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Lara Roberts

@laranroberts1.bsky.social
213 followers 125 following 8 posts

Haematologist interested in venous thrombosis and acquired bleeding. King's College Hospital, London.

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Reposted by Lara Roberts
josh farkas 💊 @pulmcrit.bsky.social · 06/03/2026
Fresh blog: STRATIFY trial for PE Peripheral tPA infusion is EQUALLY EFFECTIVE as compared to ultrasound-assisted thrombolysis Catheter-directed thrombolysis for PE is dead We can get the same benefits with peripheral tPA infusions (w/o procedural costs & complications)... #1/2 #EMIMCC
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The BMJ @bmj.com · 18/06/2025
Up to a third of older people who fall are taking prescribed anticoagulants at the time of the incident. This article provides guidance on imaging decisions and anticoagulation management in suspected and confirmed traumatic brain injury www.bmj.com/content/389/...
An older person on stairs
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Journal of Thrombosis and Haemostasis @jthjournal.bsky.social · 18/06/2025
What are the barriers to recruitment and participation in RCTs evaluating postpartum thromboprophylaxis? This qualitative study reveals trust in providers, altruism, and risk perception as key motivators and barriers. Important insights for future trial design. www.jthjournal.org/article/S153...
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King's College NHS @kingscollegenhs.bsky.social · 09/06/2025
🩸 We're supporting #NHSBloodDonation this #NationalBloodWeek. A million regular donors are needed to meet demand and help patients in need. If you're the giving type, make it count by becoming a lifesaving blood donor. Find out more ➡️ bit.ly/3RxPf8N #NationalBloodWeek25 #GiveBlood
National Blood Week graphic. 9 to 15 June 2025. Thank you for saving lives.
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RPTH @rpth.bsky.social · 09/06/2025
New review discusses underutilization of effective agents for hematologic care. The team, including @heme-fan.bsky.social and @gbarnesmd.bsky.social recommend addressing this knowledge gap with better patient education resources! www.rpthjournal.org/article/S247...
rpthjournal.org
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Lara Roberts @laranroberts1.bsky.social · 30/05/2025
@emanhassan.bsky.social Congratulations!
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Eugene Fan @eugenefanbw.bsky.social · 30/05/2025
📢 New in Lancet Haematology! Our commentary explores how machine learning can personalise blood donation by predicting ferritin recovery—not just haemoglobin. Towards safer, iron-aware donation practices. doi.org/10.1016/S235... #Haematology #BloodDonation #DigitalHealth
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Thrombosis UK @thrombosisuk.bsky.social · 30/05/2025
Have you had a blood clot and would like to get involved with research? Take a look at our news update - lots of opportunities seeking your voice conta.cc/4dLqMa2
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Roopen Arya @thrombosisdr.bsky.social · 25/05/2025
Interested in pregnancy-associated VTE? Do you use the RCOG GTG 37a? Here's a commentary @bjog.bsky.social from the guideline update committee. doi.org/10.1111/1471... @isth.org @bhwords.bsky.social @profmakris.bsky.social @middeldorps.bsky.social @fniainle.bsky.social @laranroberts1.bsky.social
doi.org
OBGYN
Between 2020 and 2022 in the United Kingdom (UK), there were 45 maternal deaths from venous thromboembolism (VTE), out of more than 2 million maternities. This occurred despite extensive risk assessm...
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Jan Hartmann, M.D. @janhartmannmd.bsky.social · 16/04/2025
Excellent review. www.nature.com/articles/s41...
nature.com
Factor XI inhibitors for the prevention and treatment of venous and arterial thromboembolism - Nature Reviews Cardiology
Inhibition of factor XI has emerged as a promising strategy to mitigate bleeding while potentially preserving antithrombotic efficacy. In this Review, the authors comprehensively discuss the rationale...
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International Society on Thrombosis and Haemostasis @isth.org · 07/04/2025
👥 Meet the future of thrombosis and hemostasis research. In "Leading from the Start", we highlight the pivotal role of the ISTH SSC and its Early Career Co-Chairs—emerging leaders who are already making a global impact. Read more here: bit.ly/3XOmNCI
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RPTH @rpth.bsky.social · 31/03/2025
Congratulations to the 2025 Editor’s Awards Recipients! We invite the community to read and share their important contributions ⬇️
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Marc Carrier, MD @marccarriermd.bsky.social · 29/03/2025
Prof. @isabellemahe.bsky.social presents API-CAT at @accintouch.bsky.social published in @nejm.org: Extended anticoagulation with reduced-dose apixaban is noninferior to full-dose for preventing recurrent VTE, with less clinically relevant bleeding 🩸in cancer patients www.nejm.org/doi/full/10....
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Charlotte Clymer @charlotteclymer.bsky.social · 27/03/2025
Countries that have issued a travel advisory this year warning their citizens about visiting the United States: Canada Denmark Finland France Germany Ireland Netherlands New Zealand United Kingdom
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International Society on Thrombosis and Haemostasis @isth.org · 24/03/2025
📢 @jthjournal.bsky.social is proud to announce the recipients of the 2025 JTH Editors’ Awards! These prestigious awards honor six outstanding early career investigators for their top articles in thrombosis and hemostasis. Join us in congratulating the winners🎉 and learn more here: bit.ly/4lc2pFR
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virginiahdezgea.bsky.social @virginiahdezgea.bsky.social · 22/03/2025
If you are interested in vascular liver diseases , you are definitively interested in joining this COST Action!
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Peter Stefanovic @peterstefanovic.bsky.social · 22/03/2025
Brexit a key factor in worst UK medicine shortages in four years, report says www.theguardian.com/society/2025...
theguardian.com
Brexit a key factor in worst UK medicine shortages in four years, report says
Nuffield Trust says supply chains have shifted, with medicines for epilepsy and cystic fibrosis among those now scarce
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Trish Greenhalgh @trishgreenhalgh.bsky.social · 16/03/2025
Very sad. So many good doctors driven to either leaving the NHS or taking their own lives.
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Marc Carrier, MD @marccarriermd.bsky.social · 07/03/2025
The Repeat Study addressed a really important knowledge gap! The incidence of recurrent events following an ante- or postpartum VTE is 2.4% person-years. The cumulative risks are 6%, 13%, 17%, and 30% at 2, 5, 10, and 30 years respectively www.jthjournal.org/article/S153... @jthjournal.bsky.social
jthjournal.org
High risk of long-term recurrence after a first episode of venous thromboembolism during pregnancy or postpartum: the REcurrence after a PrEgnAncy related Thrombosis (REPEAT) Study
The long-term recurrence risk after a pregnancy-associated venous thromboembolism (VTE) is sparsely assessed.
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DrLJ @drlaurajane.bsky.social · 01/03/2025
stoptrump.org.uk/petition-can... obvs right?
stoptrump.org.uk
Petition: Cancel Trump’s state visit
Stop Trump Coalition
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RPTH @rpth.bsky.social · 16/02/2025
Read this State of The Art review on transfusion therapy in trauma first presented at the @isth.org 2024 Congress: Transfusion in trauma: empiric or guided therapy? Full paper here: www.rpthjournal.org/article/S2475-0379(24)00358-3/fulltext
rpthjournal.org
Transfusion in trauma: empiric or guided therapy?
A state of the art lecture titled “Transfusion therapy in trauma—what to give? Empiric vs guided” was presented at the International Society on Thrombosis and Haemostasis Congress in 2024. Uncontrolle...
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Prof Julia Steinberger 🌹🌱🌍 #ClimateAction #Fightfascism @jksteinberger.bsky.social · 23/02/2025
As promised, here are the slides I shared with students to convince them to NOT use chatGPT and other artificial stupidity. TL;DR? AI is evil, unsustainable and stupid, and I'd much rather they use their own brains, make their own mistakes, and actually learn something. 🪄
NO CHATGPT Or other artificial stupidity: motivation
First, clarity on distinguishing AIs:
Non-generative: grammar aid, translation, dictionary, text-to-audio (e.g. Natural Reader): no problem
As long as you use the appropriate tools (least intensive in data and server energy use).
Why? Because you provide the content. Your brain is doing the most important work
Generative: ChatGPT & Co. 
You only supply the prompt, the AI supplies the content.
Why is this delegation of work problematic?
3 domains: ethical, environmental, intellectual engagement.

(Caveat: generative is probably ok for computer programming, where it can be useful and save time. Not relevant to this class.)
1) AI and ethics
Mass theft of all and everything
«learning» on books, articles, blogs, social media, images, music, cultural production, without  permission of authors/creators, and leading to their mass joblessness. Profits are not reditributed to originators. 
Permanent destruction of the mental health of underpaid precarious tech workers in the Global South (Kenya, Philippines …):
«correction» to avoid production of violent and pedophile contents etc, tech workers are obliged to watch and correct super violent contents for days on end, leading to extreme psychological suffering and trauma, from which recovery is doubtful. No or little compensation (certainly not at the level of the suffering inflicted). 
In short, an industry built on theft of real human creation and sacrifice of real human health, profiting a few megafortunes. 
2) AI and (un)sustainability

Massive consumption of electricity, water, server capacity for generative AI. 
Outcome: keep fossil fuel companies in business, using up new renewable capacity, without any satisfaction of basic human needs.
Massive misappropriation of the finance necessary for climate and ecological action (renewable generation, efficiency and retrofit for buildings, public transit, infrastructures for cycling etc) towards AI industry. 
Overall: undermine climate action, reinforce fossil industry, waste resources necessary for human development. 
3) AI and intellectual engagement

First, what learning is (or should be) about:
The goal should not (only) be the reproduction of «correct» knowledge,
But mainly personal engagement and experience of thinking about topics of interest. Personal engagement = using one’s own brain. 
The most important activity for learning and intellectual engagement is the experience of making one’s own mistakes, by trial and error, corrections based on new ideas, starting over again. Learning to recognise nuances, knowledge gaps, better explanations 
This kind of learning is possible only through using your own brain, not AI. 
Also, Ais are not «intelligent». At all. 
They simply reproduce pre-existing patterns. They «bullshit», invent false references, false facts, false data, simply because those sound plausible. VERY DANGEROUS. 
If you learn how to NOT use AI, and how to research facts and data on your own, this will serve you and your communities for the rest of your life.
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Saskia Middeldorp @middeldorps.bsky.social · 20/02/2025
Large international multicenter cohort study showing that DOACs are a good option to treat cerebral venous thrombosis. Kudos to @jonathancoutinho20.bsky.social and team for pulling this off! authors.elsevier.com/c/1ke765FFzL...
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jeanconnorsmd.bsky.social @jeanconnorsmd.bsky.social · 19/02/2025
@nytimes.com positions let go
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Marc Carrier, MD @marccarriermd.bsky.social · 13/02/2025
Did you know? Around 50% of patients with acute CAT in your practice do not meet the inclusion criteria of the RCTs. Listen to the podcast with @gbarnesmd.bsky.social about recent trials taking a more pragmatic approach. www.medthority.com/medical-educ...
medthority.com
Podcast series: 'Thrombosis in conversation'
Podcast series with thrombosis experts
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Rhea Liang @liangrhea.bsky.social · 13/02/2025
If you're looking for #PsychologicalSafety in academia, this is how it's done- 👏👏👏 to Bond University medical program for recognising effort as much as achievement with awards like the 'Sorry, Try Again Award'. 11 rejections, woohoo! 🤣❤️
Congratulations to all runners-up and winners of the Medical Program Research Awards for 2024! 
◦ Riding.high award: Most citations gained during the 12-month period presented to Cindy Jones • It was noticed award: Highest-cited paper in the period presented to Christian Moro and Allan Stirling The wind beneath their wings award: Support of research presented to Dena Bird and Krystie Teasdale ◦ Starting_on a high award: Early-career publication award presented to Jacob Thorstensen and Charlotte Phelps orry, try_again award: Highest number of rejections on a single manuscript presented to Amy Bannatyne et al. 11 rejections (accepted on the 12th) • Broken dreams award: Biggest grant failure award / highest value of rejected grant application presented to Paul Dunn . Show me the money_award: Lowest-value successful grant presented to Joan Roehl ◦ Almost there award: The longest HDR supervision award presented to Michell McLean et al. (9.5 years!) • They don't get me award: Most boring title on a submission presented to Tanisha Jowsey et al. Headline Hero award: Most creative title on a submission presented to the Internal evaluation paper team: Sujani Gamage, Tanisha Jowsey, Jo Bishop, Melanie Forbes, Lucy Grant, Trish Green, Helen Houghton, Matthew Links, Mark Morgan, Joan Roehl & Jessica Stokes-Parish. • Look at me award: Medical Influencer presented to Mark Morgan and Jessica Stokes-Parish • We_did it supervision award: Most HDR student completions in the period presented to Christian Moro and Tanisha Jowsey 
Picture of the award winners holding their award certificates.
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Journal of Thrombosis and Haemostasis @jthjournal.bsky.social · 11/02/2025
Introducing JTH’s new Educational Review Series—your go-to resource for fundamental insights into critical topics in thrombosis and hemostasis ⬇️
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Jocalyn Clark @jocalynclark.bsky.social · 04/02/2025
Censor CDC scientists and ask them to withdraw papers from medical journals? This is not how it works, Mr President. Our response @bmj.com on the Trump Executive Order and his "forbidden words" www.bmj.com/content/388/...
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Geoffrey Barnes, MD, MSc @gbarnesmd.bsky.social · 29/01/2025
Join us in planning the 2026 ISTH Congress in Paris!!
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RPTH @rpth.bsky.social · 16/01/2025
Pulmonary embolism (PE) diagnosis 🫁: 🔹 Different D-dimer assays = big impact on CT usage & yield. 🔹 Standardized assays or tailored cutoffs could reduce unnecessary scans and improve accuracy. Find out which assays were tested here: buff.ly/4hcXDoF
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Thomas Reiser @tomreiser.bsky.social · 26/01/2025
Congratulations Elena Butera for receiving the 2025 @isth-official.bsky.social INVENT-VTE Fellowship! Read more at buff.ly/4hp9iAB to learn about Elena's journey & how you could benefit from one of the many Fellowships & other grants ISTH provides to support #ISTHearlycareer professionals!
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@JohnTwelvetrees #FBPE @johntwelvetrees.bsky.social · 03/01/2025
Please repost if you agree with Ursula.
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NEJM.org @nejm.org · 24/01/2025
A new editorial describes the science behind a clinical trial reported by Ruff et al. in which a monoclonal antibody targeting factors XI and XIa was evaluated for its effects on bleeding events in patients with atrial fibrillation. Read the full editorial: nej.md/3Eg76gw #MedSky #ScienceSky
An illustrated diagram of factor XI and uncoupling thrombosis and hemostasis.
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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 24/01/2025
The best time to stop using Amazon was probably a few years ago, but the second best time is now.
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Laurent BERTOLETTI @laurentbertoletti.bsky.social · 12/01/2025
My favorite Sankey diagram 😍 After one VTE recurrence, the main issue is ... another VTE recurrence ! @rpth.bsky.social @isth-official.bsky.social
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Elliot Tapper @ebtapper.bsky.social · 18/01/2025
THE Louise China is co-author
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Saskia Middeldorp @middeldorps.bsky.social · 18/01/2025
Publication alert 📣! How to prevent #postpartum #VTE in women at moderate risk? Outcomes of the PILOTPARTUM pilot have been published in Lancet Hematology. Kudos to Dr Leslie Skeith and all passionate colleagues, and to all women who participated! www.sciencedirect.com/science/arti...
sciencedirect.com
Low-dose aspirin versus placebo in postpartum venous thromboembolism: a multi-national, pilot, randomised, placebo-controlled trial
Despite the morbidity and mortality of venous thromboembolism, there is little evidence to guide postpartum thromboprophylaxis in patients at moderate…
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Thomas Reiser @tomreiser.bsky.social · 09/01/2025
This is your chance to shape the field of #thrombosis and #hemostasis. Apply for editorial positions at @isth-official.bsky.social journals @RPTH.bsky.social - Assoc. Editor (2x) @JTHjournal.bsky.social - Early Career Assoc. Editor (1x) Deadline is Jan 30! Apply here 👇 buff.ly/3BRloDM
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Susie Shapiro @susie-shapiro.bsky.social · 10/01/2025
We report 0.9% VTE within 90 days of hospital led acute ambulatory care attendance; similar to traditional medical inpatient care without thromprophylaxis. Further VTE research needed in this rapidly expanding area of medicine#VTE#SDEC @danlasserson.bsky.social www.sciencedirect.com/science/arti...
sciencedirect.com
Same-day emergency care: a retrospective observational study of the incidence and predictors of venous thromboembolism following hospital-based acute ambulatory medical care
Same-day emergency care (SDEC) is an expanding area of hospital acute medical care. It aims to minimize delays and manage medical emergency patients w…
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David M. Perry @lollardfish.bsky.social · 26/12/2024
Library purchases are purchases. They pay the press. The press counts them towards advances and royalties. And (gasp) the book is in a library!! It’s wonderful and no one should ever feel bad about getting a book through a library instead of buying it.
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Mark Lemley @marklemley.bsky.social · 26/12/2024
I want to thank Elon Musk for attacking Wikipedia for being a part of the internet he can't currently control. It reminded me to donate to support Wikipedia, the best remaining thing about the internet. You can donate here: donate.wikimedia.org/w/index.php?...
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Tara Lech, PharmD @anticoagpharmd.bsky.social · 18/12/2024
👀 🚨 FDA denies full approval of Andexanet Can’t say I am surprised. It will be interesting to see what happens next #SkyRx #PharmSky #CardioSky #HemeSky firstwordpharma.com/story/5921956
firstwordpharma.com
FirstWord
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International Society on Thrombosis and Haemostasis @isth.org · 16/12/2024
📢 New Report Alert: National State of Patient Safety 2024. The latest report from the Institute of Global Health Innovation offers vital insights into the current challenges facing the NHS. This report sheds light on critical issues impacting healthcare in England: www.imperial.ac.uk/Stories/Nati...
imperial.ac.uk
National State of Patient Safety 2024: Prioritising improvement efforts in a system under stress
Prioritising improvement efforts in a system under stress. This report presents the national state of patient safety in England in 2024.
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Debbie Shawcross @debbieshawcross.bsky.social · 10/12/2024
After highlighting the steep rise in alcohol-related liver disease in young women, we now highlight an even bigger problem in our children. The highest prevalence of lifetime alcohol use for 11-year-olds (34% girls) was observed in the UK. @Inst_of_Liver doi.org/10.1016/j.jhep.2024.12.010 #liversky
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ProfMakris @profmakris.bsky.social · 08/12/2024
Oral HRT increases venous thrombotic risk (VTE). Tibolone increases arterial but not VTE risk. Topical HRT showed no increase in either. Huge prospective Swedish study: 919,614 women of whom 77,512 started HRT. tinyurl.com/85jxatux #HRT
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Erica Wood @ericawood.bsky.social · 06/12/2024
You can read the TREATT results out now in Lancet Haem: www.thelancet.com/journals/lanhae/article/PIIS2352-3026(24)00317-X/abstract Great collaboration with @liseestcourt.bsky.social, Simon Stanworth and teams at NHSBT & Monash TRU. Thanks to all participants, and NHMRC & ANZSBT for supporting us!
thelancet.com
Tranexamic acid versus placebo to prevent bleeding in patients with haematological malignancies and severe thrombocytopenia (TREATT): a randomised, double-blind, parallel, phase 3 superiority trial
There is insufficient evidence to support routine use of tranexamic acid to reduce bleeding in patients with haematological malignancies undergoing intensive chemotherapy.
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International Society on Thrombosis and Haemostasis @isth.org · 05/12/2024
✨BIG NEWS!✨The ISTH is thrilled to announce the 2026 Congress will be in Paris, France! Join thousands of global experts in thrombosis & hemostasis for a week of cutting-edge science, collaboration, and innovation 📅: July 11-15, 2026 📍: Paris Expo Porte de Versailles bit.ly/3BaAwf3 #ISTH2026 #ASH24
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ProfMakris @profmakris.bsky.social · 04/12/2024
Paper in this week's NEJM shows that in patients with atrial fibrillation and stable coronary artery disease, edoxaban monotherapy is superior to the combination of edoxaban plus an antiplatelet drug. Major difference was in bleeding rather than reduction in ischaemic events.
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Fionnuala Ní Áinle @fniainle.bsky.social · 02/12/2024
Congratulations to the Irish #TILLIRI investigators, led by Dr Denis O'Keefe! In a large observational study incl. people with lower limb injury & immobilization, VTE occurrence at 90 days was low. #medsky #hemesky #INViTEresearch @jthjournal.bsky.social www.sciencedirect.com/science/arti...
sciencedirect.com
The (T) thrombosis (I) in patients with (L) lower (L) limb (I) injuries (R) requiring (I) immobilisation (TILLIRI) Study
Patients requiring lower limb immobilisation after injury have an increased venous thromboembolism (VTE) risk. The extent of this risk in published st…
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Angela Huttner @angelahuttner.bsky.social · 01/12/2024
You can do this even if you're not in the US. (And can donate to a non-US organization.) #Meal-ioidosis could use your help right now. 😊 #HCWvsHunger #IDSky #Clinmicro #MedSky #EpiSky
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