🧵regarding Lord of the Rings - related traumatic injuries, and whether access to modern Level 1 trauma centers could have decreased morbidity and mortality within the Fellowship.
Here we will take a more evidence-based approach to some of the injuries in Middle Earth
(1/ )
I’ve been obsessed with the @NEJM CPCs since I was in grad school. Now, with @tabuckley_, it’s surreal to see @NEJM publish the first AI differential diagnosis in the 100+ year history of the series, generated by our AI system Dr. CaBot, alongside the human expert’s.
(1/9) Its July and medical trainees are starting their medical school residency or fellowship.
Here is my advice for any ICU fellows starting out to avoid making some of the same mistakes that I've made in the past.
A 🧵
Bit late, but big changes for me as of July 1st this year. Given up my stroke practice in favour of taking on a new role as medical lead for Neurocritical Care @KingstonHSC. Very excited about this new program! (and oh yeah, it's now Professor Boyd).
The results are in! CONGRATULATIONS to Program Director, Dr. Gauthier and the Core Internal Medicine Residency Program for winning the 2025 PARO Residency Program Excellence Award! This is given annually to one outstanding training program in the entire province. Well done! 👏
ICU Hemodynamics Secrets:
Did you ever manage a patient when the upper arm was inaccessible for noninvasive oscillometric measurements of blood pressure (BP), & the cuff was placed on the lower leg?
This study evaluated the impact of patient position
on lower leg BP measurement
Brilliant article reviewing zoonotic infections in the Canadian Arctic. 🇨🇦
Echinococcus canadensis, Mycoplasma phocacerebrale ("seal finger"), Trichinellosis & more.
Link: cmaj.ca/content/197/2/…, by James Burns et al.
Published in @CMAJ today.
In this case, CVP estimation via (a) scalp vein, (b) a skull defect with vein underneath, (c) arm vein, (d) 18G peripheral IV water column pressure transduction
Use anything that is available in immediate reach to infer the clinical data point needed -- even when POCUS is not available or out of commission. Anything.
@HonSing Many moons ago, indeed. We were at Bull and Castle -- upper floor for a rare beer that was written on the blackboard. We, also, went to the iconic The Swan for a good pint of Guinness.