Viewing profile — bearsnowstorm

For circumstances like this I create a VM with a version of MacOS that the app works with, and keep it on life support that way (doing this at the moment for Finale, music notation…

Similar program in Melbourne [1] https://sjtrem.biomedcentral.com/articles/10.1186/s13049-023... (There are similar programs around the world with different models of care, notably…

I had this question and needed this answer - thank you

A counterpoint on focused ultrasound for essential tremor - just because you don’t penetrate the brain with a physical object doesn’t mean you don’t have side effects - as usual, b…

I own the 1st gen of the Butterfly - in my opinion, it wasn't great image-wise compared with the contemporary conventional crystal based probes (thinking of cart-based machines wit…

Read this on mobile and the identifier longWindedNameThatYouCantReallyReadBTWProgrammersDoThatALotToo overflowed into the margins - I regard this not as a bug but a feature which h…

Not quite the same but when we were rebuilding during COVID we knew we wanted two good WFH spaces but really only had room for one (tiny) office - as our second we built a shelf in…

I'm a doctor (ICU) who also does some IT stuff for work (nothing complex, mainly writing small web apps). I really enjoy writing stuff where you know the requirements, make all the…

A 27 or 30G insulin needle with some lidocaine (still often called lignocaine here in Australia ) is a nice addition to this procedure. I rarely omit it unless the patient is uncon…

For really small kids we tend to use a transilluminator rather than ultrasound for peripheral IVs (though it doesn’t tell you the depth like ultrasound does). For CVCs or bigger pe…

The documentary The Crash Reel is about a snowboarder who gets a traumatic brain injury, but the comments of one of his brothers (who has Down’s syndrome) on his life and on his fa…

I also wonder how much it might heat up the brain? And whether that would be a problem for sustained use? (In practice this heating effect is occasionally limiting for some other f…

What other tools did the hospital open source this year?

In my experience the commonest current mainstream use of this is for Sezary Syndrome / mycosis fungoides (cutaneous T-cell lymphoma). See for example: https://my.clevelandclinic.or…

As others have commented above, reducing the rate of spread (social distancing and hygiene, and convincing others to do likewise) so that this is a more smeared out event with a lo…

Agree. I'd add that my comment above about exhalation being passive is true in adult ICU practice. In high frequency oscillatory ventilation (HFOV) exhalation is active (a piston a…

Actually exhalation is passive, not active, in modern day ICU ventilation.

- COVID-19 seems to be mainly hypoxic respiratory failure, not hypercapnic respiratory failure - NIV (Non invasive ventilation, CPAP is essentially a form of this) doesn't typicall…

I’m going to wait on this until at least a few months have elapsed and the reviews / forums indicate the keyboard is fine.

I'm sure I'm not their biggest customer, but I have bought in the hundreds of dollars worth of books each year from O'Reilly for the last few, consumed as DRM free PDFs. Definitely…

As an intensive care specialist (what would be called an attending in the US) I find it best to control my emotional response to my job. Also, empathy is probably not as wise as co…

I'm a doctor who is qualified in echocardiography and other ultrasound techniques, teaches ultrasound to other doctors, and who uses machines from multiple manufacturers regularly.…