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
There’s been 13 strikes?
They snuck up on me like fast and the furious sequels
They snuck up on me like fast and the furious sequels
Resident doctors begin 13th strike as pay dispute in England conitnues
Resident doctors begin 13th strike as pay dispute in England conitnues
NHS bosses say they are aiming to keep nearly all services running during the strike.
www.bbc.com
November 14, 2025 at 7:32 AM
There’s been 13 strikes?
They snuck up on me like fast and the furious sequels
They snuck up on me like fast and the furious sequels
Outstanding
November 13, 2025 at 9:27 PM
Outstanding
Reposted by Segun Olusanya
OMG, as a father, allow me to emphasize it is not ok for adult men to be into teen age girls, and if you are an adult rationalizing “15 year olds” as somehow ok:
You are gross
You need help
Stay the hell away from my children or my students
You are gross
You need help
Stay the hell away from my children or my students
November 13, 2025 at 8:13 PM
OMG, as a father, allow me to emphasize it is not ok for adult men to be into teen age girls, and if you are an adult rationalizing “15 year olds” as somehow ok:
You are gross
You need help
Stay the hell away from my children or my students
You are gross
You need help
Stay the hell away from my children or my students
Reposted by Segun Olusanya
Fresh IBCC: POCIT (Point-of-care infrared thermography)
This is basically where POCUS was 1995-2005
Technology & evidence-basis are improving
Early adopters may be interested
IMHO anything bringing us to the bedside more & forcing us to engage w/ the exam is good
emcrit.org/ibcc/pocit/ #EMIMCC
This is basically where POCUS was 1995-2005
Technology & evidence-basis are improving
Early adopters may be interested
IMHO anything bringing us to the bedside more & forcing us to engage w/ the exam is good
emcrit.org/ibcc/pocit/ #EMIMCC
November 13, 2025 at 2:00 PM
Fresh IBCC: POCIT (Point-of-care infrared thermography)
This is basically where POCUS was 1995-2005
Technology & evidence-basis are improving
Early adopters may be interested
IMHO anything bringing us to the bedside more & forcing us to engage w/ the exam is good
emcrit.org/ibcc/pocit/ #EMIMCC
This is basically where POCUS was 1995-2005
Technology & evidence-basis are improving
Early adopters may be interested
IMHO anything bringing us to the bedside more & forcing us to engage w/ the exam is good
emcrit.org/ibcc/pocit/ #EMIMCC
Reposted by Segun Olusanya
It's me.
Hi.
I'm the problem, it's me.
open.substack.com/pub/pulmccm/...
@thinkingcc.bsky.social @khaycock.bsky.social @drfreeze.bsky.social @maxhockstein.bsky.social @www.pulmccm.org
Hi.
I'm the problem, it's me.
open.substack.com/pub/pulmccm/...
@thinkingcc.bsky.social @khaycock.bsky.social @drfreeze.bsky.social @maxhockstein.bsky.social @www.pulmccm.org
ICU Physiology in 1000 Words: The Geometry of Venous Congestion
Jon-Emile S.
open.substack.com
November 13, 2025 at 1:22 AM
It's me.
Hi.
I'm the problem, it's me.
open.substack.com/pub/pulmccm/...
@thinkingcc.bsky.social @khaycock.bsky.social @drfreeze.bsky.social @maxhockstein.bsky.social @www.pulmccm.org
Hi.
I'm the problem, it's me.
open.substack.com/pub/pulmccm/...
@thinkingcc.bsky.social @khaycock.bsky.social @drfreeze.bsky.social @maxhockstein.bsky.social @www.pulmccm.org
Reposted by Segun Olusanya
UPCOMING WEBINAR: On November 18, join us for an #ASEWebinar, which will review our Left Ventricular Diastolic Function #ASEGuideline and show its application through case examples!
The webinar will allow for Q&A between the speakers and attendees. bit.ly/4pax8nH
The webinar will allow for Q&A between the speakers and attendees. bit.ly/4pax8nH
November 12, 2025 at 8:49 PM
UPCOMING WEBINAR: On November 18, join us for an #ASEWebinar, which will review our Left Ventricular Diastolic Function #ASEGuideline and show its application through case examples!
The webinar will allow for Q&A between the speakers and attendees. bit.ly/4pax8nH
The webinar will allow for Q&A between the speakers and attendees. bit.ly/4pax8nH
Reposted by Segun Olusanya
New post live @sydneyhems.bsky.social - Registrars Reflect!
If you’re considering a fellowship with us, you can hear from our current and recent registrars on what they’ve learned and found challenging about prehospital and retrieval medicine.
#FOAMed #FOAMSky #EMSky
sydneyhems.com/2025/11/12/t...
If you’re considering a fellowship with us, you can hear from our current and recent registrars on what they’ve learned and found challenging about prehospital and retrieval medicine.
#FOAMed #FOAMSky #EMSky
sydneyhems.com/2025/11/12/t...
Sydney HEMS: Registrars Reflect
Two of our registrars Shannon and Jenny talk about their experiences in the first year at Sydney HEMS. Hear two different takes on the the job, their insights into more challenging missions, and ti…
sydneyhems.com
November 12, 2025 at 12:50 AM
New post live @sydneyhems.bsky.social - Registrars Reflect!
If you’re considering a fellowship with us, you can hear from our current and recent registrars on what they’ve learned and found challenging about prehospital and retrieval medicine.
#FOAMed #FOAMSky #EMSky
sydneyhems.com/2025/11/12/t...
If you’re considering a fellowship with us, you can hear from our current and recent registrars on what they’ve learned and found challenging about prehospital and retrieval medicine.
#FOAMed #FOAMSky #EMSky
sydneyhems.com/2025/11/12/t...
Reposted by Segun Olusanya
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
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
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
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
Reposted by Segun Olusanya
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
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
Reposted by Segun Olusanya
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?
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
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?
Autumn is here, and winter is on its way. In children with gastroenteritis, should we be prescribing take-home doses of ondansetron?
Reposted by Segun Olusanya
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
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...
Reposted by Segun Olusanya
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
#AHA25
November 8, 2025 at 7:35 PM
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
#AHA25
Reposted by Segun Olusanya
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
#AHA25
November 9, 2025 at 4:14 PM
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
#AHA25
Reposted by Segun Olusanya
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
#AHA25 @ahascience.bsky.social
ja.ma/47FZkaR
November 9, 2025 at 3:00 PM
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
#AHA25 @ahascience.bsky.social
ja.ma/47FZkaR
Reposted by Segun Olusanya
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...
Read the position statement: www.bsecho.org/Publi...
November 9, 2025 at 11:30 AM
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...
Read the position statement: www.bsecho.org/Publi...
Reposted by Segun Olusanya
My new plan for encouraging resident colleagues to document in the electronic patient record appropriately...
November 9, 2025 at 10:26 AM
My new plan for encouraging resident colleagues to document in the electronic patient record appropriately...
Reposted by Segun Olusanya
📰 @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
🖇️ bit.ly/4qKFt3b
November 8, 2025 at 7:45 PM
📰 @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
🖇️ bit.ly/4qKFt3b
Reposted by Segun Olusanya
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.
Though she does deserve equal credit, it doesn't mean the racist and his friend did nothing.
If I see one more stupid Rosalind Franklin take I'm going to lose my mind. Thank god for @matthewcobb.bsky.social and @nccomfort.bsky.social. www.nature.com/articles/d41...
What Rosalind Franklin truly contributed to the discovery of DNA’s structure
Franklin was no victim in how the DNA double helix was solved. An overlooked letter and an unpublished news article, both written in 1953, reveal that she was an equal player.
www.nature.com
November 8, 2025 at 11:32 AM
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.
Though she does deserve equal credit, it doesn't mean the racist and his friend did nothing.
Reposted by Segun Olusanya
#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
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
#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
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
Reposted by Segun Olusanya
Our latest blog is out:
Faith, Evidence and the Stars: The ANDROMEDA‑SHOCK‑2 Trial
https://criticalcarereviews.com/blog/current
Faith, Evidence and the Stars: The ANDROMEDA‑SHOCK‑2 Trial
https://criticalcarereviews.com/blog/current
November 7, 2025 at 7:54 PM
Our latest blog is out:
Faith, Evidence and the Stars: The ANDROMEDA‑SHOCK‑2 Trial
https://criticalcarereviews.com/blog/current
Faith, Evidence and the Stars: The ANDROMEDA‑SHOCK‑2 Trial
https://criticalcarereviews.com/blog/current
Reposted by Segun Olusanya
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!
Meanwhile, Watson won a Nobel off that work & survived to the ripe old age of 97 by simply: stealing those notes!
Hey folks, as news of Watson's demise spreads, please don't set aside his weighty legacy of misogyny and racism. He was truly among the worst of us. www.vox.com/2019/1/15/18...
DNA scientist James Watson has a remarkably long history of sexist, racist public comments
“People say it would be terrible if we made all girls pretty,” he said in 2003. “I think it would be great.”
www.vox.com
November 7, 2025 at 8:38 PM
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!
Meanwhile, Watson won a Nobel off that work & survived to the ripe old age of 97 by simply: stealing those notes!
Reposted by Segun Olusanya
#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
🔍 @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
📚 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
#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
🔍 @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
Reposted by Segun Olusanya
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
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
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
Check the dates, times and locations for your nearest BMA picket line 👇
www.bma.org.uk/our-campaign...
See you there 💪 #PayRestoration #EndTrainingCrisis
Reposted by Segun Olusanya
