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Pierre-Marie Bertrand

@pmbertrand.fr
312 followers 280 following 41 posts

Interested in #BioEthics and #ResearchEthics. (1) ICU Practitioner @ Cannes Hospital, France. (2) PhD student @ Aix Marseille Univ, CNRS, EFS, ADES, Marseille, France. (3) Advisory Board @ Espace Éthique PACA Corse. orcid.org/0000-0002-2285-5638

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Reposted by Pierre-Marie Bertrand
EHESS - École des hautes études en sciences sociales @ehess.fr · 09/08/2026
#Radio 📻 🗣️ Pour France Culture, Didier Fassin, directeur d'études de l'EHESS, introduit 16 leçons de Foucault enregistrées et restaurées. 👉 À écouter en ligne : www.radiofrance.fr/franceculture/po…
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S. Matthew Liao @smatthewliao.bsky.social · 03/05/2026
An editorial with Jenny Blumenthal-Barby on the need for a new AI governance agenda for healthcare out in AJOB! Thanks to Jenny for spearheading this piece! #AI #Governance #healthcare #bioethics www.tandfonline.com/doi/full/10....
tandfonline.com
AI Ethics 2.0: Why Frontier AI Demands a New Governance Agenda for Healthcare
Published in The American Journal of Bioethics (Ahead of Print, 2026)
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Pierre-Marie Bertrand @pmbertrand.fr · 12/11/2025
🎓 Ouverture du colloque national des Espaces de Réflexion Éthique Régionaux (#ERER) à Reims ! Deux jours pour penser ensemble l’accès aux soins des personnes en situation de handicap : justice, autonomie, solidarité et dignité au cœur du débat. 👉 Programme : erege.fr #Ethique #Handicap #Santé
https://erege.fr
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Pierre-Marie Bertrand @pmbertrand.fr · 29/10/2025
Substituted judgment in surrogate decision-making rests on a shaky moral assumption: authenticity. Since patients differ in how “authentic” their lives are, “what the patient would want” can’t always be decisive. 🔗 doi.org/10.1080/1526... #ResearchEthics
doi.org
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Rhazelovitch @rhazelovitch.bsky.social · 25/10/2025
Verdict cette année au lendemain des vaccins: mon épaule gauche (ARNm COVID) est deux fois plus gonflée que la droite (grippe) quasi indolore. Si vous hésitez gaucher/droitier vous le saurez. La campagne de vaccination c'est maintenant, pas en janvier. #Rappel
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AP-HM Hôpitaux Universitaires de Marseille @ap-hm.fr · 17/10/2025
🫀 Journée mondiale du don d’organes. Merci à nos partenaires engagés : @MProvence, @Chiesi, @Département13, @FranceADOT, @univ-amu.fr, @SFT. Parlons-en. Ensemble, on informe, on transmet, on sauve. 💬 Et vous, en avez-vous parlé à vos proches ? #DonDOrganes
Visuel en quatre parties sur fond clair. En haut, le titre :
“DON D’ORGANES : ET VOUS, QU’EN PENSEZ-VOUS ?”
En dessous, trois encadrés colorés :
Bloc vert avec un cœur : “Je suis pour, c’est évident”
Bloc beige avec un emoji pensif : “Je n’y ai pas encore réfléchi”
Bloc bleu avec un point d’interrogation : “J’ai encore des doutes”
En bas, un encadré bleu foncé avec le texte :
“DONNEZ VOTRE AVIS EN COMMENTAIRE”, suivi d’une flèche vers le bas.
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Pierre-Marie Bertrand @pmbertrand.fr · 21/09/2025
📊 @jama.com study by @emilymoin.com shows how U.S. ICU care changed 2014–2023: - Mortality ↑ during COVID, then returned to baseline - Mechanical ventilation ↓ below prepandemic levels - Vasopressor use tripled, remains high ICU practices are shifting. doi:10.1001/jama.2025.2163 #CriticalCare
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Pierre-Marie Bertrand @pmbertrand.fr · 24/08/2025
🧠 In @nejm.org, Raja-Elie Abdulnour et al. warn: AI in medical training risks deskilling & mis-skilling. They propose DEFT-AI to teach critical thinking & safe human-AI collaboration. Verify, then trust. 📖 doi.org/10.1056/NEJM... #ResearchEthics #MedicalEducation
doi.org
Educational Strategies for Clinical Supervision of Artificial Intelligence Use | NEJM
Many learners are more facile with the use of large language models in medicine than their supervisors are. The authors provide an approach to clinical supervision that can mitigate the perils and ...
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Reposted by Pierre-Marie Bertrand
Brian D. Earp, PhD @briandavidearp.bsky.social · 07/08/2025
🚨 New Publication Alert “Chat-IRB? How Application‑Specific Language Models Can Enhance Research Ethics Review” — now available online ahead of print in the Journal of Medical Ethics (5 August 2025). jme.bmj.com/content/earl...
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Pierre-Marie Bertrand @pmbertrand.fr · 06/08/2025
🧠 Can AI support ethics committees without replacing them? Porsdam Mann & @briandavidearp.bsky.social propose IRB-specific LLMs to streamline reviews, reduce delays, and assist—not replace—human judgment. A major step to ease the daily burden. 📖 doi.org/10.1136/jme-... #ResearchEthics #AI #Bioethics
doi.org
Chat-IRB? How application-specific language models can enhance research ethics review
Institutional review boards (IRBs) play a crucial role in ensuring the ethical conduct of human subjects research, but face challenges including inconsistency, delays, and inefficiencies. We propose t...
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Reposted by Pierre-Marie Bertrand
Jenny Blumenthal-Barby, PhD, MA @blumenthalbarby.bsky.social · 04/08/2025
Is Suffering a Useless Concept? www.tandfonline.com/doi/full/10....
tandfonline.com
Is Suffering a Useless Concept?
“Suffering” is a central concept within bioethics and often a crucial consideration in medical decision making. As used in practice, however, the concept risks being uninformative, ambiguous, or ev...
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Reposted by Pierre-Marie Bertrand
josh farkas 💊 @pulmcrit.bsky.social · 02/08/2025
new RCT just came out on the management of acute necrotic collections (ANC) that may complicate necrotizing pancreatitis ANCs are early sterile collections containing fluid and sometimes debris they *lack* a well-defined wall (unlike pseudocysts or walled-off necrosis)... 🧵 #1/ #EMIMCC
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Pierre-Marie Bertrand @pmbertrand.fr · 01/08/2025
🧪 In AJOB, Jake Earl et al. warn of a new ethical risk in clinical trials: the Social Value Misconception. Altruistic participants may falsely believe in exaggerated benefits for society—compromising consent and autonomy. 📖 doi.org/10.1080/1526... #Bioethics #ResearchEthics
doi.org
The Social Value Misconception in Clinical Research
Clinical researchers should help respect the autonomy and promote the well-being of prospective study participants by helping them make voluntary, informed decisions about enrollment. However, part...
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Pierre-Marie Bertrand @pmbertrand.fr · 28/07/2025
😷 In @atscommunity.bsky.social , Lautrette et al. find that ICU visitation restrictions during COVID-19 didn’t increased anxiety, depression, or PTSD in relatives. Key risk factors : Female, spouse, poor communication. 📖 www.atsjournals.org/doi/10.1164/... #ICU #MentalHealth #COVID19
atsjournals.org
Impact of Visitation Restrictions in ICU on Psychological Symptoms in Family Members: Experience of the COVID-19 Pandemic | American Journal of Respiratory and Critical Care Medicine | Articles in Pre...
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Pierre-Marie Bertrand @pmbertrand.fr · 23/07/2025
🧠 In @accpchest.bsky.social, Dr Tietbohl & Moss explore strategies to improve surrogate informed consent in ICU research: Dedicates Research Coordinator (over PI), timing, trust, and clarity matter most. Time to standardize and fix consent! 📖 journal.chestnet.org/article/S001... #ResearchEthics
journal.chestnet.org
Approaches for establishing trust and alleviating stress during the surrogate informed consent process for critical care research
We identified three strategies that PIs, RCs, SDMs and patients viewed as effective for building trust and alleviating stress in the surrogate informed consent process. Incorporating these approaches ...
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Reposted by Pierre-Marie Bertrand
Stephane Legriel @stlegriel.bsky.social · 20/07/2025
#Cardiacarrest from neurological causes: for whom the brain tolls - Resuscitation www.resuscitationjournal.com/article/S030... @resuscitation.bsky.social @stlegriel.bsky.social #marinepaul
resuscitationjournal.com
Cardiac arrest from neurological causes: for whom the brain tolls
Cardiac arrest of neurological cause (CA-NC) is an entity whose incidence is unknown. The main reason for this is that the medical literature is mainly concerned with cardiac arrest due to cardiac cau...
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Brian D. Earp, PhD @briandavidearp.bsky.social · 20/07/2025
Now published 🚨 When to create embryos or organoids for research | Journal of Medical Ethics jme.bmj.com/content/earl...
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AP-HM Hôpitaux Universitaires de Marseille @ap-hm.fr · 18/07/2025
On a besoin d’un petit coup de main 💬 On recrute des infirmier·ères en psychiatrie pour nos équipes à l’Hôpital de la Conception, à Marseille. Un partage, un relais, un mot : ça peut vraiment aider. Merci à celles et ceux qui feront passer le message 💙
youtu.be
Jérémi, infirmier en psychiatrie à la Conception - Un métier authentique, une équipe solide
YouTube video by AP-HM - Hôpitaux Universitaires de Marseille
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Pierre-Marie Bertrand @pmbertrand.fr · 18/07/2025
Il commence a y avoir du monde… En tout cas bienvenue !
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Pierre-Marie Bertrand @pmbertrand.fr · 18/07/2025
🧠 In J Med Ethics, Sebastian Porsdam Mann & @briandavidearp.bsky.social argue that how we define moral status—by potential or current capacities—should guide the ethics of brain organoids and human embryonic neural tissue research. 📖 jme.bmj.com/content/earl... #ResearchEthics #Bioethics
jme.bmj.com
When to create embryos or organoids for research
The development of brain organoids and use of human embryonic neural structures for research each raise distinct ethical considerations that require careful analysis. We propose that rather than attem...
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Pierre-Marie Bertrand @pmbertrand.fr · 17/07/2025
🫀 Landmark innovation in #HeartTransplant: in today’s @nejm.org Williams et al. present REUP, a low-cost, ethically sound method to recover hearts after circulatory death—no ex situ device, no reanimation. Early results looks promising. 📖 doi.org/10.1056/NEJM... #Graft #Transplantation
doi.org
Rapid Recovery of Donor Hearts for Transplantation after Circulatory Death | NEJM
We report a method for the recovery of hearts for transplantation from deceased donors after circulatory death that obviates the need for thoracoabdominal normothermic regional perfusion or ex situ...
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Pierre-Marie Bertrand @pmbertrand.fr · 14/07/2025
🦠 In ICU pneumonia, rapid PCR like FilmArray® helps diagnose—but can it predict outcomes? Julien Dessajan et al. show that FA-PP tracks bacterial decline but fails to foresee clinical success. Initial test: yes ✅ Repeat testing: not so fast 🚫 🔗 doi.org/10.1186/s130... #IntensiveCare #VAP
doi.org
Assessing FilmArray Pneumonia+ panel dynamics during antibiotic treatment to predict clinical success in ICU patients with ventilated hospital-acquired pneumonia and ventilator-associated pneumonia: a...
Background Accurate microbiological documentation seems central for managing severe pneumonia. While the FilmArray® Pneumonia + panel (FA-PP) offers rapid pathogen identification, its effectiveness du...
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Pierre-Marie Bertrand @pmbertrand.fr · 13/07/2025
🧪 In a national survey, @haaserthibaud.bsky.social et al. show 84% of oncologists face therapeutic misconception—yet many miss or even reinforce it. Ethics training changes that. 🙌 It’s time to act to strengthen consent and research integrity. 📖 doi.org/10.1186/s129... #ResearchEthics
doi.org
Oncologists’ knowledge, practices and ethical opinions about therapeutic misconception: a French national survey - BMC Medical Ethics
Background Therapeutic misconception (TM) among research participants refers to the conflation of research goals (generating generalisable knowledge) with clinical care goals (making the best decision...
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Pierre-Marie Bertrand @pmbertrand.fr · 12/07/2025
@drn4z.bsky.social: Maybe it’s worth a shot? Let’s bring it up with Philips next time we meet about ICCA!
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Pierre-Marie Bertrand @pmbertrand.fr · 12/07/2025
👨‍💻We are still stuck with digital versions of paper charts! Chute in @intenscaremed.bsky.social calls for normalized EHR data to unlock clinical insight such AI and interoperability. We must rethink our EHRs—the future demands structured data. 🔗 pmc.ncbi.nlm.nih.gov/articles/PMC... #ResearchEthics”
pmc.ncbi.nlm.nih.gov
A common longitudinal intensive care unit data format (CLIF) for critical illness research
Critical illness threatens millions of lives annually. Electronic health record (EHR) data are a source of granular information that could generate crucial insights into the nature and optimal treatme...
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Pierre-Marie Bertrand @pmbertrand.fr · 11/07/2025
📺 "Au nom de la science, la recherche sur l'homme" : l'encadrement de la recherche médicale, du procès de Nuremberg aux lois actuelles. Scandales et prises de conscience font naître une éthique de la recherche. 👉 10/07 20h30 LCP : www.lemonde.fr/sciences/art... #Consentement #ResearchEthics
lemonde.fr
Programme TV : « Au nom de la science, la recherche sur l’homme » sur LCP, le long chemin vers l’encadrement légal
Anja Unger, retrace, depuis le procès de Nuremberg, la prise en compte progressive de l’éthique en matière d’expérimentations médicales sur l’humain, en France et aux Etats-Unis.
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Pierre-Marie Bertrand @pmbertrand.fr · 08/07/2025
🧠 Can you truly give informed consent if you can’t grasp the outcome? Daniel Villiger tackles the “ignorance challenge” and defends informed consent—even under deep uncertainty. Autonomy & vulnerability… 🔗 doi.org/10.1080/1526... #Bioethics #MedicalEthics #ResearchEthics
doi.org
Informed Consent Under Ignorance
In recent years, an old challenge to informed consent has been rediscovered: the challenge of ignorance. Several authors argue that due to the presence of irreducible ignorance in certain treatment...
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Pierre-Marie Bertrand @pmbertrand.fr · 06/07/2025
🗣 Niek Kok et al. explore how clinicians and families reconstruct treatment preferences for patients with disorders of consciousness. Three epistemic models—correspondence, coherence, and communitarian—frame this ethically charged practice. 🔗 doi.org/10.1186/s129... #ResearchEthics #Bioethics
doi.org
Reconstruction of patients' treatment preferences in disorders of consciousness: a systematic review - BMC Medical Ethics
Background Patients with disorders of consciousness (DoC) are unable to partake in the decision making process concerning their treatment. In the process of medical decision-making, which in DoC often...
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Reposted by Pierre-Marie Bertrand
josh farkas 💊 @pulmcrit.bsky.social · 03/07/2025
oral vanco prophylaxis in patients with recent Cdiff who need systemic antibiotics: RCT with signals of efficacy (yet disappointing) I will continue using oral vanc prophy for now (should we be using *longer* vanc courses to prevent delayed Cdiff?) jamanetwork.com/journals/jam... #IDsky #EMIMCC
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Pierre-Marie Bertrand @pmbertrand.fr · 03/07/2025
🧬 Just out in PLOS ONE: Asia Grigis et al. dissect how vulnerability is defined and managed across global research ethics policies. A call for clarity, a path to harmonisation — and a timely challenge for European ethics frameworks. #ResearchEthics #ClinicalTrial 🔗 doi.org/10.1371/jour...
doi.org
Vulnerability in research ethics: A systematic review of policy guidelines and documents
Background The history of research involving human subjects has demonstrated the importance of offering everyone an equal opportunity to participate in research, while safeguarding those who require s...
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Pierre-Marie Bertrand @pmbertrand.fr · 03/07/2025
🚨 New in Annals of Intensive Care! Giulia Merigo et al. show that adherence to post-cardiac arrest care guidelines improved over 14 years—but better adherence didn’t significantly boost survival or neuro outcomes. 🧠 Key? Haemodynamic optimization. 🔗 doi.org/10.1186/s136...
doi.org
Adherence to post-cardiac arrest care guidelines and impact on survival and neurological outcome - Annals of Intensive Care
Background Post-cardiac arrest (CA) care guidelines (GLs) have been introduced in 2010 and periodically updated every 5 years since then (in 2015 and 2021). However, the impact of these GLs on patient...
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Pierre-Marie Bertrand @pmbertrand.fr · 01/07/2025
🧪 Ethics isn’t just paperwork — it’s the foundation of trust in biomedical research. This new JAMA article from Siebert reminds us: everyone involved, from labs to journals, shares the duty to uphold ethical standards. 🔗 doi.org/10.1001/jama... #ResearchEthics #ICMJE #Bioethics #OpenEthics
doi.org
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Raphaël Chambon MD @drn4z.bsky.social · 26/06/2025
@euroneuro2025 in Paris great talk from Pr Lionel Naccache about how you understand conscience with epilepsia.
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Dr Juliette @ferrydanini.bsky.social · 16/06/2025
Le Monde has a livestream of the national philosophy exam 😆 commentator "can we say that these exam questions are difficult this year?" ; expert "no, they are perfectly doable". The breaking news is that RAWLS makes its first appearance in the history of the exam LETSGO
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Critical Care Science @critcarescience.bsky.social · 14/06/2025
💧 Should fluid therapy in #ICU pts be shorter & more strategic? 🔹 Excessive fluid resuscitation=worse outcomes; 🔹#ROSE model & deresuscitation strategies aim to balance perfusion+ 💧 overload; 🔹Tools like US & bioimpedance can guide safe fluid removal criticalcarescience.org/article/flui...
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Pierre-Marie Bertrand @pmbertrand.fr · 06/01/2025
Is Fluctuating Mental Status Evaluation an answer for neurocritical patients? The FMSE outperforms CAM-ICU & ICDSC, addressing gaps for brain-injured ICU patients (stocks & TBI). ↗️ accuracy, ↘️ misdiagnoses and ↗️ patient-centered outcomes. #Ethics journals.lww.com/ccmjournal/f...
journals.lww.com
Advancing Delirium Assessment in Neurocritically Ill Adults : Critical Care Medicine
An abstract is unavailable.
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Pierre-Marie Bertrand @pmbertrand.fr · 02/01/2025
Rapid multiplex molecular syndromic panel dramatically changed the way we manage infectious disease in critically ill patients. This “expert opinion” is welcome! ccforum.biomedcentral.com/articles/10....
ccforum.biomedcentral.com
The role of rapid multiplex molecular syndromic panels in the clinical management of infections in critically ill patients: an experts-opinion document - Critical Care
Rapid multiplex molecular syndromic panels (RMMSP) (3 or more pathogens and time-to-results < 6 h) allow simultaneous detection of multiple pathogens and genotypic resistance markers. Their implementa...
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Rhazelovitch @rhazelovitch.bsky.social · 01/01/2025
Redite à peu près tous les 2 ans (car rien n'a changé): Le Tamiflu/Oseltamivir est toujours prescrit dans la grippes, notamment chez les patients critiques, pour une petite fortune. Je voulais féliciter les laboratoires Roche pour ce coup de maître, qui consiste à réaliser une série d'études,
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Jean Baptiste Lascarrou @jblascarrou.bsky.social · 23/12/2024
Nouvel épisode du podcast #REA-gir sur l’étude TRAIN de Fabio Silvio Taccone. Discussion approfondie de la méthode et des résultats. Disponible sur les médias habituels dont Spotify: open.spotify.com/show/2hiKIAP...
open.spotify.com
L'étude TRAIN
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Pierre-Marie Bertrand @pmbertrand.fr · 29/12/2024
ccforum.biomedcentral.com/articles/10.... : Organ donation is ethics in action: New research highlights emotional family concerns during ICU donor talks. Clear communication and empathy are essential to address fears, dignity, and post-decision doubt. Building trust, not just consent. #bioethics
ccforum.biomedcentral.com
Family concerns in organ donor conversations: a qualitative embedded multiple-case study - Critical Care
Background Listening and responding to family concerns in organ and tissue donation is generally considered important, but has never been researched in real time. We aimed to explore in real time, (a)...
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Pierre-Marie Bertrand @pmbertrand.fr · 28/12/2024
Research ethics committees face many challenges, as highlighted in this Czech paper. It’s time for discussion at EU level for RECs. Less procedures for researchers, more discussion and sharing. #Bioethics #ResearchEthics bmcmedethics.biomedcentral.com/articles/10....
bmcmedethics.biomedcentral.com
Survey on the current practice of research ethics committees in the Czech academic environment: a mixed-methods study - BMC Medical Ethics
Background The primary objective of this study was to conduct a comprehensive questionnaire survey on the practices of research ethics committees reviewing academic research projects in Czechia. The s...
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Pierre-Marie Bertrand @pmbertrand.fr · 11/12/2024
Rediscovering insights from a decade ago: Ioannidis highlights the timeless challenge of turning scientific breakthroughs into life-saving applications. His 2015 conclusion still holds: cross-disciplinary collaboration is essential for meaningful progress. jamanetwork.com/journals/jam...
jamanetwork.com
Recognizing a Major Scientific Discovery
What makes a good clinical study may not be the source of a discovery that propells a medical breakthrough, but getting to to innovation may require other ways of collaboration and investigation meldi...
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Pierre-Marie Bertrand @pmbertrand.fr · 11/12/2024
“Not every check in the ICU is seizure”. Enseignement/partage entre neurologues et réanimateurs d’une même équipe médicale du plateau de soins critiques adulte. Ces moments d’échanges entre spécialités sont réellement la valeur ajoutée de cette nouvelle organisation en plateau technique.
Salle de staff avec 2 présentateurs
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Pierre-Marie Bertrand @pmbertrand.fr · 11/12/2024
“AI can’t worry about patients, but clinical decisions often require moral judgment. This thought-provoking JAMA article highlights the ethical boundaries and challenges of AI in healthcare. A must-read for anyone in medicine and AI ethics: jamanetwork.com/journals/jam... #clinical_ethics
jamanetwork.com
An Ethicist Draws the Line on AI as Clinical Decision-Maker
This Medical News article is an interview with Sarah C. Hull, MD, MBE, a cardiologist and clinical ethicist at Yale School of Medicine, about appropriate boundaries for use of artificial intelligence ...
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Pierre-Marie Bertrand @pmbertrand.fr · 10/12/2024
Ateliers drainage péricardique pour les équipes du Plateau de Soins Critique Adulte… Comment rester compétent pour ces gestes qu’on ne fait pas si souvent? Ça reste un vrai défis pour nos services!
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Critical Care Science @critcarescience.bsky.social · 08/12/2024
💉 Sedative Choices in #ICU 🧠 A great update on current landscape of sedation management in ICU: ➡️ New scenario& old tools ➡️ Concerning sedative choice ➡️ Monitoring sedation level ➡️ Inhaled sedation ➡️ Future directions criticalcarescience.org/article/enha... #ICU #PedsICU #FoaMed #CCS
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Pierre-Marie Bertrand @pmbertrand.fr · 08/12/2024
Improving population sampling in clinical trials is imperative. Clinical trial populations must better reflect the communities they serve — a pressing issue still overlooked in the EU. #researchethics jamanetwork.com/journals/jam...
jamanetwork.com
Diversity Action Plans in Clinical Trials
This Viewpoint discusses the US Food and Drug Administration’s upcoming mandate on diversity actions plans for trial sponsors and the importance of developing accountability mechanisms to monitor thos...
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Pierre-Marie Bertrand @pmbertrand.fr · 06/12/2024
Aussi souvent que possible (contexte de soins critiques). Mais c’est rarement utile malheureusement (et parfois en panne…).
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Pierre-Marie Bertrand @pmbertrand.fr · 06/12/2024
Biomedical research ethics is vital yet complex, with evolving laws and methods but little consensus on implementation. The Declaration of Helsinki remains a cornerstone—have you explored its latest revision? jamanetwork.com/journals/jam...
jamanetwork.com
World Medical Association Declaration of Helsinki
This JAMA Special Communication presents the 2024 revision of the World Medical Association’s Declaration of Helsinki, a set of principles to guide the ethical treatment of participants in medical res...
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