Tim Leeuwenburg
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kangaroobeach.bsky.social
Tim Leeuwenburg
@kangaroobeach.bsky.social
1.7K followers 230 following 76 posts
#FOAMed #justaGP Senior specialist at Central Australian Retrieval Service, Chair of SandpiperAustralia.org Plus occasional work in rural anaesthesia, EM, VAD etc @kangaroobeach - rural doc living on Kangaroo Island, SA
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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/...
Reposted by Tim Leeuwenburg
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?
Reposted by Tim Leeuwenburg
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
Reposted by Tim Leeuwenburg
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….
Cairns

Just completed theee days as director for an @etmcourse.bsky.social in this fabulous location

ANZCA ASM kicks off soon…
Reposted by Tim Leeuwenburg
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”
I'm here Nick. Sadly I agree with all your points.

On the use of TCI in RSI : guilty as charged.
In my defence I have never called it 'TIVA RSI' and will even concede that maybe I should stop calling it a 'modified RSI'.
It's a SRSI (Somewhat Rapid Sequence Induction).
Reposted by Tim Leeuwenburg
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
RACGP - RACGP applauds GP workforce commitment in Government’s $8.5 billion Medicare package
The Royal Australian College of GPs (RACGP) has applauded the Government’s workforce commitment to train 2,000 new GPs every year by 2028 and incentivise more junior doctors to become specialist GPs, ...
www.racgp.org.au
Reposted by Tim Leeuwenburg
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
Reposted by Tim Leeuwenburg
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...
From the ausjdocs community on Reddit: Supposedly accidentally sent to Hunter New England JMOs…
Explore this post and more from the ausjdocs community
www.reddit.com
I wonder if they’d get same answers if asked emergency & prehospital care?

I’d argue decision is easy - thanks to trading such as Vortex priming, airway plan verbalised, checklists & eFONA training

That said, my first was hard (hospital)…next few easy (PHaRM) www.vortexapproach.org/cicostatus
Priming Status — The Vortex Approach
 READY   SET   GO
www.vortexapproach.org
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
Reposted by Tim Leeuwenburg
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
Benefits of physician-paramedic interprofessional pre-hospital teams
YouTube video by Mike Christian
www.youtube.com
Today has been a day for possum care here on Kangaroo Island

Spending my anaesthetic oncall caring for native wildlife….