Jeremy Jacobs, MD, MHS, FASCP
jwjacobs12.bsky.social
Jeremy Jacobs, MD, MHS, FASCP
@jwjacobs12.bsky.social
200 followers 140 following 14 posts
Assistant professor, coagulation and transfusion medicine at Vanderbilt. Alum: Mayo Clinic, Yale Lab Med, Vanderbilt, Johns Hopkins | he/him | animal rights advocate
Posts Media Videos Starter Packs
Reposted by Jeremy Jacobs, MD, MHS, FASCP
“This trial adds to the growing body of evidence suggesting no clinically meaningful benefit to albumin administration in the resuscitation of septic patients”
🧪 ICARUS-ED: Early albumin in sepsis?
📉 Minor gains in numbers, no real outcome benefit
💰 30x the cost vs crystalloids
⚠️ Outcomes > optics

🔍 Full breakdown: https://wp.me/pdrP8b-5oc
❤️ Like 🔁 Repost 🔔 Follow for more
#FOAMed #MedX #MedTwitter #MedEd
Our most recent article hits particularly close to home for me. Had the OBBB passed 10 years ago, it’s unlikely that I would have been able to attend medical school. The new changes threaten to “make the rich, richer”.
jama.com JAMA @jama.com · Aug 25
Viewpoint: The One Big Beautiful Bill Act's federal loan caps may exacerbate socioeconomic disparities in #MedEd, worsening the Matthew Effect and hindering diversity and equity within the physician workforce.

ja.ma/45xfUKn
Reposted by Jeremy Jacobs, MD, MHS, FASCP
The BMJ @bmj.com · Aug 18
The Annals of Internal Medicine has refused US health secretary Robert F Kennedy Jr’s demand to retract a study that found that vaccines containing the adjuvant aluminium hydroxide did not increase the incidence of 50 chronic disorders, including autism and asthma
www.bmj.com/content/390/...
Reposted by Jeremy Jacobs, MD, MHS, FASCP
New Opinion article by @jwjacobs12.bsky.social and Shazia Khan: "Erasing the evidence: United States climate rollbacks and the implications for public health"

journals.plos.org/climate/arti...
Reposted by Jeremy Jacobs, MD, MHS, FASCP
Blood is shared across legal borders to save lives.

Equitable and efficient movement of blood is guided by science and justice and must be insulated from ideologically motivated practices, argue co-authors @jwjacobs12.bsky.social @aabbupdates.bsky.social

onlinelibrary.wiley.com/doi/10.1111/...
Blood Borders: State laws, vaccine misinformation, and the threat to the United States blood supply
Click on the article title to read more.
onlinelibrary.wiley.com
In this Nature Medicine commentary @drgsbooth1.bsky.social and I discuss how the current political environment in the USA, including the weaponization of immigration enforcement, is impacting global scientific research, and the implications for science.

www.nature.com/articles/s41...
How US politics is undermining global science
Nature Medicine - How US politics is undermining global science
www.nature.com
This analysis reflects the recommendations and expertise of an international group of leaders in blood transfusion, biomedical ethics, health policy, and law. @transfusion.health @aabbupdates.bsky.social @isbt.bsky.social
Reposted by Jeremy Jacobs, MD, MHS, FASCP
In other words, the US government has suspended free speech.
Check out our recent viewpoint in @jama.com. The appointment of David Geier to lead the “vaccine and autism link” study, the forced resignation of Peter Marks at the FDA, and the overall leadership of RFK Jr. and Trump are literally killing Americans. We must resist this new world.
jama.com JAMA @jama.com · Apr 9
"Public health institutions must now rebuild confidence in vaccines against a backdrop of deep polarization and growing scientific illiteracy."

This Viewpoint discusses the growing influence of vaccine skeptics within public health institutions. #MedSky
Unreliable Vaccine Information and the Erosion of Science
This Viewpoint explores how appointing vaccine skeptics to positions of power in the US government contributes to the spread of unreliable information, subverts public confidence in vaccines, and unde...
jamanetwork.com
Reposted by Jeremy Jacobs, MD, MHS, FASCP
The Health Secretary is promoting quack doctors in the midst of a measles outbreak and literally nothing was more predictable.
Reposted by Jeremy Jacobs, MD, MHS, FASCP
Here is an open letter signed from UChicago AAUP signed by over 200 faculty to our administration on what we believe this moment requires:
uchicagoaaup.wordpress.com
Reposted by Jeremy Jacobs, MD, MHS, FASCP
EU foreign policy chief:

“.. Today, it became clear that the free world needs a new leader.”

@kajakallas.bsky.social
Reposted by Jeremy Jacobs, MD, MHS, FASCP
Our correspondence with @natureportfolio.bsky.social advocating that scholarly journals support direct link-sharing to #Bluesky amidst the exodus of academic communities from X (formerly Twitter)

@drgsbooth1.bsky.social @jwjacobs12.bsky.social @path-brian.bsky.social

www.nature.com/articles/d41...
Wow I had no idea! I feel like we all look to y’all as the gold standard. Hopefully one day with AI we will be able to have the ability to access antigen genotype or at least alloantibody status irrespective of country borders
Basically I always invoke Canada as the standard the US should aspire to regarding alloantibody databases, so let me know if should pick a different example 😅
I thought Canada outside of Quebec (and Quebec itself) had an alloantibody registry? Or is this just for certain patient populations (eg sickle cell disease)? Completely agree that even with ‘low’ alloimmunization rates, the issue is knowing about them once they evanesce. Cool study!
Reposted by Jeremy Jacobs, MD, MHS, FASCP
Tranexamic acid did not prevent bleeding or increase clotting in this ~600 patient RCT of heme malignancy patients (TXA was given 1 g IV every 8 hours or 1.5 g orally every 8 hours)🤷🏽‍♂️

Which is too bad--we don't have a tonne to offer these patients.. :(

www.thelancet.com/journals/lan... #transfusion
Reposted by Jeremy Jacobs, MD, MHS, FASCP
Bluesky @bsky.app · Dec 3
Scientists, academics, researchers: We’re excited to share that @altmetric.com is now tracking mentions of your research on Bluesky! 🧪
There are already many articles for which there is more attention on Bluesky than on other comparable micro-blogging sites, meaning the academic community and the general public have clearly adopted Bluesky as one of its core places to disseminate and discuss new research.

A Place of Joy.
Reposted by Jeremy Jacobs, MD, MHS, FASCP
Good news, Altmetric has now started watching BlueSky for mentions of publications. And by the way, provides an easy comparison between this and the old site for a recent preprint of mine which I posted simultaneousl at both. Numbers speak by themselves !
Reposted by Jeremy Jacobs, MD, MHS, FASCP
🩸Platelets!

Lifespan 7-10 days
150-450 × 10⁹/L
Stimulated by TPO
1/3 sequestered in spleen

Receptors:
GpIIbIIIa -> fibrinogen
GPIb-IX-V -> vWF
P2Y12 -> ADP

Granules:
Alpha = fibrinogen, vWF, V, VEGF, PF4, PDGF, P-selectin
Dense = ADP, Ca, Serotonin
#hemesky #MedSky

van der Meijden et al, 2019
Reposted by Jeremy Jacobs, MD, MHS, FASCP
Wonderful article by my mentor showing cognitive biases persist in AI chatbots, replicates known studies on biases in human and AI LLMs for comparison. Evidence that LLMs are inheriting some of our biases, in some cases quite strongly so ai.nejm.org/doi/full/10....
#mlsky #ai