Anaesthetics & HEMS consultant. Views are my own. Retweets are inevitably by someone cleverer and funnier than me.

UK
Joined January 2009
Median time from injury to TCA (tamponade) 11 mins, but there is a window to intervene in this system (on scene 20 mins post injury). Survival 52% (tamponade) if RT at point of TCA or within 1 minute!… not a treatment for exsanguination in this cohort jamanetwork.com/journals/jam…
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I feel like this was made for you @amit_pawa
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Chris King retweeted
The #covidinquiry was back up and running this week and quickly into what some people think is one of the biggest scientific or policy mistakes (or 'misunderstandings' depending on your POV) of the whole pandemic. And it's all to do with how Covid is spread in the first place. 🧵
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Ok. A few bits. Will add a context of intravenous sedation for long bone fracture manipulation as an example. 1. Even when the pre-sedation environment is tense, noisy, loud, etc., speak gently with the patient before you start. Allocate someone to continue to speak smoothly and
Replying to @gareth_grier
Please share your best tricks!
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New position statement from FPHC on collars. "Various guidance exists in this area; as such practitioners are likely to be supported to make different decisions. This should be accepted and handled with respect and kindness." fphc.rcsed.ac.uk/media/3460/…
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We are pleased to announce the topic for our 8th National Audit Project (NAP8) will be complications of regional anaesthesia (peripheral blocks and central neuraxial blockade) and other neurological complications of anaesthesia. ow.ly/mLpR50QWqiK
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We all have fave central line approaches...given a choice, I do prefer the subclavian. It's just so reliable, esp in hypovolemia/shock. If you haven't done one in a while (or like many of our trainees, have NEVER done one) check out this refresher! tinyurl.com/mvphb8y7
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“Saving ambulance resources: a service evaluation of the identification of non-viable out-of-hospital cardiac arrest in London by advanced paramedic practitioners in critical care” go.shr.lc/3v0XHoQ See you at ‘Golden Nuggets’, CoP conference 2024.
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🔓BRAND NEW @ResusCouncilUK emergency treatment of peri-operative anaphylaxis algorithm for anaesthetists👇 @jas_soar @LouiseSavic @Assoc_Anaes @RCoANews @BSACI_Allergy @britsocimm 🔗associationofanaesthetists-p…
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Ropivacaine for the soul! Thanks to all the contributors and @BurrellLisa for a great @EHAAT_ Regional Anaesthesia and Patient Experience Study day. FIB has an important place in prehospital care – at East, England
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Today marks my final day as an anaesthetics trainee. It's a fantastic job and I've worked with some amazing people along the way. Looking forward to the next adventures with @LDNairamb and @FrimleyHealth.
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NEW VIDEO: Eleveld - TIVA’s next top model youtu.be/S_tr8iJXavQ?si=ZqEl… And Tom Blanks’ Eleveld for paeds (from 29:10) From my @AnaesthesiaNuh session. @SIVAnaesthesia @TIVAuk @RCoANews @Assoc_Anaes
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Londons Air Ambulance @LDNairamb Registrar post @NHSBartsHealth is out now on NHS jobs. Apply if you’d like to come work in our teams! jobs.nhs.uk/candidate/jobadv…
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Surely the award for best title goes to #47: "The lemon: an ‘apeeling’ teaching tool for epidural anaesthesia" 👏👏👏
All the abstracts from Annual Congress 2023 have been published now in a special issue of @Anaes_Journal Free to access here ow.ly/AtWL50PL3Y3 #AC2023
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Talk and Die patient - Summary of signs around 6:20... Totally agree. And add vomiting too.
Impending Doom - Help Your Patient 'Talk and Survive'! How to identify the deteriorating hypotensive patient who's about to arrest 13 minute video youtu.be/Aiqfj83SR_g
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Great femoral nerve block video. One where everything isn't immediately obvious and the sonoanatony isn't perfect. But good tips about what to do next. More of these please! @mick_kerr youtu.be/8Y1UzbrVams
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