Ben Millette
@benmillette.bsky.social
Consultant in Intensive Care and Anaesthesia. POCUS, Antibiotic stewardship, MedEd and Mexican food
Thanks for this very interesting perspective Sam. On the point I've highlighted here, what you write is true to some extent but differences in doctors working unpaid overtime are more about broad cultural changes in medicine. Prior to 2016 working unpaid overtime was the norm and was considered part
October 19, 2025 at 12:09 PM
Thanks for this very interesting perspective Sam. On the point I've highlighted here, what you write is true to some extent but differences in doctors working unpaid overtime are more about broad cultural changes in medicine. Prior to 2016 working unpaid overtime was the norm and was considered part
Underappreciated medical occupational perk: the lid from many brands of antibiotic ampoule unlocks most supermarket/airport trolleys across Europe
August 16, 2025 at 12:27 PM
Underappreciated medical occupational perk: the lid from many brands of antibiotic ampoule unlocks most supermarket/airport trolleys across Europe
Pleural effusions can occasionally appear to extend into the mid/upper zones if they are large or if the patient is supine (as in this example). The irregular shape of the effusion in the first post is what points towards a complex effusion and urgent need to exclude empyema
#medsky #emimcc
#medsky #emimcc
July 28, 2025 at 1:57 PM
You may think it looks obvious but it was missed by the treating clinicians. The main abnormality of concern here is a loculated L sided pleural effusion with associated consolidation highly suspicious for empyema. Appearance on US confirms complex effusion and pleural fluid sample confirmed empyema
July 28, 2025 at 1:57 PM
You may think it looks obvious but it was missed by the treating clinicians. The main abnormality of concern here is a loculated L sided pleural effusion with associated consolidation highly suspicious for empyema. Appearance on US confirms complex effusion and pleural fluid sample confirmed empyema
What diagnosis should immediately spring to mind when you see this CXR?
July 28, 2025 at 1:57 PM
What diagnosis should immediately spring to mind when you see this CXR?
What do you think of this ECG and how would you treat it? BP is normal
July 28, 2025 at 1:21 PM
What do you think of this ECG and how would you treat it? BP is normal
Andy some sleuthing reveals the following in your hospital's antimicrobial guidelines... 😉
July 9, 2025 at 8:49 PM
Andy some sleuthing reveals the following in your hospital's antimicrobial guidelines... 😉
Hi Jonny nice review, I think also worth mentioning no difference in 90d mortality (they really should have put this K-M curve in the paper...)
June 14, 2025 at 11:20 AM
Hi Jonny nice review, I think also worth mentioning no difference in 90d mortality (they really should have put this K-M curve in the paper...)
Speaking for our site, I don't think there was a lack of equipoise.
The UK black population is highly concentrated in certain geographic areas (esp London). With the exception of St George's, there were few hospitals in these areas that recruited significant numbers of patients
The UK black population is highly concentrated in certain geographic areas (esp London). With the exception of St George's, there were few hospitals in these areas that recruited significant numbers of patients
June 12, 2025 at 5:09 PM
Speaking for our site, I don't think there was a lack of equipoise.
The UK black population is highly concentrated in certain geographic areas (esp London). With the exception of St George's, there were few hospitals in these areas that recruited significant numbers of patients
The UK black population is highly concentrated in certain geographic areas (esp London). With the exception of St George's, there were few hospitals in these areas that recruited significant numbers of patients
We need to normalise declaring ideological as well as financial conflicts of interest because everyone's internal EBM hierarchy actually looks like this:
June 3, 2025 at 6:21 PM
We need to normalise declaring ideological as well as financial conflicts of interest because everyone's internal EBM hierarchy actually looks like this:
May 26, 2025 at 2:05 PM
Error types go far deeper than 1 and 2...
May 25, 2025 at 8:09 PM
Error types go far deeper than 1 and 2...
Have a read of the FICM training quality report 2025 and you may be surprised.
It's coming sooner than you think
It's coming sooner than you think
May 18, 2025 at 10:00 PM
Have a read of the FICM training quality report 2025 and you may be surprised.
It's coming sooner than you think
It's coming sooner than you think
Referrer: "Do you have any ICU beds?"
Me:
Me:
April 3, 2025 at 12:09 PM
Referrer: "Do you have any ICU beds?"
Me:
Me:
Evergreen advice from gastroenterology:
March 2, 2025 at 3:41 PM
Evergreen advice from gastroenterology:
Life moves pretty fast...
January 31, 2025 at 4:37 PM
Life moves pretty fast...
An evergreen meme that makes it into quite a few of my teaching presentations!
December 19, 2024 at 1:30 PM
An evergreen meme that makes it into quite a few of my teaching presentations!
Excellent point - I like to call this 'pseudocollapse'
December 17, 2024 at 9:15 PM
Excellent point - I like to call this 'pseudocollapse'
Great thread! Corollary to this is make sure you're not just confusing a dilated hepatic vein for the IVC. The key to this is to double check in the short axis if unsure
December 17, 2024 at 9:14 PM
Great thread! Corollary to this is make sure you're not just confusing a dilated hepatic vein for the IVC. The key to this is to double check in the short axis if unsure