NHS critic & fan, health care leadership, passionate about pain relief & patient safety
Joined September 2008
- Tweets 434
- Following 294
- Followers 182
- Likes 208
79 Photos and videos
20 Apr 2023
#PlanAblocks - Trainee query : is it the preferred first option? NO. It is just a list of essential blocks to learn. Interesting confusion with @dasairway intubation guidelines- default strategy for intubation. @RegionalAnaesUK @ASRA_Society @Assoc_Anaes
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18 Mar 2023
CHEWING GUM is a Foreign body in Airway. Why will a patient keep a chewing gum in their mouth before going to sleep? 🤔-bcos they forget to spit it out when stressed. ?NBM policies and checklist need tweaking.@dasairway @RCoANews @Assoc_Anaes
5 Jan 2022
Chewing gum is another controversy. Each society fasting guidelines treats it differently. The risk of chewing gum is not swallowing or aspiration--it's as an airway foreign body!!#AnesGR @MCW_Anesth @Duke_Anesthesia @DukeAnesRes @dukeanesfellows @ASALifeline @PediAnesthesia
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21 Oct 2022
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21 Oct 2022
@jane_quinlan guidance on opioid de prescribing. An important learning topic for all doctors/nurses who prescribe opioids. ouh.nhs.uk/services/referral… @OUHospitals @EMARIANOMD @NAPS_UK
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21 Oct 2022
@FeliciaJCox introducing Pain Mgt Plan after surgery : colour coding strong opioids, PRN & fading colours for weaning. Is it possible to apply this on electronic prescriptions?. britishpainsociety.org/stati… @NAPS_UK @BritishPainSoc
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31 Aug 2022
Frustrating. Finding the Yankauer suction tip on the floor just when u most need it (Extubation). There must be a simple solution to this? than sticking under the pillow. 🤔@Anaes_News @RCoANews @Assoc_Anaes
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27 Aug 2022
I see and hear this all the time in #nhs Another pyramid to think about It all begins with trust….
29 Jun 2022
Current NHS pension taxation rules are unfairly hitting senior doctors hard with many forced to retire early/reduce hours. No provision for alternative pension rewards .@Gibbo4Darlo as my MP, please will you attend @TheBMA pensions event on Weds 6 July
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23 Jun 2022
#ESRA2022 Index finger test - Tenderness at wound site. A single cutaneous nerve left out can cause a lot of pain 👉Rescue Blocks. @ T.D.Nielsen
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7 May 2022
Ilioinguinal- Iliohypogastric TAP could be the answer for Caesarean section analgesia in first 24 hours .doi.org/10.1111/anae.15646 #RAUKISURA22 @noolslucas
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8 May 2022
Second thoughts from Editorial team - First thought is still valid anatomically. More evidence required. doi.org/10.1111/anae.15748
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7 May 2022
#RAUKISURA22 Bruce Scott Lecturer 2022 - Moving story telling by @colinjmccartney : Quoted “Talent is Overrated”- greatest achievers succeed through lifelong "deliberate practice."
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7 May 2022
#RAUKISURA22 Green-gional anaesthesia : Reduce unnecessary use of high flow oxygen, sedative drugs, consumable waste,variable sterile precautions @mail2vincechan
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7 May 2022
#RAUKISURA22 Opioid stewardship necessary in every hospital to reduce opioid induced harm after surgery. Pre-op & Post-op Taper/ Avoid Modified release/ Driving risk @nicholasalevy @elboghdadly
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6 May 2022
#RAUKISURA22 Intention, Education & “ACTION” from every individual & organisations. Equity/Diversity/Inclusion @EMARIANOMD @mariapsebastian
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23 Jan 2021
Wearing a face mask all day takes a toll on your đź‘‚. Disposable elastic tourniquet is quite handy for comfort wear.
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2 Dec 2020
#COVID19 secure study day at Darlington for non-regionalists = to accelerate competency in #PlanABlocks @RegionalAnaesUK @RCoANews @nsaicm
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2 Dec 2020
Scanning stations: PPE & social distancing measures (as best as possible)
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