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georgeclews.bsky.social
ACCS CT4 Anaesthesia Trainee. Interested in performing at the level expected for this stage of training.
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Posts 18 Comments 28

Having just finished a set of obstetric nights, I think it does have the potential to be one of the most satisfying areas to work in as a junior anaesthetist?

submitted 18 days ago • 1 comment

There’s always a story but yesterday I found dobutamine in the drug cupboard in day surgery!

submitted 50 days ago • 0 comments

Some interesting changes suggested here; patients getting the results of scans the same day and more support to patients to ‘wait well’ before operations. But I think this is going to a while to implement and I’m interested to see what various stakeholders think about this.

submitted 55 days ago • 1 comment

Wow, I never knew he said this. Jimmy Carter was ahead of his time—a man of unmatched kindness and integrity. Truly, he was too good for us.

submitted 60 days ago • 991 comments

'Some clinicians have an "ingrained belief" that women-particularly those from ethnic minority groups-exaggerate their symptoms, meaning conditions are left undiagnosed...' #BiasInHealthcare #EquitableCare #MedSky

submitted 74 days ago • 2 comments

People often talk about the time critical nature of sepsis. But it may surprise you to hear that the evidence to support “early” antibiotics actually isn't a settled debate. Why is that? The key question is “early in relation to what”? 🧵 1/n

submitted 87 days ago • 4 comments

On assisted dying I'm genuinely open to all debate and have no fixed view but many of the egs given are people who already have choice in their lives or power over what happens to them in other areas. How does this interact with poverty/complex social backgrounds/difficult family dynamics etc.

submitted 91 days ago • 2 comments

Obstetric anaesthetists: AoA guidance states that light touch should be used as the primary modality for testing neuraxial block. This is not something I see very often in practice and there is little guidance on how light touch is assessed! So I want to know, how do you assess light touch?

submitted 91 days ago • 0 comments

Anaesthetics ST4 application submitted 🤮

submitted 94 days ago • 0 comments

It's time for some new airway terminology! Introducing "flextension" - flexion of the lower cervical spine & extension of the upper cervical spine It is the optimal position for non-infant airway management #AnSky #MedSky #AirwaySky @chrimesy.com @doctimcook.bsky.social https://buff.ly/4eSw2Yo

submitted 95 days ago • 1 comment

Was with an ED trainee on nights, and I was telling her about my rules of anaesthesia, and I wonder what rules other people had. The first two of mine were: 1). You can't anaesthetise a rumour 2). Do as little as possible (in terms of disturbing the patient's physiology, not just being work shy!)

submitted 98 days ago • 0 comments

Found it on RSS feed at PedsAnesthesia.Net and added to wiki! “Effects of dexamethasone on opioid consumption in pediatric tonsillectomy: a systematic review with meta-analysis” pedsanesthesia.net/wiki/index.p...

submitted 99 days ago • 1 comment

I’m applying for ST4 this month. We’ve just 4 years training, during which I’ll provide a service including being the most senior anaesthetist on site out of hours, I can be an autonomous practitioner, providing high quality patient care for the next two decades. 1/2

submitted 100 days ago • 1 comment

🧵 From @rcoanews.bsky.social: The Anaesthetic Workforce 2024: UK State of the Nation Report is out now. The UK has a shortfall of 1,900 anaesthetists, which prevents around 1.4 million operations and procedures from taking place each year. Read the report in full👉 ow.ly/2q3G50UaHkO

submitted 100 days ago • 1 comment

Some things haven't changed...

submitted 108 days ago • 0 comments

Officially an ALS instructor ✅

submitted 110 days ago • 1 comment

Prof Kevin Fong giving the most devastating and moving testimony to the Covid Inquiry of visiting hospital intensive care units at the height of the second wave in late Dec 2020. The unimaginable scale of death, the trauma, the loss of hope. Please watch this 2min clip. youtu.be/FPCztlID3Q0

submitted 155 days ago • 63 comments

Major imposter syndrome as it’s my first shift as the ‘second-on-call’ anaesthetist tonight. Any words of wisdom or advice for a trainee who felt like it was only yesterday he was giving his first anaesthetic?

submitted 192 days ago • 3 comments