iiinova — where your digital self keeps evolving

Jan @jbilk.bsky.social · 30/03/2026

🚨 Your smartwatch may detect heart failure before your doctor. ⌚️ + 🤖 → 7.4 days earlier detection 📊 88% sensitivity 🌍 up to 21 days early warning Medicine is shifting: reactive → predictive. Are we ready? www.nature.com/articles/s41... #Cardiology #DigitalHealth #AI #medsky

nature.com

Remote monitoring of heart failure exacerbations using a smartwatch - Nature Medicine

A deep learning model using smartwatch data was shown to predict peak oxygen uptake and unplanned healthcare events in the TRUE-HF prospective cohort of patients with heart failure, as well as unplann...

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Jan @jbilk.bsky.social · 01/03/2026

🚨 AI saves lives? Not so fast. A Nature Medicine study tested ChatGPT for emergency health advice. In simulated real emergencies, error rates reached 48%. In some cases, diabetic ketoacidosis wasn’t clearly directed to the ER. AI can inform. It cannot replace clinical judgment. #AI #PatientSafety

nature.com

ChatGPT Health performance in a structured test of triage recommendations - Nature Medicine

A stress test of ChatGPT Health triage revealed missed high-risk emergencies and inconsistent activation of suicide-crisis safeguards, raising safety concerns for consumer-scale deployment.

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Jan @jbilk.bsky.social · 17/01/2026

🚨 Public Health Index 2025: Germany 🇩🇪 ranks 17 out of 18 – at risk of finishing at the bottom! Austria 🇦🇹 shares this poor performance within the DACH region. Time for real change! 💡 www.aok.de/pp/index.php... #medsky CoC: Take your knowledge to the next level www.instagram.com/centerofcard...

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Jan @jbilk.bsky.social · 15/01/2026

💉 4-Lumen-Infusionsschema auf der ITS 🧪 Meyn et al. (ADKA-DIVI) haben ein praxisnahes 4-Lumen-Schema entwickelt, das Infusionen klar nach Funktion trennt: ❤️ Kreislauf 🍽️ Ernährung 😴 Sedierung ⏱️ Kurzinfusionen (einzeln + spülen!) link.springer.com/content/pdf/... www.instagram.com/centerofcard...

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Jan @jbilk.bsky.social · 10/01/2026

This is an useful overview of the tool ChatGPThealth time.com/7344997/chat... #doctorlife #hospitallife #doctor #medicaleducation #AI #chatgpt #chatgpthealth #medsky

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Jan @jbilk.bsky.social · 08/01/2026

Am I loosing my job?😨 openai.com/de-DE/index/... Coming soon to UK and Europe #medsky #AI #chatGPThealth

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Jan @jbilk.bsky.social · 06/01/2026

Ketamine vs Etomidate for RSI in critically ill adults 🫁 Take-home: Ketamine is not superior to etomidate in critically ill patients. www.nejm.org/doi/full/10.... #medsky #ICU #cardiology CoC: Take your knowledge skills to the next level. www.instagram.com/centerofcard...

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Jan @jbilk.bsky.social · 05/01/2026

In this multicenter randomized clinical trial, ICE was noninferior to TEE for preventing thromboembolic complications in AF ablation and offered additional advantages in safety, efficiency, and patient comfort, supporting its use as a viable alternative in clinical practice. #medsky#cardiology

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Jan @jbilk.bsky.social · 15/12/2025

🚫Harmful Drugs in Heart Failure! 🚫💊 Which medications should we avoid in our HF patients ⁉️ onlinelibrary.wiley.com/doi/10.1002/... #cardiology #heatfailure

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Jan @jbilk.bsky.social · 16/02/2025

„Zuerst waren es nur wenige, doch dann… wurden es immer mehr.“ -Massenkonformismus und das unkritische Hinübergleiten in eine Ideologie. Wer sich widersetzt, steht irgendwann alleine da. Demokratie ist nicht selbstverständlich. Sie kann verschwinden – leise, fast unmerklich. #Bundestagswahl2025

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Jan @jbilk.bsky.social · 03/02/2025

𝗟𝗔𝗔𝗖 🧐 𝗜𝗻𝘁𝗲𝗿𝗲𝘀𝘁𝗶𝗻𝗴 𝗳𝗶𝗻𝗱𝗶𝗻𝗴𝘀: ❗𝗡𝗼 𝗱𝗲𝘃𝗶𝗰𝗲-𝗿𝗲𝗹𝗮𝘁𝗲𝗱 𝘁𝗵𝗿𝗼𝗺𝗯𝘂𝘀 (𝗗𝗥𝗧) 𝘄𝗮𝘀 𝗱𝗲𝘁𝗲𝗰𝘁𝗲𝗱 ❗𝗢𝗻𝗹𝘆 𝟭.𝟳% 𝗼𝗳 𝗽𝗮𝘁𝗶𝗲𝗻𝘁𝘀 𝗵𝗮𝗱 𝗽𝗲𝗿𝗶-𝗱𝗲𝘃𝗶𝗰𝗲 𝗹𝗲𝗮𝗸𝘀 ≥𝟱 𝗺𝗺. ❗𝗟𝗲𝘀𝘀 𝗺𝗮𝗷𝗼𝗿 𝗯𝗹𝗲𝗲𝗱𝗶𝗻𝗴 🩸🩸🩸 supporting an 𝗲𝗮𝗿𝗹𝗶𝗲𝗿 𝘀𝘄𝗶𝘁𝗰𝗵 🔄 𝘁𝗼 𝗦𝗔𝗣𝗧. 🚨 However, there is still 𝗿𝗼𝗼𝗺 𝗳𝗼𝗿 𝗶𝗺𝗽𝗿𝗼𝘃𝗲𝗺𝗲𝗻𝘁 𝗶𝗻 𝗰𝗼𝗺𝗽𝗹𝗶𝗰𝗮𝘁𝗶𝗼𝗻 𝗿𝗮𝘁𝗲𝘀. www.jacc.org/doi/10.1016/...

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Jan @jbilk.bsky.social · 23/01/2025

The utility of left atrial appendage occlusion (LAAO) as a therapy for stroke prevention in patients with nonvalvular atrial fibrillation is the focus of a State-of-the-Art Review published in #JACCCEP. bit.ly/4alCTsA #LAAO #AFib

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NEJM.org @nejm.org · 17/01/2025

Whether transcatheter aortic-valve replacement can improve outcomes in patients with asymptomatic severe aortic stenosis has been unclear. Research findings comparing TAVR with clinical surveillance are summarized in a new Quick Take video. youtu.be/3wwQEEG4aWg #MedSky

youtu.be

Early TAVR for Asymptomatic Severe Aortic Stenosis | NEJM

YouTube video by NEJM Group

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Jan @jbilk.bsky.social · 05/01/2025

Das hat Potential in der Kardiolgie in 2025 - Studien in der Pipeline ❤️👍 herzmedizin.de/fuer-aerzte-... Kardiologie herzmedizin.de/fuer-aerzte-... #bskycardiology

herzmedizin.de

Kardiologische Studien-Highlights 2025

Vorausblick zu den wichtigsten kardiologischen Studien, die im Jahr 2025 erwartet werden.

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Medlife Crisis (Rohin) @medcrisis.bsky.social · 04/01/2025

Now on YouTube as well. Some early morning meditations on this unusual job I do, which has made for an unusual style of video for me. Talking about René Leriche’s “small cemetery”that doctors carry within themselves, and our “insuccesses” youtu.be/lBnrNCmI3yo?...

youtu.be

The 'Small Cemetery' Doctors Carry

YouTube video by Medlife Crisis

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Jan @jbilk.bsky.social · 29/12/2024

Expert on German Politics - Musk is not Die Welt - German newspaper owned by Springer Verlag - politically positioned on the right #populism #election #freedomofthepress

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Jan @jbilk.bsky.social · 14/12/2024

@kardioklick.bsky.social kannst Du mich zu Deinem Starterpack adden? Herzlichen Dank!

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@IM_Crit_ @imcrit.bsky.social · 12/12/2024

ICU Hemodynamics: Right heart catheterization cheat sheet (by visualmed.org ):

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Jim Waterson @jim.londoncentric.media · 13/12/2024

1) This feels like really good, bold public interest journalism by the BBC! 2) If you were around social media / online publishing circa 2014 and followed The Social Chain, it was soooo baffling to watch his reinvention as a business guru. www.bbc.co.uk/news/article...

bbc.co.uk

Steven Bartlett sharing harmful health misinformation on Diary of CEO podcast

Disproven health claims are accepted with little challenge by host on number one podcast, BBC investigation finds.

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Jan @jbilk.bsky.social · 13/12/2024

Antimicrobial resistance (AMR) is globally recognized as one of the greatest health threats of the 21st century, responsible for 1.27 million deaths annually. According to the WHO, if no measures are taken promptly, AMR could lead to more deaths than cancer by 2050 www.medscape.com/viewarticle/...

medscape.com

AMR Could Surpass Cancer as Leading Cause of Death by 2050

The importance of vaccination in helping address the concerning rise in antimicrobial resistance was emphasized by experts in the field.

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JAMA @jama.com · 11/12/2024

High-flow nasal oxygen was noninferior to noninvasive ventilation for rates of endotracheal intubation or death within 7 days in 4 of the 5 patient groups with acute respiratory failure. #CCRdownunder @criticalcarereviews.com ja.ma/41s0Lbx

Figure 2. Primary Outcome of Endotracheal Intubation or Death Within 7 Days

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JAMA @jama.com · 09/12/2024

Published in JAMA with #CCRdownunder: In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. @criticalcarereviews.com ja.ma/3BovM5v

Figure 3. Kaplan-Meier Curves for Probability of Antibiotic Duration and Mortality to 28 Days

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Jan @jbilk.bsky.social · 04/12/2024

Der IGeL-Report 2024 belegt, dass in den ärztlichen Praxen in großem Umfang Leistungen verkauft werden, deren möglicher Schaden den Nutzen deutlich überwiegt. #medsky www.igel-monitor.de/fileadmin/Do...

igel-monitor.de

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LFC Jude @lfcjude.bsky.social · 02/12/2024

So with all the attention on Slot - I thought I'd just name check who is in this little group hug we've been seeing a lot of.

Arne Slot and his backroom team in a big group hug.

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Brian Elliott @brianelliottmd.bsky.social · 01/12/2024

Since we’re entering the last month of 2024, here is a non-systematic review of #pulmcrit trials published this year that I found particularly noteworthy. Not comprehensive, so please include any that I may have missed! (🧵1/11) #emimcc #critcare #pulmsky #medsky

media.tenor.com

a man in a blue shirt and tie is standing in front of a bulletin board with papers on it .

ALT: a man in a blue shirt and tie is standing in front of a bulletin board with papers on it .

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Jan @jbilk.bsky.social · 26/11/2024

State the obvious! 🏥ℹ️ High turnover of nurses and doctors suggests a potential risk for patients. Therefore, retention of healthcare staff should be a priority to improve continuity and quality of care for patients. #medsky doi.org/10.1136/bmj....

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Kardioklick @kardioklick.bsky.social · 23/11/2024

„The subxyphoid approach should never be your first choice for pericardiocentesis“ 💡 Superb teaching video for ultrasound-guided left ventricular adjacent puncture. #cardiosky

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Francis Deng, MD @francisdeng.medsky.social · 23/11/2024

Tip for doctors joining #Medsky: Add a #Medsky label to your account: bsky.app/profile/did:... Then you will show up on relevant feeds, which you can pin to your home, such as Radiology #Radsky: bsky.app/profile/meds... Engagement-ranked high-yield general Medsky: bsky.app/profile/meds...

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Jan @jbilk.bsky.social · 23/11/2024

Was ist das? “Die Kunst, einem störrischen Herzen beizubringen, wieder im Takt zu tanzen – notfalls mit Elektroschock und einem ernsten Gespräch.”

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BK. Titanji @boghuma.bsky.social · 17/11/2024

An H5N1 pandemic under RFK Jr.’s DHHS could be catastrophic. Here’s what it might look like a 🧵👇

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Jan @jbilk.bsky.social · 17/11/2024

Let’s go to the SUMMIT? But what about cost💸? And is the result due to weight loss or the drug? www.medscape.com/viewarticle/... #cardiology #heartfailure #hfpef #trials #glp1 #obesity #weight #cardiosky

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Jan @jbilk.bsky.social · 16/11/2024

What I am reading - oral anticoagulants in patients with CKD and atrial fibrillation academic.oup.com/ckj/article/... #medsky

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Jan @jbilk.bsky.social · 15/11/2024

Intriguing take by J. Mandrola #cardiology

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Jimmy_LFC 🌶️ 🔴 🟡 ⚪ @jimmylfc.bsky.social · 11/11/2024

David Coote (Premier League Referee). Ladies and Gentlemen, here is corruption at the highest level. Absolutely ruin his career. It's awful this. FYI: You are the 'CUNT' Mr. Coote. #LFC #PGMOL #DAVIDCOOTE

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Jan @jbilk.bsky.social · 03/11/2024

This is the queue of my now previously favourite Kebap Place Kebab Land in Köln-Ehrenfeld - Thanks @Instagram - not waiting min 30 min for fast food 😩

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