Episode 73: The KDIGO CKD 2024 Guideline Draft — NephJC It is time for another NephJC Draft! This time the 2024 KDIGO CKD guideline draft is on the clock!

That was my pick in the podcast

Statins for everyone

CKD is an atherogenic state
CKD patients die of heart disease
Give everyone a statin

#NephJC www.nephjc.com/freelyfilter...

a man in a black shirt says " don 't do this " in white letters ALT: a man in a black shirt says " don 't do this " in white letters

Infamous Phantom Nephro Recs:
1. Avoid nephrotoxins (pt needs atbxs + CTA)
2. Keep MAP >65 (on the floor, not on pressors)
3. Trend Cr daily (already ✔️BMPs q 8h happening)
4. Strict I/Os (on diapers, refuses Foley/PureWick)
5. Renally dose all meds (pt not on any renally cleared med)

Every day is a separate battle

YouTube video by EMSwami Antibiotics in Community Acquired Pneumonia #emergencymedicine #criticalcare #resuscitation

CAP Abx Coverage: Azithro inadequate solo coverage due to high S.Pneumoniae resistance rates

Healthy CAP: Amoxicillin 1000 mg Q8 or Doxycycline 100 mg Q12

CAP w/ comorbid illnesses: Amox/clav or cefpodoxime + azithro OR respiratory FQ

#MedSky #EMIMCC
youtube.com/shorts/Ik-MJ...

YouTube video by NEJM Group Asundexian vs. Apixaban in Atrial Fibrillation | NEJM

Among patients with atrial fibrillation, there is an unmet need for effective anticoagulation that prevents stroke but incurs a lower risk of bleeding than direct-acting oral anticoagulants. Research findings are summarized in a new Quick Take video. youtu.be/5vGwznJen68

#MedSky

Antimicrobial resistance (AMR) poses a growing threat in humanitarian and low-resource settings, particularly in conflict-affected regions where fragile health systems, access barriers to healthcare, and environmental contamination amplify its impact. #IDSky #MedSky #AidSky

Are we ready for another pandemic? After Covid-19, world leaders agreed to work together to strengthen global health systems, but negotiations on a new agreement have stalled

Is another pandemic coming? Short answer is looking like yes. www.theguardian.com/global-devel... #medsky

End of Life Care Background: Working as a doctor in Medicine of the Elderly, I’ve looked after a lot of people at the end of their lives. Although it might sound odd, it’s actually one of the best bits …

While we’re on the subject of End of Life Care, this is a blog I wrote a while back, on looking after people who might be dying.

It was written with junior doctors in mind, to help them navigate waters that I had found tricky.

#EOLC
#MedSky

sharingandlearningonline.wordpress.com/end-of-life-...

Doing makes difference

Maybe it's just old (2022), but what's what we have for HFrEF, according to inclusion RCTs criteria #nephJC

www.ahajournals.org/doi/10.1161/...

OTD 2 years ago: An entire sky dramatically lit up by fiery red sunset clouds & reflected in a mirror smooth pond.

WOW delicious hot bread

Quite the regal Steller’s Jay in my backyard a couple years ago for today’s #FeatheredFriday!

#bird #birds #birdphotography #stellersjay #blue #photography #wildlife #Nikon #Z7 #ArminPhoto

#birds
Yet another Bluebird
Sorry, not sorry

The snow capped southern Alps of New Zealand as seen from Lake Wakatipu by @peterlewis55.bsky.social

💎 Photo of The Week Competition 20th December 2024 www.stormhour.com/photo-of-the...

#ThePhotoHour
#StormHour
#SnowHour

another view of the Pacific, midafternoon; the sky’s giving Our Lady of Fatima vibes

lightshow II

The Moon as seen from Earth. That is, the side that we see from Earth.

The far side of the Moon. This side is not seen from Earth due to the Moon being tidally locked with Earth, meaning one side always faces us. It’s covered in many craters

the side of the Moon we see // the side we don’t:

Absolutely perfect ….. ✨🧡✨🩵✨🧡✨🩵✨

This is another image from a solo exhibition in 2019 in Tallahassee. It was titled Transcend the Ordinary and featured 35 infrared landscape images all shot at 720nm with a Nikon D750. Infrared is a ton of fun. #photography #landscapephotography #infrared #ir #720nm

A dreamy evening above the fog ❤️

Photography: @rosannab88.bsky.social

#photography

New in bluesky
Hi all

The lower lighthouse is a hut out to sea on stilts. The photo is taken from the beach with a wooden breakwater pointing to the lighthouse.

Dovercourt Lower Light

#Photography #LandscapePhotography #Essex #Harwich

Stunning …..Mountain in Lake Clark National Park, Alaska 🇺🇲 ✨💙✨🩵✨💙✨