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drfreeze.bsky.social
Segun Olusanya
@drfreeze.bsky.social
Aka iceman_ex. Husband, Intensivist, Ultrascoundrel. @ics-updates.bsky.social council member. All about the #medsky, #foamed and #foamcc. Meme: papers ratio over 9000
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Later this week...

Echo for mechanical circulatory support with Segun Olusanya @drfreeze.bsky.social

Wednesday 12th November, 6-7pm UK time

Link to join here:- meet.google.com/pbn-paoq-iqn
November 10, 2025 at 7:15 AM
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I had a lovely catch up chat with @jamesheathers.bsky.social at the weekend. I am thoroughly inspired by the work he and team are doing at the Medical Evidence Project. They act on tip offs for fraudulent and/or inaccurate science used to shape medical practice. Know any? medicalevidenceproject.org
The Medical Evidence Project
We find bad research that affects health and life
medicalevidenceproject.org
November 10, 2025 at 8:30 AM
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Gastroenteritis in children: should we be sending them home with ondansetron?

Autumn is here, and winter is on its way. In children with gastroenteritis, should we be prescribing take-home doses of ondansetron?
Gastroenteritis in children: should we be sending them home with ondansetron?
Autumn is here, and winter is on its way. In children with gastroenteritis, should we be prescribing take-home doses of ondansetron?
www.stemlynsblog.org
November 9, 2025 at 10:42 PM
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Fascinating paper suggesting the assumption that there is a sigmoid dose response relationship and threshold effect ( "all-or-nothing") for loop diuretics rests on repeated misinterpretation of original studies from the 70s and 80s. #nephsky #cardiosky #emimcc academic.oup.com/ehjcvp/artic...
What are the pharmacodynamics of loop diuretics?
A recent editorial was entitled ‘Loop diuretics in heart failure: few facts and lots of prejudice’.1 I would argue that we have forgotten or distorted some
academic.oup.com
November 9, 2025 at 6:40 PM
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ADAPT AF-DES trial: In patients with atrial fibrillation and a drug-eluting stent placed at least 1 year earlier, monotherapy with a non–vitamin K antagonist oral anticoagulant was noninferior to combination therapy with clopidogrel for net adverse clinical events. nej.md/4nH8DgK

#AHA25
November 8, 2025 at 7:35 PM
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In a meta-analysis of 17,801 patients with myocardial infarction and preserved LVEF (≥50%), beta-blockers did not reduce death, MI, or heart failure over a median 3.6 years of follow-up. Full results: nej.md/43U5Ppo

#AHA25
November 9, 2025 at 4:14 PM
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RCT: Patients with #AFib who continued their usual caffeinated coffee intake after cardioversion experienced less recurrence of AF or atrial flutter compared to those who abstained from coffee and caffeine.

#AHA25 @ahascience.bsky.social

ja.ma/47FZkaR
November 9, 2025 at 3:00 PM
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Have you read our new guidance on adult congenital echocardiography, endorsed by the British Congenital Cardiac Association? It includes timeslots and clinical support and training

Read the position statement: www.bsecho.org/Publi...
November 9, 2025 at 11:30 AM
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My new plan for encouraging resident colleagues to document in the electronic patient record appropriately...
November 9, 2025 at 10:26 AM
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📰 @nytimes.com celebrates life & work Dr Bartlett: Robert H Bartlett, father of innovative life-support system, dies at 86. He developed extracorporeal membrane oxygenation, or #ECMO, a treatment that can sustain patients whose hearts and lungs are failing, for days, weeks or longer
🖇️ bit.ly/4qKFt3b
November 8, 2025 at 7:45 PM
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There's been a tendency to argue that Crick and the late racist Watson's contribution to discovering the DNA's structure was just copying Franklin's ideas which this article clearly highlights as erroneous.

Though she does deserve equal credit, it doesn't mean the racist and his friend did nothing.
November 8, 2025 at 11:32 AM
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#EHJCVI When should we use #EchoFirst in cardiovascular emergencies and critical care?
The new EACVI–ACVC consensus highlights its key role in cardiogenic shock, AMI, ADHF, and more 🚨🫀📘 👉 Read more: doi.org/10.1093/ehjc... @EACVIPresident @ACVCPresident #MedSky
November 6, 2025 at 6:09 PM
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8–12 million arterial catheters are inserted each year.

Non-infectious complications represent the greater burden of arterial catheter failure in ICUs.

This translates to up to 2.6 million non-infectious failures annually.

#AnSky #ICUSky
doi.org
November 7, 2025 at 7:03 AM
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Our latest blog is out:

Faith, Evidence and the Stars: The ANDROMEDA‑SHOCK‑2 Trial

https://criticalcarereviews.com/blog/current
November 7, 2025 at 7:54 PM
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Rosalind Franklin died at 37 of ovarian cancer attributed to radiation exposure from the methods she & her assistant used to photograph a cross-section of the DNA double helix.

Meanwhile, Watson won a Nobel off that work & survived to the ripe old age of 97 by simply: stealing those notes!
November 7, 2025 at 8:38 PM
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#ECMO in liver #transplantation:
🔍 @mayoclinic.org experience, largest 🇺🇸 series to date
🩺 overall survival suboptimal: 33.3%; all pts discharged from hospital were alive at 1 y
🚧 significant complications: #AKI requiring CRRT (40%), neuro-complications (40%), bleeding
🔗 bit.ly/4hLZmm7
#ECMO across perioperative stages of liver #transplantation:
📚 growing use, also intra/preop, but outcomes remain poor (better if intra/postop). Improved survival may depend on careful pt selection, optimal timing of initiation, distinguishing reversible vs irreversible pathology
🔗 bit.ly/4hLZmm7
November 6, 2025 at 5:15 PM
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Residents’ strike action for pay and jobs in England begins at 7am on 14 November until 06.59am on 19 November.

Check the dates, times and locations for your nearest BMA picket line 👇

www.bma.org.uk/our-campaign...

See you there 💪 #PayRestoration #EndTrainingCrisis
November 6, 2025 at 5:21 PM
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Monumental hubris, every detail is jaw dropping.

ig.ft.com/saudi-neom-l...
End of The Line: how Saudi Arabia’s Neom dream unravelled
Mohammed bin Salman’s utopian city was undone by the laws of physics and finance
ig.ft.com
November 6, 2025 at 12:57 PM
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Next week's talk...

Echo for mechanical circulatory support with Segun Olusanya @drfreeze.bsky.social

Wednesday 12th November, 6-7pm UK time

Link to join here:- meet.google.com/pbn-paoq-iqn
November 5, 2025 at 10:38 PM
Reposted by Segun Olusanya
Trying to bring a bit of old fashioned classic twitter-era medical discussion to Bluesky!

Made a short video about the huge Prostate Cancer Screening study just published in @nejm.org. Regular media and social media docs have, predictably, made a hash of the results #medsky
youtu.be/OQ7g1lQ26s0?...
Screening Saves Lives! Right??
YouTube video by Medlife Crisis
youtu.be
November 5, 2025 at 6:02 PM
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Years in the making, and finally out today! A tender modern fable about how to live with loneliness and what it means to love, inspired by a real NASA discovery – peek inside: www.themarginalian.org/the-coziest-...
November 4, 2025 at 8:04 PM
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My name is Ozymandias, King of Kings. Look upon my works, and yes, we could have stopped earlier.
My name is Ozymandias, King of Kings. Look upon my works, and please correlates clinically
My name is Ozymandias, King of Kings. Look upon my works, I make these
November 4, 2025 at 11:58 AM
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my name is ozymandias, king of kings. ask your doctor if looking upon my works is right for you.
my name is ozymandias, king of kings. look upon my works. prices and participation may vary, for a limited time only. children under 13 need a parent or guardian's signature to participate.
My name is Ozymandias, King of Kings. Look upon my works, which were processed in a facility that also processes peanuts.
November 3, 2025 at 8:28 PM
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My name is Ozymandias, king of kings. Look on my works, they're the best works, Everybody says so. No other king in history could have done this, especially losers like sleepy Joe. His works were 200%, maybe 500% worse. We are making works great again. Thank you for your attention to this matter.
My name is Ozymandias, King of Kings. Look upon my works, and please correlates clinically
My name is Ozymandias, King of Kings. Look upon my works, I make these
November 3, 2025 at 11:42 PM
My name is Ozymandias, King of Kings. Look upon my works, and please correlates clinically
My name is Ozymandias, King of Kings. Look upon my works, I make these
My name is Ozymandias, King of Kings. We have updated our privacy policy. By looking upon our works, you agree to our terms and conditions.
November 3, 2025 at 9:26 PM