@lukeausten
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.amazon.co.uk/Bleep-Test-Doctors-Things-Right/dp/1032414901
X-Ray-Guided Spinal Anaesthesia for a Complex Patient Undergoing Intramedullary Fixation of Atypical Subtrochanteric Femur Fracture
www.scirp.org/journal/pape...
#Ansky
Over 1000 views so far for Mind The Crash Bleep - all 5 previous webinars are on YouTube here:
www.youtube.com/watch?v=6RCD...
#Medsky #EMIMCC #Ansky
It's great to see the Identification of Difficult Airways in Critical Care Units study (ID-ACCT) done by Tom McClelland & the TRIC Network, now ready for publication in @bjajournals.bsky.social:
authors.elsevier.com/c/1mIci1dCDy...
#Ansky #EMIMCC @lukeflower.bsky.social
Nothing normal about “normal” saline
-0.9% NaCl: 154 mEq Na + 154 mEq Cl. pH ~ 5.6
-Human/animal data shows it's proinflammatory
-SALT-ED (PMID:29485926) + SMART (PMID:29485925) show incr kidney injury w/ 0.9% NaCl vs balanced solutions
-LR more physiologic
youtube.com/shorts/XcV7R...
#EMIMCC
Fourth session of Mind The Crash Bleep coming on Thursday at 5.30pm!
#AnSky #MedSky #EMIMCC
www.youtube.com/live/ItKG8hp...
Nearly 500 views for Mind The Crash Bleep so far - here is the 3rd webinar:
www.youtube.com/watch?v=4KoC...
#MedSky #Ansky #EMIMCC
Mind The Crash Bleep #2
Hope this is helpful! Let us know what you think using the Mind The Bleep feedback form.
www.youtube.com/watch?v=ZDMQ...
#MedSky #Ansky #CriticalCare #FOAMEd
Mind The Crash Bleep #2
Hope this is helpful! Let us know what you think using the Mind The Bleep feedback form.
www.youtube.com/watch?v=ZDMQ...
#MedSky #Ansky #CriticalCare #FOAMEd
Next session of Mind The Crash Bleep coming up tomorrow!
#MedSky #FOAMEd
www.youtube.com/watch?v=ZDMQ...
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
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
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
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...
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
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.
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
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
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
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
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
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)
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...
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
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...
@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!
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
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
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....
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
"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