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Reposted by Sethina Watson

Raj LB @rajlb.bsky.social · 3d

Modified RSI = iGel

Reposted by Sethina Watson

TomH @thomhall.bsky.social · 3d

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.

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Reposted by Sethina Watson

Pete Hart @intensiveperson.bsky.social · 3d

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 It no longer represents any consistent set of interventions and so is not a useful term to communicate meaning.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)

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Reposted by Sethina Watson

Pete Hart @intensiveperson.bsky.social · 3d

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)

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Reposted by Sethina Watson

Andrew Spooky Bones MD @apbohn.bsky.social · 3d

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?...).

Cricolol

YouTube video by Chris Cole

youtu.be

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Sethina Watson @sethina.bsky.social · 3d

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

Pete Hart @intensiveperson.bsky.social · 4d

First: define RSI.

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Sethina Watson @sethina.bsky.social · 4d

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

Sethina Watson @sethina.bsky.social · 6d

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...

Reposted by Sethina Watson

Sethina Watson @sethina.bsky.social · 6d

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...

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Reposted by Sethina Watson

Royal College of Anaesthetists @rcoanews.bsky.social · 5d

RCoA College Award - Dudley Buxton prize, to Dr Jude Partridge

RCoA College Award - President's Commendation, Jeff Handel

RCoA College Award - Honorary Fellowship: Mohammad Abdur Rahman

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Sethina Watson @sethina.bsky.social · 5d

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

Royal College of Anaesthetists @rcoanews.bsky.social · 5d

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

RCoA College Medal winner Caroline Evans

RCoA College Medal winner Alistair McKenzie

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Reposted by Sethina Watson

Clare M @clamc.bsky.social · 6d

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.

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Sethina Watson @sethina.bsky.social · 6d

How do you do a TIVA RSI?

Anaesthesia @anaesjournal.bsky.social · 7d

"... a ‘RSI–TCI’ mode with a pre-programmed manual bolus offers a pragmatic solution for those who wish to preserve an intact pharmacokinetic model for accurate propofol delivery, while allowing the rapid induction clinicians expect from a manual bolus."

#AnSky #MedSky

doi.org/10.1111/anae...

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Sethina Watson @sethina.bsky.social · 6d

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!

Sethina Watson @sethina.bsky.social · 6d

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...

1

Sethina Watson @sethina.bsky.social · 6d

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...

1 2

Sethina Watson @sethina.bsky.social · 6d

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...

Reposted by Sethina Watson

BJA Education @bjaeducation.bsky.social · 17d

🔑 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

Prehospital management of the airway in trauma

Poor airway management is a significant cause of morbidity and mortality in patients suffering major trauma. In 2007 a National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report…

www.bjaed.org

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Sethina Watson @sethina.bsky.social · 20d

Ethnicity recruitment data for NHS speciality training

medical.hee.nhs.uk/binaries/con...

medical.hee.nhs.uk

Reposted by Sethina Watson

Graham Murray @gkmurray.bsky.social · 20d

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

2025 Competition ratios | Workforce, training and education | NHS England

Competition ratios for the 2025 recruitment round

medical.hee.nhs.uk

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Sethina Watson @sethina.bsky.social · 24d

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

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Reposted by Sethina Watson

Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · 24d

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

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Reposted by Sethina Watson

Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · 28d

Live this weekend!!

Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · 28d

With respect to #ESRA2025, the regional anaesthesia conference in Oslo attended by all the social media medical royalty, the #MedSkyDebate comes from Amit Pawa @dr-amit-pawa.
The nicest person who is the best speaker I have ever met, unlike me he only speaks words of wisdom.

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Reposted by Sethina Watson

Amit Pawa @dr-amit-pawa.bsky.social · Sep 6

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

Opening slide for Amit Pawa’s Pro Con Debate on “Mixing Local Anaesthetics” for the #ESRA2025 conference

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Sethina Watson @sethina.bsky.social · Aug 28

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.

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Sethina Watson @sethina.bsky.social · Aug 28

Today we go camping. Godspeed

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Sethina Watson @sethina.bsky.social · Aug 16

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

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