Lascaux Bird
@3mergency.bsky.social
Reposted by Lascaux Bird
RCT: In patients with #Chagas-related #HFrEF, sacubitril/valsartan did not reduce rates of cardiovascular death or heart failure hospitalization compared with enalapril.
ja.ma/4aNRXBs
ja.ma/4aNRXBs
January 7, 2026 at 12:00 PM
RCT: In patients with #Chagas-related #HFrEF, sacubitril/valsartan did not reduce rates of cardiovascular death or heart failure hospitalization compared with enalapril.
ja.ma/4aNRXBs
ja.ma/4aNRXBs
Reposted by Lascaux Bird
updated the IBCC chapter on BRASH
added a treatment checklist that walks you through resus of a sick BRASH pt
BRASH is uncommon & there are lots of moving pieces, so the checklist is a helpful cue to provide comprehensive treatment of all the BRASH components
emcrit.org/ibcc/brash/ #EMIMCC
added a treatment checklist that walks you through resus of a sick BRASH pt
BRASH is uncommon & there are lots of moving pieces, so the checklist is a helpful cue to provide comprehensive treatment of all the BRASH components
emcrit.org/ibcc/brash/ #EMIMCC
December 30, 2025 at 1:27 PM
updated the IBCC chapter on BRASH
added a treatment checklist that walks you through resus of a sick BRASH pt
BRASH is uncommon & there are lots of moving pieces, so the checklist is a helpful cue to provide comprehensive treatment of all the BRASH components
emcrit.org/ibcc/brash/ #EMIMCC
added a treatment checklist that walks you through resus of a sick BRASH pt
BRASH is uncommon & there are lots of moving pieces, so the checklist is a helpful cue to provide comprehensive treatment of all the BRASH components
emcrit.org/ibcc/brash/ #EMIMCC
Reposted by Lascaux Bird
Do you make your patients NPO 6 hours before a cath lab procedure, such as PCI, which requires moderate sedation? Or even NPO after midnight for an AICD placement? Here's the data to show that fasting is not necessary for these procedures. 🎩 tip to the authors.
eddyjoemd.com/foamed
eddyjoemd.com/foamed
September 14, 2025 at 12:46 PM
Do you make your patients NPO 6 hours before a cath lab procedure, such as PCI, which requires moderate sedation? Or even NPO after midnight for an AICD placement? Here's the data to show that fasting is not necessary for these procedures. 🎩 tip to the authors.
eddyjoemd.com/foamed
eddyjoemd.com/foamed
Reposted by Lascaux Bird
Approximately 30% of patients who undergo cardiac surgery develop acute kidney injury. Here are some mechanisms as to why it happens and why it's silly to put the blame solely on fluid status. 🎩 tip to the authors.
eddyjoemd.com/foamed
eddyjoemd.com/foamed
August 13, 2025 at 10:03 AM
Approximately 30% of patients who undergo cardiac surgery develop acute kidney injury. Here are some mechanisms as to why it happens and why it's silly to put the blame solely on fluid status. 🎩 tip to the authors.
eddyjoemd.com/foamed
eddyjoemd.com/foamed
Reposted by Lascaux Bird
For those who are currently training or growing their knowledge on vasopressors and inotropes, here's a table that covers some basics. Also, how frequently is metaraminol used outside the US, and should I include it in V2 of my book? 🎩 tip to the authors.
eddyjoemd.com/foamed
eddyjoemd.com/foamed
July 29, 2025 at 11:34 AM
For those who are currently training or growing their knowledge on vasopressors and inotropes, here's a table that covers some basics. Also, how frequently is metaraminol used outside the US, and should I include it in V2 of my book? 🎩 tip to the authors.
eddyjoemd.com/foamed
eddyjoemd.com/foamed
Reposted by Lascaux Bird
Pacers are Dead in the water without McConnell. their best PG for the past 3 years now. (haliburton is a gimmick player)
June 17, 2025 at 2:47 AM
Pacers are Dead in the water without McConnell. their best PG for the past 3 years now. (haliburton is a gimmick player)
Reposted by Lascaux Bird
Today's Paper of the Day is:
Point-of-care Ultrasound in Cardiac Arrest
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
Point-of-care Ultrasound in Cardiac Arrest
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
June 2, 2025 at 6:54 AM
Today's Paper of the Day is:
Point-of-care Ultrasound in Cardiac Arrest
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
Point-of-care Ultrasound in Cardiac Arrest
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
Reposted by Lascaux Bird
Among US adults aged 20 to 59 years, the prevalence of obesity by BMI only was nearly identical with the obesity prevalence after confirmation of excess adiposity. https://ja.ma/44N8vqg
May 26, 2025 at 1:00 PM
Among US adults aged 20 to 59 years, the prevalence of obesity by BMI only was nearly identical with the obesity prevalence after confirmation of excess adiposity. https://ja.ma/44N8vqg
Reposted by Lascaux Bird
it’s 💯 fine to leave clinical medicine.
BUT
🙅♂️ don’t try to make leaving a weird flex that proves how you saw the evils of western medicine and became a wellness evangalist
🙅♂️ don’t try to pretend that you’re now an expert in burnout, wellness, and physician career longevity (that makes no sense)
BUT
🙅♂️ don’t try to make leaving a weird flex that proves how you saw the evils of western medicine and became a wellness evangalist
🙅♂️ don’t try to pretend that you’re now an expert in burnout, wellness, and physician career longevity (that makes no sense)
May 25, 2025 at 12:41 PM
it’s 💯 fine to leave clinical medicine.
BUT
🙅♂️ don’t try to make leaving a weird flex that proves how you saw the evils of western medicine and became a wellness evangalist
🙅♂️ don’t try to pretend that you’re now an expert in burnout, wellness, and physician career longevity (that makes no sense)
BUT
🙅♂️ don’t try to make leaving a weird flex that proves how you saw the evils of western medicine and became a wellness evangalist
🙅♂️ don’t try to pretend that you’re now an expert in burnout, wellness, and physician career longevity (that makes no sense)
Reposted by Lascaux Bird
In 2023, the U.S. spent approximately $1.35 trillion on healthcare administration. That’s more than we spent on:
•Physician salaries (~$350B)
•Nursing salaries (~$335B)
•Retail prescription drugs (~$450B)
•Imaging, lab tests, EHRs, and outpatient procedures combined
#BlueSky #MedSky #NurseSky
•Physician salaries (~$350B)
•Nursing salaries (~$335B)
•Retail prescription drugs (~$450B)
•Imaging, lab tests, EHRs, and outpatient procedures combined
#BlueSky #MedSky #NurseSky
May 17, 2025 at 6:44 PM
Reposted by Lascaux Bird
Reposted by Lascaux Bird
Ps reducing air pollution has HUGE public health benefits in addition to decreased injuries. For example:
- decreased pre-term births
- decreased COPD and asthma
- decreased allergies & headaches
… & more
- decreased pre-term births
- decreased COPD and asthma
- decreased allergies & headaches
… & more
Air pollution has dropped significantly in #Paris in the last 15 years as a result of a deliberate strategy. Mayor @annehidalgo.bsky.social’s leadership has traded car space for green space, safe bike space, kid space.. and traded pollution for people.
Good trade.
Good trade.
April 19, 2025 at 3:48 PM
Ps reducing air pollution has HUGE public health benefits in addition to decreased injuries. For example:
- decreased pre-term births
- decreased COPD and asthma
- decreased allergies & headaches
… & more
- decreased pre-term births
- decreased COPD and asthma
- decreased allergies & headaches
… & more
Reposted by Lascaux Bird
A reminder: The base rate fallacy.
The number or percentage of infected persons does not allow conclusions about vaccine effectiveness unless the exposure and size of parental populations are known. In biology, confounders, such as immune function, also play a role.
It is far more complicated.
The number or percentage of infected persons does not allow conclusions about vaccine effectiveness unless the exposure and size of parental populations are known. In biology, confounders, such as immune function, also play a role.
It is far more complicated.
April 9, 2025 at 12:55 PM
A reminder: The base rate fallacy.
The number or percentage of infected persons does not allow conclusions about vaccine effectiveness unless the exposure and size of parental populations are known. In biology, confounders, such as immune function, also play a role.
It is far more complicated.
The number or percentage of infected persons does not allow conclusions about vaccine effectiveness unless the exposure and size of parental populations are known. In biology, confounders, such as immune function, also play a role.
It is far more complicated.
Reposted by Lascaux Bird
I enjoy teaching and learning about logical fallacies. It helps me think about the evidence better when trying to assess people's arguments for their positions. #MedSky
April 9, 2025 at 10:45 PM
I enjoy teaching and learning about logical fallacies. It helps me think about the evidence better when trying to assess people's arguments for their positions. #MedSky
Reposted by Lascaux Bird
New online! The genetic basis of human height
The genetic basis of human height
Nature Reviews Genetics, Published online: 07 April 2025; doi:10.1038/s41576-025-00834-1Genetic factors that influence human height encompass rare monogenic variants as well as common and rare polygenic variants. In this Review, Bicknell et al. summarize our current understanding of the genetic underpinnings of human stature and link these genes to common developmental and cellular pathways that affect skeletal growth.
www.nature.com
April 7, 2025 at 2:57 AM
New online! The genetic basis of human height
Reposted by Lascaux Bird
bring us your poor, your tired, and your huddled masses so we can stuff them in an unmarked van and ship them to a slave labor camp in an undisclosed location
March 29, 2025 at 12:48 PM
bring us your poor, your tired, and your huddled masses so we can stuff them in an unmarked van and ship them to a slave labor camp in an undisclosed location
Reposted by Lascaux Bird
To me, it is hard to describe how impressive Zaccharie Risacher has been as a rookie without an assessment of his poise on defense.
I would like to do a thread showing every play for a whole game so about 30 plays in total. (1/32)
I would like to do a thread showing every play for a whole game so about 30 plays in total. (1/32)
March 21, 2025 at 8:29 PM
To me, it is hard to describe how impressive Zaccharie Risacher has been as a rookie without an assessment of his poise on defense.
I would like to do a thread showing every play for a whole game so about 30 plays in total. (1/32)
I would like to do a thread showing every play for a whole game so about 30 plays in total. (1/32)
Reposted by Lascaux Bird
More good news
www.wral.com/lifestyle/he...
www.wral.com/lifestyle/he...
Sickle cell gene therapy frees teen from life of pain
Aaron Scott, of Fayetteville, is the first in North Carolina to receive a new FDA-approved therapy which uses the patient's own cells to relieve the pain of sickle cell disease.
www.wral.com
March 15, 2025 at 7:26 AM
More good news
www.wral.com/lifestyle/he...
www.wral.com/lifestyle/he...
Reposted by Lascaux Bird
The next major class of weight loss medications will likely be ones that accelerate metabolism.
This interesting study looked at HU6, a controlled metabolic accelerator that reduces adipose tissue, in heart failure (HFpEF) patients and found that it led to a statistically significant reduction…
This interesting study looked at HU6, a controlled metabolic accelerator that reduces adipose tissue, in heart failure (HFpEF) patients and found that it led to a statistically significant reduction…
Metabolic Accelerator for Obesity-Related HFpEF
This randomized clinical trial evaluates if HU6, a controlled metabolic accelerator, reduces body weight, improves body composition, and increases exercise capacity in patients with obesity-related he...
jamanetwork.com
March 15, 2025 at 1:55 PM
The next major class of weight loss medications will likely be ones that accelerate metabolism.
This interesting study looked at HU6, a controlled metabolic accelerator that reduces adipose tissue, in heart failure (HFpEF) patients and found that it led to a statistically significant reduction…
This interesting study looked at HU6, a controlled metabolic accelerator that reduces adipose tissue, in heart failure (HFpEF) patients and found that it led to a statistically significant reduction…
Reposted by Lascaux Bird
In slowly realizing .. there are no more " Democrats" (maybe AOC and Bernie).... But the party is dead.
March 12, 2025 at 2:12 AM
In slowly realizing .. there are no more " Democrats" (maybe AOC and Bernie).... But the party is dead.
Reposted by Lascaux Bird
Genome editing success for the first time in nine patients with alpha-1 antitrypsin deficiency, a heritable disease which can cause cirrhosis and emphysema, affecting ~100,000 Americans, which is similar to the prevalence of sickle cell disease
www.nytimes.com/2025/03/10/h...
www.nytimes.com/2025/03/10/h...
Mutated DNA Restored to Normal in Gene Therapy Advance
The small study in patients with a rare disorder that causes liver and lung damage showed the potential for precisely targeted infusions.
www.nytimes.com
March 11, 2025 at 1:59 AM
Genome editing success for the first time in nine patients with alpha-1 antitrypsin deficiency, a heritable disease which can cause cirrhosis and emphysema, affecting ~100,000 Americans, which is similar to the prevalence of sickle cell disease
www.nytimes.com/2025/03/10/h...
www.nytimes.com/2025/03/10/h...
Reposted by Lascaux Bird
I know it’s hard to get/see a primary care doc. I know many don’t listen, or don’t keep chasing symptoms if initial tests are unrevealing. I know that it sucks to feel bad and have it shrugged off because tests are normal.
But the ER is not the place to get a diagnosis for chronic vague symptoms.
But the ER is not the place to get a diagnosis for chronic vague symptoms.
March 7, 2025 at 6:12 PM
I know it’s hard to get/see a primary care doc. I know many don’t listen, or don’t keep chasing symptoms if initial tests are unrevealing. I know that it sucks to feel bad and have it shrugged off because tests are normal.
But the ER is not the place to get a diagnosis for chronic vague symptoms.
But the ER is not the place to get a diagnosis for chronic vague symptoms.
Reposted by Lascaux Bird
EM has always been about thresholds—the doorway between life and death, between stability and chaos.
But today, we stand at a new threshold. One we didn’t sign up for but one we can’t ignore.
Emergency medicine is changing. The question is whether we change with it. 🧵
But today, we stand at a new threshold. One we didn’t sign up for but one we can’t ignore.
Emergency medicine is changing. The question is whether we change with it. 🧵
March 9, 2025 at 1:46 AM
EM has always been about thresholds—the doorway between life and death, between stability and chaos.
But today, we stand at a new threshold. One we didn’t sign up for but one we can’t ignore.
Emergency medicine is changing. The question is whether we change with it. 🧵
But today, we stand at a new threshold. One we didn’t sign up for but one we can’t ignore.
Emergency medicine is changing. The question is whether we change with it. 🧵
Reposted by Lascaux Bird
brief skytorial on the latest SCCM PADIS guideline update.
this is a nice, useful, & concise statement that will change my practice.
there are basically two take-home messages...
(🧵 #1/3)
journals.lww.com/ccmjournal/a... #EMIMCC
this is a nice, useful, & concise statement that will change my practice.
there are basically two take-home messages...
(🧵 #1/3)
journals.lww.com/ccmjournal/a... #EMIMCC
March 7, 2025 at 7:20 PM
brief skytorial on the latest SCCM PADIS guideline update.
this is a nice, useful, & concise statement that will change my practice.
there are basically two take-home messages...
(🧵 #1/3)
journals.lww.com/ccmjournal/a... #EMIMCC
this is a nice, useful, & concise statement that will change my practice.
there are basically two take-home messages...
(🧵 #1/3)
journals.lww.com/ccmjournal/a... #EMIMCC
Reposted by Lascaux Bird
Discovering 6 metabolic traits via DNA methylation in diverse cohorts reveals unique biological paths—BMI, body fat %, waist-hip ratio, and more! #Epigenetics PMID:39706196, Am J Hum Genet 2025, @AJHGNews https://www.cell.com/ajhg/fulltext/S000292972400421X #Medsky 🧪
https://www.cell.com/ajhg/fulltext/S000292972400421X
No description available
www.cell.com
March 5, 2025 at 2:40 PM
Discovering 6 metabolic traits via DNA methylation in diverse cohorts reveals unique biological paths—BMI, body fat %, waist-hip ratio, and more! #Epigenetics PMID:39706196, Am J Hum Genet 2025, @AJHGNews https://www.cell.com/ajhg/fulltext/S000292972400421X #Medsky 🧪