This would be an amazing advance in the care of patients with neurologic disease if true (and accessible to patients)!

A gene therapy buzz: Did AMT-130 really slow Huntington's disease by 75% at 36 months? A press release say YES. The data not yet been subjected to peer review and publication. uniqure.gcs-web.com/news-release...

Come train with us! The BU/BMC NCC fellowship has an opening for a 1 or 2 year fellow beginning July 2026. Visit sfmatch.org/vacancies or message for details!

During my own job search, I was struck by how wildly academic offers vary—from $0 startup 😬 to multi-million-dollar packages 💰. Inspired by online datasets (ex: www.reddit.com/r/AskAcademi...), we surveyed PCCM physicians about their offers 📊.

hi, medical toxicologist that knows a lot about Tylenol here👋 Claiming that tylenol use in pregnancy causes autism is fearmongering here's what you need to know 🧵

INCC Keynote speaker Dr. Altaf Saadi presenting her keynote this morning, "Bending the Arc: How Health Care Professionals Can Speak Up and Out for Change." #NCS2025

Dr. Brian Coffey, this year's DEI Abstract Award Winner, presented on his abstract, "Toward Equitable Care After Cardiac Arrest: The Impact of Race, Ethnicity and Insurance on Outcome at Two Safety Net Hospitals." #NCS2025

Switching from 1% to 2% propofol in ICU sedation cut greenhouse gas emissions, waste, and costs, with savings equal to over seven Paris–New York flights annually, showing concentration adjustment as a path to greener critical care. zurl.co/DHWbi

The COMA (certain of missing awesome) has begun 😭 Hoping for a productive meeting for all my friends and colleagues at #ncs2025 @caseyalbin.bsky.social @namorrismd.bsky.social @ajwpharm.bsky.social

Afternoon workshops on ENLS simulation and 2025 informatics/big data/AI have kicked off! Annual Meeting workshops provide attendees the opportunity to learn in small-group settings and gain expertise from neurocritical care professionals with hands-on engagement. #NCS2025

In academia, this fleeting moment of internally derived self-worth is quickly followed by reviewer 2's feedback:

Do you give 23.4% #hypertonicsaline at your center? If not, why not? Will this data help? link.springer.com/ar...#hypertonicsaline #neurocritcare

New preprint - A Modified Delphi Consensus-based Comprehensive Checklist and Angoff Standard for Assessment of Competency in Brain Death/Death by Neurologic Criteria Determination. Thanks to co-authors, especially @namorrismd.bsky.social! www.medrxiv.org/content/10.1... #neurology #critcare #MedEd

🆕💫PROTECT RCT Ceftriaxone to prevent early-onset pneumonia in comatose patients after out-of-hospital cardiac arrest: a pilot randomized controlled trial and resistome assessment (PROTECT) #IDsky #EMIMCC @pulmcrit.bsky.social journal.chestnet.org/article/S001...

I spent 2020 taking care of critically-ill COVID patients & was so grateful to receive the vaccine that felt like a miracle of science. The vaccine reduces the risk of transmission to vulnerable people & since then has saved millions of lives. What are we even doing now? apnews.com/article/vacc...

ICU Facts: In my experience, in any decent size ICU (~15 beds), at any point in time, there is at least 1 patient with unequal pupils (anisocoria). People are often freaking out & rush to get a CT brain to rule out intracranial bleeding... Just think hard before reflexively doing this

Do we drain? Operate? Observe? Where’s the line between doing things *for* someone and doing things *to* them? There are no perfect answers. Only imperfect humans making impossible choices with love. And in the middle of it all, hope persists.

P-values are fraught with hazard, but SO IS BAYESIAN STATISTICS the Achilles heel of Bayesian stats is that someone determines a pre-test probability distribution (usually arbitrarily) The pre-test probability is often too high This inflates the final posterior probability 🧵 #1/4 #EMIMCC

Congratulations to all the newly matched #NCC fellows! Wonderful to meet many of you during the application cycle. Welcome to our challenging and fantastic field!

This week on the show, Leeah Sloan gives us the straight scoop on the new CHEST critical care APP certification program. icuscenarios.com/lightning-ro... #medsky #emimcc

Not everything labeled alternative therapy for Parkinson's is snake oil. Should we be rethinking PD therapies in 'shades of grey.' Instead of labeling treatments as either evidence-based vs. alternative, how about a spectrum of credibility grounded in science, patient perception, real-world impact.

I decided August is Women in Neurology Month (August 31 is Women in Neurology Day, you should celebrate it, probably with cake) ...so listen to this @GreenJournal Minute on Tilly Edinger, paleoneurologist (it contains a funny paleoneurology poem!) www.aan.com/education/ne...

Also NCC/stroke staff re: gen neuro floor

Don't have a simulation course that meets your learning objectives? Borrow someone else's! "Shared" simulations have the potential to improve learner confidence and knowledge: www.neurology.org/doi/10.1212/...

in case you haven’t heard me rant about fentanyl gtts, see this blog: https://emcrit.org/pulmcrit/pulmcrit-fentanyl-infusions-sedation-opioid-pendulum-swings-astray/ dubious whether long-acting or continuous opioids help for acute pain we largely eliminated fentanyl gtts in MICU 👋 #EMIMCC

APPs—come do a CCM fellowship with me in WV! www.camcmedicine.edu/departments/...

Where are we at with post-grad APP training residencies/fellowships in critical care? We chat with Melissa Bridges for the inside scoop on what makes a good program, who should attend one, getting in, and more. icuscenarios.com/lightning-ro... #medsky #emimcc

A bit late in sharing, but proud of this piece published in @pedneurojournal.bsky.social. As DEI efforts face backlash, we argue why neurologists must stay committed to equity for the health of our profession and our patients. www.pedneur.com/article/S088... @dianacejasmd.bsky.social

1st line therapies for constipation: 💩 mobilization 💩 less opioids 💩 provide nutrition, enteral water, and fiber 💩 polyethylene glycol powder - probably best single agent (effective but gentle) if you remember one thing from this thread: remember that polyethylene glycol powder is GREAT #3/7

As a junior resident, I participated in a peer-led simulation course on neurologic emergencies. It was developed by @caseyalbin.bsky.social but she had moved on from the institution. We (with Galina Gheihman) explore what might lead peer-led courses to persist: www.neurology.org/media/blog-p... 1/🧵

Congratulations to all the soon to be newly minted neurologists and neurointensivists! What a privilege to celebrate our BU/BMC grads last night!

In our editorial for Neurology: Education, Megan Jiao and I make a case that if we want serious games in #Meded to be taken seriously, we need to treat them like any other intervention: with transparency, rigor, and reproducibility. 1/2 www.neurology.org/doi/10.1212/...

Reminder: tube feeding for the treatment of dementia is nonbeneficial. Yes, this is counter-intuitive. But it's been established for decades. Evidence & guidelines indicate that tube feeding doesn't prolong survival or confer clinical benefit. article: jamanetwork.com/journals/jam... #EMIMCC

My superpower as a resident and fellow was connecting with strong mentors. Looking forward to sharing my experience and learning from Drs. Wahlster and Suarez!

You intubate a patient smoothly with roc & ketamine After connection with the vent: - oxygen saturation is 98% - etCO2 tracing & values are normal - breath sounds are symmetric the vent starts alarming for a 60% air leak you ascultate the neck & cannot hear a leak what is happening? #1/2 #EMIMCC

giving FFP to a patient with cirrhosis will make the INR look better but is unlikely to actually help the patient clot. INR reflects clinical coagulation for patients on warfarin, but not in cirrhosis/DIC. (https://emcrit.org/ibcc/cirrhosis/#coagulation_management_in_cirrhosis:_active_hemorrhage#coagulation_management_in_cirrhosis

Since this was published yesterday, NPR reports JAMA joins NEJM on the list of journals that confirms they’ve been sent threatening letters by Trump’s DOJ, ominously referencing their tax-exempt status in a bid to compel regime-friendly editorial choices. www.scientificamerican.com/article/the-...

Great to see AAN President, Dr. Rost on Bluesky! @nataliarostmd.bsky.social @aanmember.bsky.social

Looking forward to giving an update on SONAr (Study of Onboarding for Neurology APPs) today in the poster hall (neighborhood 5) from 1145-1245 @aanmember.bsky.social #aanam. See you there!

Looking forward to discussing EPA-based assessment and APP self-assessment tomorrow (4/8) @aanmember.bsky.social during S28 at 330p in the education room (28A-C)! @caseyalbin.bsky.social #aanam

Thanks for having me, @neurologylive.bsky.social! Appreciated the opportunity to discuss Kate Swider's work on Neurology Education in NP programs: www.neurology.org/doi/10.1212/...

First update on physician assistants in neurology practice since 1999: jamanetwork.com/journals/jam...

People also forget that Darwin was 1.0 clinical FTE this whole time

'Medicine's identity as a profession with a “calling” is not eroding, it is just evolving.' 👏🏼 www.neurology.org/doi/10.1212/...

happy Pi day to all who celebrate 🥳

Pressor of choice in severe TBI? 1️⃣ Norepinephrine 2️⃣ Phenylephrine 3️⃣ Something else 4️⃣ Doesn't matter! 📊 Show results

There are concerns that Bluesky's impact has faded since the initial hype. This is false. That impression results from reading headlines about social media instead of the hard data. The five HIGHEST points of Bluesky posts mentioning research all occur in the last 2 weeks.

I’m a pediatrician and I love Medicaid pass it on.

I think this is brilliant.