Ben
@propofoletal
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Anaesthetic ST in London | 𝐷𝑟³ | Interests 🧠 🫁🫀| Medical AI
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If UK medical degree going to be 4 years long, does this mean that UK degree may not be recognised abroad? If so, will this limit possibilities for UK qualified doctors to work abroad without further exams?
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Just saw a poll about including Dr titles on ID badges and was inspired to create a new design! A US-style badge buddies for Drs in the UK: fits under standard badge holders and features two recyclable cards showing title & specialty. What do you think? 1/2
#MedTwitter
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All parts of Rocuronium vial can be useful. I was asked why I had the plastic seal in my pocket. I guess beacaue I’m an
#anaesthetist
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DIY ICU from Lidl. Non invasive BP monitoring, PulsOxymetry, nebuliser flowtron boots. I am disappointed capnography is missing!!! 🙃
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Flight attendant: Is there a doctor on board?
Me: How can I help?
Flight attendant: Epidural 12A, 4B and 16F…
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Team
#anaesthesia
, for those who are revising for exams: I’m in the process of building a
#GPT
model for anaesthetic revision. Let me know if you would like to try it, and I’ll share the link.
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@morefluids
Well I’m studying since 1997 🙀
5 years dental school
2 years oral surgery
3 years PhD
1 year teaching fellow
2 years MSc
2 years Maxfacs trust grade
4 years medschool
2 years foundation training
3 years ACCS
1 year extension due to COVID
2 years ST Anaesthesia - current
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Well I didn’t know that TXA can be nebulised. Has anyone used TXA for upper / lower airway haemorrhage?
Topical, nebulized, endobronchial, systemic tranexamic acid to manage surgical & medical bleedings on
#ECMO
🩸TXA commonly used as adjunctive hemostatic agent
🩸systemic TXA use low, guided by local protocol involving multidisciplinary approach & rigorous VET monitoring
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In my on call night shift delirium I have discovered the magical pressure range - 15-20mmHg.
Here:
ICP - 15-20mmHg
IOP - 15-20mmHg
Gastric barrier pressure - 15-20mmHg
Normal pulmonary artery pressure - 15-20mmHg
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I am delivering a talk to medical students about anaesthesia as a speciality, hoping to encourage them to follow our path! Anaesthetists of
#MedTwitter
can you please tell me why you chose
#anaesthesia
? Please retweet
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It took a long year which included a pandemic, redeployment, delayed exams. Today I learned that I passed the
#primaryFRCA
✅ Thank you to my colleagues for their support
@KCHAnaesthetics
@qeuhanaesthesia
and
@RCoANews
for organising the exam!
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Team
#Anaesthesia
today I learned that in IR/Hybrid/Cath lab most of the x-ray form
the C-Arm scattered cranially under the table (assuming the tube is below). Do wear PPE and consider using mobile x-ray shield
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@RAF_Luton
I am sorry, but would it be possible to ask your pilots to turn the rotor silencer on when operating in residential area? I was trying to get some sleep before my night shift? Thank you for cooperation.
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Anaesthesia happiness day!!! Look what has arrived, hot off the press! Will be in touch with everyone who has requested a copy!
#anaesthesia
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Today I used Suggamadex made by TEVA for the first time. I assume it is now a generic drug?
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As anaesthetists we often grumble about the FRCA exam. Through the current situation I realised that the knowledge it helped me to gain in less than a year has been indispensable. Thank you!
@RCoANews
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Great example of a cycling infrastructure - over 100 bicycles under one roof! Thank you very much
@KingsCollegeNHS
#cycling
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Well, training Anaesthesia GPT is loads of fun! I have asked it to draw a Normal TEG graph 🤦♂️ 🤣. Having said that the knowledge is there.
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I have drawn graphs for the primary
#FRCA
. They were very helpful. I will start sharing them here. Hope they are helpful.
#FRCAgraphs
Cell based model of coagulation:
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Cards with other titles can be printed too. E.g. nurse, student, ODP etc
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@DGlaucomflecken
If my ophthalmologist examined me with indirect ophthalmoscope, I will make them remove it, come close to me and examine me with a direct ophthalmoscope. Like a proper ophthalmologist!
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A week in the life of a London trauma surgeon - this is really cool!
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@nickmmark
Sometime ago I tinkered with the same idea Brachial plexus stylised as NY subway map
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@DShadowgazer
I don’t know about corneal reflex. This is how to check pupillary reflex:
1. Point portable X-ray in to the eye
2. Increase wavelength from 1nm to 500nm
3. Reduce frequency from approx 300PHz to 300THz
4. Reduce energy to 1eV
4. Take a picture before and after exposure
5. Report
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@DrEilidhMaria
No grades. That would be very confusing for the patients. Just title and speciality I.e.
Doctor / ENT
Doctor / General Practice
Nurse / Oncology
Dietitian / Renal Medicine
Physiotherapist / Orthopaedics
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Red Lion Square!
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#Airway
triple-barelling in failed intubation. Here is my humble opinion why this stagey doesn't make sense and why it may delay definitive airway and may make things worse (episitaxis/soiled airway) 🧵
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Team
#anaesthesia
- what would be your approach if a patient refuses GA for cat 1 section after failed neuraxial? I have never experienced scenario like this but this tweet made me think…
I will say something on it from a patient standpoint. I had an epidural. I was in labor. The fetus was in distress so they took me for a crash C-section. They wanted to intubate me but I was scared & I refused. I felt everything.
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I can proudly say that it is possible to set up a new ITU and staff it in 5 days. With an absolutely amazing team
@drsaffy
,
@el_stanger
,
@RaccoonFran
,
@ExternalJugular
,
@KingsCritCare
consultants, nurses, matrons, PDNs,
@KCHAnaesthetics
cardiac consultants and many more! ✊🙌
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Absolutely impressive HEMS
#Cyberpunk2077
. They treated trauma coagulopathy with fibrinogen on site as per Crash2077 and administered Dopamine as per ATLS2077. PS doctors and paramedics were armed
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After a recent AI our household has moved to a new supplier of non-selective PDE inhibitor. This brand has clearly colour-coded containers to reduce human error.
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Last day as CT. It has been such a tumultuous journey, yet I enjoyed every second of it! Thank you
@KCHAnaesthetics
and
@QEWoolwichAnaes
. Going to miss so many of my colleagues and hope to see them again.
ST3
#anaesthesia
starts tomorrow!
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@SamGoodhand
It is also possible to draw standard Salbutamol nebulisation solution in to the syringe and administer it in to the ETT via standard mucosal atomisation device
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Now, with
#FRCA
completed, I can showcase some of my
#GraphicDesign
- logo for
@KingsCollegeNHS
Neuroanaesthesia. It’s very neuro and I like it! Some inspiration from
@NASA
worm logo.
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Thank you once again for your overwhelming interest and very kind donations. Another £140 has been donated to
@supportkings
#anaestheisa
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#NYSubway
map style brachial plexus diagrams. It is still quite complicated, but looks cool. M
#meded
#anaesthesia
#RegionalAnaesthesia
#foamed
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The posters have been shipped! In addition to your direct donation another £310 have been raised donated to
@KingsCollegeNHS
charity! Thank you for all your support!!!
#anaesthesia
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@DrRJWebb
I agree. I was thinking about that and I think I’ll go with the specialty e.g. General Practice, Paediatrics, ENT, Surgery
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Does Omicron mean more ITU and cancelled exams? Do I persevere with revision or just wait
#finalFRCA
😔🤷♂️
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My path to career in
#anaesthesia
was not straightforward and included degree in dentistry, research and training in maxillofacial surgery. However after my first 3 days I am certain that I have made correct choice. I love it!
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Friday evening
#sketch
. ISS Macintosh
#spaceship
Happy Friday and if you are on-call hope it isn’t too busy!
#Anaesthesie
#Anaesthesia
#anesthesiology
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Thank you for all your support! A donation has been made to
@SaferSurgery
to support safer
#anaesthesia
If you’d like a poster AND to support a great cause, do get in touch
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@Jopo_dr
Just to confirm what you said a diagram from
@derangedphys
- check out the levels of NA and A in haemorrhage vs infusion @ 0.5 mcg/kg/min
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Setting: A medical ward. Me performing difficult venipuncture which went well.
Patient: Well done, you are star! My veins are always difficult
Me: Thank you. I am an
#anaesthetictrainee
Patient: Ah, that explains it! My daughter-in-law is a phlebotomist too
Me: 🤔
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@WelshGasDoc
I bet if he finds this he’ll retweet by saying something like: “People are really surprised I understand this stuff... Every one of these doctors said: ‘How do you know so much about this?’ Maybe I have a natural ability.”
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I would argue that the book and distraction are as important as drugs in paediatric
#anaesthesia
. I really liked this placement.
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First anaesthetic & ICM
@GoZwift
ride with
@IntrepidSarah
and
@Skepticracy
. Loads of fun! We’re going to make this regular. Do join us!
#anaesthesia
#cycling
#Wellbeing
#veloPEEP
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I just love this anaesthetic set-up!
Derrière les champs, devant les écrans…
👏 à ceux qui pilotent nos corps endormis !
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Very proud and really like the
#GraphicDesign
of the logo I made for the department of anaesthesia
@KCHAnaesthetics
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Today' s
#FRCAgraphs
- cardiac pressure volume loops.
@KCHAnaesthetics
AB - diastolic filling; BC - isovolumetric contraction; CD - systolic ejection; DA - Isovolumetric relaxation; A/B - MV opening/closing; C/D - AV opening/closing. 1/4
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Beautiful early morning sky followed by a stunning evening cityscape.
In between - cardiac
#Anaesthesia
@GSTTanaesthesia
! I really enjoyed this module!!!
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Post ITU weekend procrastination
Coffees drunk - 3 cups
StatMan videos watched - 1 hour
Cycling videos - 2 hours
Phone battery - 3%
Revision - 0 minutes
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@UK_Engineer_Mat
@morefluids
Well initial plan was maxfacs, but I loved anaesthesia and switched. No regrets
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I am super excited about my forthcoming rotations: 🧠anaesthesia
@KCHAnaesthetics
followed by🫀and👶anaesthesia
@GSTTanaesthesia
. For now though back to revision...
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I officially had busiest anaesthetic on-call weekend EVER... Having said that I realised how much I love my specialty.
#anaesthesia
- looking after the sickest at the extremes of their age. Supporting colleagues all over the hospital while supported by the great SPRs
@edchan2828
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I switched around my questions. I start with: “Do you take any medications”and follow-on by “Any medical problems?”
Anesthetist: Do you have a medical history
Patient : no
Anesthetist : médication ??
Patient : yes
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Going to look into printing the anaesthetic ones. Can do other specialities later.
Just saw a poll about including Dr titles on ID badges and was inspired to create a new design! A US-style badge buddies for Drs in the UK: fits under standard badge holders and features two recyclable cards showing title & specialty. What do you think? 1/2
#MedTwitter
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Prophylactic use of tranexamic acid at the time of cesarean delivery has been shown to decrease the calculated blood loss, but the effect on the need for blood transfusion
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