www.cbc.ca/listen/live-...

After rigorous appraisal: IVT + EVT recommended over EVT alone (Level B recommendation) ⬇️

Important to combine tractable research questions with a complex systems approach to conceptualising problems & their solutions or mitigations. This paper is definitely worth reading.

We joined the Canadian Health Coalition and the Canadian Federation of Nurses Union on Parliament Hill today to urge PM Trudeau and Health Minister Holland to protect Canadians from out-of-pocket payments to access virtual care and nurse practitioner-led clinics. www.cpac.ca/headline-pol...

Entendu dans un reportage radio de Radio-Can que la Chambre de commerce demande à Montréal un moratoire sur l’aménagement de pistes cyclables et l’élargissement des trottoirs pour améliorer la fluidité automobile😮 Doug Ford sors de ce corps! SVP : lire ce texte ici.radio-canada.ca/nouvelle/211...

Wow. Such an important topic and very well exposed in this paper. Harmful phrases from patients' perspectives.

The November 2024 Research Roundup and BroomeDocs podcast Another month of interesting, arcane, important, or baffling articles. #FOAMed

Santé Québec déploie une solution québécoise en intelligence artificielle pour mieux orienter les patients, plus rapidement. Pour lire la chronique complète : www.lapresse.ca/affaires/chr...

Could not agree more! I suspect that the greater danger in our era is not overlooking sepsis, but misclassifying other types as shock as «sepsis» and delaying correct therapy or worse giving harmful therapy. #emimcc

Be darking up early

J’ai regroupé dans cette petite liste des personnes dans le domaine de la santé: médecins, pharmaciens, paramédics, professeurs, etc. J’en ai oublié? Écrivez-moi dans les commentaires! go.bsky.app/FHp2x2t

My top personal motivation for joining bsky were to find: /Mes top raisons pour joindre bsky: @trishgreenhalgh.bsky.social And for emergency medicine: @thesgem.bsky.social @first10em.bsky.social @petrosoniak.bsky.social Thanks, bsky!

For a searchable directory of starter packs, try blueskydirectory.com/starter-packs.

@sheencr.bsky.social @trishgreenhalgh.bsky.social A pandemic recipe in the making?

Cardiogenic Shock CCR Journal Watch criticalcarereviews.com/latest-evide... Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/...

Rawdon

Re-upping this article about H5N1 to provide some basic public education. canadahealthwatch.ca/2024/04/05/h... [Thread 1/3]

more evidence to support short-course antibiotic therapy after severe brain injury to prevent pneumonia 😃 small study, but consistent with PROPHY-VAP trial prior evidence along this vein is reviewed here: emcrit.org/pulmcrit/pro... #EMIMCC

youtu.be/AWMiG_7PwbM?... In settings, you can allow YouTube videos to play in the Bluesky app. Let’s try it out. Here is one of my top 5 favorite skits.

Reporting guidelines for qualitative research (these seem quite good): www.tandfonline.com/doi/full/10.... Thanks to @researchandv.bsky.social for the spot!

Thread for those new to BlueSky. First of all, welcome. It feels like a safer space, doesn’t it? But also perhaps a bit disorienting initially? Here’s some tips for getting your bearings.