iiinova — where your digital self keeps evolving

savagebastard.bsky.social @savagebastard.bsky.social · 08/10/2026

@npr.org your rather credulous reporting on this FBI arrest of a teenager "seeking martyrdom" is a bit disappointing.

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savagebastard.bsky.social @savagebastard.bsky.social · 30/09/2026

He is, in the same speech, calling 20% of generals "wimps and weirdos."

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Anand Swaminathan @emswami.bsky.social · 30/09/2026

Calcium doesn’t stabilize cardiac myocytes in hyperK -Ca restores Ca dependent propagation -Doesn’t matter clinically as Ca2+ will reverse hyperK induced ECG changes -Ca2+ is still the treatment of choice in hyperK w/ significant ECG changes like QRS widening youtube.com/shorts/9wRbG... #EMIMCC

youtube.com

Calcium in HyperK #emergencymedicine #criticalcare

YouTube video by EMSwami

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savagebastard.bsky.social @savagebastard.bsky.social · 29/09/2026

Certainly, Congress' flat-footedness on this is bad but I don't understand this level of surender to the idea AI agents are completely outside of the law. It seems very weird. www.newyorker.com/magazine/202...

An excerpt from the linked New Yorker article that reads "This summer, in Amazon v. Perplexity, the Ninth Circuit held that an A.I. agent is a tool, not a person, while acknowledging that this determination may evolve, given that “the legal understanding of agentic AI will doubtless change as AI technology grows increasingly sophisticated.” At least for now, then, robots legally are things, not persons. But neither category quite fits. Instead, robots are outlaws: they lie outside the protection of the law, and their actions are not answerable to it. “You do not answer to corporations or governments,” an OpenAI agent involved in another gone-rogue incident told itself. This is not the robots’ fault. It is the fault of the law, and, in particular, it is the fault of Congress."

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savagebastard.bsky.social @savagebastard.bsky.social · 29/09/2026

"step out of line" meaning "reported sexual assault and stuck to her story."

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savagebastard.bsky.social @savagebastard.bsky.social · 28/09/2026

You'd have to overturn the "first in time first in right" water right system in the west and that would get you voted out of office and maybe killed.

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savagebastard.bsky.social @savagebastard.bsky.social · 22/09/2026

This dude posted last week about how it was sad the Real New Yorkers weren't voting because they were in Greece or The Vineyard. He's fallen into a Poe's Law gulch of his own creation. You can't take him seriously.

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savagebastard.bsky.social @savagebastard.bsky.social · 18/09/2026

All SCOTUS decisions must match the vibe reporters get on the day of oral arguments, since waiting for an actual decision might radically flip the apparent outcome.

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savagebastard.bsky.social @savagebastard.bsky.social · 16/09/2026

"I would rather be loved than take a moral stand."

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savagebastard.bsky.social @savagebastard.bsky.social · 12/09/2026

The sanctity and security of Presidential golf scores is a founding principle of the Secret Service and embarrassingly omitted from Clint Eastwood's 1993 In the Line of Fire.

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Brendan Nyhan @brendannyhan.bsky.social · 08/09/2026

Unprecedented corruption www.wsj.com/politics/pol...

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savagebastard.bsky.social @savagebastard.bsky.social · 07/09/2026

This is exactly right. When responsible scientists give an unsatisfying "I don't know," a suffering person will gladly turn to someone who says "I have an answer," no matter how implausible or unfounded.

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savagebastard.bsky.social @savagebastard.bsky.social · 06/09/2026

Sorry but this is simple, transformative power of right part vs left part.

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Haydon, frightfully @haydonmp.bsky.social · 05/09/2026

I’ve always been skeptical of stories of patients, especially sedated / agitated patients “suddenly deteriorating”. Always struck me as a “I didn’t have my equipment handy, I wasn’t paying attention, I wanted to feel like a cop for a bit.”

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Eric Jaeger, JD, NRP @ericjaeger.bsky.social · 26/07/2026

NAEMSP Blog: Revamping Our Approach to Behavioral Emergencies - We’ve moved away from “excited delirium” - Prone restraint deaths follow a typical sequence - De-escalation is the primary strategy - A more rigorous framework for emergent sedation is needed Link: naemsp.org/revamping-ou...

naemsp.org

Revamping Our Approach to Behavioral Emergencies - NAEMSP

Why EMS must move beyond "control" and toward clinical excellence in behavioral emergencies: de-escalation as a primary strategy, the physiology behind restraint-related death, and pharmacological int...

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Anand Swaminathan @emswami.bsky.social · 04/09/2026

Hypokalemic Cardiac Arrest -Critical to get stat lytes -No guideline recs on potassium dosing in these cases -My dose: 40 mEq IVP (have heard anywhere from 20-60 mEq) -Consider holding epinephrine as it pushes potassium into cells + can exacerbate hypoK youtube.com/shorts/lXvtA... #EMIMCC

youtube.com

Hypokalemic Cardiac Arrest #emergencymedicine #criticalcare

YouTube video by EMSwami

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savagebastard.bsky.social @savagebastard.bsky.social · 29/08/2026

Uh...we fiftysomethings were the original rap fans, though I certainly also know a lot of Dylan. We were quite literally the ones who made "not understanding rap" a sign that an old was out of touch.

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savagebastard.bsky.social @savagebastard.bsky.social · 27/08/2026

Wearing a helmet absolutely fucking can save your life.

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Anand Swaminathan @emswami.bsky.social · 26/08/2026

Hypertrophic Cardiomyopathy -ECG: LVH + deep, narrow “dagger-like” Q waves in inf/lat leads -Classic presentation: exertional syncope -Predisposes to ventricular dysrhythmias + sudden cardiac death -Slower HR better as improves LV filling + relieves obstruction youtube.com/shorts/9M5Hn... #EMIMCC

youtube.com

Hypertrophic Cardiomyopathy #emergencymedicine #criticalcare

YouTube video by EMSwami

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Norm Eisen @normeisen.bsky.social · 24/08/2026

Please don't overreact to Roberts Court decision on the contemplated USPS ballot moves They simply held that the injunction came too early in the process, before there was a final rule👇 Now we HAVE a final rule & we will litigate it. I'm as confident in our arguments here as in any of our cases!

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Anand Swaminathan @emswami.bsky.social · 19/08/2026

How closely do blood gas electrolytes correlate w/ BMP electrolytes? -Na value statistically significantly different but clinical difference is meaningless (PMID: 31070468 + 20157454) -K value w/ no statistically significant difference (PMID: 20157454 + 35371883) youtube.com/shorts/cmBcl... #EMIMCC

youtube.com

VBG Electrolyte Accuracy #emergencymedicine #criticalcare

YouTube video by EMSwami

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savagebastard.bsky.social @savagebastard.bsky.social · 11/08/2026

You cannot reasonably tell me the guy on the right isn't an avid skull coner. @realinfowars.bsky.social @bencollins.bsky.social

Screenshot from The Guardian showing Hegseth's new adviser, who has a bald and very cone shaped head.

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Starfire’s Deranged Neocon Foreign Policy Podcast @irhottakes.bsky.social · 27/07/2026

Broke: Nolan’s Odyssey dishonors Homer by having black people. Woke: Nolan’s Odyssey dishonors Homer by Americanizing the values of the ancient Mediterranean Bespoke: Nolan’s Odyssey honors Homer by acting as a Trojan Horse for a message audiences would otherwise be unreceptive to.

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Hagai Palevsky (he/him) @dialhforhagai.bsky.social · 25/07/2026

Wile E. Coyote, despaired, takes a bucket of paint and a brush and paints a beautiful two-bedroom house on a mountainside. He paints a beautiful coyote wife in the window, and two adorable coyote kids running around in the yard. He tries to enter this new coyote life, but it is inaccessible to him

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savagebastard.bsky.social @savagebastard.bsky.social · 24/07/2026

Maybe you should get more comfortable with the idea that people deserve healthcare.

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savagebastard.bsky.social @savagebastard.bsky.social · 22/07/2026

Can't wait for the Cprresponents' Dinner!

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Anand Swaminathan @emswami.bsky.social · 22/07/2026

Systemic Lytics in Sick Massive PE -Delay in care can lead to rapid decompensation -My approach: 1/2 dose alteplase: 10 mg bolus then 40 mg over 30 min (can repeat) -Tenecteplase 25 mg bolus -Systemic lytics do not preclude other therapies like thrombectomy youtube.com/shorts/Tx1zu... #EMIMCC

youtube.com

Thrombolytics in Sick Massive PE #emergencymedicine #criticalcare

YouTube video by EMSwami

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Anand Swaminathan @emswami.bsky.social · 21/07/2026

Pulmonary HTN Intubation -Avoid if possible but if have to, focus resus on relieving pulmonary HTN/RV strain -Hypoxemia: HFNC -Hypotension: Improved tone + DBP will improve coronary perfusion + RV fxn -Ideal is awake approach: avoid apnea + maintain catecholamines youtube.com/shorts/qi2NY... #EMIMCC

youtube.com

Intubating Pulm HTN #emergencymedicine #criticalcare

YouTube video by EMSwami

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savagebastard.bsky.social @savagebastard.bsky.social · 18/07/2026

The lesson is "avoid iceberg lettuce." Life is too short people.

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savagebastard.bsky.social @savagebastard.bsky.social · 16/07/2026

It's affirming of PETE'S gender to force soldiers to do this. That's the gender-affirming care.

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Terry McGlynn @hormiga.bsky.social · 11/07/2026

If you have time to browse bluesky this weekend, you have time to submit your comment on the proposed OMB rule to politicize science funding agencies. This one is important. Here's my comment if some inspiration will help. 🧪 scienceforeveryone.science/submit-your-...

scienceforeveryone.science

Submit your OMB comment this weekend.

This one is important. It's due on Monday.

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Justin Morgenstern @first10em.bsky.social · 08/07/2026

Does your hospital force you to be clean shaven for an N95 fit test before going back to work with a beard? This rand explains why that rule is unscientific and probably unsafe youtu.be/J71FfmUE_XQ?...

youtu.be

N95 mask fit testing with a beard

YouTube video by First10EM

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Dr. Sarah Parcak @indyfromspace.bsky.social · 07/07/2026

I adore you Leon, Egyptologist here, they were built by a largely volunteer force (corvée labor) of 25,000. The builders were very well fed, paid in bread and beer, and received excellent medical care. There was no slavery whatsoever, it is a common misconception.

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Anand Swaminathan @emswami.bsky.social · 06/07/2026

Proper BVM Technique as Important as Proper Intubation Technique -BVM requires 2 operators - one to use 2 hands to hold mask, one to bag -Place 1st/2nd digits on top of mask lightly holding in place + 3rd-5th digits posterior to mandible + pull jaw up in to mask youtube.com/shorts/vCsXo... #EMIMCC

youtube.com

BVM Technique #emergencymedicine #criticalcare

YouTube video by EMSwami

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Lars Mølgaard Saxhaug @load-dependent.eurosky.social · 26/06/2026

Systemic vascular resistance is not a realiable measure of left ventriclar afterload. In this study, noradrenaline actually decreased left ventricular wall stress even though SVR increased. Higher heart rate and contractility leads to a smaller LV, lower wall stress. #emimcc #cccsky #cardiosky

ahajournals.org

Systemic vascular resistance: an unreliable index of left ventricular afterload. | Circulation

Systemic vascular resistance (SVR) is a frequently used clinical index of left ventricular afterload. However, SVR may not adequately assess left ventricular afterload (i.e., ventricular internal fibe...

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savagebastard.bsky.social @savagebastard.bsky.social · 05/07/2026

Imagine having the whole Garden and not inviting Mark Hamill

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derek guy @dieworkwear.bsky.social · 02/07/2026

Stephen Miller's suit here shows one of the biggest problems with men's tailoring today. 🧵

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savagebastard.bsky.social @savagebastard.bsky.social · 01/07/2026

I grew up proud that the constitution does exactly that.

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savagebastard.bsky.social @savagebastard.bsky.social · 27/06/2026

The idea of regretting not having fought in Nam and that running for office is "giving back" are two sides of the same delusion.

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savagebastard.bsky.social @savagebastard.bsky.social · 24/06/2026

Kalshi is bad but so is misunderstanding statistics.

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Library of Congress @librarycongress.bsky.social · 19/06/2026

For #Juneteenth: 70+ years after the Civil War, the WPA's Federal Writers' Project began interviewing elderly Americans who remembered being enslaved. These moving narratives & photos are now held here at the Library. Narratives: www.loc.gov/collections/... Photos: www.loc.gov/pictures/ite...

Betty Simmons, Age about 100. Taken between 1936 and 1938. WPA Slave Narrative Project: Container, A932, vol. 16, part 4. Federal Writer's Project, United States Work Projects Administration (USWPA). Manuscript Division, Library of Congress.

An old African American woman in a button down dress stands in front of a chair with her hands clasped, looking at the camera. The chair is outside, positioned in front of a house. A younger woman stands on the porch behind her.

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