jack donaghy: "That information is classified. At least until Dick Cheney dies which is gonna be a long time from now. That man is mostly metal."

Mike Johnson: ‘My Christian Faith Is More About Not Jacking Off Than Feeding The Poor’

Mike Johnson: ‘My Christian Faith Is More About Not Jacking Off Than Feeding The Poor’

Say what you want about Alien: Covenant but at least James Franco burns to death in the first 10 minutes

If you have to remember one thing today, this is it:

#foamed #foamcc #meded #Medsky #emimcc

https://pmc.ncbi.nlm.nih.gov/articles/PMC11040545/

updated the IBCC section on alcoholic hepatitis.

AGA 2024 guidelines seem sensible & useful (picture below)

Key points:

🍺Steroid recommended for MELD>20

🍺Aggressive multiorgan support PRN (may have hepatorenal syndrome, sepsis, etc)

🍺Consider acetylcysteine

emcrit.org/ibcc/aclf/#a... #EMIMCC

The BICAR-ICU-2 trial just dropped!

RCT involving IV bicarb in metabolic acidosis among patients with mod-severe AKI

Bicarb didn't affect mortality but it reduced the need for dialysis & risk of bacteremia

VERY similar conclusions to BICAR-ICU-1

🧵 #1/

jamanetwork.com/journals/jam... #EMIMCC

mystery inc dressed up as characters from survival horror games for halloween shaggy and scooby as james sunderland and mira daphne as claire redfield velma as mio amakura fred as isaac clarke

Mystery Inc's Survival Horrorween 🔪
#ScoobyDoo

Bought a copy of this print at DragonCon! Love your work!

Damnit just wanted to watch some Simpsons Halloween without thinking about how far we’ve fallen as a nation

NFTs are amazing because you apparently “own” them but the AWS outtage yesterday took out everyones apes lol

Gonna do some funny videos I guess?

1.

Sotatercept in Patients with Pulmonary Arterial Hypertension at High Risk for Death | NEJM Sotatercept improves exercise capacity and delays the time to clinical worsening in patients with World Health Organization (WHO) functional class II or III pulmonary arterial hypertension. The eff...

www.nejm.org/doi/full/10....
Decompensated pulm Htn is one of my least favorite things to see in the Unit. Once these patients need pressors, mortality goes through the roof so love to see options for salvaging a bad situation

A frog expressing that you’re not alone in your struggles.

Blocking government agencies on worlds lamest social media platform just to feel something

Weirdly fun to block the White House

“still punk,” I say while blocking the White House on the social media site for 38-year-olds

Phenomenal

Couldn’t stop myself from crying. His bravado and style are something I wish I had the courage to emulate, not to mention his amazing works. His friendly rivalry with Tekken’s Harada always struck me as beautiful. Life is a fleeting and gorgeous.

Completely agree! The bedside providers aren’t educated on what the model measures. Not sure if anyone is using this in clinical practice but it makes me uneasy

Was in a meeting today about using a machine learning model to gauge readiness for extubation. Can’t help but ask what it’s doing that multidisciplinary rounds is not already doing? Would you trust an AI model to extubate your patient without being involved in the choice?

WATCH: ‘Portland Frog’ pepper balled by ICE agents

Jess Waters recycling the same guy over and over to represent “former” different enemies

I have never thought about a performers virginity while watching a movie. This cannot possibly be a normal thought to have.

Page from a children’s book. There is an illustration of a black cat peeling around a piece of wood. Text reads “Mister black, the cat, peered around the corner. On the porch a stranger was eating the food put there for mister black by his family.” but the spellings are sometimes phonetic and use strange characters other than those of the standard Latin alphabet.

An unusual item in my collection, Mister Black’s Secret by Catherine Barr. At first it seems like an early example of cheezburger speech but it was actually written in a shortlived teaching alphabet called ITA.

I’m not looking up what medbed is. I’m too tired

E-mail from Crunchyroll asks "Ever see a life fall apart??"

Every goddamn day, Crunchyroll.

"the art of the let go"

😭

HitlerSuckfest1488: "This has radicalized me."

This was just last month and we have already memoryholed it. A cop killed by an antivaxxer.