Ed Palmer
@doced.bsky.social
Doctor in Anaesthetics & Intensive Care Medicine | Part time academic | R enthusiast | Sci-Fi fan | Dad
https://doced.github.io
https://doced.github.io
Pinned
Ed Palmer
@doced.bsky.social
· Dec 3
People often talk about the time critical nature of sepsis. But it may surprise you to hear that the evidence to support “early” antibiotics actually isn't a settled debate. Why is that? The key question is “early in relation to what”? 🧵 1/n
Its hard to see how windows 11 could ever be compatible with deployment in the NHS. It's a facinating combination of malware and spyware.
January 12, 2026 at 8:59 AM
Its hard to see how windows 11 could ever be compatible with deployment in the NHS. It's a facinating combination of malware and spyware.
That's a coincidence. This is on my christmas reading list.
January 3, 2026 at 8:58 AM
That's a coincidence. This is on my christmas reading list.
What I don't get about The Fly, is what about all the billions of bacteria already on, in and around him in the pod. Not to mention parasites and funghi. I feel like the fly was the least of his worries.
December 31, 2025 at 3:29 PM
What I don't get about The Fly, is what about all the billions of bacteria already on, in and around him in the pod. Not to mention parasites and funghi. I feel like the fly was the least of his worries.
There is a lot to consider here. Mainly why it's important to conduct RCTs. Just goes to show how much of a terrible soup of retrospective data we base our practice on.
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
@criticalcarereviews.com
December 16, 2025 at 9:28 AM
There is a lot to consider here. Mainly why it's important to conduct RCTs. Just goes to show how much of a terrible soup of retrospective data we base our practice on.
It 100% is a deal breaker . I'm extremely concerned about their use in medicine, particularly amongst training doctors/medical students. If you don't already have the expertise to critique the output, then it isn't a safe way to learn. Also shouldn't be within a mile of high stakes decision making.
November 18, 2025 at 9:36 AM
It 100% is a deal breaker . I'm extremely concerned about their use in medicine, particularly amongst training doctors/medical students. If you don't already have the expertise to critique the output, then it isn't a safe way to learn. Also shouldn't be within a mile of high stakes decision making.
Ive got a workaround using outlook to share the calendar with the native apps. But it's not ideal.
November 1, 2025 at 8:04 PM
Ive got a workaround using outlook to share the calendar with the native apps. But it's not ideal.
Yep tried that, but I keep getting a notice saying that the organisation hasn't authorised the app?
November 1, 2025 at 8:04 PM
Yep tried that, but I keep getting a notice saying that the organisation hasn't authorised the app?
I can 100% get behind ditching work email from phone. But I do need my work calendar at least to make sure I don't double book/miss plan.
November 1, 2025 at 11:34 AM
I can 100% get behind ditching work email from phone. But I do need my work calendar at least to make sure I don't double book/miss plan.
Urgh. On iphone I could use the native mail and calendar apps with NHS exchange. But I seem to have to use outlook on android unless I'm mistaken. It's super annoying in a "daily friction" kind of a way.
November 1, 2025 at 11:19 AM
Urgh. On iphone I could use the native mail and calendar apps with NHS exchange. But I seem to have to use outlook on android unless I'm mistaken. It's super annoying in a "daily friction" kind of a way.
First time using outlook for android (by necessity). Pretty awful user experience. How do people workflow tasks that require looking at email and calendar at the same time?
November 1, 2025 at 11:05 AM
First time using outlook for android (by necessity). Pretty awful user experience. How do people workflow tasks that require looking at email and calendar at the same time?
Reposted by Ed Palmer
"One intangible advantage of capillary refill time is that performing it brings the clinician back to the bedside to reassess the patient. This act may be itself the holy grail of early sepsis management."
great piece on #sepsis
great piece on #sepsis
💬 Editorial: While capillary refill time shows promise for early #SepticShock management, integrating it into broader, multimodal resuscitation strategies remains key to improving outcomes.
#LIVES2025 @esicm.bsky.social
ja.ma/4hAs5u7
#LIVES2025 @esicm.bsky.social
ja.ma/4hAs5u7
October 29, 2025 at 2:32 PM
"One intangible advantage of capillary refill time is that performing it brings the clinician back to the bedside to reassess the patient. This act may be itself the holy grail of early sepsis management."
great piece on #sepsis
great piece on #sepsis
Masking up on public transport for the approaching winter. Get some funny looks. I just enjoy being less sick. Weird.
October 3, 2025 at 3:31 PM
Masking up on public transport for the approaching winter. Get some funny looks. I just enjoy being less sick. Weird.
Fascinating how so much food has its protein content promoted front and center. Even bread. Even though most of these sources lack the necessary amino acids for utilisation. Nutritional awareness in the UK is silly.
September 12, 2025 at 2:51 PM
Fascinating how so much food has its protein content promoted front and center. Even bread. Even though most of these sources lack the necessary amino acids for utilisation. Nutritional awareness in the UK is silly.
Reposted by Ed Palmer
Doing shit statistics.
What's something that isn't considered embarrassing but you think it should be?
August 23, 2025 at 7:17 PM
Doing shit statistics.
www.theguardian.com/politics/202... what a collosal and irresponsible waste of tax payer money this would be. I could think of thousands of better uses for this money.
Deal to get ChatGPT Plus for whole of UK discussed by Open AI boss and minister
Exclusive: Deal that could have cost £2bn was floated at meeting between technology secretary Peter Kyle and Sam Altman
www.theguardian.com
August 24, 2025 at 7:39 AM
www.theguardian.com/politics/202... what a collosal and irresponsible waste of tax payer money this would be. I could think of thousands of better uses for this money.
Its objectively funny and only shows how little insight into medicine (and presumably other professions) these people have.
August 21, 2025 at 6:14 PM
Its objectively funny and only shows how little insight into medicine (and presumably other professions) these people have.
I think it's incredible that AI is going to kill us all, not because it's a super intelligence that has deemed us an existential threat, but because it's just so overwhelmingly stupid
"They (AI chatbots) not only repeated the misinformation but often expanded on it, offering confident explanations for non-existent conditions."
www.mountsinai.org/about/newsro...
www.mountsinai.org/about/newsro...
AI Chatbots Can Run With Medical Misinformation, Study Finds, Highlighting the Need for Stronger Safeguards
www.mountsinai.org
August 15, 2025 at 3:35 PM
I think it's incredible that AI is going to kill us all, not because it's a super intelligence that has deemed us an existential threat, but because it's just so overwhelmingly stupid
Reposted by Ed Palmer
August 14, 2025 at 8:00 PM
This is why I teach linear regression properly before hypothesis testing. Absolute game changer.
August 8, 2025 at 6:09 AM
This is why I teach linear regression properly before hypothesis testing. Absolute game changer.
