Labour wants to hear from NHS staff in advance of an election.

'Tell us how we can improve the NHS, better use your time, and save taxpayers money, whilst protecting patient safety and improving outcomes'

Best answer wins a training place near you.

action.labour.org.uk/page/148677/da…

CARDIAC ARREST DURING OR AFTER SURGERY IN UK PRIVATE HOSPITALS

This is a timely reminder that all healthcare has risks & safety is at the heart of everything we should be doing.

Timely also as I was speaking today to the Independent Healthcare Providers Network (IHPN) about…

Dr Alexander Davey ???! Patients in PS are lower risk whatever way you look at it. Those surgical hubs in England = PS. As eloquently as you can put on Twitter:
x.com/doctimcook/sta…

For more on the topic of perioperative cardiac arrest - which impacts 1 in 3000 operations - and to read Emma’s full story see the full #NAP7 report here

rcoa.ac.uk/research/resea…

Really important reading & learning for all paediatric anaesthetists #pedsaneth and #pedsicu staff admitting post-op high risk patients,especially congenital ❤️ neonates.

🇬🇧 study but happy to come & share with 🇺🇸🇨🇦 folks Sapna Kudchadkar, MD, PhD Vinay Nadkarni AHA Science The Hospital for Sick Children (SickKids)

So the New York Times is quoting doctors saying virus falls to the ground?

Ridiculous.

Dust is many times larger than virus (in its bubble of saliva/water and salts) and it floats.

Doctors and virologists who do not understand should pass on these interviews.

Overall quality of care was judged by the panel to be good in 62% of cases.

More poor care was judged to have occurred before the cardiac arrest.

Dr Fi Oglesby Barney Scholefield 🌈 💙 Tim Cook john pappachan Andrew Kane Richard Armstrong Emira Kuršumović Jasmeet Soar

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Reduce the cognitive load, enhancing situational awareness.
Flatten the hierarchy.
Anticipate Plan B.
Reduce cognitive biases related to unreliable methods of confirming proper tube placement

The impact of VL on Crew Resource Management is undervalued Tim Cook Steven Williams

🔓Peri-operative cardiac arrest in children as reported to the 7th National Audit Project of the Royal College of Anaesthetists

Dr Fi Oglesby Barney Scholefield 🌈 💙 Tim Cook john pappachan Andrew Kane Richard Armstrong Emira Kuršumović Jasmeet Soar

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Tim Cook Ben Cloyd MD, MIPH VV I have spent almost all of my 40+ year career in trauma hospitals. I have never seen a patient who needed ATI, although I have seen it done (usually badly) on many occasions. I don’t doubt its value occasionally but its routine use would be madness. COI: I am a Cookian VL convert

Should we use ATI for all intubations?

Personally I don’t think so.

If the evidence were there I’d happily consider it.

Responding to a tweet I’ll offer this

VIDEOLARYNGOSCOPY PROBLEMS….and rebuttals

‘Unavailable’
-yes if you haven’t got it you can’t use it (resource constrained settings)
-but in a high income setting unavailability of VL is an OPERATIONAL CHOICE

‘Failure’
-In the recent…

The incidence of paediatric peri-operative cardiac arrest is 3 in 10,000.

Most common in:
♥️neonates 26%
♥️infants 35%
♥️children w congenital heart disease 42%

Dr Fi Oglesby Barney Scholefield 🌈 💙 Tim Cook john pappachan Andrew Kane Richard Armstrong Emira Kuršumović Jasmeet Soar

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Responding to a tweet I’ll offer this

VIDEOLARYNGOSCOPY PROBLEMS….and rebuttals

‘Unavailable’
-yes if you haven’t got it you can’t use it (resource constrained settings)
-but in a high income setting unavailability of VL is an OPERATIONAL CHOICE

‘Failure’
-In the recent…

Report from ⁦Nick Triggle⁩ about the issues with the Foundation Programme application process. It’s clear that increasing medical school places without linked increases in postgraduate training won’t result in more NHS doctors. ⁦Wes Streeting MP⁩ bbc.co.uk/news/health-68…

Huge CICO workshops kicking off today at #ASM24Bris ! Nearly 100 people in this morning’s session & expecting about 400 delegates throughout today. World record?

Jane Williams Martin Bromiley 💙 Carl Horsley James Titcombe Nannypod Automation and computerisation: No panacea, and easier to get wrong than right, especially in terms of system integration, but also some basic problems of leaving the ‘hard stuff’ to the out-of-the-loop human. Much is commercial-off-the-shelf, not designed for the context. 6/

Tim Cook Adam Mitchell 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 Tim Cook as you say, the side channel on the D-BLADE is not designed for use with a bougie. It was originally designed to be used in conjunction with oxygen or suction catheters.

Brian Johnston Randomise into the ABBRUPT trial. Seriously, there are so many times when our clinical dilemmas are the subject of clinical trials (oxygen targets 🤷‍♂️, mucolytics 🤷‍♂️, management of AF 🤷‍♂️). Randomised treatment not random treatment- we need to build it into our routine practice.

Wes Streeting MP Thanks for asking

As some one who has worked in the NHS for 35 yrs and examined its working throughout that time my list of what needs changing would start with

Stop breaking the system by defunding it in the name of efficiency. It is way beyond the point at which trying to cut…