Fascist. Mass murderer. Fellow of the @royalsociety.org.

At the last moment, ahead of next week’s action, the Government has moved and made a new offer for resident doctors in England. Strikes for 15–19 June have been called off while members vote on a new offer covering jobs, pay and progression.

Once again, for those at the back, the effort to refute bulls*t is 10x that required to produce it. Can we please stop doing high dose Vit C trials in critical care now?

#SODaBIC and #SAVEICU today. #CCR26 my current status:

Finished a week on call. So time to properly catch up with #CCR26 today. Wow. Carbocisteine and Hypertonic saline are out! I’ve already had 2 requests to present this paper at our journal club. Could this be our shortest time to implement evidence so far?

Just catching up with #CCR26 some really interesting trials this year!

#ccr26 is this week. Sadly can’t attend so will be following the live stream. Anyone got any interesting predictions to make? I’m expecting a surge of interest in bicarbonate… #emimcc #foamcc

Gutted not to go in person again this year 😢 but will be following along closely!

#CCR26 begins! 3 days of practice-changing clinical trial results, all from sunny Belfast! Join us at the foot of the famous titanic steps, or online at https://criticalcarereviews.com/

By Jim Benton

Lo and behold, the 4 sepsis phenotypes proposed by Seymour (jamanetwork.com/journals/jam... ) based on cluster analysis aren't reproducible in a multicenter cohort. #emimcc #medsky #stats

The EU's wider rules, which kick in from February 18th, 2027, are simple: Users must be able to remove and replace batteries with basic tools, or specialized tools that are provided with the product for free, and compatible spare batteries must be sold for at least five years.

You used to be able to google the time of the sunset, and Google would give you the exact time right on top every single time. Thankfully, with artificial intelligence, you can now ask Google what time the sun will set and it will conveniently tell you "I don't know."

udm14.com: An easy-to-use shortcut for an AI-free Google search. (Try it!) udm14.com

@tldrjack.bsky.social TLDR is so much better than other news outlets, it’s actually jarring to go watch an explainer on the BBC/C4. I don’t think I had realised how poor they had become without the comparison.

Serum bichbonbate. Artih. Bismolality… I think we have an AI article on our hands! @retractionwatch.com

I tried to tell y'all.

Consistent with climate change. Or emergency. The climate emergency. We might as well be honest.

On the tube

Question, @drfreeze.bsky.social @load-dependent.eurosky.social in the failing LV does the Frank-Starling curve actually fall again as pre-load increases? Or does it just flatten off down and to the right? (Like in the image)

I have blocked every combination of trump that I can think of. But 65% of my feed is still him. ARGH. 😣

RCTs have shown no benefit from IABP in acute ischemic cardiogenic shock, an observatiobal trial isn’t even hypothesis generating. No grounds for new IABP trials in this population in my opinion. #cardiosky #cccsky #emimcc

Quarto 1.9 brings Typst even closer to LaTeX parity with 📖 Typst Books, ✍️ margins for figures, tables, and citations via the Marginalia package, and 🛜 new typst-gather tool for reliable, offline rendering. Details here: quarto.org/docs/blog/po...

Estimating the cook time on a 16 hour BBQ, and serving on time, is nail biting.

➡️ BICAR-ICU: bicarbonate in severe ICU metabolic acidosis — no overall benefit, signal in AKI ➡️ BICAR-ICU 2 targeted AKI, but no clear answer ➡️ Are we changing numbers, physiology, or outcome? ➡️ SODa BIC picks up the uncertainty Register now: criticalcarereviews.com/meetings/ccr...

Noooooooooooooo. Gastrocnemius re-injured. My god. The third time. I cannot express how devastated I am 😢

Now do the NHS!! 🤞🏻

After France, Denmark is moving too: its Digitalisation Ministry plans to phase out Microsoft, switching to Linux and LibreOffice in the coming months. The goal is clear—reduce dependence on a handful of global tech giants and strengthen digital sovereignty.

I’m at the point where I think most sepsis (trial level) research is so fundamentally flawed that it is unlikely to show anything other that random noise. I don’t agree with everything Lawrence says, but he makes some extremely good points on this topic.

Prof Harrell really hits the nail on the head (again): "Target trial emulation runs the risk of serving as window dressing for inadequately designed observational studies". 100%; I'm seeing this everywhere now. www.fharrell.com/post/causal/

I really hope they don’t try and make more Star Trek for a decade or so. Current Star Trek is a weird blend of action and inter-personal conflict and just truly awful writing by people who don’t understand sci-fi or what made Star Trek special. Please let it rest 😢

Why must children today have water with them at all times and be given water breaks every 15 minutes? Seriously, is this some kind of conspiracy to maximally suppress ADH in all children? What could the possible benefit be to ensuring the maximum number of trips to the toilet??

Why do the Japanese like their buns askew (2026)

Not once in the 80s, 90s or 00s do I recall a politician urging the public to embrace email, mobile phones, texting, two factor authentication, online banking, air fryers, or to replace all their cassette collection with a CD collection. So forgive me if I smell a rat.

Just got around to watching the new scrubs. Wow. They nailed it. Totally on the nose.

In heterogeneous syndromes like ARDS and sepsis, I believe we generally are more likely to be able to find what causes iatrogenic harm than actual therapies. #emimcc #critcaresky

They’re here!

Brutal.

Happy First Contact Day 🖖🏽

He is risen

Even though I’ve muted quite a few trump and trump adjacent words, my feed is still absolutely full of him. I’m tapping out for a bit. It’s just relentless.

A truth that is widely applicable. Many of the people who think medical training can be shortened never take this into account.

“The last night I was a pediatric resident, a child came in with Hib and promptly died by the next day. I didn’t work for 50 years to have everything destroyed by one man.” -Dr. Kathryn Edwards, Vanderbilt University This is what RFK Jr. and the anti-vaxxers have wrought.

Just got the new Windows 11 April 2026 Update installed, wth is this Microslop?! 🤮

artemistracker.com 🚀🧑‍🚀T minus 10 hours!!

What’s the deal with all the age verification OS stuff? Can someone point to a good quality article to explain what’s happening.

Woo project Hail Mary was great! The book was miles better (may have to read it a third time 😬) but the movie was great! Phew!

Resident Doctors are back on strike. Full support from me. 💪🏻

For a moment I thought this was a gamblegram and the post was going to be about strong ions. Iykyk.

Happy "large enough n" day