Sam Goodhand
@SamGoodhand
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Dr in ICU & anaesthesia. News column contributor. Checklist card concept creator. Ex-A&E & Outback flying doctor.Keen traveller, reader & kitesurfer.
United Kingdom
Joined April 2018
Crash intubation in A&E the other night. Urgent ++, so we observe a shortened checklist. 20 seconds later we’re ready to RSI, having identified suction not switched on. If you think you don’t have time to do the checklist, the more you need to do it. #patientsafety
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RT @GAMCLondon: 🚨BOOKINGS FOR VIRTUAL ACCESS REOPENED🚨. we’ve had LOADS of people inquiring about getting access to yesterdays talks!!!! So….
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Wise words from @Capt_Dude - we’re obsessed with leadership in medicine and never really focus on followership. #GAMC2025.
And now captain Neil Jeffers giving us insight into how high performance teams work under pressure #GAMC2025
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RT @GAMCLondon: And now captain Neil Jeffers giving us insight into how high performance teams work under pressure #GAMC2025 .
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What tools do people use for operational / performance debriefing (not psychological debrief) after emergency scenarios?. Keen to see any aide memoirs / crib sheets used to guide structured team reflection. 🙏 . #medtwitter .#humanfactors.
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Does NAP 7 show we’ve lost our way with human factors? . A short piece I wrote for @Assoc_Anaes on #humanfactors - missed opportunities around debriefing, CRM and simulation, and the thorny issue of transposing aviation standards to our practice. #patientsafety
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I’m now peddling my opinions & plugging checklist cards on BlueSky. It’s actually quite good. Although you will probably never see this post. 🤔🤫. #MedTwitter.
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RT @cliffreid: Our hospital opened at the end of October 2018. Since day 1 of opening we have kept a detailed registry of all intubations i….
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RT @ptsafetylearn: Featured on the hub for #WorldAnaesthesiaDay, nine useful resources about anaesthesia, including insights from anaesthet….
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“Did he express any particular wishes if something like this happened?”.
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🚨Running a new batch of airway checklist cards so please let me know if your dept wants some!. Adult and paediatric available - see thread in the tweet below for details…. #MedTwitter #patientsafety #humanfactors.
Crash intubation in A&E the other night. Urgent ++, so we observe a shortened checklist. 20 seconds later we’re ready to RSI, having identified suction not switched on. If you think you don’t have time to do the checklist, the more you need to do it. #patientsafety
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This won’t surprise anyone who sees emergencies in cardiac lab. - Unfamiliar, unmarked kit & storage.- Unclear objectives between cardio/anaesthetic team.- Variable (!) comms.- Horrible ergonomics . Could it be improved with better standardisation, joint sim & debriefing?.
Out now!.More NAP7.Cardiology patients receiving anaesthesia.-often an unplanned event.-logistically high risk (remote & unfamiliar environment?).-medically high (>1% of anaesthesia activity vs almost 10% of cardiac arrests).-poor outcomes . (Contrasts very much with cardiac.
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Interesting….
@EM_RESUS This is the reason London telephone boxes (the red ones with the windows) were banned . They were death traps because the elderly fainted inside from the heat, and then were prevented from falling to the ground because of the 4 walls. Every morning there were a few elderly dead.
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Spent a fascinating day at an aircrew CRM course, welcomed by @mike_sooty and @draken_europe 🙏. Lazy parallels between healthcare & aviation are common - but emulating nuances of personal reflection, openness in error & debriefing (good & bad!!) in NHS are v achievable. ✈️.
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Do other ppl now find Twitter really difficult to engage with, particularly on #medtwitter stuff? . I’m rarely presented with stuff I’m interested in or ppl I used to closely follow. Not sure if it’s compounded by my own disengagement or Elon’s failed algorithm?.
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“Hmm well checklists are great when you’re starting out, but when you’re experienced they’re not really necessary or helpful” 🥸
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RT @Chakladar_A: Why does it work? . (apart from all the prep & stealing the concept from @NorthwickNEO). Truly MDT, free flow, no structur….
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It’s almost 5 years since the intubation checklist card went nationwide, and there are now 16,000 adult, paediatric & global cards in use 🌎!. Now’s a good time to order a batch for August your team of Docs / acute nurses / ODPs. Details in 🧵 . #patientsafety #humanfactors.
Crash intubation in A&E the other night. Urgent ++, so we observe a shortened checklist. 20 seconds later we’re ready to RSI, having identified suction not switched on. If you think you don’t have time to do the checklist, the more you need to do it. #patientsafety
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What taunt more goading than barbecue smoke en route to a springtime night shift?.
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