Alex Jones

I’m now over at the other place. You know, the one with the bluer skies: @anapplesaday.bsky.social

The time is right for “single/double summer time” #sdst after tonight, we will not see the sun past 5pm until February 2025

@Duke_Anesthesia @amit_pawa @GongGasGirl @ashwani_doc @fuzzymittens @EMARIANOMD @EM_RESUS @OrlandoRPN @ASRA_Society @ESRA_Society @ESRA_trainees @JTraumAcuteSurg @Assoc_Anaes @AoraIndia @tsmurali @Wilkinsonjonny @Nadia_Hdz_MD @anesthesiadocmd @RCoANews @Ron_George @dr_ibuprofeno @diazolam @DrSleep88 @morefluids @RegionalAnaesUK @mswami001 @drp297 @PedsAnesNet @CASUpdate @curromir @Paul_Wischmeyer @paulhting @NarouzeMD @emilysharpe @James_Kim_MD @ajrmacfarlane @AlanaFlex @nelkassabany @bobfunn @OBsleepmerchant @ruthi_landau @TomJelic @DrNavSidhu @snouzin @mick_kerr @L_D_White @acopand @noolslucas @UCSFAnesthesia @DeepaKattail you reminded me that our surgeons have adopted the term “TAP block” for ANY abdo block. They’ll say, “hey can you do a TAP block at the end?” which REALLY means “please use your expertise to choose the most appropriate fascial plane block for this patient” 😂🤷‍♂️

@Duke_Anesthesia @amit_pawa @EMARIANOMD @EM_RESUS @fuzzymittens @Aidan_Baron @Assoc_Anaes @ASRA_Society @ESRA_Society @Paul_Wischmeyer Let’s talk about the costoclavicular approach to the brachial plexus. It’s been proposed as a convenient place to capture the plexus because it’s all on one side of the artery just distal to the clavicle. Like a bunch of of grapes. #Blocktober24 @GongGasGirl @maffygirl @bobfunn

@jeffgadsden @Duke_Anesthesia @amit_pawa @GongGasGirl @EMARIANOMD @ASRA_Society @ESRA_Society @AoraIndia @tsmurali @diazolam @DrSleep88 @OrlandoRPN @sassistheword @Assoc_Anaes @Paul_Wischmeyer @zedunow @Wilkinsonjonny @MariaaYasminee @Ron_George @morefluids @bobfunn @Nadia_Hdz_MD @anesthesiadocmd @Sedolor @RegionalAnaesUK @ajrmacfarlane @diegoslsampaio @AmyPearsonMD @HouthoffKavita @Steve_Coppens @claralexlobo @mswami001 @drp297 @KiJinnChin @PedsAnesNet @emilysharpe @dr_melissabyrne @Jennythatcanbl1 @acopand @jon_bailey_anes @MadanNarayanan @dr_rajgupta @drchadb @ruthi_landau @James_Kim_MD @paulhting @educanestesia @NarouzeMD @sally_ghazali @HighamMatt

@Duke_Anesthesia @amit_pawa @GongGasGirl @EMARIANOMD @ASRA_Society @ESRA_Society @AoraIndia @tsmurali @diazolam @DrSleep88 @OrlandoRPN @sassistheword @Assoc_Anaes @Paul_Wischmeyer @zedunow @Wilkinsonjonny @MariaaYasminee @Ron_George @morefluids @bobfunn @Nadia_Hdz_MD @anesthesiadocmd @Sedolor @RegionalAnaesUK @ajrmacfarlane @diegoslsampaio @AmyPearsonMD @HouthoffKavita @Steve_Coppens @claralexlobo @mswami001 @drp297 @KiJinnChin @PedsAnesNet @emilysharpe @dr_melissabyrne @Jennythatcanbl1 @acopand @jon_bailey_anes @MadanNarayanan @dr_rajgupta @drchadb @ruthi_landau @James_Kim_MD @paulhting @educanestesia @NarouzeMD @sally_ghazali @DrNatStrand @OBsleepmerchant First batch of GotBlock? stickers heading out to 🇺🇸🇨🇦🏴󠁧󠁢󠁷󠁬󠁳󠁿🏴󠁧󠁢󠁥󠁮󠁧󠁿🇦🇺🇵🇹🇳🇱! I realize now that DM costs $ if we’re not following each other?? Ugh 🙄. Sorry. Feel free to email me too: jeffgadsden@gmail #Blocktober24

Hiya it’s Day 13 of #Blocktober24 and today we’re doing some giveaways!! @Duke_Anesthesia @amit_pawa @GongGasGirl @EMARIANOMD @ASRA_Society @ESRA_Society @AoraIndia @tsmurali @diazolam @DrSleep88 @OrlandoRPN @sassistheword @Assoc_Anaes @Paul_Wischmeyer @doctorwibble @zedunow

How empty are patients' stomachs prior to surgery? Elective vs emergency surgery • 61% vs 56% had an empty stomach • 28% vs 29% had fluid • 9% vs 14% had solid/mixed gastric content @ganter2ganter #POCUS #GastricUltrasound buff.ly/4eOsFSA

Come and be part of this fantastic dept in brilliant Bristol! bmj.com/careers/job/20…

“It’s as if you’re not there, as if you’re hovering outside your body and playing on autopilot. It probably only happens four or five times in your career.” The record-breaker on ‘batting nirvana’. #bbccricket

A telehealth pharmacist-partnered opioid tapering service before hip/knee surgery led to 90% of patients reducing opioid use by 50%+💻💊 Feasible and effective—more research needed! #Telehealth #Opioids #Surgery #Pharmacy #PainManagement #Arthroplasty …-publications.onlinelibrary.wiley.com/doi/full/10.11…

@goldstone_tony @elcarthy Tony, thanks for the great videos! I'd love an explainer for those of us who have taken a bit more of a long-winded route to consultancy & have contributions in the 2008 section? For e.g. Who or what is McCloud?! If useful, scheme info attached & am 37 yo & 1 year into cons job

@elcarthy Hi elliott have answered your question in a quick video see below 👇 x.com/goldstone_tony…

#Paris2024 #openingceremony

Coming to an #frca exam near you soon. Carbon monoxide rebreathing to measure haemoglobin mass road.cc/content/news/c… #tourdefrance #anaesthesia #pog #Vingegaard @CentralTrench @kajbo @kieranoglesby

Rachel Reeves: "The cost to the taxpayer of Covid fraud is estimated at £7.2bn. Every cheque signed by Rishi Sunak...We'll appoint a Covid corruption commissioner, a hit squad of investigators...to take the fraudsters to court...We want that money back."

I would also like to remind you that Boris Johnson was the PM that introduced voter ID in 2022. In May 2024 he was turned away from a polling station for not bringing…voter ID. Another example of Tory incompetence and arrogance

I would like to remind you of the untold damage inflicted to the UK by Liz Truss & Kwasi Kwarteng. Incompetence & arrogance . They have set back this waning country by decades. When we ask why labour do not have ambitious policies, look at them. hands are tied by their legacy.

Sooooo....we're now doing gastric POCUS for ALL GLP-1 agonist pts. And the results are...not pretty. It changes our mgmt frequently. Rather than rely on an arbitrary fasting time, a bedside test has been key. If you're new to this, check out this vid 👇 youtube.com/watch?v=4Kc5qV…

@bhanders @cliffreid @SydneyHEMS @MedSTAR_SA And I worry about the ergonomics of the NIV. If vent starts alarming you are then looking at/fiddlling with the vent and not looking at patient and not managing their airway - which is likely the root cause of the problem. (E.g. airway is not patent or there’s a big leak etc)

@bhanders @cliffreid @SydneyHEMS @MedSTAR_SA I’d prefer to manually bag with a mapleson C/waters when apnoeic. Plus can support spont ventilation with pos pressure pre drug delivery if needed. Gives tactile feedback about leak and patency of airway when you are delivering pos pressure through bag.

Case presentations at @SydneyHEMS Clinical Governance Day today Retrieval team intubation in a remote hospital of an unstable cardiogenic shock patient after echo ruled out acute mechanical cause and peripheral vasoactives + NIV were started VERY typical approach for us, dealing with the sickest patients in the State Peri-intubation cardiac arrest is EXCEPTIONALLY rare in our service. It's not about the tube it's about the stabilisation. #ResuscitateBeforeYouIntubate