What’s the lethal dosage of Ferrero Rocher?

Arsenal continuing the ‘one in one out’ approach to injuries, I see.

Football God's admin: God, God, all the Arsenal forwards are nearly back from injury, what do we do now? Football God: Their defenders.

I cannot even begin to express my rage at this lie reading this through me back into my pandemic EMT life, attempting to resuscitate a child experiencing a cardiac arrest secondary to COVID while a father says “we heard that the vaccine was riskier than COVID for kids” and a mother wails in agony

The Arsenal group chat tonight

Me doing data extraction for a SR when everyone defines outcomes differently, presented their data using different statistics, and some groups need combining.

My favourite video of upset Spuds so far...

In this month’s excellent #BJAEd Editors’ choice article, Maghami & colleagues outline the key considerations for using peripheral nerve catheters for regional anaesthesia. www.bjaed.org/article/S205...

I recently reviewed a pt who had anaphylaxis to atracurium (30 years ago), and was also found to be allergic to vecuroniun (skin test). She will require another GA for a cardiac procedure. Would you: - give Roc? - give Cis-atracurium? - refer to allergy clinic? - avoid relaxants altogether?

I’ve known Samantha Black (@anaesthetistsb.bsky.social) for over a decade. She is standing for election to Council & will do a great job for all anaesthetists; she gets my vote. Please consider a vote for her when your email arrives. Her candidate statement is here: www.rcoa.ac.uk/about-us/how...

Anyone got any ideas how to recover photos etc from a very busted up iPhone without a working screen?

My new plan for encouraging resident colleagues to document in the electronic patient record appropriately...

My SHO today is a psychopath.

People who take photos/videos of crowds at tube stations shouldn’t be allowed to handle sharp objects.

📢 Key interim findings from our 2025 Census are out today 🧵 ➡️ 89% of clinical leaders report that elective surgery is being delayed because of a lack of anaesthetists. ➡️ 43% say this happens on a daily or weekly basis. Thread 1/4 👇

Colleage: 'Have you had a good birthday so far?' Me: 'Well I stepped in fox shit as soon as I left my house this morning...'

#MedSkyDebate Do you wear a white coat? We have been bare below the elbows for 20 years in Australia. Infection control has vetoed them #MedSky https://mdpi-res.com/d_attachment/microorganisms/microorganisms-12-02659/article_deploy/microorganisms-12-02659.pdf?version=1734775719

This weeks #MedSkyDebate was a clinical dilemma I encountered recently. Is it safe to use spinal anaesthesia for someone with a history of Guillain Barre Syndrome? I thought no but there is a study that disputes this. What do you think? #AnSky #MedSky

Happy #WorldAnaesthesiaDay! This year’s theme is Anaesthesiology in Health Emergencies. Our #WAD2025 thread features links to free educational resources that can help you prepare for emergencies. 🧵1/5

On the latest episode of our podcast Coffee and a Gas: Birth trauma and the anaesthetist Our hosts discuss the idea of birth trauma and how anaesthetists may be able to help those going through traumatic situations with Kim Thomas, the CEO of the Birth Trauma Association 🎧 Spotify: buff.ly/QHYaSxk

GABI. IS. MASSIVE.

Imagine if we could have a game at St James decided on football

Atrocious decision. Burn PGMOL to the ground.

Welcome back to the #MedSkyDebate from @bobfunn.bsky.social#MedSkyDebate What do you do? IV Lignocaine yay or nay?? After a rush of enthusiasm in my primary hospital IV Lignocaine has disappeared. I do not use it Get involved #MedSky #AnSky

Dear parents - Yes you can give your sick child paracetamol if they’re >3 months old. It’s an excellent painkiller. It brings down a high temperature. It’s one of the safest drugs available. You are right to want to soothe your child’s distress. Evidence supports your good parenting. Be confident.

Huntington's disease successfully treated for first time - glad we still live somewhere that science is taken seriously. No doubt RFK Jr and his lot will have something to say about this. Huntington's disease successfully treated for first time www.bbc.com/news/article...

ANZCA and FPM STATEMENT Paracetamol use in pregnancy We are aware of recent claims from the US questioning the safety of paracetamol use in pregnancy. These claims are not based on new evidence. Our full statement is here: tinyurl.com/5yye2npu

I’m going to leave this here for absolutely no reason. jamanetwork.com/journals/jam...

ACOG reaffirms that acetaminophen is safe for managing pain and fever during pregnancy. No reputable studies support suggestions like those in HHS’s recent announcement linking acetaminophen use in pregnancy to autism; in fact, high-quality studies show no such risk. https://bit.ly/47Wxc59

Acetaminophen/Tylenol use during pregnancy was not associated with children’s risk of autism, ADHD, or intellectual disability in sibling control analysis. This suggests associations observed in other, less rigorous analyses may have been attributable to familial confounding (aka erroneous finding):

hi, medical toxicologist that knows a lot about Tylenol here👋 Claiming that tylenol use in pregnancy causes autism is fearmongering here's what you need to know 🧵

“This announcement will cause a great deal of anxiety and distress to our much-needed and valued international workforce, including international doctors, who are the backbone of the health services in the UK" @tomdolphin.bsky.social Read our response in full www.bma.org.uk/bma-media-ce...

Anyone who believed that all these people have are 'legitimate concerns' about illegal migrants is a moron.

Reform are filth. They represent hatred, extremism, ignorance and irresponsibility. They'd make us a wretched vicious hateful little island. If people don't stand up to this, they won't stand up to anything.

#CampaigningWorks - so many have been working for this for Palestine for so long. No, not in itself a solution, but an important symbolic step www.theguardian.com/uk-news/2025...

The application of cricoid force remains controversial in modern practice. A new review by Sotiriou et al. critically assesses the anatomic, physiologic, and contemporary clinical evidence of cricoid force application: ow.ly/Mkx350WY3Zy

Vaccines don't cause birth defects and that includes COVID vaccines. And thanks to Carol Hayes of American College of Nurse Midwives for speaking up at the ACIP meeting vikilovesfacs.bsky.social feel free to add more - #IDSky + #MedSky. www.cidrap.umn.edu/covid-19/no-...

We’re thrilled to be launching ‘Future leaders in anaesthesia’ – our new leadership development programme exclusively for anaesthetists at #AC2025 Applications open 1 October Find out more now buff.ly/QkHL14K @bayesbschool.bsky.social

“Bustling crowds wait for overwhelmingly non-white shop staff to serve up their alcohol, never wondering about who would turn up to scrub Westminster station clean of their urine at the end of the day.” www.thenewworld.co.uk/james-ball-t...

The weekend MedSky debate comes from @dr-amit-pawa. How do you manage frail #NOF patients taking direct oral anticoagulants?? #BILIH Wait, reverse, GA-nerve block or spinal? https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16226

This is the owner of X actively campaigning to take down the elected government of a country he is neither a resident nor a citizen of - and using threats of violence in the streets to further his aims www.theguardian.com/politics/liv...

Very interesting Pro-Con debate at #ESRA2025: do you top up labour epidurals for EmLSCS or do you prefer to take it out and perform a spinal?

Really pleased to see our review published in @anesthesiology.bsky.social - read our thoughts on cricoid force here. Are you for or against its' use? journals.lww.com/anesthesiolo...

A few from my photo walk around Oslo today. #ESRA2025

Really pleased to see our review published in @anesthesiology.bsky.social - read our thoughts on cricoid force here. Are you for or against its' use? journals.lww.com/anesthesiolo...

Study leave ✅ - looking forward to meeting regionalists from around the world at #ESRA2025 in Oslo!

This is a quote from Cardiologist Aseem Malhotra. His disingenuous conjecture is unevidenced and given its content, dangerous. It shouldn’t be left to be spouted publicly without pushback. One would hope regulators pick up on this and act with the integrity Malhotra lacks.

It's hard to feel anything but hopelessness and despair for the future with all that's coming out of the R*f*rm party conference.