This is an extremely important thread for all of us in NHS secondary care and includes a great piece from @emmajourno.bsky.social and @abirimmer.bsky.social. My concern is, as we try to stay off Twitter, these pieces disappear into the ether. There was a valiant effort to make #MedSkyDebate...

2/ The new General Medical Council workforce report once again illustrates that the most rapidly rising cohort in the medical workforce are locally-employed doctors. This year is also looks at their contract duration, and finds that the majority in this group are on short-term contracts.

1/ The medical workforce and the #SASsix, a Saturday morning thread... The eagle-eyed among you may have spotted two related publications relating to workforce this week. Taken together, they paint a stark picture of the current medical workforce.

There’s lots we don’t know about delirium. To help researchers ask the right questions, not necessarily the ones we think of, it is really valuable to have the input of clinicians, patients, carers and others. So click the link and tell us what you think. #AnSky www.surveymonkey.com/r/WTHNBZK

The term ‘pleasantly confused’ is still used. Please stop. It’s delirium. And it’s not pleasant. And it is recalled. @amaclullich.bsky.social #AnSky #SurgSky @rcoanews.bsky.social onlinelibrary.wiley.com/doi/abs/10.1...

Our UK SNAP3 cohort of older surgical patients reported delirium occurred in around 1 in 16 overall and 1 in 5 for those living with frailty. It’s not just those with hip fracture either. Older age, emergency surgery have higher risks #AnSky #SurgSky www.bjanaesthesia.org/article/S000...

At the risk of sounding like a cracked record, #Delirium is a common but frequently under-recognised and under-appreciated complication of surgery. #AnSky #SurgSky

I hope anaesthetists, surgeons and intensivists (and anyone who is interested) will give their thoughts about #Delirium research. Such an important but overlooked issue that affects at least 1 in 16 older surgical patients. www.surveymonkey.com/r/WTHNBZK #AnSky #GeriSky #SurgSky #NIHR

Officially FRCPEd ! Feeling very festive at the college ! @rcpedin.bsky.social

Emergency Department (ED) staff: screen ALL patients over 65 for delirium. Emergency departments are where it's most missed and most dangerous. Make it as routine as checking blood pressure.

Gosh. Thursday. 😭 Incredible poem in BMJ Emergency Medicine from QLD-based registrar Dr Kirsty Whitmore.

Our Centre for Perioperative Care (CPOC) are recruiting for a Surgical Deputy Director. The successful applicant must be a member of the The Royal College of Surgeons of Edinburgh. For more information & to apply 👉https://ow.ly/LKYi50XouaP

This #RCoA commissioned mixed-methods #systematicreview looks at the role of and working models of non-physician providers of #anaesthesia in high-income countries - what evidence exists in the literature? https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00471-4/fulltext

There is a U-shaped relationship between BMI and the risk of postoperative loss of independent living. Patients with mild obesity experienced a lower risk of losing the ability to live independently after surgery. #AnSky #MedSky doi.org/10.1111/anae...

Shocking reality: 1 in 4 older hospital patients develop #delirium, yet most families have never heard the word. We need to do much better in improving public awareness of delirium.

We are pleased to announce that Professor Malcom West and Professor John Moore have been appointed as clinical co-leads for the first National Clinical Audit of Perioperative Care (NCAPC). Learn more about the project and the clinical co-leads 👉 ow.ly/2MSf50XrMQk #Ansky #Medsky

Join us in London or online for our Hip fracture care seminar. Covering topics such as: Surgical options and potential controversies surrounding hip fracture surgery; Enhanced recovery for hip fracture care; and more. 📆 Tuesday 9 December 2025 📍 21 Portland Place & online 👉 buff.ly/8Z4EJNy

Let’s try a little #MedSky game. When I finished med school: -gastric lavage had been scrapped for ODs - Doxapram was still used for T2 resp failure in COPD - co-danthrusate was widely used, - Quinolones were magic and only consultants were allowed to prescribe them. What year did I qualify?

Love this, when I finished med school - cefotaxime was the latest antibiotic - we had a new look BNF - we wore white lab coats with nice big pockets - H. Pylori was starting to be linked to ulcers (yes I did gastro house job) - vagotomy with Pyloroplasty was a common treatment for GI bleed

Our Centre for Perioperative Care (CPOC) is recruiting for a Deputy Director. This role is open to senior clinical leaders from any perioperative care profession and offers a unique opportunity to help shape the future of surgical care. For more information & to apply 👉 https://ow.ly/MzUk50Xou5Z

Families: Caring for someone with #delirium is exhausting. Your wellbeing matters too. Take breaks, seek support, ask for help.

New subanalysis from #SNAP3 examining the prevalence of frailty & postoperative #morbidity and #mortality in these populations – does this show the need for a specific #perioperative services targeting these subgroups? https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00501-X/fulltext#SNAP3#morbidity

I hope anaesthetists, surgeons and intensivists (and anyone who is interested) will give their thoughts about #Delirium research. Such an important but overlooked issue that affects at least 1 in 16 older surgical patients. www.surveymonkey.com/r/WTHNBZK #AnSky #GeriSky #SurgSky #NIHR

Delirium has a visibility problem, not just a diagnostic one. How many cases of delirium are you missing day to day by not looking proactively?

Routine pre-operative modified telephone interview for cognitive status screening: feasible, but is it justified? #AnSky #MedSky

“I needed to be told the date every time. Repetition ≠ patronising.” #delirium

We told my Dad frequently that he had delirium & that it was because he was unwell, 2 years ago. I think it did help, & he volunteers to us regularly now that he’s had strange experiences. He’s got definite dementia now, but I’m happy that he isn’t inhibited in telling us when weird stuff happens.

How long does it take to get preventive measures identified from child injury research into legislation & practice in Australia? – An average of 19 years - shorturl.at/ZscZI

There are still several anaesthesia related posts per day visible on this feed, so not entirely dead yet bsky.app/profile/did:...

➡️ Hospitals across the UK report capacity for an additional 178 core anaesthetic training posts each year, if government funding were made available. ➡️ Read the Key Interim Findings from our 2025 Census 👉 rcoa.ac.uk/anaesthetic-... 4/4 #Ansky #Medsky

➡️ Across the UK there is a shortage of 2,147 anaesthetists. ➡️ This is 15% below what is needed to meet the needs of patients. 3/4

📢 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 👇

What are the priority clinical areas for AI to address? Complete this short survey to help influence development of AI tools, research & investment.

Book your place at Anaesthesia Research 2025, taking place in Birmingham 27 to 28 November. A must for anyone involved in anaesthesia research, this is your opportunity to engage with the future of anaesthesia. Find out more 👉 buff.ly/bHRWqrI

I love this idea. You are going to get some hilarious responses from the Brits who see this though. "No coffee, no gassee" and "you can't anaesthetise a rumour" will feature, without doubt.

Calling all anesthesiology colleagues! We invite you to participate in our study, From Dogma to Data: Rethinking Practice in Anesthesiology, by filling out this quick survey (bit.ly/3Wti603). To learn more information about this study, see below!

📢 Calling all anaesthesia professionals and trainees! Do you have examples of dogma or experience-based traditions that you have heard of, learned and/or even passed on? Please share with us! This study is IRB-approved: surveys.mayoclinic.org/jfe/form/SV_... @nataliekoons.bsky.social

Explain delirium in accessible terms: "The brain isn't processing information normally right now." This helps families understand why repeating basics about what is going on, as well as being reassuring over and over again, can help the person experiencing #delirium.

The @rcoa-cri.bsky.social in collaboration with NHS and independent hospitals is recruiting Clinical Research Fellows to lead national research & QI projects. We are partnered with CR&I as one of the research opportunities for a CPOC Fellow 2026–27. 🔗Info: shorturl.at/KdLLT

“My brain was the enemy; it told me the nurses were killers.” — Delirium survivor Psychological care of delirium starts with reality anchoring: “You’re safe, you’re in hospital, I’m your nurse.”

Emergency Department (ED) staff: screen ALL patients over 65 for delirium. Emergency departments are where it's most missed and most dangerous. Make it as routine as checking blood pressure.

Listen to national and international experts present sessions ranging from "how to" guides for anaesthetising people with hip fractures to debates on controversies, updates on the latest research and "hot topics". 📆 Tuesday 9 December 📍 21 Portland Place, London and online 🎫 buff.ly/KqpeBv1

Now for some light Friday afternoon reading - a virtue ethics review on mandatory training for rare anaesthetic events. Have a great weekend! #AnSky doi.org/10.1111/anae...

For daily updates straight to your phone, come and join us on WhatsApp! whatsapp.com/channel/0029...

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

Congratulations to our College Award winners 🙌 🎖️College Medal: Caroline Evans, Alistair McKenzie, David Selwyn 🎖️Dudley Buxton: Jude Partridge 🎖️President's Commendation: Jeff Handel 🎖️Honorary Fellowship: Mohammad Abdur Rahman Find out more 👉 ow.ly/sJwX50X4OQA #Ansky #Medsky

Interesting workshop at #FFN2025 discussing variation, outcomes and unknowns around who doesn’t get an operation for #HipFracture. We recently published a big review of the international data @anaesjournal.bsky.social associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

Interesting workshop at #FFN2025 discussing variation, outcomes and unknowns around who doesn’t get an operation for #HipFracture. We recently published a big review of the international data @anaesjournal.bsky.social associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

I’m happy to share that I have been appointed as an Editor at @anaesjournal.bsky.social! Excited to start contributing to evidence based medicine and forwarding anaesthetic and scientific knowledge from the other side of the peer review process!