con

@IhabFathiSulima Tongue has fallen out

What is the diagnosis?

@nickmmark @JumpSeatMedic Question- as I can’t tell from the meta analysis. Did they select only cases where a LUCAS would feasibly have been used? Spitballing that ROSC after 1-2 cycles likely would be the domain of manual compressions so wondering if the LUCAS groups included the worse underlying path

That’s not what studies have found. A meta-analysis of 24 real world studies n=111,000 cardiac arrests (not CPR on mannikins) found no increase in survival with LUCAS. Use of the LUCAS device was associated with WORSE neurological outcomes compared to CPR. pmc.ncbi.nlm.nih.gov/articles/PMC10… Additionally the device can fail suddenly, causing prolonged interruptions in CPR. sciencedirect.com/science/articl… I totally get using it if rescuers are fatigued, there’s limited people to do CPR, or if you can’t move around (helicopter, cath lab, etc) but let’s not pretend it’s better. It’s demonstrably worse.

The LUCAS device isn’t new or “advanced” it’s been around since 2003. It’s never been shown to produce better survival or neurological outcomes compared to CPR. 2025 AHA guidelines recommend AGAINST using it. Learn CPR. Also this isn’t a heart attack it’s a cardiac arrest.

@LarcombePeter @despallav @ShivaniM_KC Here u go this is ‘where on earth’ it was sourced

@LarcombePeter @despallav @ShivaniM_KC ‘Most’ may have been a slight stretch but the point still stands. We’ve paid for healthcare at a rate equal to nearly every developed country through our taxes. (US being an outlier costing 3x as much as everywhere else)

I’ve never heard this before. Thank you for your advice

@Dr_Chibuike_M Giblets

A lady with a sore throat and runny nose coughed this out. What is it? 🤔

@drkeithsiau The trimmings

Which part of the human body is shown here?

@epic_rboi11 @kingochepr Would also work but volvulus is visible on abdo film

@ronnoc_rd @kingochepr You mean an ultrasound?

I wonder why they don’t always believe him 🤦‍♂️

@sulaym07 @ShaykhSulaiman Hi chatGPT what a pointless pointless account this is

TRUMP HAS NO IDEA WHAT'S GOING ON...! 🤣 In just seven minutes, Trump exposed the entire farce of US foreign policy: first deny regime change, then demand it. This isn’t strategy—it’s the verbal equivalent of a drunken U-turn. One minute he’s the reluctant peacemaker, the next he’s the zealous revolutionary. Which Trump is lying? Both. He says whatever feels good in the moment, consequences be damned. The world watches as America’s leader contradicts himself before the applause even dies down. This isn’t diplomacy; it’s a bipolar soundbite machine. No wonder Iran doesn’t trust a word Washington says. When the president can’t keep his story straight for seven minutes, why should anyone believe him for seven seconds?

TWO STATEMENTS BY TRUMP 7 MINUTES APART: Trump at 9:00: "Regime change was not our goal. We don't want that" Trump at 9:07: "Regime change is what we want. It is needed" These statements were made 7 minutes apart in the same speech

@Adam1996Indep @sjs856 I can vouch that my own daughter has had every single vaccine offered and will continue to do so. The diseases they prevent are horrible on a biblical scale and I’m happy that our society isn’t generally aware of how bad they are. I reckon each vaccine safer than a 5min car ride

@Adam1996Indep @sjs856 As do we all. I’m also aware that due to proximity to that side of research things that may be easier to accept or appear unconcerning to myself can be alarming and a grave worry to others. I will say, having seen the regulatory oversight of Phase III vaccine studies..

False. Placebo in a clinical trial = standard of care or other agent that differs from what is being trialed as long as it makes sense Your “true placebo” fallacy is just an excuse for Tuskegee 2.0 which RFK Jr. approved funding for in Africa on Black babies

@DrNeilStone @grok make a bigger scale

The amount of vicious hate I get on this site is just absolutely off the scale.

@Adam1996Indep @sjs856 Becomes more complex with things like influenza. Do we compare to placebo or compare to last seasons vaccine? Extremely tricky. I had a study stopped early once for super-superiority against the comparator which was heartening, but the numbers required to demonstrate are big

@ronnoc_rd @sjs856 You’re correct. I think that should be standard regardless of previous vaccines. That said, if something like plague was circulating and a death rate of 33% was guaranteed, I’d take a vaccine in all likelihood.

@PJaseja BP of 120/80 is fictional, I refuse to believe it’s ever been seen in the wild

Recalling an OPD day... The professor asks upon entering, which BP person are you?... 120/80 mm Hg or 110/70 mm Hg #MedTwitter

@Adam1996Indep @sjs856 What about blood pressure meds? What about vaccines with a potentially better safety profile? Cholesterol tabs? You want SOC withdrawn for these studies?

@ronnoc_rd @sjs856 If you’re testing a traditional vaccine for a childhood illness with high survival rate, a randomized study with inert placebo is not an ethical issues especially since supportive care is available

@Adam1996Indep @sjs856 The Covid vaccine studies were true placebo controlled, as we had nothing else. I know this because I was a patient on the NovaVax study as I was worried I was going to die due to my job on ICU at the time. My treatment allocation when the study finished? 0.9% NaCl

@ronnoc_rd @sjs856 If you’re studying a new vaccine, particularly mRNA, and rushing it through with EUA, I’d like to have the freedom to decline and not be threatened socially like I was.

@Adam1996Indep @sjs856 That wasn’t the question

@Timber2025 @SkyStarhoxj @VigilantFox Have you ever seen someone on GHB? No? Then please stay in your own lane.

@ronnoc_rd @SkyStarhoxj @VigilantFox You're living up to your handle "con".

If you thought what they did to ivermectin was bad, wait till you hear what they did to this drug. It turns out that there’s a cure to insomnia, but the drug is so remarkably effective for a variety of conditions that the FDA colluded with the media to take it down. The drug is Gamma-hydroxybutyrate, also known as GHB. The FDA’s tactics were ruthless. In 1990, they issued a press release filled with deceptive inaccuracies. They banned it, threatened compounding pharmacies, and even raided suppliers without legal authority. “The media hysteria labeled it a ‘date rape drug,’” as noted by A Midwestern Doctor, but evidence shows GHB wasn’t a major cause of assaults. If you don’t believe me, watch this video with Jimmy Dore and prepare to have your mind blown. Then read below to see why the “War on Sleep” was one of the most sinister and profitable tactics ever unleashed on humanity. The more tired you are, the more money they make. But there’s one simple change you can make tonight that could finally help you sleep again. 🧵 THREAD

@TheReelRandom This is the Naomi Wolf who had her latest book absolutely destroyed, live on a radio interview, as she misunderstood a legal term and therefore spent a year of her life promoting absolute nonsense

Not sure where Dr. Wolf went to med school but I don’t think it’s accredited.

@hay_banda @AlBonDeega @DrNeilStone He’s an expat so technically not Spanish. How he’s living in Spain with no job I don’t know but that’s the least concerning thing about him

@AlBonDeega @ronnoc_rd @DrNeilStone Which Englishman? And how the fuck does it matter anyway? Why are you having trouble with basic logic? All Englishmen are British too FFS. You were a homo sapien long before you were Spanish. Does that mean you aren't Spanish?

I'm British Here we spell it medical licence And we've been using this language longer than you have