COWs at night I am a dinosaur Perpetually perplexed by computers-on-wheels clogging up corridors and clinical spaces

Intense prehospital emergency care (PHEC) course in regional Victoria, Aus Helping rural docs translate their existing skills to prehospital scene, to support local ambulance for pts with time critical needs before retrieval arrive #traumagap Immersive scenarios Trauma Burns End of life Etc etc

Another PHEC (prehospital emergency care) course complete on Gold Coast today - 24 rural Docs completing scenarios to help translate their existing skillset to prehospital, helping close #traumagap in rural Oz needs rural responder networks to help improve outcomes where resources are limited

Wow UK British Medical association calls for new regulator given how compromised GMC is activism.bma.org.uk/page/172664/...

As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep The Government banned them in case I was influenced to prescribe a certain medication This should also be banned @rthonwesstreeting.bsky.social unless you have a way to justify this?

I think it is evident that we have already brought the conversation to BlueSky! In an environment plagued by scientific misinformation, do medical organisations/journals have a moral imperative to remain, to provide a source of truth & reason? Or should they just.. leave? Let's discuss. #AnSky

Evening Brisbane! Hectic circuit from Cairns-Melbourne-Brisbane for @etmcourse.bsky.social Next three days will be challenge attendees with scenarios of increasing complexity…which will become easier due to training in generic resus room skills - role allocation - closed loop - next 3 steps

In the #impostersyndrome we discount what we know and inflate what we think other people know. You know more than you think. Others know less than you think. You're not an imposter. #impostersyndrome #phdchat #ECRchat #PhdForum

So much this Thanks @drglauco.bsky.social Thoughts on American healthcare, insurance and accessibility….

This paper on BIS in @bjajournals.bsky.social (study done right here in Cairns) is one of my all time favourites. Administration of NMBA alone drops BIS to 44 in completely awake subjects! #ASM25CNS academic.oup.com/bja/article/...

Huge respect to @anzca.bsky.social for leaving Twitter behind. Time for other health related organisations to do the same. You have the power to bring the conversation to BlueSky. @safeairwaysociety.org @rcoanews.bsky.social @anaesjournal.bsky.social @bjajournals.bsky.social #ASM25CNS

Cairns Just completed theee days as director for an @etmcourse.bsky.social in this fabulous location ANZCA ASM kicks off soon…

Inspired by posters going up in anaesthetic rooms at @ekhuft.bsky.social, I thought I'd share this again. Error with TIVA is potentially more common, because multiple errors are not yet prevented by the equipment. You can check your working with #PERUSEbeforeYouInfuse . youtu.be/HGtBMHXUVyA?...

Prefer SIRSI “Somewhat indolent rapid sequence induction”

Yesssssss!

We need to make sure GPs can deliver high-quality care sustainably and aren't under pressure to see more people, more quickly. More targeted funding to support people with chronic, complex conditions is still the most cost-effective way to improve our health system. 3/3

That'll need careful consideration to make sure it's sustainable and funding goes to those who need it most. Extending bulk billing incentives to everyone won't necessarily mean everyone gets bulk billed, because patients' rebates are still too low to cover the cost of care. 2/3

Would like to congratulate my Junior Doctor Colleagues at Hunter New England Local Health District in NSW Who have recently been appointed as clinical marshmallows. www.reddit.com/r/ausjdocs/c...

Now that's a headline.

Hey folks Meet @shorty-med.bsky.social A legend in UK paramedicine and prehospital care And a thoroughly nice chap to boot Give him a follow for entertaining tidbits on paramedicine and prehospital pearls

Good to see @anzca.bsky.social continuing to lead the way and move from Twitter/ X to this platform. This is the new home of medical information on social media. @AnSky @MedSky

Benefits of physician-paramedic for prehospital critical care demonstrated in this neat study www.youtube.com/watch?app=de... In geographically vast Australia it takes time for teams to arrive to rural/remote incidents We need rural responder networks to support ambulance in rural Oz

Today has been a day for possum care here on Kangaroo Island Spending my anaesthetic oncall caring for native wildlife….

60 public access defibrillators on Kangaroo Island (South Australia) under the HeartSafeKI program - along with 30% of island population (4200) trained in hands only CPR - included under SA Ambulance and @goodsamapp.bsky.social

60 people blocked c access defibrillators on Kangaroo Island (South Australia) under the HeartSafeKI program - along with 30% of island population (4200) trained in hands only CPR - included under SA Ambulance and @goodsamapp.bsky.social

We're saddened by the passing of ANZCA fellow Dr Di Khursandi. We send our condolences to Dr Khursandi's family, friends and colleagues. Di was a trailblazer, a champion for women and equity, a passionate advocate for the welfare and wellbeing of clinicians and a very proud and committed fellow.

The @rcoa is to be congratulated on navigating the treacherous path defining scope of practice for Anaesthesia Associates via -huge surveys of opinion -aiding #Nap7 analysing real life practice -Cochrane review -professional liaison/listening -pragmatic approach to patient safety & existing AAs 1/2

Australia and New Zealand will soon follow in the UK's footsteps to have widespread adoption of PAs, and maybe even AAs. It looks inevitable. A not-so-brief thread 🧵on how we got here and why I think this is a bad idea. #MedSky #AnSky 1/n

Back by popular demand....

#Straya!

Me too! How weird. Have you fed back to airline?

It's here! My Churchill Fellowship report on my visit to Deep End GPs is published! You can download it from here www.churchilltrust.c... Of course you should read it - it's not dull - but if you want a quick spoiler, here are my recommendations - a brief thread...

Hot day and our local echidna has had to take a dip to cool down on Kangaroo Island!

This

It’s nuanced Nowadays I sit on both sides as a RG-anaes and a a retrieval consultant doing flying & coordination When done well it’s great But often theres no audit of rural clinicians experience & feedback is one way Unfortunately rural can fall into trap of learned helplessness & de-skilling

However, as @scottlgreer.bsky.social & I pointed out in @bmj.com a while back, the GMC is essentially unaccountable www.bmj.com/content/379/...

This is an excellent account of the crisis the UK's General Medical Council has engineered, by @doctoroxford.bsky.social www.prospectmagazine.co.uk/politics/pol...

Read this brilliant and terrifying truth-to-power piece by @doctoroxford.bsky.social The UK General Medical Council is unfit for purpose. #medsky #healthpolicy www.prospectmagazine.co.uk/politics/pol...

Sadly common themes recur. Patronising manner. Ignoring work done b4 team arrive. Using Telehealth when not requested. Poor interpersonal skills Most times it’s done v well But not always & same stories keep recurring when RGs asked Hence need to audit the rural not just retrieval perception

We often hear talks from retrieval about their service & rescuing rural pts It’s true that rural setting is austere & pts disadvantaged And rural Drs may not be best at critical care But some are very capable Id live to see an audit of how retrieval are perceived by rural It’s not always rosy

Dr Andy Buck leads us off for another @etmcourse.bsky.social in Melbourne. Great bunch of attendees and facilitators on this modern trauma course of skills stations, facilitated discussions and increasingly complex scenarios…. Three days of excellent trauma team training

50 shades of prehospital care - great podcast on the grey areas of prehospital work from the team at The Resus Room podcast Listen here podcasts.apple.com/au/podcast/t...

@criticalcarereviews.com Congratulations to the newly announced PROFESSOR Rob MacSweeney. Richly deserved for a modest person who works tirelessly in support of improving care of the critically ill through world leadership and creativity for clinical research dissemination with real impact. 👏 Prof.

Wondering what all these small nuts are on spouses car…..look up…..mama and joey koala munching on eucalypt and pooping Lucky to have this in backyard!

Selling up! 75 acres at De Mole River on Kangaroo Island Private gated access includes shared areas of Kangaroo Beach, Cape Forbin and De Mole River $250k www.realestate.com.au/property-res...

ADAPT-Sepsis results from CCR Down Under. 1ry outcomes: Standard care vs PCT shows improved significant reduction in antibiotic duration, but not for Standard vs CRP. No difference in 90D mortality. #CCRdownunder24

One from the archives. Feel free to steal! #AnSky #MedSky #AirwaySky

Nearly at 1000 followers. A must follow account here on Bluesky for Ansky

Are you heading to the beautiful Gimuy (Cairns) for the 2025 ANZCA ASM? Why not start your journey early with the ETM Course Cairns: 28th – 30th April 2025 ! It’s also a great opportunity to complete the Major Haemorrhage emergency activity in your CPD portfolio etmcourse.com/events/etm-c...