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Jan

@jbilk.bsky.social
887 followers 888 following 67 posts

Love hearts ♥️ - doctor 🩺- Liverpool FC ⚽️- Cologne , dad of one Insta: www.instagram.com/janbilkus www.instagram.com/centerofcardiology #CoC

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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 · 05/02/2026
Salzburger Land, please support mein.aufstehn.at/petitions/du... #Barrierefreiheit #ÖffentlicherVerkehr #Sbahn #Salzburg #Pinzgau
mein.aufstehn.at
Durchgängige und barrierefreie S-Bahn von allen Bahnhöfen zwischen Freilassing und Saalfelden
Die S-Bahn bildete seit fast 30 Jahren quasi den „Nahversorger“ im Schienennahverkehr und fährt von früh morgens ab ca. 4.00 Uhr bis spät nachts 0:30 Uhr quer durch Salzburg. Die S-Bahn war im Bundesl...
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Jan @jbilk.bsky.social · 17/01/2026
The UK (NHS) is very good with reliable data collection
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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 · 09/01/2026
That was the point of the study- the aim was to prove that Etomidate is non inferior. As a consequence it may become more used and availability will go up.
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Jan @jbilk.bsky.social · 09/01/2026
I guess so too - but work life will change considerably in the next few years
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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 · 20/12/2024
CDC recommendation: Avoid femoral lines in adults
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Jan @jbilk.bsky.social · 15/12/2024
Non off the players were there…. www.theguardian.com/football/202...
theguardian.com
Liverpool FC staff party at cathedral stopped after ‘drugs paraphernalia’ found
Event at Anglican cathedral ended by venue’s staff over incident it says was ‘not in line with our values’
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Jan @jbilk.bsky.social · 15/12/2024
Liverpool were down to 10 men from 17. minute and there still was massiv energy till > 90 min on the pitch - although I would suspect fitness/injury issues are going to show in the second halve of the season
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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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Jan @jbilk.bsky.social · 14/12/2024
👏🏻
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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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Jan @jbilk.bsky.social · 11/12/2024
The link seems to be to the wrong article?
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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
Great post 👍🏻 @katiewiskar.bsky.social
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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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TK Presse & Politik @tkpresse.bsky.social · 03/12/2024
Der #rnd berichtet über den aktuellen Report des Medizinischen Dienstes zur Inanspruchnahme von so genannten #IGeL Leistungen. www.rnd.de/politik/teur...
rnd.de
Kassenpatienten geben für Selbstzahlerleistungen deutlich mehr aus als angenommen
In Arztpraxen wird stark für Leistungen geworben, die die gesetzlichen Krankenversicherungen nicht bezahlen. Viele der sogenannten IGeL-Angebote sind nach Einschätzung von Experten allerdings ohne Nut...
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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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Jan @jbilk.bsky.social · 01/12/2024
Wir kennen beide nicht die Umstände die zum Tod dieser Patienten geführt haben. Was soll man Deiner Meinung nach tun um die 17 1-15 jährigen Todesfälle zu reduzieren?
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Jan @jbilk.bsky.social · 01/12/2024
Naja ist halt schwer anhand der Datenbank zu belegen, das COVID eine große Gefahr in der Altersgruppe darstellt 🤷🏻‍♂️ und glaub mir ich sehe und behandele noch immer regelmäßig Menschen mit COVID auf der Intensivstation
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Jan @jbilk.bsky.social · 01/12/2024
Natürlich, war ja Beispielhaft. Bei 5-10 Jahrenda ist COVID nach Rang ja noch weiter unten
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Jan @jbilk.bsky.social · 01/12/2024
Also bei unter 15 steht 4, 6, 9, 9 Pat. bei denen COVID nachgewiesen worden war, welches nicht bedeutet das die Kinder daran verstorben sind 2023 also 4 von 204… Ich verstehe Ihre Folgerungen noch immer nicht und kann die Mehrheit der Kommentare nicht nachvollziehen @fraut.bsky.social
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Jan @jbilk.bsky.social · 01/12/2024
Dann zeigen Sie mir eine Statistik, die Ihre Hypothese unterstreicht?
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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 · 30/11/2024
www.destatis.de/DE/Themen/Ge...
destatis.de
Todesursachen
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Jan @jbilk.bsky.social · 30/11/2024
systematicreviewsjournal.biomedcentral.com/articles/10....
systematicreviewsjournal.biomedcentral.com
Care intervention on psychological outcomes among patients admitted to intensive care unit: an umbrella review of systematic reviews and meta-analyses - Systematic Reviews
Background Numerous studies have explored care interventions to improve the psychological outcome of intensive care unit (ICU) patients, but inconclusive evidence makes it difficult for decision-maker...
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Jan @jbilk.bsky.social · 30/11/2024
onlinelibrary.wiley.com/doi/pdfdirec...
onlinelibrary.wiley.com
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Jan @jbilk.bsky.social · 30/11/2024
journals.plos.org/plosone/arti...
journals.plos.org
The use and application of intensive care unit diaries: An instrumental multiple case study
Aims and objectives The study aim was to explore the use of an Intensive Care Unit (ICU) diary within four different ICUs units in Sweden and thereby contribute to practice guidelines regarding the st...
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Jan @jbilk.bsky.social · 30/11/2024
ccforum.biomedcentral.com/articles/10....
ccforum.biomedcentral.com
The impact of intensive care unit diaries on patients’ and relatives’ outcomes: a systematic review and meta-analysis - Critical Care
Background Memory gaps in intensive care unit (ICU) survivors are associated with psychiatric disorders. The ICU diaries improve the patient’s factual memory of the ICU, but it is not clear if they re...
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Jan @jbilk.bsky.social · 30/11/2024
Faktisch komplett falsch! 2023 dominiere angeborene Fehlbildungen bei Kindern unter fünf Jahren insgesamt, während Unfälle ab dem Kleinkindalter die führende Todesursache sind. Gefolgt von angeboren Fehlbildungen und dann Infektionen, Corona spielt kaum eine Rolle (so etwa 4-8 pro Jahr) link ⬇️
dgpi.de
Stellungnahme von DGPI und DGKH zu Hospitalisierung und Sterblichkeit von COVID-19 bei Kindern in Deutschland (Stand 21.04.2021) » DGPI: Deutsche Gesellschaft für Pädiatrische Infektiologie
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Dr Steven White @drstevenmwhite.bsky.social · 29/11/2024
Impressive! www.nature.com/articles/d41...
nature.com
This malaria vaccine is delivered by a mosquito bite
Bites from insects infected with modified malaria parasites boosted immunity and stopped people from contracting the disease.
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Jan @jbilk.bsky.social · 28/11/2024
You lie😉
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Jan @jbilk.bsky.social · 28/11/2024
So wie ich es verstehe wird genehmigt, das zu der Fachkraft eine wenig qualifizierte Kraft übergangsweise mithelfen kann, damit die Gruppe nicht geschlossen werden muss
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