Irrelevant.
06.03.2026 15:25
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Irrelevant.
The U.S. Navy’s attack on an Iranian frigate, the IRIS Dena, on Wednesday was the first time an American submarine has sunk an enemy ship since World War II. But the Dena may not have been armed
You want to watch some Ww2 stuff. Picking up sailors in the sea makes you vulnerable. This was an enemy warship. 100% a target
Shame err never mind
Trump likely to attack Iran this weekend. ( they deserve it but not a peaceful thing to do )
Pair of trainers and jeans
Went on my own to top a few times. Just a tent and me. Cost 10 quid. 2 days up one day down
Rather have Greg Wallace
Heart of happiness. Local anaesthetic surrounding popliteal nerve just at bifurcation .
• Faster, clearer recovery compared to inhalational anesthesia alone
• Lower incidence of postoperative nausea and vomiting (PONV)
• Good depth control with stable BIS values
• Preserved spontaneous respiration at low sevo concentrations
• Reduced awareness risk compared to TIVA alone
Synergistic anesthetic effect → lower doses of both drugs required
• Better hemodynamic stability than propofol alone
• Reduced propofol requirement → less hypotension and injection pain
• Reduced sevoflurane concentration → less myocardial depression
• Smooth induction and maintenance of anesth
CIVA. Ankle orif trauma. Propofol infusion Marsh in this case. In conjunction with sevoflurane low mac 0.4/0.5.
Amazing combo. Papers out there . Not often done in UK.
Advantages over tiva. No remi needed. Virtually guaranteed no awareness. Simple. Nausea rate same as tiva low.
The whole point of X Bluesky , too too, Facebook is to make silly comments. Don’t take life so seriously
😂I am Jewish
Wish I knew?
Maxwell’s Dad certainly was.
Had children tell me sevo like bubble gum!
KGB funds?
All on your own. Was mental
I worked in South Africa. We covered so much
A Saturday on call could be: an incarcerated hernia then a C Section then a nof fracture then a emergency cabg bypass
When were they assessed? Crucial.
They leave hospital with a smile opiate free pain free until 2 am at home and the rebound hits home
This is undetected as no phone assessment the next day.
Any trauma of moderate nature I often do a ga/ regional. All get oral opiod( Tapentadol ) dex.
She was bleeding and I did not fancy using halothane. I was a trainee. We were done and awake by the time the consultant arrived. Those were the days
I have had an emergency C section I could not intubate. I held a mask and used cyclopropane!!
Showing my age😂
Yes you write. Many difficult ones are either obvious or the difficulty documented in notes. We also have a database to look at for difficult intubation patients. I have been caught out and needed to do a FO intubation on 2 out of some 20000 intubations.
Looking at the pic, did she wear anything else?
Our VL are weirdly cheaper to use than our normal laryngoscopes so we are encouraged to use as first option
Paralyse and hand mask ventilation so much easier in vast majority of
Well they can go out and buy glocks just as easily. Now that is what you should be thinking about