Ed Palmer

This degree of rain is now too much for me. I haven't seen the sun in weeks. When dear god will this rain end. 🌂

Hamnet is utterly beautiful. Would recommend. 🥲

I increasingly think it's our job to go and have difficult conversations. But to be honest, we generally do this better than others. Not being arrogant, we just get a heck of a lot more practice!

Akin to forcing a surgeon to operate when they've said they won't.

It can be a little irritating. I think some of it stems from home teams making resus decisions with little understanding or knowledge of resuscitation science or recovery from critical illness. What annoys me more actually is when our decisions for resus get overruled at discharge. It's a little...

What fresh hell is this.

This was amazing. Ive always enjoyed this channel for his deep dives on a variety of facinating technology. This is probably his best work. Watch till the end.

Good response 💪

In an editorial, @HSJnews suggests the NHS is “too reliant” on resident doctors.

We disagree.

Resident doctors provide essential care now & form the backbone of the NHS workforce of the future. The problem isn’t too many doctors - it’s system constraints. Our response: https://ow.ly/exmU50Y3W1K

Don't have access. Though the headline did tickle me. "Health service too reliant on those trained to deliver a health service" 😂

Star Trek The Next Generation scene. We're in engineering with control panels and engineering stuff on the walls and whatnot. We see Picard and Worf, but Picard is a borgs! His whole body is worn in black spandex or rubber or something borgy and he looks to have been transformed into half robot half human, with tubes and wires and mechanics attached to his body and head, including half his face being covered in tech and wires, Phantom of the Opera style. (SING FOR ME, MY ANGEL CHRISTINE!) Picard's whole arm is also now a long metally tool doohickey with sharp smaller tools doohickeys sticking out of the end, and he's holding it to Worf threateningly. Worf, in gold uniform, stands like he's being held at gunpoint. Closed caption reads, "We only wish to raise quality of life." (Editors note, it goes without saying but FUCK ICE)

Huge fan of your books BTW Prof. Was one of my first entry points into stats and R.

This was inevitable. Everything is being turned into bloatware AI slop. I've fully retreated to vim and I'm pretty happy with this decision.

Microslop is the logical endpoint of a business model entirely directed at "make line go up" rather than actually supporting the end user.

Haloperidol vs. placebo for the treatment of delirium in ICU patients: a pre-planned, secondary Bayesian analysis of the AID-ICU trial - PubMed We found high probabilities of benefits and low probabilities of harm with haloperidol treatment compared with placebo in acutely admitted, adult ICU patients with delirium for the primary and most secondary outcomes.

#iCanHazPDF please pubmed.ncbi.nlm.nih.gov/36971791/ 🙏

I do indeed sometimes sit with my hand on the temple though. Quite useful in a pinch if the art line goes down.

Its hard to see how windows 11 could ever be compatible with deployment in the NHS. It's a facinating combination of malware and spyware.

That's a coincidence. This is on my christmas reading list.

What I don't get about The Fly, is what about all the billions of bacteria already on, in and around him in the pod. Not to mention parasites and funghi. I feel like the fly was the least of his worries.

There is a lot to consider here. Mainly why it's important to conduct RCTs. Just goes to show how much of a terrible soup of retrospective data we base our practice on.

It 100% is a deal breaker . I'm extremely concerned about their use in medicine, particularly amongst training doctors/medical students. If you don't already have the expertise to critique the output, then it isn't a safe way to learn. Also shouldn't be within a mile of high stakes decision making.

Ive got a workaround using outlook to share the calendar with the native apps. But it's not ideal.

Yep tried that, but I keep getting a notice saying that the organisation hasn't authorised the app?

I can 100% get behind ditching work email from phone. But I do need my work calendar at least to make sure I don't double book/miss plan.

Urgh. On iphone I could use the native mail and calendar apps with NHS exchange. But I seem to have to use outlook on android unless I'm mistaken. It's super annoying in a "daily friction" kind of a way.

First time using outlook for android (by necessity). Pretty awful user experience. How do people workflow tasks that require looking at email and calendar at the same time?

"One intangible advantage of capillary refill time is that performing it brings the clinician back to the bedside to reassess the patient. This act may be itself the holy grail of early sepsis management."

great piece on #sepsis

Thanks ✌️🙏

Thank you!! 🙏

Thank you! 🙏