Wow and the rate of pulmonary aspiration is 0.01% !

Discworld QOTD, from Snuff

I have only just discovered Epic: The Musical. As a ginormous fan of Homer I feel somewhat ashamed of myself. youtu.be/6K-eMKjo1bs?...

The podcast of @ics-updates.bsky.social is now on iTunes (my preferred Podcast platform) The first episode is amazing- a discussion on faith and medicine podcasts.apple.com/gb/podcast/i...

Well. This made me pause and reflect. “The Sovietisation of British Medicine” journals.sagepub.com/doi/10.1177/... @redneeraj.bsky.social you might like this

Our July 2025 highlight - a review, dissecting the evidence regarding the diagnostic value and utility of #PHUS link.springer.com/article/10.1... #POCUS #Prehospital #Ultrasound #USS #12Days

Our final 2025 highlight The stunning success of the Oslo HEMS conference 2025 - outlined in the meeting abstracts. Published #free and #openaccess in the Scandinavian #Journal of #Trauma #Resuscitation and #EmergencyMedicine #12Days link.springer.com/article/10.1...

Bro

Super Metroid. Still amazing, and has a whole genre named after it (Metroidvania). Haven’t played it in years but regularly watch speedruns and randomiser runs.

Me too Thanks for sharing.

Sakaguchi or some other guy: heyyyy uematsu-san we just realized that we don't have a title screen theme for the game can you do something real quick uematsu, probably between labeling City Pop records: oh sure let me just whip up the fucking Prelude in 30 minutes i'm sure it won't be iconic

More amazingness I did not know any of this about Nobuo Uematsu, iconic Square Composer from this to One Wing Angel in 20 years is just incredible

This whole thread is golden I’ve learned random things that I didn’t know before. Nero/Rome is 🤯

#EchoHawaii Course Director Stephen Little, MD, FASE invites all echocardiography enthusiasts to join us for this premier course, taking place January 19-22, at the Fairmont Orchid resort on the Kohala Coast of the Big Island! Sign up today: bit.ly/4qu6h7K

apply for the @jamanetworkopen.com editorial fellowship! excellent opportunity for early career academic physicians interested in medical editing:

Are you an experienced Anaesthetist searching for a role where your skills and passion can truly make an impact? Bendigo Health is offering exciting permanent opportunities to join a team dedicated to excellence in care, professional development, and a supportive work environment.

Made a new playlist

✨ As the new year begins, we’re looking ahead to two exciting events: 📅 The Role of the Appropriate Adult webinar – 28 January 2026 📅 Virtual Adult Safeguarding Day – 21 April 2026 Free for FFLM Members, Safeguarding Day is free for all! Book now: https://fflm.ac.uk/product-category/events

Anyway, if you are just doing your best to try and exist, don’t forget that just doing your best to try and exist can still be enough to inspire others and still be enough to make the world a better place ❤️✊🐘

Oh

Timeline cleanse (much needed right now)

Thoughtful blog on a story doing the rounds at the moment dauk.substack.com/p/friend-or-...

Just planning out the year's engagement plan on @bsky.app

This year on Bluesky I wrote 251 posts and 316 replies. I received 1,686 likes, whereas 30 was from my most popular post, and apparently I love saying "not" and 🤣! www.madebyolof.com/bluesky-wrap... Thanks to @redneeraj.bsky.social for the HT

Wow. End of an Era.

I won’t say the catchphrase but it’s how I feel, loved Isiah Whitlock Jr in the Wire www.bbc.co.uk/news/article...

❗Registered for our TTE, ACCE, TOE, CHD and Level 1* practical on Saturday 28 March and Sunday 29 March 2026? Remember logbooks must be submitted by 17:00 on Thursday 8 January 2026 Places remain for TOE, CHD and Level 1: www.bsecho.org/iCore... *No Video case collection for Level 1

Very interesting reply thread. My morning round is the business round and the evening one tends to involve more philosophy and abstraction. Got something to aspire to. Thank you Peter!

New post! There was a lot of innovation in medicine and biomedical research this year, and I've tried to summarize the biggest ones in this blogpost. Medical breakthroughs in 2025. Plus a serious note at the end. www.scientificdiscovery.dev/p/medical-br...

RCT: Intracardiac echocardiography is non-inferior to transesophageal echocardiography for thromboembolic prevention in atrial fibrillation ablation, with added benefits in safety, efficiency, and patient comfort. ja.ma/3MU7jKS

Genuinely curious as to why this has started doing the rounds again but I'm scared @drfreeze.bsky.social will start bullying me like he did when I asked beoree so I'm offering another one to placate him: Dune 3: Dune 2

Great summary of driving pressure and overview of DESIGNATION. Maybe check out some of my old physiology musings too 🤪 www.pulmccm.org/p/can-drivin... @zentensivist.bsky.social @drfreeze.bsky.social @www.pulmccm.org @pulmcrit.bsky.social @maxhockstein.bsky.social

Want to have your research showcased at the first BSE Ireland? 💚 turn complex clinical scenarios into opportunities 💚 deepen understanding of disease processes and refine diagnostic skills Case submissions deadline - Thursday 8 January Learn more: bsecho.org/Public/Pu...

Paul Atrides and the Prisoner of Arrakis

Amazing research by @benoyshah.bsky.social et al. on Conflict of Interest amont ESC guideline authors. It's quite a shame. www.sciencedirect.com/science/arti... #cardiosky

I try to copy some of the bigger news items over here, when I have the time.

‪It has a name now 😜 Many thanks to Ken for agreeing to put his good name to my...artwork. The image is in the public domain (CC 0), but citations to the linked documents are warmly welcomed. ✅ zenodo.org/records/1808... ✅ pubmed.ncbi.nlm.nih.gov/24452418/

Now this is really interesting A seemingly massive advantage of VP over VV when there is RV dysfunction/RV- PA Decoupling What about flow though? Or do we need to consider more V-VP ECMO up front for resp failure with associated RV failure…?

www.theguardian.com/society/2025... …

I had planned for 60. Did retire and return at 59 and continued on reduced hours till 62. Saw daughter through uni. Recommend gradual slow down- still enjoyed the job, ditched the more onerous parts, made sure succession in place for specialist service. However health has now limited opportunities

Thanks Prof. Will have a considered read in the morning. I note a contributor is the ever-wise @robjimfleming.bsky.social

what you can't know is what your state of health will be and that can be a determining factor and also what caring responsibilities you may have and also whether the job becomes no longer do-able - either cos of own energy levels or because of the technology/requirements/role changing around you

"protocol for a Clinician Turing Test." Well that sounds fasincating... Evaluating #AI-based comprehensive clinical decision support for sepsis and ARDS: protocol for a Clinician Turing Test. Angeli Gazola A, et al BMJ Open. pubmed.ncbi.nlm.nih.gov/41448698/

Explain your username Short story: it's my first name with the initials of my surname. Longer story (and I warn you not that interesting a story): my surname used to be Chowdhury. I started doing stand-up and did at one point consider doing it more seriously. I decided it'd be useful to have

Merry Christmas to all. defector.com/what-did-we-...

10/10 Men in Black reference

@parthaskar.bsky.social nails it Converting LED posts to training posts is robbing Peter to pay Paul www.bmj.com/content/391/...

Lupin be like

Something that’s rarely if ever mentioned in guidelines and manuals about echocardiography is always asking the question «do the numbers add up?» This is not just central to divulging measurement error but also harder to find pathologies. #echosky #pocusky