Andrew J
@em-dr-jacklin.bsky.social
Ex fluctibus tranquillitas. Emergency Medicine Consultant, Medical Examiner, Digital Lead. East Midlands. Trying to avoid drama, trying to generate some worthwhile discussions. May fail.
Reposted by Andrew J
Tired: two-factor authentication
Wired: n+1-factor authentication, where successfully authenticating on a new device just allows you to log in again, triggering another authentication request. Repeat ad infinitum
Wired: n+1-factor authentication, where successfully authenticating on a new device just allows you to log in again, triggering another authentication request. Repeat ad infinitum
November 7, 2025 at 7:45 PM
Tired: two-factor authentication
Wired: n+1-factor authentication, where successfully authenticating on a new device just allows you to log in again, triggering another authentication request. Repeat ad infinitum
Wired: n+1-factor authentication, where successfully authenticating on a new device just allows you to log in again, triggering another authentication request. Repeat ad infinitum
Ok Gemini, that's pretty good.
IYKYK
IYKYK
November 7, 2025 at 3:52 PM
Ok Gemini, that's pretty good.
IYKYK
IYKYK
@kurtstat.bsky.social has anyone ever used the phrase 'leftward shift of acuity in streaming' (and I'm slightly embarassed to be asking this.)
My thought: if you thought of acuity of setting on the x-axis with home at the left and ED resus on the right, and patient numbers on the y-axis...
My thought: if you thought of acuity of setting on the x-axis with home at the left and ED resus on the right, and patient numbers on the y-axis...
November 6, 2025 at 8:13 PM
@kurtstat.bsky.social has anyone ever used the phrase 'leftward shift of acuity in streaming' (and I'm slightly embarassed to be asking this.)
My thought: if you thought of acuity of setting on the x-axis with home at the left and ED resus on the right, and patient numbers on the y-axis...
My thought: if you thought of acuity of setting on the x-axis with home at the left and ED resus on the right, and patient numbers on the y-axis...
The Mandolorian is quite good, isn't it?
October 23, 2025 at 10:01 AM
The Mandolorian is quite good, isn't it?
People in the NHS when someone uses the BCC (blind carbon copy) function in e-mails.
a cartoon character says witchcraft in front of a curtain
ALT: a cartoon character says witchcraft in front of a curtain
media.tenor.com
October 20, 2025 at 12:14 PM
People in the NHS when someone uses the BCC (blind carbon copy) function in e-mails.
The most caustic effect of Brexit is the rise in the view that democracy is just about voting on things.
(Ideally it's a complex interlocking system that relies on the rules and interplay between Parliament, government, courts and the press to try and maximise freedom and quality of life for all.)
(Ideally it's a complex interlocking system that relies on the rules and interplay between Parliament, government, courts and the press to try and maximise freedom and quality of life for all.)
Ah! Good morning, reality. And welcome. We’ve been expecting you…
October 20, 2025 at 12:10 PM
The most caustic effect of Brexit is the rise in the view that democracy is just about voting on things.
(Ideally it's a complex interlocking system that relies on the rules and interplay between Parliament, government, courts and the press to try and maximise freedom and quality of life for all.)
(Ideally it's a complex interlocking system that relies on the rules and interplay between Parliament, government, courts and the press to try and maximise freedom and quality of life for all.)
Reposted by Andrew J
Indicators of patient flow dysfunction mainly focus on either the hospital front door (e.g. breaches of the four-hour target) or the hospital back door (e.g. delayed transfers of care). But patient flow dysfunction manifests itself *everywhere* in a general hospital.
1/6
1/6
October 16, 2025 at 9:20 AM
Indicators of patient flow dysfunction mainly focus on either the hospital front door (e.g. breaches of the four-hour target) or the hospital back door (e.g. delayed transfers of care). But patient flow dysfunction manifests itself *everywhere* in a general hospital.
1/6
1/6
The important thing to understand about AI is that everything that everyone else creates using it is mindless slop that is heating up the planet but everything I create using it is like a cross between Oscar Wilde and Van Gogh and was 100% worth it.
October 20, 2025 at 6:46 AM
The important thing to understand about AI is that everything that everyone else creates using it is mindless slop that is heating up the planet but everything I create using it is like a cross between Oscar Wilde and Van Gogh and was 100% worth it.
October 2, 2025 at 9:32 AM
Great crisps? Or greatest crisps?
September 30, 2025 at 6:53 PM
Great crisps? Or greatest crisps?
Pro-tip: I'll fill out a reference for anyone I've ever supervised but you have to remember unless you were the worlds most memorable person all I've got to go on is your electronic portfolio. So if there is no evidence in there you'll get some kind words but I can't do much else....
September 23, 2025 at 7:26 AM
Pro-tip: I'll fill out a reference for anyone I've ever supervised but you have to remember unless you were the worlds most memorable person all I've got to go on is your electronic portfolio. So if there is no evidence in there you'll get some kind words but I can't do much else....
There is clearly a poo ninja that creeps around the house doing big poos in toilets when we're not watching because my 7 year old tells me it is not him.
September 23, 2025 at 6:20 AM
There is clearly a poo ninja that creeps around the house doing big poos in toilets when we're not watching because my 7 year old tells me it is not him.
www.bbc.co.uk/news/article...
Don't understand this.
2 year degree which leads into semester 2 (not year 2) of a four year degree programme.
So _longer_ then a standard medical degree.
Don't understand this.
2 year degree which leads into semester 2 (not year 2) of a four year degree programme.
So _longer_ then a standard medical degree.
University of Wolverhampton plans fast-track doctor qualification - BBC News
Wolverhampton university plans a medical academic training facility with a school in the Caribbean.
www.bbc.co.uk
September 22, 2025 at 3:38 PM
www.bbc.co.uk/news/article...
Don't understand this.
2 year degree which leads into semester 2 (not year 2) of a four year degree programme.
So _longer_ then a standard medical degree.
Don't understand this.
2 year degree which leads into semester 2 (not year 2) of a four year degree programme.
So _longer_ then a standard medical degree.
I found that this album exists and the world is better because of it: en.wikipedia.org/wiki/Arnold_...
Arnold Schwarzenegger's Total Body Workout - Wikipedia
en.wikipedia.org
September 17, 2025 at 6:52 PM
I found that this album exists and the world is better because of it: en.wikipedia.org/wiki/Arnold_...
We didn't need really need a sequel @ericidle.bsky.social did we? www.bbc.co.uk/news/article...
Defiant nuns flee Austrian care home for their abandoned convent in the Alps
Sisters Bernadette, Regina and Rita needed a locksmith to get back into their convent, defying Church leaders.
www.bbc.co.uk
September 13, 2025 at 12:56 PM
We didn't need really need a sequel @ericidle.bsky.social did we? www.bbc.co.uk/news/article...
What becomes painfully clearer with every day is that, regardless of any other merits or weakness he has, Keir Starmer is pretty crap at this whole 'politics' thing.
www.bbc.co.uk/news/live/cz...
www.bbc.co.uk/news/live/cz...
Peter Mandelson sacked as US ambassador by Keir Starmer over emails to Jeffrey Epstein
The Foreign Office says he was fired
www.bbc.co.uk
September 11, 2025 at 2:30 PM
What becomes painfully clearer with every day is that, regardless of any other merits or weakness he has, Keir Starmer is pretty crap at this whole 'politics' thing.
www.bbc.co.uk/news/live/cz...
www.bbc.co.uk/news/live/cz...
September 7, 2025 at 11:25 AM
Possibly true fact: in Orwell's 1984 the Ministry of Peace (Minipax) may have been inspired by the contradictory naming of UK and USA govt depts. At around the time the book came out the American Ministry of War had been renamed the National Millitary Establishment before later becoming the DOD.
NEW: Donald Trump to rename the Department of Defense the “Department of War”
“Restoring the name Dept of War will sharpen the focus of the Dept on our national interest and signal to adversaries America’s readiness to wage war to defend its interests.”
“Restoring the name Dept of War will sharpen the focus of the Dept on our national interest and signal to adversaries America’s readiness to wage war to defend its interests.”
September 5, 2025 at 7:41 AM
Possibly true fact: in Orwell's 1984 the Ministry of Peace (Minipax) may have been inspired by the contradictory naming of UK and USA govt depts. At around the time the book came out the American Ministry of War had been renamed the National Millitary Establishment before later becoming the DOD.
@nickopotamus.co.uk Arc A770 in a Thinkstation p520. Great value or greatest value?
September 3, 2025 at 8:04 AM
@nickopotamus.co.uk Arc A770 in a Thinkstation p520. Great value or greatest value?
Always nice to check in on the pension and discover that one day I can hope to retire on #ERR/DIVIDEBY0--doesNOTcompute a year.
August 25, 2025 at 7:04 AM
Always nice to check in on the pension and discover that one day I can hope to retire on #ERR/DIVIDEBY0--doesNOTcompute a year.
Hardest day of the week!
Really should use a pen and paper.
Really should use a pen and paper.
August 24, 2025 at 12:43 PM
Hardest day of the week!
Really should use a pen and paper.
Really should use a pen and paper.
I now have a t-shirt older then the FY1s.
Specifically this t shirt (but mines is in worse condition.)
Specifically this t shirt (but mines is in worse condition.)
August 22, 2025 at 6:19 PM
I now have a t-shirt older then the FY1s.
Specifically this t shirt (but mines is in worse condition.)
Specifically this t shirt (but mines is in worse condition.)
Untrue. Deadpool can also do this.
"Sponges are the only animals that if broken down to the level of their cells, can reassemble themselves. A sponge is passed through a sieve to break apart its cells. The cells recognize each other and reform into small new sponges." #shapeoflife #spongeThursday youtu.be/ORV3qV8GFF4?...
Sponges - Time-lapse of Sponge Cells Recombining
YouTube video by Shape of Life
youtu.be
August 22, 2025 at 7:56 AM
Untrue. Deadpool can also do this.
Reposted by Andrew J
Are you using 0.9% NaCl or balanced salt solutions such as Lactated Ringer's or Plasmalyte to resuscitate your patients with DKA? This paper suggests that we should be using the latter. 🎩 tip to the authors.
eddyjoemd.com/foamed
eddyjoemd.com/foamed
August 21, 2025 at 10:05 AM
Are you using 0.9% NaCl or balanced salt solutions such as Lactated Ringer's or Plasmalyte to resuscitate your patients with DKA? This paper suggests that we should be using the latter. 🎩 tip to the authors.
eddyjoemd.com/foamed
eddyjoemd.com/foamed