1. I've said exactly this for quite some time. Expanding on Adrian's @sillyputty78.bsky.social point on X / Twitter here, Covid-19 has three distinct characteristics as a disease that enables it to be denied at a societal level.

Omg.

From the man who debunked both RSI & MILNS. Can’t wait! associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/abs/10.1... associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

#Medsky🧪 #IDsky #pedsky #immunosky The recently published #Fluvaccine after #MyocardialInfarction trial showed that #Fluvaccine within 72 h of hospitalization for MI led to a significant 28% reduction in MACE and a 41% reduction in CV mortality, without any excess in serious adverse events…

Today is the 111th birthday of Viola Ford Fletcher, the oldest living survivor of the 1921 Tulsa race massacre

Just passing along some friendly advice on how to approach potential changes to the Australian health care system @drruthmitchell.bsky.social

I think In medicine The highs are high and the lows are really low The privilege of the relationship we share with patients is a treasure But The way our good will is used to extract value in the form of service provision that eats away at our life and lifespan …sucks

🚀🚀

Wow! @aidanbaron.bsky.social congrats on your new podcast. This first episode on dental/oral health taught me a lot. Recommended listening for anyone interested in health and health inequalities. Looking forward to more.

So far there have been three measles deaths in under six weeks in the ongoing US measles outbreak. Prior to this year there had only been three measles deaths in the United States in total in the entire last thirty years.

I just have to shout into the void that patient safety incident investigations are so additionally traumatic for families who've already been through the worst. I'm so drained with being promised reports that don't arrive-and communication about their absence I have to instigate.

Traffic stops are one of the most common civilian and police interactions. Does race influence such interactions? Our new paper published in @science.org using a rideshare data set shows that there is considerable racial bias. Paper can be downloaded here: www.science.org/doi/10.1126/...

“The best time to have a baby? Preferably at the end of the third trimester.” Great stuff from Leanne Rowe over in MJA insightplus.mja.com.au/2025/12/the-...?

I have just been informed that Ondansetron wafers are actually not absorbed by the oral mucosa and instead need to trickle down with spit to be absorbed by the gastric mucosa Am I being punked?

“One young man sobbed when a guard pushed him to the floor. He said, ‘I’m not a gang member. I’m gay. I’m a barber.’ I believed him. *** He “began to whimper,” as his head was roughly shaved, “folding his hands in prayer as his hair fell.” He “asked for his mother & cried as he was slapped again.”

Formula 1 teams obsess over data to shave milliseconds off lap times. 🚥🏁 Ambulance Victoria takes the same approach to cardiac arrest survival—their latest report shows a record 41% survival rate, making Victoria the 3rd safest place in the world for OHCA. www.ambulance.vic.gov.au/about-us/res...

Today I lost an NIH grant training clinicians to do research about intimate partner violence with perinatal women. More women are murdered in the perinatal period than die of obstetric complications. I didn't just lose a grant. We lost an entire cohort of people building careers to prevent that.

Guys on American military podcasts call each other ‘sir’ like people in The Bear™ call each other chef in the Kitchen

An important recent editorial Surveys - they often suck* *lack methodological rigour, misappropriate validated tools, fail to appropriately analyse qualitative data etc Poor surveys have become almost ubiquitous in paramedic research journals.sagepub.com/doi/full/10....

23 cases of epidurals being blamed for masking acute compartment syndrome pain. In 19 of these, the patients complained of pain but were ignored. @maggieholtzmd.bsky.social at #ASURA2025 #AnSky #RASky

When I joined an ambulance service 20 years ago there were 8 women in our recruit class of 32. Last week I taught a new group of first years and had 70% female students. I'm excited about the evolution of Paramedicine given our traditional gender bias. Demographic change brings structural change.

Today's Paper of the Day is: Preventing unrecognized esophageal intubation in the emergency department 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

We've confirmed the US Bureau of Prisons has transferred trans women to men's prisons despite three court rulings blocking Trump's executive order “I’m continuing to be punished for existing. I'm a pawn in others' political games" -Whitney, 31-year-old woman taken to men's prison this week, told us

In the excitement over our new review of PAs, I forgot to tell you about the OTHER paper published in BMJ today, my commentary on the challenges of doing systematic reviews of evidence when there's no RCTs and most of the primary studies were unique and non-standardised.🧪 www.bmj.com/content/388/...

I tried something new this week Took a mini fold-up camping stool into work overnight in the Emergency department so I could sit down with patients when I take a history. Game Changer. Seriously felt like it improved the quality of interactions

Wishing my Muslim friends and colleagues a Ramadan Mubarak and Kareem Hope you have peaceful fasting and that the future brings an opportunity for all of us to enjoy a greater lasting peace around the world

🚨 New Research Published From London’s Air Ambulance! Pre-hospital Resuscitative Thoracotomy (RT) can improve survival for Traumatic Cardiac Arrest (TCA) jamanetwork.com/journals/jam... #TraumaCare #EmergencyMedicine #PreHospitalCare #Resuscitation #LondonAirsAmbulance #HEMS

roses are red you are devine avoid use of causal language not justified by this study design

Cardiology Mini Lesson on the go today from the 💚 Reg: Common Causes of AFib Think DIE Drugs (non adherence or IVDU) Infection or IHD Electrolytes (esp K+ and Mag)

In a recent review just 0-1.3% of bruises in pre mobile infants were accidental - any bruising in this age group should be fully investigated and explicable

Beyond upset to watch two NSWHealth nurses pose illegally as doctors and claim that if given the opportunity they would refuse care to, or kill a patient under their care who was from Israel. Thank you Health Minister Ryan Park for taking swift action. No place in Healthcare for this

97% of opioid doses for children in Danish registry study were within or at lower end of recommended dose range, 3/4 given in age 10+ years, and 2/3 IV, pointing to a risk of under-treating pain in children. sjtrem.biomedcentral.com/articles/10....

#JnrDoctorDiary Cried with my patient today. They gave me wonderful life advice Was special Today was a good day.

Disappointed by Dr Sue Ieraci’s Opinion piece on the current psychiatry industrial dispute in NSW. It insists upon itself and muddies waters already contaminated by government spin-doctoring. www.ausdoc.com.au/opinion/do-n...

A new and innovative paper from London's Air Ambulance. Yet another example of the power of inter-professional teams. It was a pleasure collaborating on this work. #PHEM #prehospitalcriticalcare #PHCC #Ultrasound #PoCUS link.springer.com/article/10.1...

Do you place ULNAR arterial lines? Why in 2025 are people still obsessed with RADIAL art lines? The ULNAR artery is usual bigger & farther from the nerve. Yes, the RADIAL is more superficial & easier to landmark but with POCUS it doesn’t matter! Is RADIAL a holdover from the pre-POCUS times? 1/

Whoops. An Australian review triggered by transgender panic finds that puberty blockers and other care for adolescence is safe, effective, and reversible if desired. Awkward for the folks who clamored for this review. www.abc.net.au/news/2024-09...

I hear outlets such as GBNews are trying to undermine initiatives like the Rainbow NHS Badge Progress can be reversed in a minute if we aren’t vigilant These initiatives are a visible representation of support for people who continue to have negative experiences within healthcare 👏🏼

It seems like a particularly important time to be sharing this new Australasian Emergency Care publication from @griffith.edu.au researchers #DEI #EMSky #Medsky #AcademicSky The experiences of trans (binary and non-binary) patients accessing care in the emergency department: An integrative review

Kicking off #BlackHistoryMonth  w/ an appreciation thread of physicians: 1/ Charles R. Drew, MD - American surgeon & researcher - pioneer in the field of blood transfusions - developed techniques for blood storage - first African-American surgeon to examine for @facs.org

The risks of backing scattered islands of sensible points in a sea of nonsense: kucharski.substack.com/p/islands-of...

I will be thinking about this tweet for the next four years

“I would advise any healthcare provider that if they are building new hospitals new care homes they must be becoming landlords and building housing for workers nearby otherwise they cannot attract skilled care providers” open.spotify.com/episode/6Gz9...

Exciting news re Suzetrigine The first non opioid small molecule analgesic (Blocks specific Na gated channels in the DRG) From the very little info out there looks like it might be more effective in acute pain than chronic.

Leadership Role - Ambulance Victoria Chief Executive Officer. The Australian State of Victoria seeks to appoint an outstanding leader to help the organisation realise its vision as a world-leading #ambulance service. #CEO Closes 16 February 2025. careers.ambulance.vic.gov.au/jobs/AV-1842...

Not that I can add much to this excellent description by @emmanchester.bsky.social, but there's a touch of a confounder. The biggest model we have for "non physician HEMS" is also the country that has some of the lowest standards for EMS education. www.stemlynsblog.org/physician-le...

Would like to congratulate my Junior Doctor Colleagues at Hunter New England Local Health District in NSW Who have recently been appointed as clinical marshmallows. www.reddit.com/r/ausjdocs/c...