Consultant Anaesthetist. Critically caring.
Australia
Joined January 2012
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Steven Alderson retweeted
Anytime someone claims that Australian medicine doesnt have a massive racism problem they should just be directed to r/ausjdocs for blatant demonstrations
Ouch.
Each publication aimed at standardising airway management seems to only ever complicate the topic, when clarity matters most.
In this editorial, @dr_imranahmad & @doctimcook consider the PUMA tracheal extubation guidelines and ask - towards clarity or complexity?
"Should we continue to develop guidelines tailored to specific clinical scenarios, considering factors such as location, speciality and patient characteristics? Or is it possible for a single, universal guideline to be applied globally, like the PUMA group envisages?"
#anaesthesia @NicholasChrimes @UniversalAirway
doi.org/10.1111/anae.70436
Steven Alderson retweeted
The planned regulation by the GMC of PAs will leave local employers to decide what exactly PAs will be doing, as with nursing associates. Another example here of why local employers can't be trusted:
🚨 EXCLUSIVE: NHS children’s hospital let physician associate examine abuse victims
Alder Hey Children's Hospital tonight admits PA was removed from safeguarding team over concerns that their findings would not stand in court.
telegraph.co.uk/news/2024/09…
Steven Alderson retweeted
🚨 Amos did find evidence of normal birth. Her own expert reviewers agreed the wording only for Amos to unilaterally change it prompting Kirkup to resign. Was Amos involved in a cover-up? Why? Who got to her? Another nail in the coffin of the Amos review:
bbc.co.uk/news/articles/c3ey…
Steven Alderson retweeted
Yes but the anaesthetists who recognise they can secure their career & increase their pay by training & then supervising nurse practitioners in multiple theatres, rather than doing one list, and believe this can be done safely, won’t oppose it.
Steven Alderson retweeted
High inter-rater agreement only means better data & safer care if the info being agreed upon is clinically useful, which POGO is not. It pointlessly sub-classifies varying degrees of easy view POGO 1–100% (which can all be addressed w routine intubation) but can’t distinguish bw views that drastically alter the appropriate approach (CL 2b, 3a, 3b & 4 are all POGO 0%).
Steven Alderson retweeted
If any med students or FY doctors are happy to speak to @JanetEastham regarding post FY2 unemployment and want to share your thoughts on the emergency legislation bill/ your concerns about the BMA’s 2 year grandfathering policy then please let me know - can put you in touch.
Steven Alderson retweeted
An incredible response from readers to my storh yesterday. A lot of people suggesting midwifery should go back to being a nurse entry role first with post-grad specialist training, or that it should be a 4 year degree. Thoughts?
🚨 INVESTIGATION: Britain's maternity crisis has deeper roots, extending into the universities trusted to train the next generation of midwives. A majority are still promoting a normal birth ideology while women are more complex than ever:
READ: thetimes.com/article/b4fe112…
There is no particular reason UK F2s can’t similarly be trained more rapidly to become accomplished and independent specialists, @wesstreeting.
UK medical training is some of the longest - read, least efficient - in the world.
If you want to revolutionise NHS care, start here.
When you're attending let's you do your first independent 6-vessel angio as a PGY2🤙🏻@UAZNeurosurgery @WuyangYang1
Meanwhile the UK equivalent PGY2 is likely facing unemployment.
NHS workforce planning has been a mess for decades, but the latest debacle is a scandal - of gross misspending of public money; of erosion of professional standards; & of preventable failings in care - which merits wider public scrutiny & outrage.
@ShaunLintern
When you're attending let's you do your first independent 6-vessel angio as a PGY2🤙🏻@UAZNeurosurgery @WuyangYang1
Steven Alderson retweeted
When you're attending let's you do your first independent 6-vessel angio as a PGY2🤙🏻@UAZNeurosurgery @WuyangYang1
Now let’s do microplastic pollution from TIVA vs. inhalational anaesthesia.
Carbon footprint of total intravenous anaesthesia vs. inhalational sevoflurane anaesthesia in adults: a modelling study
#anaesthesia #climate #MedTwitter
doi.org/10.1111/anae.70023
Why not just do a proper RSI and then start the TIVA infusion after?
Total intravenous anaesthesia (TIVA) for rapid sequence induction (RSI)
Worried your TIVA infusion is too slow for RSI?
Why not work with your local manufacturer to develop an ‘RSI-TCI’ mode for your target-controlled infusion pumps?
#anaesthesia #MedTwitter #pharmacology
doi.org/10.1111/anae.70003
It’s going to be ‘Consultant ACP & Director of Emergency Medicine’ next.
Can’t say RCEM cheerleaders for this weren’t warned.
Their jobs are next.
Consultant Radiologist job Advert :
‘This post holder will deliver autonomous clinical practice to an equivalent level of a Consultant Radiologist. ‘
@RCRadiologists is there a shortage of radiology trainees ?
@ABarotchi1 @john_brittenden @ClinOncDoc your thoughts please
Is ‘watch & wait’ an appropriate clinical approach 1.) in an era of rapidly rising cancer rates in young patients, and 2.) when access to diagnostic testing should - in theory - be easier than ever?
Accept that this is a widely adopted approach in UK general practice, but wonder whether it’s still the right one?
Another adject failure of NHS workforce planning.
More radio silence from @NavinaEvans et al.
Where is the accountability & scrutiny for such a gross mismanagement of public funds?
@ShaunLintern
@wesstreeting
medical.hee.nhs.uk/medical-t…
Steven Alderson retweeted
This is absolutely astonishing. Nurse-led units with virtually zero medical input.
One has to stop and think for a second: Why?
These people keep banging the MDT drum, and then go rogue and fly solo. We seriously need to recalibrate and infuse some sense into the situation.
🏴☠️ I’m not having a pop at nurses, but this nurse in particular is displaying the same delusions of grandeur as some Physician Assistants and has no clue about her scope of practice.
⭕️ She has no doctor or medical consultant to discuss cases with, only a NURSE consultant or a PARAMEDIC.
⭕️ She is managing unresponsive patients alone without even being an Advanced Nurse Practitioner, and is only a forensic nurse 💀. Do you think your professional registration with the NMC as a nurse covers such a big liability with no doctor around?
⭕️ She thinks ST3 doctors (registrars with MRCX qualification) are “three weeks old” compared to nurses.☠️
I have to admit, this is an advanced level of quackery and an unprecedented display of boastful behaviour from a nurse.
