Dr. Alison Fox-Robichaud

oh, not nearly as good as one might hope

Organizations disinvited from CDC vaccine workgroups U.S. health officials have informed more than half a dozen leading medical organizations that they will no longer be invited to participate in developing vaccination recommendations.

Organizations disinvited from CDC vaccine workgroups medicalxpress.com/news/2025-08...

- American Medical Association
- American Academy of Pediatrics
- Infectious Diseases Society of America, et al

Removal "irresponsible, dangerous to our nation's health, & will further undermine public trust..."

The walking wounded: sepsis survivors grapple with post-sepsis syndrome There were times I didn’t know why I survived sepsis, and even darker times when I wished I hadn’t. After surviving septic shock in May, 2021, after a colon perforation erupted from undiagnosed divert...

Jackie Duda is a BEAST!!! This woman does so much advocating for sepsis awareness & changing lives for the better for all sepsis survivors.

This is her latest article in @thelancet.com.

www.thelancet.com/journals/lan...

Ventilator-associated pneumonia: mechanisms, an appraisal of current therapies and the role for inhaled antibiotics in prevention and treatment

CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch

CCR Down Under 2025 Critical Care Reviews Meeting Down Under - The Edge, Federation Square, Melbourne, December 9th - 10th, 2025

🚩The 3rd trial result for CCR Down Under 2025 is ARISE-AFRICA🚩

➡️Standard low flow oxygen vs nasal high flow oxygen vs CPAP in hypoxaemic respiratory failure

➡️Presenter Arthur Kwizera

➡️Join us in Melbourne
criticalcarereviews.com/meetings/ccr...

@precordialthump.bsky.social

Neutrophils drive vascular occlusion, tumour necrosis and metastasis - Nature Neutrophils actively induce tumour necrosis, driving vascular occlusion, pleomorphic necrosis and metastasis.

Nature research paper: Neutrophils drive vascular occlusion, tumour necrosis and metastasis

go.nature.com/4lzilSb

The Miseducation of Maria Montessori Her method was meant for the public. Then it became a privilege.

Maria Montessori and her many disciples believed that children are, in their essence, methodical, self-directed beings with a strong work ethic.

Mastercard Foundation Scholars Program at McGill University(Fully-funded scholarship to Canada) - Opportunities for Youth The Mastercard Foundation Scholars Program is the largest scholarship and leadership initiative of its kind in Africa. Through a broad network of Pan-African

Mastercard Foundation Scholars Program at my university @mcgill.ca

Fully-funded scholarship to Canada!!

opportunitiesforyouth.org/2025/07/14/m...

Tackling misinformation is a long game: here’s how science journalists can help A panel of writers, researchers, and industry experts shared their insights on how to spot and counter misinformation at #abswss25. By Jasmeen Kanwal.

Tackling misinformation is a long game: journalists can help www.absw.org.uk/resources/ta... v @absw.bsky.social

1) Publish on a topic widely & repeatedly
2) Prebunk—inoculate your audience against common misinformation tactics
3) Report on science with extreme care
4) Choose your experts carefully

Harnessing adiponectin for sepsis: current knowledge, clinical insights and future therapies

CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch

Beyond the signature: Is consent truly informed? - Healthy Debate Moving forward, making informed consent truly informed – rooted in both equity and accessibility –  needs to be a priority, not just an ideal.

Happy to share this collaboration between my undergraduate student, a post doctoral fellow and patient partners healthydebate.ca/2025/07/topi...

Reconsidering the Language of Serious Illness - PubMed Reconsidering the Language of Serious Illness

#ICUreadings

One of my favorite recent meditations on the language we use, by the brilliant @jackykruser.bsky.social: pubmed.ncbi.nlm.nih.gov/37486663/

And the classic DAHLIA trial that is part of why I am so liberal with precedex:
pubmed.ncbi.nlm.nih.gov/26975647/

In effort to protect children, France bans smoking at parks and beaches Smokers are no longer allowed to light up in public parks, at swimming pools, or at beaches, or "anywhere children may be present," said French health and family minister Catherine Vautrin.

In effort to protect children, France bans smoking at parks, pools, beaches, and or "anywhere children may be present," by @ebeardsley.bsky.social www.npr.org/2025/06/30/n... via @npr.org

I’m grateful that these people are willing to share their stories, hopefully so that others can avoid their fate. There is a reason that specific infections have been targeted by vaccines. Vaccine-preventable diseases are terrible.

Where is the best place to hold a scientific conference right now? An immigration crackdown makes the United States less attractive. These locations could steal its crown and make conferences more globally inclusive.

An immigration crackdown makes the United States less attractive. Where should you hold your next conference?

https://go.nature.com/407qJ2w

Measles is surging in Alberta. Which vaccine-preventable disease could be next? | CBC News Doctors and scientists worry Alberta's measles outbreaks could signal the start of a new era when other dangerous infectious diseases of the past could re-emerge and pose new health threats.

#Measles is surging in Alberta. Which vaccine-preventable disease could be next? Measles 'canary in the coalmine,' as experts watch for resurgence of illnesses like polio, by @jenleecbc.bsky.social www.cbc.ca/news/canada/... via @cbcnews.ca #pediatrics

Measles leaves children vulnerable to other diseases for years Measles causes more than an acute illness: it suppresses immune memory and increases the risk of complications for years.

#Measles leaves children vulnerable to other diseases for years. Measles causes more than an acute illness: it suppresses immune memory and increases the risk of complications for years, by @scientificdiscovery.dev ‬ ourworldindata.org/measles-incr... via @ourworldindata.org

Today's Paper of the Day is:

Protocolized strategies to encourage early mobilization of critical care patients: challenges and success

criticalcarereviews.com/latest-evide...

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

A graph showing the cumulative probability of successful liberation from ventilation and of death before successful liberation.

In the PROMIZING trial, proportional-assist ventilation with load-adjustable gain factors did not differ significantly from pressure-support ventilation with respect to the time to liberation from mechanical ventilation. Full trial results: nej.md/4kC2a67

@criticalcarereviews.com #CCR25

#PROMIZINGtrial results are in - no difference in time to successful liberation from mechanical ventilation between proportional-assist ventilation and pressure support ventilation
#CCR25

Forest plots of the subgroup analyses

Presented at #CCR25:

In a cluster-randomized, crossover trial, hospital-wide use of lactated Ringer’s solution as compared with normal saline did not alter the incidence of death or hospital readmission within 90 days. Full trial results: nej.md/45SaEBs

@criticalcarereviews.com

Flyer for the FLUID trial results at CCR25

🚨 FLUID Trial Results🚨

Balanced crystalloids vs saline in hospitalised patients

📍 16 Canadian hospitals
👥 >144,000 pts 😮
🏁 Cluster-crossover RCT
📊 90-day death or readmission

➡️ Big trial !
➡️ Big numbers !

🚩 The answer drops at #CCR25🚩

B҉A҉C҉T҉E҉R҉I҉A҉L҉ ҉E҉N҉E҉R҉G҉Y҉ ҉V҉A҉M҉P҉I҉R҉E҉

𝘓𝘦𝘨𝘪𝘰𝘯𝘦𝘭𝘭𝘢 𝘱𝘯𝘦𝘶𝘮𝘰𝘱𝘩𝘪𝘭𝘢’s Dot/Icm system secretes actin-dependent ATPase Ceg14 to the cytoplasm

Ceg14 depletes ATP;
metaeffector AnkJ restrains its activity

Result—dynamic regulation of host energy stores to favor bacterial replication

www.nature.com/articles/s41...

Private clinics in Canada are selling personal health data: study Private clinics in Canada are selling patients’ personal health data without their knowledge, according to a new study.

Private health clinics in Canada are selling patient information: study
www.ctvnews.ca/health/artic... @ctvnews-rss.bsky.social

Oncologists call cancer a disease. Why do intensivists call sepsis a syndrome? A disease is a disorder that affects how your body functions with a known cause, a distinct course and established treatments. If we called sepsis a disease we might have investment in finding therapies just like cancer.

CDC reports 216 child deaths this flu season, the most in 15 years More U.S. children have died this flu season than at any time since the swine flu pandemic 15 years ago, according to a federal report.

CDC reports 216 child deaths this flu season, the most in 15 years www.statnews.com/2025/05/02/c... via @statnews.com

Big reason: fewer getting flu vaccine, which is "highly effective at preventing hospitalizations and deaths."

#VaccinesWork & misinformation kills.

There has been a significant reduction in the number of kids getting the flu vaccine over the past 5 years—a drop from 64% to 49%.

Consequently, there have been 216 pediatric flu deaths so far this flu season, the highest number since the swine flu 15 years ago (link below).

Vaccinate.

"Health systems can take steps to mitigate inhaler-related greenhouse gas emissions expeditiously."

This Perspective discusses the environmental impact of metered-dose inhalers used for respiratory conditions.

#MedSky ja.ma/4cWmpbL

Here we go. A major conference on antimicrobial resistance (GAMRIC) scheduled for later this year has been moved from Washington DC to London. Email from the organizers: "In order to maximise global participation..."

(NB that they say nothing about moving *from* DC. But it WAS in DC.)

🧪

COVID vaccine works faster with both doses in the same arm Quick immune responses could be key to establishing herd immunity in future pandemics.

Receiving a COVID-19 booster vaccine in the same arm as the first vaccine dose leads to a faster, more effective immune response than having it in the opposite arm.

https://go.nature.com/42WwKzT