Vous avez manqué notre live ? Voici un aperçu du discours inspirant du Dr Lemaire sur Paratus. 🎥 Conférence complète ici 👉 https://youtu.be/WdCAEkjzSwA?si=jNKBHYWKTT8QbzK4 #paratus #innovation #lancement

In French ICUs, use of renal replacement therapy for acute kidney injury declined over 12 years, while overall ICU mortality fell and practice shifted from intermittent to continuous modalities. zurl.co/xpSnE

🔥Fresh blog🔥 Hot take on RSI trial of ketamine vs etomidate RSI & EvK trials both show *more* BP instability with ketamine *but* lower mortality with ketamine 🤔 Cause of BP drops with ketamine? - Less pressor pre-intubation? - Ketamine provides analgesia (eliminating pain-as-a-pressor)? ... #1/2

End of an era, you will not be missed

"When our language shrinks, the human side of medicine begins to suffocate." That's why @drmattmorgan.bsky.social started a medical dictionary. We're highlighting our favourites in the lead up to Christmas. Today's word is Lifespill #BMJChristmas www.bmj.com/content/391/...

Oue friend Critical Care game is on sale for $55 (nl 70) Critical Care: The Game — Critical Care: The Game share.google/VhiBUtAMfbEe...

“Any faith that admires truth, that strives to know God, must be brave enough to accommodate the universe.” ― Carl Sagan, Contact

“There are many hypotheses in science which are wrong. That’s perfectly all right: it’s the aperture to finding out what’s right. Science is a self-correcting process.” ― Carl Sagan

Disney to everyone before AI: We will bankrupt your life if you put a Mickey anywhere on your product Disney after AI tells them they don't have to pay animators anymore: Disney Porn For Everyone

I would say that the important messages are that ketamine has been oversold and is not as harmless as all that, and that transient adrenal insufficiency is no big deal. Maybe a health economics analysis could be interesting... The more I read this study, the less I understand...Patients are

Precision Therapy for Sepsis: The End of the Beginning? | Critical Care Medicine | JAMA | JAMA Network #ccrdownunder 2025 jamanetwork.com/journals/jam...

“Creationists make it sound as though a 'theory' is something you dreamt up after being drunk all night.” ― Isaac Asimov

In a randomized trial involving critically ill patients undergoing intubation in EDs or ICUs, the use of ketamine for the induction of anesthesia did not lead to significantly lower in-hospital mortality than etomidate. Full trial results: nej.md/44EOlxB @criticalcarereviews.com

"It is important to distinguish between the amount of information and the quality of that information." — Carl Sagan

La semaine dernière, nous avons célébré le lancement médiatique de Paratus, quelle soirée incroyable Le meilleur reste à venir; restez à l’affût !🚀 #Paratus #Lancement

Distribution (très) théorique (donc fausse) des fluides

Tutoriel rapide / fluides Classification des solutés

Large language models can speed up screening and data extraction in critical care systematic reviews, reducing workload while keeping clinicians in charge of complex judgements and ethical oversight. zurl.co/dkIg7

"If we ruin the earth, there is no place else to go” ― Carl Sagan

"Science is not perfect. It's often misused. It's only a tool. But it's the best tool we have." — Carl Sagan

👉 Evidence is limited, but reducing β-lactam doses too early in AKI may underdose critically ill patients at the worst possible time. 🛡️ Delayed dose reduction (after reassessing kidney recovery ~48H) might improve mortality—but better prospective studies are urgently needed #idsky #EMIMCC

🆕⚡🔥🧬 BCID2 on Fire — Slashing Vancomycin Time in Staph Bacteremia Faster ID , Safer Care, Microbiology Spectrum, 2025 #IDSky #EMIMCC journals.asm.org/doi/10.1128/...

🆕🔥State of art review article by 🌟 s @drtoddlee.bsky.social @steventong.bsky.social Navigating the Challenges in Staphylococcus aureus Bloodstream Infection: A Practical Guide to Management #idsky #EMIMCC www.sciencedirect.com/science/arti...

🚨 REBEL EM Gear Available! 🚨 Show your love with our I Love EBM—REBEL EM Heart Logo collection! 🎉 T-shirts, hoodies, mugs, and stickers—perfect for the EBM community! 🫁💥 👉 Shop now and wear your passion! https://loom.ly/voSxpiI #REBELEM #EMIMCC #FOAMed

"If I finish a book a week, I will read only a few thousand books in my lifetime, about a tenth of a percent of the contents of the greatest libraries of our time. The trick is to know which books to read." — Carl Sagan

updating the IBCC chapter on ECMO any recent advances or important articles I should include? please share any recent practice-changing insights you’ve had about ECMO 🙏 (it’s one of the harder chapters to update due to high volume of new research)

My name is Paul and I am a coffee addict 🤔Review suggesting regular consumption reduces progression of liver disease, slowing progression to cirrhosis and HCC. (also reviews mechanisms) 👍Of benefit in pts with ALD, Viral hep, MASLD, and Cirrhosis 😀Can I have another cup?? #GIsky #IMSky #medsky

“One mile on a bike is a $.42 economic gain to society, one mile driving is a $.20 loss.” “Which means that Copenhagen, a city of 1.2 million people, saves $357 million a year on health costs because something like 80% of its population commutes by bike.” #CityMakingMath Some costs aren’t costs.

How do trainees learn to manage patients? @acadmedjournal.bsky.social Thanks so much to my collaborators and #PhDSky supervisory team #ClinicalReasoning #MedSky #MedEdSky #ClinEd #HPE #MedEd #AcademicSky academic.oup.com/academicmedi...

In critically ill pts, avoid adjusting initial doses based solely on early bloodwork. When pts present to ED, SCr/eGFR may not accurately reflect kidney fxn. These early labs represent pre-treatment📷(before IV💧, Abxs & resus). W/ these interventions, SCr/eGFR often improves #emimcc #medsky #pharmsky

Only 2 reasons to renally dose-reduce in ED 1️⃣Prevent toxicity 2️⃣Save💵(↓dose achieves acceptable levels but low-priority) In critically ill, underdosing early riskier than short-term toxicity so standard doses usually make sense until rpt SCr. SCr often ↓ w/ IV💧& supportive care #emimcc #EMsky #Rxsky

Coagulopathy in critical illness is portrayed as a dynamic hemostatic imbalance, where bleeding and thrombosis coexist, static thresholds fail, and the timing of anticoagulation, transfusion and endothelial protection shapes outcomes. zurl.co/YJ0qU

Today's Paper of the Day is: Diagnosis and management of autoimmune diseases in the ICU https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

"People’s opinions are mainly designed to make them feel comfortable; truth, for most people is a secondary consideration." — Bertrand Russell

We Dissent: Lessons From the 2025 Community-Acquired Pneumonia (CAP) Guidelines IDSA withdrew from what was to be ATS/IDSA CAP guidelines b/c of impasse over the panel's recommendation to treat CAP with antibacterial therapy when a viral pathogen is identified. academic.oup.com/cid/advance-...

We've selected our favourite words from @drmattmorgan.bsky.social's medical dictionary. Every day between 1 and 25 December, a new word will appear in the 🔗⬇️ #BMJChristmas Today's word is Cursorcrawl www.bmj.com/content/391/...

This discovery, combined with previous findings of amino acids and nucleobases in the samples, reinforces the theory that asteroids may have delivered key ingredients for life to the early Earth. Read more in NASA's official page: www.nasa.gov/missions/osi...

🧪 ICARUS-ED: Early albumin in sepsis? 📉 Minor gains in numbers, no real outcome benefit 💰 30x the cost vs crystalloids ⚠️ Outcomes > optics 🔍 Full breakdown: https://wp.me/pdrP8b-5oc ❤️ Like 🔁 Repost 🔔 Follow for more #FOAMed #MedX #MedTwitter #MedEd

🚨 calling future EM pharmacists 🚨 Baptist South will be at midyear recruiting for our next EM PGY2! If you’d like to meet with me in a relaxed setting, fill out the form below and let’s get to know each other over coffee - my treat! docs.google.com/forms/d/e/1F...

It took us a while to recognize euglycemic diabetic ketoacidosis (euDKA) in patients treated with Na-glucose cotransporter-2 inhibitors. It seems that we may have to be on the lookout for euDKA in patients treated with glucagon-like peptide-1 receptor agonists (#Ozempic #Zepbound)

"The price good men pay for indifference to public affairs is to be ruled by evil men." — Plato

Steroids in CAP is a 🔥topic #EMIMCC #idsky

“Real scientist are delighted when they find out they wrong... There are too many people in this world who want to be right. And too few who just want to know.” ― Brian Cox

L'atmosphère de la Terre depuis l'espace ! An orange les radicaux d'hydroxyle, en vert l'oxygène et en rouge l'airglow!

I am all for miracles because the universe we live in is far richer than we can imagine. The alchemy of stars, hydrogen atoms seemingly awakening to explore themselves, the scale and depth of everything around us... nothing we know is short of a miracle.

”Plasma measures of p-tau217 can accurately identify individuals in the preclinical stage of Alzheimer disease where interventions are likely to have the most benefit in delaying or stopping disease progression.”

treatment of severe/refractory hypoglycemia (IBCC update) commonly messed up in practice & literature 🤦‍♂️ key points: 🧃 IV dextrose gtts are good but not super effective 🧃 PO carbs are more effective 🧃 IV steroid for refractory dz 🧃 structured escalation 🧃 rarely needs ICU admit #EMIMCC

Something big is coming 🚀 Quelque chose arrive… Préparez-vous 🎙️ #paratus #paratuspodcast #readyforanything #emergencyresponse #launcingsoon

Crash course in hemodynamics: