Greg Bryson

Scientists Figured Out the Problem With Johnson & Johnson’s COVID Vaccine Rare but dangerous blood clotting associated with that vaccine as well as AstraZeneca’s had a genetic cause, according to a new paper.

www.theatlantic.com/science/2026...

Peri-operative fasting in adults: an international, multidisciplinary consensus statement

#AnSky

doi.org/10.1111/anae...

4AT - Rapid Clinical Test for Delirium Detection 4AT: rapid assessment test for delirium detection. Designed by Alasdair MacLullich (University of Edinburgh), Tracy Ryan and Helen Cash (NHS Lothian). Used in clinical care by doctors, nurses, occupational therapists and other healthcare professional

Made the 4AT #delirium assessment tool with 2 colleagues in 2011 to help improve the rates of detection in my hospital at the time. Also made a website - www.the4AT.com - to help with dissemination.

Pleased to say it has now been widely adopted & has a large evidence base.

Let me dig around.
We do this at an out-of-hospital facility we support.

Everything you describe but no breakfast. Insulin held until post op in light of fasting.

“Focus means choosing what doesn't matter.
What you refuse to do determines what you can do.”
- Shane Parrish

JAMA research letter titled 'Climate Change and Health: Trends and Disparities in Heat-Related Emergency Medical Services Activations.' Table shows EMS activation rates from 2019-2024 by population, heat-related, non-heat-related changes, and rate ratios.

Heat-related EMS activations increased 65% from 2019 to 2024, with the fastest increases among middle-aged adults, lower-middle–income communities, and in the Mountain and West South Central US.

bit.ly/4tqmVq0

BRONZE FOR CANADA 🇨🇦

Megan Oldham, from Parry Sound, wins bronze for Canada in the women’s slopestyle event.

It’s her first Olympic medal in her second Games. And how about this, four years ago she missed qualifying for the final by one spot. Now she’s on the podium.

BRONZE FOR CANADA 🇨🇦

Valerie Maltais, in her 5th Olympics, wins bronze for Canada in the 3000m final.

It’s her first individual medal in long track speed skating. And it’s Canada’s first medal at the 2026 Winter Olympics.

How and Why I Wrote 'City of Heroes' What role can artists play in the struggle against the forces of oppression?

Some thoughts on the role of the artist in the struggle against oppression

open.substack.com/pub/braggb/p...

But I can't see a place on this list where a bro could grift.

Glad it went well.
That T-shirt suggests you're already advocating for a new bike.

View across Dow’s Lake, Ottawa.

Nice walk to work today.

Good luck! Hope you'll be back on the bike soon.
Might be a chance to get a gravel bike 😜

Cyclists of a certain age can’t see a Mondrian without thinking of bikes.

www.theproscloset.com/blogs/news/w...

"A designer knows he has achieved perfection not when there is nothing left to add, but when there is nothing left to take away."

My approach to anesthesia as described by Antoine de Saint-Exupéry

My socials are full of influencers trying to raise the ceiling of health and fitness for the worried well.
We need to figure out how to raise the floor for the everyone else.

I had a 20-something guy with +++ induction and maintenance requirements sit bolt upright and broadcast to a full PACU,
"Whoa! I've done some crazy shit in my time but that was fahhhhbulous."
Best part was he did it in the voice of Crush from Finding Nemo.

Our old green masks + cleaning solution smelled like Canadian Tire.
Our new brightly coloured plastic ones? I dunno, maybe Lego.

Propofol is spicy, although I may be stealing sparkly from @gonggasgirl.bsky.social.
Sevo is a combination of cotton candy and cheap perfume.
Pentothal was garlicky.

I hope you see the behaviours and values that you bring to your practice mirrored in the care you receive.

"We will all falter at some point in our professional lives. What matters most is how we meet one another in those moments—whether with judgment and isolation, or with honesty, empathy, and the measured grace that underpins truly ethical leadership."

I haven’t seen this kind of comparison before, but that’s just shocking. #ClimateCrisis

This thread makes me think I did not make the best use of my post-secondary education.

Yourself, but as a cartoon.

Yourself, but as a cartoon

Unplanned admission after day surgery: A historical cohort study in patients with obstructive sleep apnea - Canadian Journal of Anesthesia/Journal canadien d'anesthésie Purpose Practice guidelines suggest that patients with obstructive sleep apnea (OSA) should be monitored postoperatively to reduce adverse events. This study evaluated outcomes following ambulatory su...

If they have CPAP, we send them home.
If they are diagnosed with moderate to severe OSA and untreated, we keep them in hospital.
Attending anesthesiologists are able to override the admission if they feel the patient is not at risk (regional, no or low opioids, etc)
link.springer.com/article/10.1...

Alex Pretti’s coworkers take a moment of silence this morning

Minneapolis Police Chief Brian O'Hara: "People have had enough. This is the third shooting in less than 3 weeks. The MPD went the entire year last year recovering about 900 guns from the street, arresting hundreds of violent offenders, and we didn't shoot anyone ... this is not sustainable."

Just imagine being the parent of a soldier from Canada or Denmark or Great Britain or France who was killed in Afghanistan in the one and only time Article 5 was invoked and the entire alliance came to America's aid, and hearing President Bone Spurs say this.