Luke Austen
@lukeausten.bsky.social
250 followers 28 following 19 posts
Anaesthetics trainee & ICU doctor. Author of "The Bleep Test: How New Doctors Can Get Things Right" Interested in how we teach, train and support new doctors. https://www.thebleeptestbook.co.uk/
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lukeausten.bsky.social
"A remarkable book. Luke Austen writes beautifully, sharing real-life stories to illustrate many of the key issues that will face doctors throughout their careers. His wisdom and compassion come shining through. Highly recommended."

Professor Sir David Haslam
Past President, BMA
Reposted by Luke Austen
lukeausten.bsky.social
Inspired by the shadowboxing approach to learning from clinical cases on @emcrit.bsky.social, new series of webinars on stabilising crashing ward patients:
"Mind The Crash Bleep", with mindthebleep.com

First 3 dates booked in, see you there!
www.youtube.com/watch?v=6RCD...

#FOAMed #AnSky #MedSky
Mind The Crash Bleep #1
YouTube video by Mind the Bleep
www.youtube.com
lukeausten.bsky.social
Inspired by the shadowboxing approach to learning from clinical cases on @emcrit.bsky.social, new series of webinars on stabilising crashing ward patients:
"Mind The Crash Bleep", with mindthebleep.com

First 3 dates booked in, see you there!
www.youtube.com/watch?v=6RCD...

#FOAMed #AnSky #MedSky
Mind The Crash Bleep #1
YouTube video by Mind the Bleep
www.youtube.com
lukeausten.bsky.social
Hospitals tend to operate on "minimum safe staffing" at night - I have done a deep dive on these issues in Chapter 4 of my book "The Bleep Test": www.thebleeptestbook.co.uk/blank-2
About | The Bleep Test
www.thebleeptestbook.co.uk
lukeausten.bsky.social
Very excited to begin a new series of webinars in a couple of weeks: Mind The Crash Bleep.

If you're a resident doctor, nurse or other practitioner involved in stabilising crashing ward patients, this is for you. First webinar is October 6th - see you there!

www.youtube.com/watch?v=6RCD...
Mind The Crash Bleep #1
YouTube video by Mind the Bleep
www.youtube.com
lukeausten.bsky.social
August changeover for new doctors is approaching - here's a free sample of The Bleep Test audiobook on Google Play Books on Youtube:
www.youtube.com/watch?v=pZok...

#Medsky #Ansky
The Bleep Test: How New Doctors Can Get Things… by Luke Austen · Audiobook preview
YouTube video by Google Play Books
www.youtube.com
lukeausten.bsky.social
Use of Intralipid in a Propranolol/Quetiapine induced cardiac arrest - our poster today at #SOA25

Evidence for lipid rescue is (and will likely remain) limited, but it really was an inspiring and uplifting case to have been a part of - ROSC after 76 mins CPR and an excellent neurological outcome.
lukeausten.bsky.social
As excited as I am to see The Bleep Test released on Audible on Tuesday, not too sure about their similar authors algorithm 😂😂

#MedSky #AnSky
lukeausten.bsky.social
I was asked in a recent webinar whether The Bleep Test has an audiobook version, and very soon the answer will be yes!

Looking forward to the audiobook release in a couple of weeks, read and brought to life by Stewart Crank.

tantor.com/the-bleep-te...
#medsky
The Bleep Test - Audiobook
by Luke Austen, read by Stewart Crank. Focused on the experiences of, and the issues facing, recently qualified medics, The Bleep Test is not only for young doctors, but also for anyone who manages th...
tantor.com
lukeausten.bsky.social
Great to talk to the final year students @uofglasgow.bsky.social medical school today about working night shifts and recognising the peri-arrest patient;

Any patient with actual or impending organ failure, not rapidly reversible with the people / knowledge / kit currently present

#medsky #ansky
Reposted by Luke Austen
lukeausten.bsky.social
How can we keep ourselves & our patients safe at night?

My webinar for MindTheBleep about night shifts from last Tuesday is now available on-demand:
app.medall.org/contents/v-h...

There's some psychology, sleep physiology and interesting studies about medical errors on long shifts! #MedSky #Ansky
Hello, it's the FY1: Wellbeing during Night Shifts
Do you dread the thought of tackling a busy night shift? Struggling to balance patient care with your own wellbeing during those long, exhausting hours? Join us for the next webinar in our 'Hello, it'...
app.medall.org
lukeausten.bsky.social
How can we keep ourselves & our patients safe at night?

My webinar for MindTheBleep about night shifts from last Tuesday is now available on-demand:
app.medall.org/contents/v-h...

There's some psychology, sleep physiology and interesting studies about medical errors on long shifts! #MedSky #Ansky
Hello, it's the FY1: Wellbeing during Night Shifts
Do you dread the thought of tackling a busy night shift? Struggling to balance patient care with your own wellbeing during those long, exhausting hours? Join us for the next webinar in our 'Hello, it'...
app.medall.org
lukeausten.bsky.social
It claims that only 21/302 Black/Black British applicants were "appointable". What this data doesn't say is whether the difference was the MSRA scores (suggestive of differential teaching/education/med school attainment) or at interview (suggestive of A LOT of subconscious bias from interviewers)
Reposted by Luke Austen
lukeausten.bsky.social
Tues 28 Jan I'm going to be doing a webinar for the MindTheBleep FY1 series on wellbeing working night shifts - planning to discuss sleep cycles, decision fatigue and strategies to minimise risks for our patients and ourselves. Hope you can join! #MedSky

app.medall.org/event-listin...
lukeausten.bsky.social
Sat 1 March I'm going to be joining panel discussions at the "Developing Your Portfolio" conference at Old Trafford, Manchester. Should be a good day with something for all interests! #MedSky
lukeausten.bsky.social
Tues 28 Jan I'm going to be doing a webinar for the MindTheBleep FY1 series on wellbeing working night shifts - planning to discuss sleep cycles, decision fatigue and strategies to minimise risks for our patients and ourselves. Hope you can join! #MedSky

app.medall.org/event-listin...
lukeausten.bsky.social
@pulmcrit.bsky.social
Hi Josh, I was wondering - the IBCC chapter for SCAPE says bolus 1000-2000mcg nitroglycerine initially, but the Resus Crisis Manual chapter says 200-400mcg +/- repeat in 2 mins.

Any tips / pitfalls for judging the initial dose here? Thanks!
lukeausten.bsky.social
Changeover day tomorrow. For lots of FY1s who have done psychiatry or something else niche as their first rotation, it will feel like the first Wednesday of August all over again.

Be kind out there folks.
#MedSky
lukeausten.bsky.social
Lying in recovery after my surgery, it hurt more than I expected to hear the staff talking about "the sigmoidectomy in bed 3".

Changing to "the guy who had the sigmoidectomy, in bed 3" would have been so much better.

I'm sure I've made this mistake myself in the past. Words matter
#Medsky #Ansky
lukeausten.bsky.social
Recently recovering from a robotic high anterior resection, it was actually music, whole albums at a time, I was listening to - not my normal podcasts

Interesting to see this systematic review + meta-analysis:
post-op music reduces HR, anxiety, opioid use & pain

www.facs.org/media-center....
Listening to Music May Speed Up Recovery from Surgery
Music may have a calming effect on patients recovering from surgery – reducing anxiety, perceived pain, and heart rate.
www.facs.org
Reposted by Luke Austen
joausten.bsky.social
Exciting day coming up....'Small Numbers, Big Ideas' will be published tomorrow!

Thank you very much to everyone who gave such kind reviews!

We hope it'll be useful for lots of parents, teachers, TAs and school leaders.

www.amazon.co.uk/Small-Number...

#eduskyprimary #edusky #primarymaths
lukeausten.bsky.social
"A remarkable book. Luke Austen writes beautifully, sharing real-life stories to illustrate many of the key issues that will face doctors throughout their careers. His wisdom and compassion come shining through. Highly recommended."

Professor Sir David Haslam
Past President, BMA
lukeausten.bsky.social
Quite a few people apply to multiple specialties at CT1 level...Do we know the number who applied to just anaesthetics (probably more committed to the specialty) and were unsuccessful? That might be a better representation of the CT1 bottleneck.
lukeausten.bsky.social
Resident doctors are overwhelmed with requests for help with research, audits, QIPs, teaching med students...the list continues. All for free, on top of full-time work.

How To Say No, on the Hidden Brain podcast:
hiddenbrain.org/podcast/you-...

#MedSky #HiddenBrain
You 2.0: How To Say No | Hidden Brain Media
Saying no to someone who asks for something is often easier said than done. Maybe it's a boss who wants you to take on a new assignment. Or your kid's teacher, seeking volunteers for a field trip. Or ...
hiddenbrain.org