Richard Bauld
@rbauld.bsky.social
I can send it to you, if you still need it
January 12, 2026 at 10:50 PM
I can send it to you, if you still need it
I would be amazed if it doesn’t approach 100% of all schemes.
January 11, 2026 at 8:27 AM
I would be amazed if it doesn’t approach 100% of all schemes.
Well, that made for depressing reading. Good lord.
January 10, 2026 at 8:19 PM
Well, that made for depressing reading. Good lord.
Ooh… I’m impressed for once!
January 10, 2026 at 11:38 AM
Ooh… I’m impressed for once!
I hate that LLP can’t do this, mainly for MTR’s. Why can’t I save a draft!
January 9, 2026 at 11:36 AM
I hate that LLP can’t do this, mainly for MTR’s. Why can’t I save a draft!
A lot. Bread recipes normally say “don’t let the yeast touch the salt” as it’s supposed to kill the yeast. I’ve been following Ken forkish’s recipes for years and his explicitly let them both sit on top of each other on the dough during the autolyse. Works great.
January 8, 2026 at 12:05 PM
A lot. Bread recipes normally say “don’t let the yeast touch the salt” as it’s supposed to kill the yeast. I’ve been following Ken forkish’s recipes for years and his explicitly let them both sit on top of each other on the dough during the autolyse. Works great.
I asked a patient recently “do you really, really like liquorice?”. Sadly, they did not
January 5, 2026 at 9:14 PM
I asked a patient recently “do you really, really like liquorice?”. Sadly, they did not
A friend is obsessed with salty liquorice, but all I can taste is the ammonia.
January 5, 2026 at 6:13 PM
A friend is obsessed with salty liquorice, but all I can taste is the ammonia.
We got the taskmaster advent calendar this year. My 6 year old loved it. Massive hit.
December 25, 2025 at 1:52 PM
We got the taskmaster advent calendar this year. My 6 year old loved it. Massive hit.
To get a piece of kit ready and the patient is completely out.
I struggle with all of these RSI themed trials that have dose targets… I don’t target a dose, I target an effect with minimal Haemodynamic changes.
I struggle with all of these RSI themed trials that have dose targets… I don’t target a dose, I target an effect with minimal Haemodynamic changes.
December 13, 2025 at 1:56 PM
To get a piece of kit ready and the patient is completely out.
I struggle with all of these RSI themed trials that have dose targets… I don’t target a dose, I target an effect with minimal Haemodynamic changes.
I struggle with all of these RSI themed trials that have dose targets… I don’t target a dose, I target an effect with minimal Haemodynamic changes.
I start low and titrate to response. With opiates a little before induction, and a bit of Midaz if I’m worried they’re closer to needing a larger dose of induction agent. All of this is anecdotal/experential. But, multiple times i’ve given some 1mg midaz a few minutes ahead, turned around
December 13, 2025 at 1:56 PM
I start low and titrate to response. With opiates a little before induction, and a bit of Midaz if I’m worried they’re closer to needing a larger dose of induction agent. All of this is anecdotal/experential. But, multiple times i’ve given some 1mg midaz a few minutes ahead, turned around
I rarely give more than 20mg propofol to get a critically unwell patient off to sleep. Ketamine 0.5mg/kg does the trick the vast majority of the time. I rarely use etomidate, but do select it (esp if very tachy but not a tox reason). Even then it’s closer to 0.1mg/kg.
December 13, 2025 at 1:53 PM
I rarely give more than 20mg propofol to get a critically unwell patient off to sleep. Ketamine 0.5mg/kg does the trick the vast majority of the time. I rarely use etomidate, but do select it (esp if very tachy but not a tox reason). Even then it’s closer to 0.1mg/kg.
And if I think etomidate is the right choice for this particular patient, maybe that might actually be the right call.
December 11, 2025 at 6:57 AM
And if I think etomidate is the right choice for this particular patient, maybe that might actually be the right call.
My bias here is that I occasionally use etomidate, and have done for a while. I’ve been called an “idiot” and a “bad clinician” for doing so.
All these trials are showing me is that induction agent choice should be deliberate, and that an experienced hand is required.
All these trials are showing me is that induction agent choice should be deliberate, and that an experienced hand is required.
December 11, 2025 at 6:57 AM
My bias here is that I occasionally use etomidate, and have done for a while. I’ve been called an “idiot” and a “bad clinician” for doing so.
All these trials are showing me is that induction agent choice should be deliberate, and that an experienced hand is required.
All these trials are showing me is that induction agent choice should be deliberate, and that an experienced hand is required.
I mean, we’re wading in to one of the most controversial aspects of ICM at the moment. Steroids are good for A and B, not C, but also not B if it’s actually caused by d, unless they also have A, in which case maybe. Oh, they have meningitis? Then give the equivalent of 1000mg of hydrocortisone…
December 11, 2025 at 6:57 AM
I mean, we’re wading in to one of the most controversial aspects of ICM at the moment. Steroids are good for A and B, not C, but also not B if it’s actually caused by d, unless they also have A, in which case maybe. Oh, they have meningitis? Then give the equivalent of 1000mg of hydrocortisone…
Minimising treatment effect and just trying to scoop up patients into a bucket.
17.4% of septic patients do not have HLH.
17.4% of septic patients do not have HLH.
December 10, 2025 at 4:06 PM
Minimising treatment effect and just trying to scoop up patients into a bucket.
17.4% of septic patients do not have HLH.
17.4% of septic patients do not have HLH.
My issues is that they didn’t diagnose HLH, they used a ferritin cut off from other trials that were associated with macrophage-activation “like” syndrome. Some of these patients would have had HLH, in which case anakinra would be great. But, saying ferritin > 4000 is MAS/HLH is just plain wrong,
December 10, 2025 at 4:06 PM
My issues is that they didn’t diagnose HLH, they used a ferritin cut off from other trials that were associated with macrophage-activation “like” syndrome. Some of these patients would have had HLH, in which case anakinra would be great. But, saying ferritin > 4000 is MAS/HLH is just plain wrong,
I think maybe the HPA Axis is wondering why everyone keeps on thinking about it, because it’s doing fine
December 10, 2025 at 3:38 PM
I think maybe the HPA Axis is wondering why everyone keeps on thinking about it, because it’s doing fine
As long as you don’t have to drink every time one of these comes up, you’ll be fine.
December 6, 2025 at 9:52 PM
As long as you don’t have to drink every time one of these comes up, you’ll be fine.
My local liver transplant unit does use PLEX in select circumstances
December 6, 2025 at 12:59 PM
My local liver transplant unit does use PLEX in select circumstances