Please complete and share! Thanks

news.sky.com/story/the-x-... I’m here because I’ve known and felt that for years. Sharing as live programming now talks about the pressure on interest rates due to credit crunch and the last pandemic, but no mention of EU Withdrawal damaging more than our GDP. Keep fighting the good fight!

Have you done ALS, ATLS, ETC, APLS or similar? Did you get nominated for Instructor Potential? Did you not get nominated but wanted to be? What happened? All doctors and grades invited to share their experience in this important survey. forms.gle/35L6CKJTuqMK...

Have you done ALS, ATLS, ETC, APLS or similar? Did you get nominated for Instructor Potential? Did you not get nominated but wanted to be? What happened? All doctors and grades invited to share their experience in this important survey. forms.gle/35L6CKJTuqMK...

Good piece in the @manchestermill.bsky.social about the flag raisers.

Wherever we looked for the prominent flaggers and leaders of this movement, we found people smugglers and sex doll salesmen, people with dubious criminal pasts and people willing to put in a good word for Adolf Hitler. manchestermill.co.uk/the-men-who-...

Nigel Farage says this summer’s Raise the Colours movement was led by ‘ordinary people’ expressing their patriotism. Our reporters in five cities had a look and that’s not what we found.

Businesses joining in the flag trend must be very confident in their solid customer base & have no concerns about messaging to others. Interesting deployment of multiple England flags by our local Italian restaurant run by a Polish family.

Wow! We have a heron in the garden. Wait. My fish. RIP buddies. Possibly one left

What I Learned About Connection from Building the MomMD Community - 26 years ago www.linkedin.com/pulse/what-i...

I hate the clock change. Been awake since 4.30am

The real horror this Halloween?? 2,000 tonnes of plastic costumes haunting our planet, according to research by Hubbub 😱 This spooky season, swap new costumes for pre-loved from charity shops, or get crafty with what you already have at home.

Thanks for having me. Please listen and share #BlackHistoryMonth

Our new funded leadership programme Future leaders in anaesthesia is designed for Resident Doctors, SAS Doctors/NCHDs, and early-career Consultants looking to sharpen their leadership skills, drive positive change, and grow their influence within the NHS. Applications open now: buff.ly/lF6rBLN

It’s #resus25 - share your experiences here

Call for applications! Join the BJA family team as an editorial fellow in the 2026 cohort. Application deadline 1st Dec 2025. https://www.bjanaesthesia.org/news-do/bja-editorial-fellowships-2025-26-cohort-six

Survey Sunday - I shall be sharing these results with the powers that be. Really would love to see some more ED, medicine and other specialties add their experiences. Thanks all. Do share with your contacts. Thanks

Sim Saturday. The blood rubbed off but that’s an abdominal injury. #MajorIncident #TST #P1

Happy #WorldAnesthesiaDay 🥳

In celebration of our #SASAnaesthetists - meet Dr Rachel Awan, Dr Mo Asif, Dr Pete Forster, Dr Becca Gayner, Dr Malar Vizhi, Dr Rebecca Williams & Dr Terren Ku. Experts in regional, obstetrics, trauma & much more. Inspirational leaders & excellent anaesthetists. Thank you for everything #SASWeek

🌍 Today we celebrate #WorldAnaesthesiaDay! From easing pain to supporting life during surgery, anaesthetists play a vital role in safe & compassionate care every day. Here’s to all anaesthetists/anesthesiologists & providers of anaesthesia, keeping patients comfortable, safe, and cared for. 💉💤

This is an exact encapsulation of why I moved to Bluesky. No amount of handwringing in the Atlantic about how I owe some eternal Promethean suffering to the discourse is going to make me stay on a site I hate, that stopped doing anything for me professionally years ago.

It’s Survey Sunday! Hashtag Survey Sunday. OK, I made that up. But if you have 5 mins & feel like sharing your experience of being (or not being) IPed on a resus course we’d love to hear it. Open to all grades, specialties across UK. Share on your team WhatsApps! Thanks all 😁🤩

More answers welcome from doctors of all grades, specialties and backgrounds. Thanks

More answers welcome from doctors of all grades, specialties and backgrounds. Thanks

Modified RSI = iGel

Either do the three way tap trick, or just hit the Ce at 6 and augment with an extra 10mls in the cannula port. TIVA purists will flap with the latter but you titrate to effect anyway so it makes no difference.

RSI is a failed construct. It no longer represents any consistent set of interventions and so is not a useful term to communicate meaning. So the answer to the question "Can you do an RSI with TIVA" depends entirely on what components of RSI you think are important. (1/2)

The things I do to reduce risk of regurg/vomiting are 1) Rev T'berg, 2) Avoiding proemetic stimuli (large opioid bolus, cricoid pressure!) before/during LOC, 3) No bagging unless they need it, and therefore PreO2 +/- ApOx, large dose of relaxant. IMO time/speed is overemphasised. (2/2)

To me, (US ER doc) RSI means induction and NMB given in rapid succession, no positive pressure ventilation after NMB. I usually induce with ketamine, NMB with 1.2+ mg/kg rocuronium. No *routine* cricoid pressure (youtu.be/j8mr3GXOGyE?...).

What does RSI mean for you? Is a modified RSI just an RSI now? Thio? Sux? Anyone?

Your answers are valuable! Keep them coming and share with all your doctor colleagues who may have attended these courses. Instructors and non instructors all welcome to complete. Thank you

Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all. forms.gle/HYRNUzkgwMsZ...

Huge congratulations to you all. Especially proud to have nominated Dr Jeff Handel! Instrumental in so many people’s careers

Not sure I’d ever want to! Other than the graph on the pump looking nicer, what’s the benefit? Decide how much propofol to give by visual feedback in a sick person to avoid ⬇️⬇️⬇️BP, which the pump cannot do!! (or use Thio or Ketamine). Could use BIS if desperate to use TIVA thereafter.

How do you do a TIVA RSI?

Doctors across the UK land, hear my call.... Home from work? About to go in for a night shift? Another survey you think. Not now, perhaps later. Ohhh.... this is on getting Instructor Potential on courses & takes only a few minutes. I'll do that and share it with all my friends!

Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all. forms.gle/HYRNUzkgwMsZ...

Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all. forms.gle/HYRNUzkgwMsZ...

🔑 In major trauma, the priority is a patent airway + adequate oxygenation. Suspected unstable cervical spine injuries are rare, and airway takes precedence. Read more: www.bjaed.org/article/S205... #Prehospital #AirwayManagement

Ethnicity recruitment data for NHS speciality training medical.hee.nhs.uk/binaries/con...

2025 NHS England Competition ratios for postgraduate medical training by specialty. Medsky 🩺https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/competition-ratios/2025-competition-ratios

Just drove by our local Italian restaurant run by Eastern Europeans displaying St George flags. Make it make sense.

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

Live this weekend!!

Finally completed my last talk for #ESRA2025 Super nervous about this one- there are lots of folks who really really dislike mixing local anaesthetics! Wish me luck! 🍀 #RAsky #RegionalAnaesthesia #RegionalAnesthesia

What an absolute honour to speak at this event in October. Mersey School of Anaesthesia holds a place dear in my heart. Without that course I would not have passed my exams. It’s time reexamine where we are heading with diversity in this specialty.

Today we go camping. Godspeed

Berries and cherries from the local fruit & veg shop. All grown in UK. Tastes delicious and like they used to be. I’ve been told local shops are struggling to compete. Every berry I’ve bought from the supermarket has been substandard. A reminder to #shoplocal