🎓 Ouverture du colloque national des Espaces de Réflexion Éthique Régionaux (#ERER) à Reims ! Deux jours pour penser ensemble l’accès aux soins des personnes en situation de handicap : justice, autonomie, solidarité et dignité au cœur du débat. 👉 Programme : erege.fr#Ethiqueu#Handicapa#Santéé

Substituted judgment in surrogate decision-making rests on a shaky moral assumption: authenticity. Since patients differ in how “authentic” their lives are, “what the patient would want” can’t always be decisive. 🔗 doi.org/10.1080/1526... #ResearchEthics

Verdict cette année au lendemain des vaccins: mon épaule gauche (ARNm COVID) est deux fois plus gonflée que la droite (grippe) quasi indolore. Si vous hésitez gaucher/droitier vous le saurez. La campagne de vaccination c'est maintenant, pas en janvier. #Rappel

🫀 Journée mondiale du don d’organes. Merci à nos partenaires engagés : @MProvence, @Chiesi, @Département13, @FranceADOT, @univ-amu.fr, @SFT. Parlons-en. Ensemble, on informe, on transmet, on sauve. 💬 Et vous, en avez-vous parlé à vos proches ? #DonDOrganes

📊 @jama.com study by @emilymoin.com shows how U.S. ICU care changed 2014–2023: - Mortality ↑ during COVID, then returned to baseline - Mechanical ventilation ↓ below prepandemic levels - Vasopressor use tripled, remains high ICU practices are shifting. doi:10.1001/jama.2025.2163 #CriticalCare

🧠 In @nejm.org, Raja-Elie Abdulnour et al. warn: AI in medical training risks deskilling & mis-skilling. They propose DEFT-AI to teach critical thinking & safe human-AI collaboration. Verify, then trust. 📖 doi.org/10.1056/NEJM... #ResearchEthics #MedicalEducation

🚨 New Publication Alert “Chat-IRB? How Application‑Specific Language Models Can Enhance Research Ethics Review” — now available online ahead of print in the Journal of Medical Ethics (5 August 2025). jme.bmj.com/content/earl...

🧠 Can AI support ethics committees without replacing them? Porsdam Mann & @briandavidearp.bsky.social propose IRB-specific LLMs to streamline reviews, reduce delays, and assist—not replace—human judgment. A major step to ease the daily burden. 📖 doi.org/10.1136/jme-... #ResearchEthics #AI #Bioethics

Is Suffering a Useless Concept? www.tandfonline.com/doi/full/10....

new RCT just came out on the management of acute necrotic collections (ANC) that may complicate necrotizing pancreatitis ANCs are early sterile collections containing fluid and sometimes debris they *lack* a well-defined wall (unlike pseudocysts or walled-off necrosis)... 🧵 #1/ #EMIMCC

🧪 In AJOB, Jake Earl et al. warn of a new ethical risk in clinical trials: the Social Value Misconception. Altruistic participants may falsely believe in exaggerated benefits for society—compromising consent and autonomy. 📖 doi.org/10.1080/1526... #Bioethics #ResearchEthics

😷 In @atscommunity.bsky.social , Lautrette et al. find that ICU visitation restrictions during COVID-19 didn’t increased anxiety, depression, or PTSD in relatives. Key risk factors : Female, spouse, poor communication. 📖 www.atsjournals.org/doi/10.1164/... #ICU #MentalHealth #COVID19

🧠 In @accpchest.bsky.social, Dr Tietbohl & Moss explore strategies to improve surrogate informed consent in ICU research: Dedicates Research Coordinator (over PI), timing, trust, and clarity matter most. Time to standardize and fix consent! 📖 journal.chestnet.org/article/S001... #ResearchEthics

#Cardiacarrest from neurological causes: for whom the brain tolls - Resuscitation www.resuscitationjournal.com/article/S030... @resuscitation.bsky.social @stlegriel.bsky.social #marinepaul

Now published 🚨 When to create embryos or organoids for research | Journal of Medical Ethics jme.bmj.com/content/earl...

On a besoin d’un petit coup de main 💬 On recrute des infirmier·ères en psychiatrie pour nos équipes à l’Hôpital de la Conception, à Marseille. Un partage, un relais, un mot : ça peut vraiment aider. Merci à celles et ceux qui feront passer le message 💙

🧠 In J Med Ethics, Sebastian Porsdam Mann & @briandavidearp.bsky.social argue that how we define moral status—by potential or current capacities—should guide the ethics of brain organoids and human embryonic neural tissue research. 📖 jme.bmj.com/content/earl... #ResearchEthics #Bioethics

🫀 Landmark innovation in #HeartTransplant: in today’s @nejm.org Williams et al. present REUP, a low-cost, ethically sound method to recover hearts after circulatory death—no ex situ device, no reanimation. Early results looks promising. 📖 doi.org/10.1056/NEJM... #Graft #Transplantation

🦠 In ICU pneumonia, rapid PCR like FilmArray® helps diagnose—but can it predict outcomes? Julien Dessajan et al. show that FA-PP tracks bacterial decline but fails to foresee clinical success. Initial test: yes ✅ Repeat testing: not so fast 🚫 🔗 doi.org/10.1186/s130... #IntensiveCare #VAP

🧪 In a national survey, @haaserthibaud.bsky.social et al. show 84% of oncologists face therapeutic misconception—yet many miss or even reinforce it. Ethics training changes that. 🙌 It’s time to act to strengthen consent and research integrity. 📖 doi.org/10.1186/s129... #ResearchEthics

@drn4z.bsky.social: Maybe it’s worth a shot? Let’s bring it up with Philips next time we meet about ICCA!

👨‍💻We are still stuck with digital versions of paper charts! Chute in @intenscaremed.bsky.social calls for normalized EHR data to unlock clinical insight such AI and interoperability. We must rethink our EHRs—the future demands structured data. 🔗 pmc.ncbi.nlm.nih.gov/articles/PMC... #ResearchEthics”

📺 "Au nom de la science, la recherche sur l'homme" : l'encadrement de la recherche médicale, du procès de Nuremberg aux lois actuelles. Scandales et prises de conscience font naître une éthique de la recherche. 👉 10/07 20h30 LCP : www.lemonde.fr/sciences/art... #Consentement #ResearchEthics

🧠 Can you truly give informed consent if you can’t grasp the outcome? Daniel Villiger tackles the “ignorance challenge” and defends informed consent—even under deep uncertainty. Autonomy & vulnerability… 🔗 doi.org/10.1080/1526... #Bioethics #MedicalEthics #ResearchEthics

🗣 Niek Kok et al. explore how clinicians and families reconstruct treatment preferences for patients with disorders of consciousness. Three epistemic models—correspondence, coherence, and communitarian—frame this ethically charged practice. 🔗 doi.org/10.1186/s129... #ResearchEthics #Bioethics

oral vanco prophylaxis in patients with recent Cdiff who need systemic antibiotics: RCT with signals of efficacy (yet disappointing) I will continue using oral vanc prophy for now (should we be using *longer* vanc courses to prevent delayed Cdiff?) jamanetwork.com/journals/jam... #IDsky #EMIMCC

🧬 Just out in PLOS ONE: Asia Grigis et al. dissect how vulnerability is defined and managed across global research ethics policies. A call for clarity, a path to harmonisation — and a timely challenge for European ethics frameworks. #ResearchEthics #ClinicalTrial 🔗 doi.org/10.1371/jour...

🚨 New in Annals of Intensive Care! Giulia Merigo et al. show that adherence to post-cardiac arrest care guidelines improved over 14 years—but better adherence didn’t significantly boost survival or neuro outcomes. 🧠 Key? Haemodynamic optimization. 🔗 doi.org/10.1186/s136...

🧪 Ethics isn’t just paperwork — it’s the foundation of trust in biomedical research. This new JAMA article from Siebert reminds us: everyone involved, from labs to journals, shares the duty to uphold ethical standards. 🔗 doi.org/10.1001/jama... #ResearchEthics #ICMJE #Bioethics #OpenEthics

@euroneuro2025 in Paris great talk from Pr Lionel Naccache about how you understand conscience with epilepsia.

Le Monde has a livestream of the national philosophy exam 😆 commentator "can we say that these exam questions are difficult this year?" ; expert "no, they are perfectly doable". The breaking news is that RAWLS makes its first appearance in the history of the exam LETSGO

💧 Should fluid therapy in #ICU pts be shorter & more strategic? 🔹 Excessive fluid resuscitation=worse outcomes; 🔹#ROSE model & deresuscitation strategies aim to balance perfusion+ 💧 overload; 🔹Tools like US & bioimpedance can guide safe fluid removal criticalcarescience.org/article/flui...

Is Fluctuating Mental Status Evaluation an answer for neurocritical patients? The FMSE outperforms CAM-ICU & ICDSC, addressing gaps for brain-injured ICU patients (stocks & TBI). ↗️ accuracy, ↘️ misdiagnoses and ↗️ patient-centered outcomes. #Ethics journals.lww.com/ccmjournal/f...

Rapid multiplex molecular syndromic panel dramatically changed the way we manage infectious disease in critically ill patients. This “expert opinion” is welcome! ccforum.biomedcentral.com/articles/10....

Redite à peu près tous les 2 ans (car rien n'a changé): Le Tamiflu/Oseltamivir est toujours prescrit dans la grippes, notamment chez les patients critiques, pour une petite fortune. Je voulais féliciter les laboratoires Roche pour ce coup de maître, qui consiste à réaliser une série d'études,

Nouvel épisode du podcast #REA-gir sur l’étude TRAIN de Fabio Silvio Taccone. Discussion approfondie de la méthode et des résultats. Disponible sur les médias habituels dont Spotify: open.spotify.com/show/2hiKIAP...

ccforum.biomedcentral.com/articles/10.... : Organ donation is ethics in action: New research highlights emotional family concerns during ICU donor talks. Clear communication and empathy are essential to address fears, dignity, and post-decision doubt. Building trust, not just consent. #bioethics

Research ethics committees face many challenges, as highlighted in this Czech paper. It’s time for discussion at EU level for RECs. Less procedures for researchers, more discussion and sharing. #Bioethics #ResearchEthics bmcmedethics.biomedcentral.com/articles/10....

Rediscovering insights from a decade ago: Ioannidis highlights the timeless challenge of turning scientific breakthroughs into life-saving applications. His 2015 conclusion still holds: cross-disciplinary collaboration is essential for meaningful progress. jamanetwork.com/journals/jam...

“Not every check in the ICU is seizure”. Enseignement/partage entre neurologues et réanimateurs d’une même équipe médicale du plateau de soins critiques adulte. Ces moments d’échanges entre spécialités sont réellement la valeur ajoutée de cette nouvelle organisation en plateau technique.

“AI can’t worry about patients, but clinical decisions often require moral judgment. This thought-provoking JAMA article highlights the ethical boundaries and challenges of AI in healthcare. A must-read for anyone in medicine and AI ethics: jamanetwork.com/journals/jam... #clinical_ethics

Ateliers drainage péricardique pour les équipes du Plateau de Soins Critique Adulte… Comment rester compétent pour ces gestes qu’on ne fait pas si souvent? Ça reste un vrai défis pour nos services!

💉 Sedative Choices in #ICU 🧠 A great update on current landscape of sedation management in ICU: ➡️ New scenario& old tools ➡️ Concerning sedative choice ➡️ Monitoring sedation level ➡️ Inhaled sedation ➡️ Future directions criticalcarescience.org/article/enha... #ICU #PedsICU #FoaMed #CCS

Improving population sampling in clinical trials is imperative. Clinical trial populations must better reflect the communities they serve — a pressing issue still overlooked in the EU. #researchethics jamanetwork.com/journals/jam...

Biomedical research ethics is vital yet complex, with evolving laws and methods but little consensus on implementation. The Declaration of Helsinki remains a cornerstone—have you explored its latest revision? jamanetwork.com/journals/jam...

Do pharmaceutical treatments for ICU delirium offer real benefits? Managing a combative patient, especially at night with <1:1 nurse ratios, often makes treatment unavoidable. In my practice, haloperidol remains my go-to option. link.springer.com/article/10.1...

Une nuit, un jeune PH de Réa est sorti de son bureau à Clermont et a balancé a l’interne qui faisait sa première garde dans le service une pile de papiers à lire sur le SDRA. C’était ma première rencontre avec 2 géants. Et la certitude que j’étais à ma place, même si je ne comprenait pas tout.

How to prioritize and what perception from healthcare workers? French physicians disagree with “Rawlsian” justice principles. They prefer a “deliberative” organization. bmcmedethics.biomedcentral.com/articles/10....

The gap between “chronic” and “acute” ventilation is narrowing and it’s a good thing. Not sure it will be fully understandable with pressure/volume approach (😢 miss you NAVA…) jamanetwork.com/journals/jam...