#Whamageddon begins. Who’s in?

EMCrit 413 - Translating Recent Sepsis Papers to the Bedside with @PulmCrit (Farkas) - Confounding Effects of Vasopressin - Perfusion Index? - Echo-Pressor-Echo & so much more... [#FOAMed for now] emcrit.org/413

Read this. A scrappy indie outlet standing up to Farage’s bullyboy lawyers in a way that should shame better-funded outlets

This is what happens when as a single condition health charity you’re overly focused on those who die of your condition and you don’t consider outcomes for those who don’t, or the opportunity costs involved for NHS. PCUK are particularly guilty but they’re not alone. www.thetimes.com/article/4487...

Welcome Shabana Mahmood to your next four years of headlines!!!

Thought-provoking blog post on a head & neck surgeon who got a H&N cancer - www.bda.org/news-and-opi...

It's part of the electionification of everything, which is why we as a country are failing to have a proper conversation about our actual problems. It's bad for the left *and* the right.

💔 #MND Pls support the @mndassoc.bsky.social

I'm not sure how much it is appreciated that there will be significant emigration coming. Those here on graduate visas coming to an end, the toughening up of skilled worker rules re. salaries/sponsorable roles and the 'earned settlement' changes to come. Lots of people are going to leave.

Todays #ThankYouThursday is for our A&E department!

🟢🟡 A Point. One Solitary Point. Wahoo! 🗣️ @garygowers.bsky.social ▪️Fair play to the optimists... salutations ▪️A team that's forgotten how to win ▪️We're Norwich - we're not allowed nice things LINK: norwichcity.myfootballwriter.com/2025/11/26/a... #ncfc

EXCLUSIVE Racist Offended by Accusations of Racism. Expressing his frustration that he keeps getting called a racist, a Clacton racist finally broke his silence on Monday. More: mrhenrymorris.substack.com/p/racist-off...

All the supposedly progressive people saying 'Nigel Farage's racism doesn't matter. His fans love it'. It matters whether the leader of the party leading all the opinion polls is an outright racist. It matters if he called black people 'wogs' and said 'gas them' to Jews. Not everything is a game

Reminder that In the 1990s Farage sought the backing of the disgraced former Conservative MP and notorious racist Enoch Powell and twice asked him to stand as a candidate for UKIP. www.theguardian.com/politics/201...

www.theguardian.com/news/audio/2... This SHOULD be seen by everyone - especially those who are thinking of voting Reform

“Everything that needs to be said has already been said. But since no one was listening, everything must be said again.” www.channel4.com/news/nigel-f... Nigel Farage was, is and always will be a racist.

We pour billions into saving an economically tiny steel industry whilst actively destroying one of our largest export industries. (Yes, higher education to overseas students who already massively subsidise UK students, are counted as exports).

To add to this - it's not like the public is being well served by broadcast news moving at the pace of 24 hour scrolling and the politically obsessed - it just means every election large numbers of people end up googling 'what is austerity?' 'What is brownfield?' etc. etc.

A movie that takes place where you're from

I think this sums up Blue Labour to a tee: someone experiences, or shares a human tragedy, and you feel sad for them, but equally it doesn’t give them license to tear up 600 years of information about what drives prosperity and replace it with saying the word “relational” a lot.

I’m like a head trip to listen to, cos I’m only givin’ you Things you joke about with your friends inside your livin’ room The only difference is I got the balls to say it in front of y’all ‘n I don’t gotta be false or sugarcoat it at all I just get on the mic ‘n spit it better than 90% of you

A year apart, managed to shave 9mins off my half marathon time.

1/ The medical workforce and the #SASsix, a Saturday morning thread... The eagle-eyed among you may have spotted two related publications relating to workforce this week. Taken together, they paint a stark picture of the current medical workforce.

The pandemic was a catastrophe but one that had been happening in the decade before 2020 Cuts in pandemic preparedness, lack of funding & resilience The UK saw an additional 250,000 deaths, a fall in life expectancy Lest we forget the pandemic merely exposed the failures of Government

The Ghost Klan Always Rings TIce

New results from DanGer Shock ,shows it's those with the lower systolic pressure (the sicker patients) that benefit from Impella. #emimcc #cardiosky #cccsky jamanetwork.com/journals/jam...

10 players who were dire (Starc gets a reprieve). The only one who gets picked out is Usman. The impact of his injuries adjusting the order is not the cause of their collapse. This is scapegoating, with a big old dollop of racism.

tbh it's widely underestimated how critical this is to his whole electoral appeal and communication skills. none of his aspirant autocratic successors have a fraction of his comedic abilities

big bugs bunny getting elmer fudd to marry him vibes in the white house currently i see

was already feeling insane from the Trump/Mamdani meeting but I now worry that my brain chemistry will simply never be the same

"Trans people could be asked about whether they should be accessing single-sex services based on their physical appearance." No. not "trans people". ANYONE. This moral panic leads inexorably to the policing of women based on their appearance deemed to be "unfeminine". www.bbc.co.uk/news/article...

Finished updating the IBCC chapter on septic shock This algorithm is where I ended up 👇 Therapies should be based on several factors (not solely whether CRT is <3; CRT isn't precise so this dichotomy is problematic) Beware of vasopressin; it may depress digital perfusion & block the goal #EMIMCC

Australian ground staff frantically googling "How do I prepare a flat, lifeless road?"

Average pace from England’s bowling line up 88 mph.

"It's the same the whole world over It's the poor what gets the blame It's the rich what gets the pleasure Isn't it a blooming shame?"

"Record numbers of overseas-trained doctors are quitting the UK, leaving the NHS at risk of huge gaps in its workforce, with hostility towards migrants blamed for the exodus" Slow clap to the anti-immigrant rhetoric

This is a beautiful prequel meme for these trying times of 6-7

The current situation where, after decades of encouraging medical students to go into general practice, there are no jobs for qualified GPs utterly defies belief, despite ever-increasing demand and a lack of patient appointments. Primary care was the one part of the NHS that was truly world-class.

she’s a 10 but Excel thinks she’s October

If this hippo thread hasn’t popped on your timeline yet, the people you follow are not she social media posters you are looking for. Enjoy….

1) No, it isn’t. 2) This is performative cruelty and nothing else. 3) The people you’re pitching this for will never, ever, ever vote for you.

What has the BBC ever done for us? Courtesy of Dr. Cris Packham CBE.

This is morally wrong, but it’s also politically wrong too. 1/3rd of the electorate say they might vote Reform, about 1/3rd of this 1/3rd are strongly motivated by immigration (of which 10-13% is made up of asylum claimants). 2/3rds of the country reject Farage, and mostly find this 👇 abhorrent

Refugees & asylum seekers are largely a vulnerable, traumatised & disadvantaged group of people so to keep demonising & scapegoating them for political gain is disgusting & despicable. The end doesn’t justify this punching down means & in any case the end here seems to be the propaganda itself.

British things…

Without asylum: Marks and Spencer wouldn't exist Queen would have been without a front man The other queen wouldn't have had a husband Judith Kerr would never have written The Tiger Who Came to Tea And thousands of less famous people wouldn't have been teachers, politicians, neighbours, etc

Excellent 🧵 on the personal story of a refugee. My parents came to the UK as economic migrants. I have a very different & far more privileged story to Farbod’s. The demonisation of all those who come to the UK to seek safety and betterment is damning & fails to acknowledge the positivity brought.

I came to this country as a child refugee. No English, no certainty, no idea what my life could become. Britain gave me refuge. Not on a timer, not with conditions attached, but with a chance to grow roots. A thread 🧵 1/8 www.bbc.co.uk/news/article...

People think Britain was a better place when they were prettier, had more sex, went out more and didn't go oof every time they moved.