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I tried #Bluesky about a year ago and it just didn't quite replicate the #MedTwitter we all knew and loved. Logged back on last night and found a revitalized #MedTwitter community on #Bluesky. Going to give it another try, come join! Nick Mark MD 𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 Lakshman Swamy ([email protected])

Pleasure to share my thoughts with MedPage Today about why #MedTwitter is fast becoming #MedSky… medpagetoday.com/special-report…

how it how its started going

Now In-Press, a review on Expert use of the Bougie for Airway Management, a paper @Ryan_Barnicle, Alexander Bracey, and I just published in the Annals. Check it out, I think it came out pretty good: annemergmed.com/article/S0196-…

Elon Musk effectively admits that posts with links are throttled. If you've been wondering why your posts with links to journalistic articles haven't been getting nearly the engagement you would expect, this is why. I have less and less reason to be here.

throttling tweets that contain links is one more small way that twitter is hostile to journals & FOAMed. any platform that discourages links is self-serving (lookin at you instagram).

how to quickly set up a useful MedSky account! 🦋 It’s blown up over the past week and it’s increasingly fun & useful. 🦋 This isn’t about politics; it’s a legitly better platform. blog: emcrit.org/pulmcrit/blues…

In case you’re starting use that new app everyone is talking about… Give us a follow: bsky.app/profile/nejm.o… 🦋

~1 month after moving to bloo ski, I want to report back that it’s freaking great. 😃 algorithm picks up nice stuff 😃 feeds concentrate high-yield posts 😃 no ads or trash (twitter is becoming NSFW 😬) 😃 getting better every week how-to guide here: emcrit.org/pulmcrit/blues…

Fresh IBCC chapter: Measles in the adult hospitalized patient 🤒 tx = mostly supportive but there are important nuances 🤒 viral pneumonia has parallels to COVID 🤒 encephalitis appears to be ADEM (not neuroinvasion), treatable with steroid chapter: emcrit.org/ibcc/measles/

PulmCrit blog: Michelin Chest Syndrome A shallow pigtail chest tube straightens out & lacerates the lung… Side-holes in the chest wall function as a conduit, pushing air into the subcutaneous tissue… Massive subcutaneous emphysema occurs. blog: emcrit.org/pulmcrit/miche…

EMCrit 397 - Philosophy of Arterial Lines in the ED - A Debate in Absentia A discussion of some arterial line philosophy, accuracy, and ease of placement. emcrit.org/397

fresh blog: Loading Infusion Auto-Titration (LIAT) for infused meds with intermediate half-lives ⚖️start gtt at max rate ⚖️when therapeutic effect is reached, drop to maintenance gtt ⚖️maintenance rate calculated based on *time* to optimal effect link: emcrit.org/pulmcrit/loadi…

Humanism-first structure for family meetings (fresh blog) 🗣️ 1st part of the meeting explores who the patient is, quality of life, & goals 🗣️ Spend more time talking about the person & less time focused on the disease blog: emcrit.org/pulmcrit/human…