Barry Singleton

Intubation devices & C-spine immobilisation - so happy to be able to share our systemic review and network meta-analysis. Thanks to co-authors @Fiachra_M @barbarosyet @donalbuggy @ZBPerkins , as well as @TraumaMasters and @BJAJournals authors.elsevier.com/a/1cbfO1dCDjN2H

I'm now getting spammed by several people impersonating Aer Lingus. The irony of scammers being more responsive than you guys

@AerLingus Hey Aer Lingus I've been given the run around by your chatbot Erin for 2 days, have a simple enquiry can someone message me please

@CustomerH45701 Are you another bot? Seriously? I've done that several times already

@rtenews Capital of Nigeria is Abuja, not Lagos!

@DrHuw @doctimcook @dasairway Interesting. The only paper I could find on this concluded: "We cannot recommend that the McGrath videolaryngoscope be used as a direct laryngscopic device in place of the Macintosh" doi.org/10.1111/anae.1…

@DrBSingleton @doctimcook @dasairway We use the McGrath & find it acceptable (not perfect) as a DL in teaching

Great and timely to see this published -A narrative review of where we are with DEFAULT VIDEOLARYNGOSCOPYL -busting myths -describing challenges -highlighting experiences of those who've already done it As the @dasairway 2025 guidelines have ushered in the era where default VL is expected, & will soon become the standard, I encourage you to read it …-publications.onlinelibrary.wiley.com/doi/10.1111/an… @Anaes_Journal @Fionafionakel

@Casey5122dark Thanks for taking the time to reply Gerard. From my own POV, I think BSD is a scientifically rigorous concept, but we all have to acknowledge the decision to equate it with the death of a person is an ethical, legal, and moral question - not a question of medical fact.

@DrBSingleton Correction: 'which are a person’ should read ‘which a person'

Ethical concerns about the practice of organ harvesting (see link below) give added concern to the irish Medical Council's deletion from the 9th edition of their Guide to Professional Conduct & Ethics for Registered Medical Practitioners of the brief one-line paragraph "You must not take part in the deliberate killing of a patient” that was present in the 8th edition of the Guide (§46.9, “End of life care”). lifesitenews.com/opinion/hospit… @ADFIntl @bradleybirzer @laoisedebrun @ArdorNew @CllrAlbertDeasy @RuthDE @DrJ_O_Neill @OHanlonEilis @_mullally_el_ @jshocds @VBGorman @jackphennessy @LawrenceMLudlow @McNamaraMEP @PaddyJManning

@dkennytcd These are excellent!

I recorded several short videos for the Irish Times addressing some common questions about the powers of the Irish President in advance of the election next week. Link below to one on the President’s (lack of) power to veto a law.

@NASCriticalCare @AmbulanceNAS Congratulations Alan!

Delighted to welcome Alan Horan to @AmbulanceNAS Alan was one of the first APs and joins us as a Consultant Anaesthetist jointly appointed with CUH. Alan’s huge breadth and depth of experience in anaesthesia, critical care, pre hospital care and HEMS will be an asset to us!

James Bond 🤝 GeForce RTX 5070 Want your chance to WIN the perfect upgrade for 007 First Light? Enter now → gleam.io/Xc57J/007-firs… #007FirstLight #EarnTheNumber #RTXOn

@cliffreid Nothing to critique but really impressed you've gone to the effort of formulating and approach. Can't help but feel patients with chronic pain too often get short shrift in acute settings!

Patients with chronic pain present challenges for emergency clinicians who (myself especially) are largely undertrained & under-resourced to manage them effectively. I made this draft reference to guide my approach which I'm awating expert feedback on. Feel free to critique

@EM_RESUS Agreed, but whatever volume you can get in through the IO to bring the veins "up" can only make central access easier!

IO lines are NOT sufficient access in shock trauma patients. Blood products are highly viscous and therefore do not flow well through bone marrow. An IO is okay to use as a temporary bridge but these patients NEED large bore venous access. I can’t emphasize this enough.

@MaterTrauma @ThePillarDublin @ProgrammeSpark Invaluable skill, especially in the exsanguinating patient! For those advocating for US: clear evidence that it is superior to landmark for reducing complications of internal jugular cannulation, but the same isn't true for subclavian lines!

Some of our #Mater Trauma Team practicing landmark technique for subclavian central access in @ThePillarDublin. Thanks to @ProgrammeSpark and Dr Margaret Grace for resourcing these simulation task trainers.

I don’t care what anyone says, the blind subclavian central line is a very powerful one—especially in trauma. It’s becoming a lost art in the era of ultrasound, be we should never let it die.

Regional anaesthesia and mixed reality: threading the implementation needle. New correspondence by Singleton et al #RA #anaesthesia #regional bjanaesthesia.org/article/S0007-…

@EMRSscotland Will you be advertising for fellows for August 2025? Thanks!

I'm new to TOE but I'll give it a go... image (1) is a ME LAX view showing AR (2) mechanism looks to be complete prolapse of the NCC/LCC... I've only heard of the Carpentier classification in relation to MR but I'm guessing it would be type 2... is there vegeration coming into view? (3) Colour Doppler over the AV shows plenty of aliasing on the LAX and SAX views, and the last image with the CW measurements shows a PHT of less that 200 msec compatible with severe disease... and is that flow reversal in the Ao during diastole? 4. Resp failure sounds like pulmonary oedema due to fluid backing up into the pulmonary vasculature. 5. Needs repair but minimally invasive vs. open repair and timing of etc. subject controversy! That's my best guess of what's going on - keen to hear from wiser people than me!

Young patient admitted with sepsis and respiratory failure: 1. Findings? 2. Mechanism +/- Carpentier classification? 3. Severity? 4. Explanation of symptoms/physiology at presentation? 5. Management and timing?

@RichardDawkins Of course they do. They have no choice.

Do human beings have free will?

@scarlettcurrie @EmrtsWales @MAA_Charity Congratulations Scarlett!