brookswalsh
@brookswalsh.bsky.social
ER doc.
Okay at reading ECGs
Proud to have helped eliminate "excited delirium" in EM.
Aiming to correctly use the subjunctive in Spanish more often.
And I am never, ever sick at sea.
Okay at reading ECGs
Proud to have helped eliminate "excited delirium" in EM.
Aiming to correctly use the subjunctive in Spanish more often.
And I am never, ever sick at sea.
Reposted by brookswalsh
"I had always hoped that this land might become a safe and agreeable Asylum to the virtuous and persecuted part of mankind, to whatever nation they might belong."
~George Washington to Francis Adrian van der Kemp, May 28, 1788.
Image: Gilbert Stuart portrait of Washington, 1804. Public domain.
~George Washington to Francis Adrian van der Kemp, May 28, 1788.
Image: Gilbert Stuart portrait of Washington, 1804. Public domain.
November 28, 2025 at 5:38 PM
"I had always hoped that this land might become a safe and agreeable Asylum to the virtuous and persecuted part of mankind, to whatever nation they might belong."
~George Washington to Francis Adrian van der Kemp, May 28, 1788.
Image: Gilbert Stuart portrait of Washington, 1804. Public domain.
~George Washington to Francis Adrian van der Kemp, May 28, 1788.
Image: Gilbert Stuart portrait of Washington, 1804. Public domain.
Reposted by brookswalsh
Been busting my ass to get book 2 out and y'all better read this shit 😭
I’m gonna go ‘head and leave this here then for all those who want to read a book that has been compared to Sopranos, Peaky blinders, Boardwalk Empire; and the work of Mario Puzo (Godfather) and Dennis Lehane. ☺️
Books2read.com/thepikeboys
Books2read.com/thepikeboys
November 26, 2025 at 10:52 PM
Been busting my ass to get book 2 out and y'all better read this shit 😭
I think we need to see more studies about the real and/or perceived benefits of AI in medicine.
My bet is that the hype greatly exceeds the reality, except for limited areas.
Happy to be wrong though.
My bet is that the hype greatly exceeds the reality, except for limited areas.
Happy to be wrong though.
"Even among respondents with a bachelor’s degree or more, just 28% say that AI increased their productivity in daily tasks."
"How are Americans using AI? Evidence from a nationwide survey"
www.brookings.edu/articles/how...
"How are Americans using AI? Evidence from a nationwide survey"
www.brookings.edu/articles/how...
November 28, 2025 at 5:55 PM
I think we need to see more studies about the real and/or perceived benefits of AI in medicine.
My bet is that the hype greatly exceeds the reality, except for limited areas.
Happy to be wrong though.
My bet is that the hype greatly exceeds the reality, except for limited areas.
Happy to be wrong though.
Reposted by brookswalsh
For EP providers: if you watch the video, think about how different a new patient visit might be if the AFib patient had watched this first? 🤔
youtu.be/oy9g9gnD9cQ?...
youtu.be/oy9g9gnD9cQ?...
The 3 Steps of Treating Atrial Fibrillation (in Plain English!)
YouTube video by Dr. Joshua Cooper - Arrhythmia Education
youtu.be
November 28, 2025 at 2:03 AM
For EP providers: if you watch the video, think about how different a new patient visit might be if the AFib patient had watched this first? 🤔
youtu.be/oy9g9gnD9cQ?...
youtu.be/oy9g9gnD9cQ?...
"Even among respondents with a bachelor’s degree or more, just 28% say that AI increased their productivity in daily tasks."
"How are Americans using AI? Evidence from a nationwide survey"
www.brookings.edu/articles/how...
"How are Americans using AI? Evidence from a nationwide survey"
www.brookings.edu/articles/how...
November 28, 2025 at 2:18 AM
"Even among respondents with a bachelor’s degree or more, just 28% say that AI increased their productivity in daily tasks."
"How are Americans using AI? Evidence from a nationwide survey"
www.brookings.edu/articles/how...
"How are Americans using AI? Evidence from a nationwide survey"
www.brookings.edu/articles/how...
Reposted by brookswalsh
Reposted by brookswalsh
Patient with cirrhosis and INR of 3 needs a procedure
Please step away from the FFP
EVERY guideline & article agrees that FFP shouldn't be given for pre-procedure coag optimization (even high-risk procedures)
Plt & fibrinogen are more controversial
Discussion emcrit.org/ibcc/cirrhos... #EMIMCC
Please step away from the FFP
EVERY guideline & article agrees that FFP shouldn't be given for pre-procedure coag optimization (even high-risk procedures)
Plt & fibrinogen are more controversial
Discussion emcrit.org/ibcc/cirrhos... #EMIMCC
November 27, 2025 at 1:06 PM
Patient with cirrhosis and INR of 3 needs a procedure
Please step away from the FFP
EVERY guideline & article agrees that FFP shouldn't be given for pre-procedure coag optimization (even high-risk procedures)
Plt & fibrinogen are more controversial
Discussion emcrit.org/ibcc/cirrhos... #EMIMCC
Please step away from the FFP
EVERY guideline & article agrees that FFP shouldn't be given for pre-procedure coag optimization (even high-risk procedures)
Plt & fibrinogen are more controversial
Discussion emcrit.org/ibcc/cirrhos... #EMIMCC
Reposted by brookswalsh
I’ve sat down three or four times this year to write about how global health is uniquely infected by a mix of cynical punditry, back-room deal making, and zero interest in real consequences, and then I remember - it’s every field.
November 27, 2025 at 3:32 AM
I’ve sat down three or four times this year to write about how global health is uniquely infected by a mix of cynical punditry, back-room deal making, and zero interest in real consequences, and then I remember - it’s every field.
Lower?!
Adults with #AFib who drank at least one cup of caffeinated coffee daily after successful cardioversion had a lower risk of recurrence than those who abstained from coffee & caffeine.
Lead author & JAMA Associate Editor Gregory M. Marcus, MD, MAS, explains the results of the study.
🔗 ja.ma/4p14pSw
Lead author & JAMA Associate Editor Gregory M. Marcus, MD, MAS, explains the results of the study.
🔗 ja.ma/4p14pSw
November 26, 2025 at 5:00 PM
Lower?!
Reposted by brookswalsh
For those asking for the context behind Bolsonaro’s insults at the start: he was still a congressman in 2014 and made headlines for being open about supporting the 1964 coup d’Etat. This was not a popular position in Brazil at the time. All Borges asked him was: “So there was no coup in 1964?”
Good morning to Brazilian reporter Manuela Borges, who’s been waiting eleven years for this petty moment. ❤️ 🇧🇷
November 26, 2025 at 4:53 PM
For those asking for the context behind Bolsonaro’s insults at the start: he was still a congressman in 2014 and made headlines for being open about supporting the 1964 coup d’Etat. This was not a popular position in Brazil at the time. All Borges asked him was: “So there was no coup in 1964?”
Reposted by brookswalsh
Good morning to Brazilian reporter Manuela Borges, who’s been waiting eleven years for this petty moment. ❤️ 🇧🇷
November 26, 2025 at 1:04 PM
Good morning to Brazilian reporter Manuela Borges, who’s been waiting eleven years for this petty moment. ❤️ 🇧🇷
Reposted by brookswalsh
Voyager 1 is one light day from earth.
16,094,799,105 miles!
16,094,799,105 miles!
On 13 Nov 2026 #NASA's Voyager 1 will be one light day (25.9b km/16b mi) from Earth. No other nation has done this - yet Voyager carries greetings from all humanity. We're not only spacefaring - we're now starfaring. How about a #LightDay - some #interstellar #softpower for NASA?
November 26, 2025 at 4:25 PM
Voyager 1 is one light day from earth.
16,094,799,105 miles!
16,094,799,105 miles!
You've been kidnapped. The characters from the last TV show you watched are trying to rescue you. Who's coming to save you?
Ya so
Ya so
November 26, 2025 at 12:27 AM
You've been kidnapped. The characters from the last TV show you watched are trying to rescue you. Who's coming to save you?
Ya so
Ya so
“My life has prepared me for this shit. There’s nothing that scares me anymore. So I bury my head into work.
My escapism is the cruel reality of the city right now.”
My escapism is the cruel reality of the city right now.”
MY LATEST @latimes.com COLUMNA: The ex-landscaper behind the deportation diary L.A. never wanted. Share, porfas!
Commentary: The ex-landscaper behind the deportation diary L.A. never wanted
“Daily Memo” has become the diary Los Angeles never asked for but which is now indispensable, documenting in real time one of the most terrifying chapters in the region's history.
www.latimes.com
November 25, 2025 at 6:02 PM
“My life has prepared me for this shit. There’s nothing that scares me anymore. So I bury my head into work.
My escapism is the cruel reality of the city right now.”
My escapism is the cruel reality of the city right now.”
Reposted by brookswalsh
MY LATEST @latimes.com COLUMNA: The ex-landscaper behind the deportation diary L.A. never wanted. Share, porfas!
Commentary: The ex-landscaper behind the deportation diary L.A. never wanted
“Daily Memo” has become the diary Los Angeles never asked for but which is now indispensable, documenting in real time one of the most terrifying chapters in the region's history.
www.latimes.com
November 25, 2025 at 5:00 PM
MY LATEST @latimes.com COLUMNA: The ex-landscaper behind the deportation diary L.A. never wanted. Share, porfas!
I'm sure that my ER colleague was 100% sincere when they ordered a costly EMS transfer.
But this situation forced this family into (credit card!) debt.
We don't talk enough about the financial risks of ER visits.
Gift link:
wapo.st/3M65Hgt
But this situation forced this family into (credit card!) debt.
We don't talk enough about the financial risks of ER visits.
Gift link:
wapo.st/3M65Hgt
November 25, 2025 at 3:30 PM
I'm sure that my ER colleague was 100% sincere when they ordered a costly EMS transfer.
But this situation forced this family into (credit card!) debt.
We don't talk enough about the financial risks of ER visits.
Gift link:
wapo.st/3M65Hgt
But this situation forced this family into (credit card!) debt.
We don't talk enough about the financial risks of ER visits.
Gift link:
wapo.st/3M65Hgt
Reposted by brookswalsh
You can pry my bactrim out of my warm, edematous, erythemic finger.
November 24, 2025 at 9:09 PM
You can pry my bactrim out of my warm, edematous, erythemic finger.
Reposted by brookswalsh
Trimethoprim-sulfamethoxazole carries a very low (but real) risk of causing ARDS.
Duration of therapy is a risk factor (>7 days).
Could likely be minimized by avoiding unnecessarily long courses.
TMP-SMX is usually well tolerated, but can wreak havok (SJS, ARDS, drug-induced meningitis). #EMIMCC
Duration of therapy is a risk factor (>7 days).
Could likely be minimized by avoiding unnecessarily long courses.
TMP-SMX is usually well tolerated, but can wreak havok (SJS, ARDS, drug-induced meningitis). #EMIMCC
November 24, 2025 at 8:48 PM
Trimethoprim-sulfamethoxazole carries a very low (but real) risk of causing ARDS.
Duration of therapy is a risk factor (>7 days).
Could likely be minimized by avoiding unnecessarily long courses.
TMP-SMX is usually well tolerated, but can wreak havok (SJS, ARDS, drug-induced meningitis). #EMIMCC
Duration of therapy is a risk factor (>7 days).
Could likely be minimized by avoiding unnecessarily long courses.
TMP-SMX is usually well tolerated, but can wreak havok (SJS, ARDS, drug-induced meningitis). #EMIMCC
Reposted by brookswalsh
"if we don't understand that all children are really our children, then we are completely uncomprehending"
~ China Martens, The Avenue (www.chinamartens.com) maybe @chinamartens.bsky.social
~ China Martens, The Avenue (www.chinamartens.com) maybe @chinamartens.bsky.social
China Martens
www.chinamartens.com
November 24, 2025 at 8:40 PM
"if we don't understand that all children are really our children, then we are completely uncomprehending"
~ China Martens, The Avenue (www.chinamartens.com) maybe @chinamartens.bsky.social
~ China Martens, The Avenue (www.chinamartens.com) maybe @chinamartens.bsky.social
Reposted by brookswalsh
learned that peacock in Spanish is "pavo real," which gave me new respect for regular pavos
November 24, 2025 at 4:01 PM
learned that peacock in Spanish is "pavo real," which gave me new respect for regular pavos
Reposted by brookswalsh
You know what, I'm just gonna re-up this post
November 24, 2025 at 3:04 PM
You know what, I'm just gonna re-up this post
Reposted by brookswalsh
Reposted by brookswalsh
New study design:
Multiply a small & uncertain number with a big number and you get a big number
The final big number looks, well, really big
This grabs headlines & gets cited
It doesn’t clarify underlying uncertainty, so it doesn’t actually illuminate anything
Mathematically rigorous clickbait
Multiply a small & uncertain number with a big number and you get a big number
The final big number looks, well, really big
This grabs headlines & gets cited
It doesn’t clarify underlying uncertainty, so it doesn’t actually illuminate anything
Mathematically rigorous clickbait
November 23, 2025 at 2:27 PM
New study design:
Multiply a small & uncertain number with a big number and you get a big number
The final big number looks, well, really big
This grabs headlines & gets cited
It doesn’t clarify underlying uncertainty, so it doesn’t actually illuminate anything
Mathematically rigorous clickbait
Multiply a small & uncertain number with a big number and you get a big number
The final big number looks, well, really big
This grabs headlines & gets cited
It doesn’t clarify underlying uncertainty, so it doesn’t actually illuminate anything
Mathematically rigorous clickbait
Post a movie where you are from
November 23, 2025 at 10:44 PM
Post a movie where you are from
Goddamn, @washingtonpost.com. Real sus description of the sexual harassment that Lewinsky suffered.
"...years before *she* understood the power imbalance..."
"...years before *she* understood the power imbalance..."
November 23, 2025 at 2:30 PM
Goddamn, @washingtonpost.com. Real sus description of the sexual harassment that Lewinsky suffered.
"...years before *she* understood the power imbalance..."
"...years before *she* understood the power imbalance..."