That's fair- I think the best ones have a good balance between big action vs secret spy/infiltration segments which often have a bit more humour. 8 completely lacked the latter!

I'd put 3 below 4- best villain of the franchise but 4's Dubai and Kremlin sequences are better than any of 3's setpieces imo

Same with respiratory failure imo

Anatomy of a Fall

The Wrestler!

If you were including documentaries I'd add (as someone with minimal sports interest) Senna, Hoop Dreams and OJ: Made in America (technically 20% sports documentary)

manuscript_draft_v1.4_AAreviewed_13Jul24_final_v2 (2).docx

I recently experienced an endocrine team discussing with ICU whether a CVC was needed for a dose of 2.7% saline in a bed-bound 90+ year old nursing home resident with dementia who had acute symptomatic hyponatremia.....

Strong agree

Credit and huge thanks to Dr Clodagh Beattie (joint first author), Dr Quentin Otto, Joanna Hooper, Prof Jerry P Nolan & Dr Jasmeet Soar for all your work on this article

Full text available here:
authors.elsevier.com/a/1kXSi_6ryq...

@ercresus.bsky.social
#emimcc #medsky
🧵6/6

🔗The chain of survival in cardiac arrest after hanging begins with societal factors.

From a medical point of view clearly more important than interventional ICU trials is equitable access to mental health services

🧵5/6

The literature is quite heterogenous and as with all cardiac arrest studies understanding the system (i.e. country) as well as setting (prehospital/ED/ICU) is crucial for interpreting outcome data - (i.e. can paramedics declare death? Is life-sustaining treatment ever withdrawn?)

🧵4/6

The primary mechanism of cardiac arrest after hanging probably relates more to neck vessel & carotid sinus compression ➡️ bradycardic/apnoeic reflex rather than airway compression ➡️ hypoxaemia ➡️ arrest

Efforts not to be found + cutdown time + asphyxia all contribute to poor outcomes

🧵3/6

➖Those with OHCA rarely have good functional outcomes
➖Those without OHCA frequently have good outcomes
➖Associated C spine/vascular/airway injuries are uncommon in those who survive to hospital

🧵2/6

I can only do a discharge summary

🤧🦠🤒🥵🫁🆘🚑🏥💊🩻💉🛌💤😑😐🙂🏡

also not sure if the con of ketamine causing hallucinations is particularly clinically relevant in a one-off dose for a critical care RSI

Agree however the most useful I've ever got out of chatgpt was turning it into an ACF interview bot to hammer questions while I filmed my responses. Worse than a real person but the unpredictability got adrenaline going more than flashcards! Could similarly be used for viva prep perhaps?