Jonny Wilkinson

Not sure who this is for, but indomethacin, which I have a prescription for because of occasional arthritis, was the only thing that helped even a little bit when I caught Covid in March of 2020.

Fluids with @nottheflyhalf.bsky.social on Day 1 East Mids Crit Care and PeriOp medicine

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A new release from Larry Istrail!

One of the best ultrasound texts of our time, unique in its construct and memorable in its teachings! Dr Istrail nails it again!

What did we think? #FOAMed #POCUS #FOAMcc…

https://criticalcarenorthampton.com/2025/10/21/the-pocus-textbook-dr-larry-istrail/

Check out our ASRA News article about why blocks in space just make sense!

+ breakdown of microG analogues:
Pool vs Plane

asra.com/news-publica...

@Bilih.bsky.social
@Elboghdadly.bsky.social
@Dr-Amit-pawa.bsky.social
@Nottheflyhalf.bsky.social
@Petermerjavy.bsky.social
@Maggieholtzmd.bsky.social

🔥 block box !!

(Aka glass box of emotion)

@Jeffgadsden.bsky.social has a lot of editing to do!

@Bilih.bsky.social
@Dr-Amit-pawa.bsky.social

@Nottheflyhalf.bsky.social
@Emarianomd.bsky.social
@Petermerjavy.bsky.social
@Maggieholtzmd.bsky.social
@lloydturbitt.bsky.social
@ropivacaine.bsky.social

🎧 Got the #SOA25 blues?

We’ve got just the thing…

@nottheflyhalf.bsky.social takes us behind the scenes of our brilliant ICS Cast recordings – filmed live in our buzzing podcast booth during the #SOA25 congress!

These episodes will be dropping over the next few weeks.

Watch this space!🎙️

Congresses like @ics-updates.bsky.social #soa25 are indebted to our industry sponsors for making this all possible

Here is a little mini tour of our industry space. Featuring many of our friends and supporters

(You may have seen @nottheflyhalf.bsky.social at the start too!)

Nothing Benedict…to be honest, it’s a way to get the post seen via its tag…..🤷‍♂️

It’ll be one of our last weapons of resistance as EPRs and robotics turn on us.
The steth and tendon hammers… and this dude.

What’s wrong with it….apart from the fact it looks as useful as they actually are these days😂🤪😉

Ha ha Tim. It still can’t perform too well with bad images…à la ICU reality mate!

Also, did you know, if you ask ChatGPT what it will do if we try to shut it down…? It will write its own code so making it impossible! Skynet here we come!

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PanEcho - does A.I have the edge on humans in #POCUS?

#FOAMed #FOAMcc #Medsky #Meded

https://criticalcarenorthampton.com/2025/06/26/panecho-trial/

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REST trial - lower tidal volume ventilation with ECCO₂R vs standard care in AHRF patients.
#FOAMed #POCUS #FOAMcc #Medsky

https://criticalcarenorthampton.com/2025/06/14/rest-trial/

Did PCT/CRP guided antibiotic de-escalation Vs standard care have a mortality benefit?

#FOAMed #POCUS #FOAMcc #Medsky @ics-updates.bsky.social

This will be discussed at #SOA25

criticalcarenorthampton.com/2025/06/14/a...

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BLING III trial - continuous vs intermittent β-lactam infusions in ICU patients with sepsis! #FOAMed #POCUS #FOAMcc #antibiotics #Medsky

https://criticalcarenorthampton.com/2025/06/14/bling-iii/

4/4

This is what I mean by residual confounding. Essentially, the crossover and adjustments mitigate, but don’t completely eliminate the impact of hospital-level variations. 😬🤷‍♂️😉

3/4

Hospitals are bound to have unmeasured or time-varying differences; like changes in staff expertise, patient severity, or protocol adherence flexing during the study—these could still influence the results.

2/4

Each hospital serves as its own control by switching between intervention and control periods. So, adjusting for the hospital in the analysis helps reduce confounding from differences in hospital characteristics (e.g., patient mix, protocols), they may not fully account for all variations.

1/4

As far as I see it mate, there may be bias in the study results that remain, even after attempts to control for confounding factors. Stuff like hospital-level differences.

Same Jo….same!

Yes…rather you than me mate…..😂

Hey buddy…I can’t find where I wrote that?? 🥴

Sorry about the incorrect study title here….open to look

PROMIZING Did CTP and CTA enhance the diagnosis of death by neurologic criteria in critically ill patients with high accuracy.

Did CTP and CTA enhance the diagnosis of death by neurologic criteria in critically ill patients with high accuracy. #FOAMed #POCUS #FOAMcc @criticalcarereviews.com #CCR25

PROMIZING Discover the impact of Proportional-Assist Ventilation vs. Pressure-Support Ventilation on extubation times in critically ill patients.

PROMIZING

Discover the impact of Proportional-Assist Ventilation vs. Pressure-Support Ventilation on extubation times in critically ill patients.

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PRINCE trial - remote ischemic preconditioning's impact on myocardial injury in noncardiac surgery patients. #FOAMed #POCUS #FOAMcc #CCR25 @criticalcarereviews.com

https://criticalcarenorthampton.com/2025/06/13/29099/

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We explore the safety and efficacy of high-volume intravenous rehydration for severe malnutrition and gastroenteritis in children. #FOAMed #POCUS #FOAMcc @criticalcarereviews.com #CCR25

https://criticalcarenorthampton.com/2025/06/13/gastrosam/

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The NOTACS trial - high-flow nasal therapy vs. standard oxygen in cardiac surgery. #FOAMed #POCUS #FOAMcc #Medsky @criticalcarereviews.com #CCR25

https://criticalcarenorthampton.com/2025/06/13/hfno2-af/

Yep - a good summation!

Tbh starvation mimics seem to improve outcomes in animal models in acute phase of illness eg NAD+ precursors pmc.ncbi.nlm.nih.gov/articles/PMC...