Jo Organ

290 posts

Jo Organ

Jo Organ

@MonocledBadger

Katılım Ocak 2016
829 Takip Edilen237 Takipçiler
Jo Organ retweetledi
RAfT @ RLH
RAfT @ RLH@RLH_RAfT·
**CALLING ALL ANAESTHETISTS, INTENSIVISTS and PREHOSPITAL SPECIALISTS** Only a few places left on the next Regional Anaesthesia for Trauma (RAFT) course in March 2025! bookcpd.com/course/RAfT_Ma… **BOOK NOW to avoid disappointment** ✅ RA-UK affiliated ✅ 12 CPD pts with RCOA
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Jo Organ
Jo Organ@MonocledBadger·
So, it’s come to that time of year again when we at @RLH_TAG advertise for next year’s Trauma Anaesthesia fellow. From Aug ‘25 for a year long post with some amazing colleagues jobs.nhs.uk/candidate/joba…
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Jo Organ retweetledi
Mike hughes
Mike hughes@mrmike7151573·
As my time as the major trauma TIG comes to an end @NHSbartshealth I thought I would be useful to summarise my experience for those thinking about undertaking this phenomenal fellowship 🧵
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Jo Organ
Jo Organ@MonocledBadger·
@jdrwilcox @salmannaeem217 Would your TAVI and PCI patients not be heparinised? Clot seems fairly universal with traumatic tamponade.
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Josh Wilcox
Josh Wilcox@jdrwilcox·
@salmannaeem217 Not been our experience (or others’ in the literature) in other situations (eg annular rupture in TAVI, coronary perforation in PCI).
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Josh Wilcox
Josh Wilcox@jdrwilcox·
Hang on though, it very likely wasn’t the LV laceration itself that caused this patient to lose output. In that context, a percutaneous pericardiocentesis with auto transfusion via central venous access seems like it could stabilise pre-thoracotomy. Never seen it discussed…?
ASGBI Moynihan Academy@ASGBI_MA

You perform a clamshell thoracotomy, identity a laceration in the left ventricle and repair it before transferring the patient to the nearest cardiothoracics centre. Learning and discussion points on thoracic trauma and resuscitative thoracotomy coming this afternoon #FRCSFriday

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James Shuttleworth
James Shuttleworth@JAShuttleworth·
Who's routinely using superficial or intermediate cervical plexus blocks for line insertion? Any concerns re phrenic nerve?
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Jo Organ
Jo Organ@MonocledBadger·
@_NMay @cliffreid Do you need a branded Frova from Cook or just a generic neonatal bougie? I’m not sure they make a Frova smaller than 8f.
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Natalie May
Natalie May@_NMay·
Hi #MedTwitter, especially #AirwayTwitter; @cliffreid and I need a size 5 French Frova bougie (intubating catheter) - does anyone have one they could post to us? Happy to pay postage to Australia. Thanks in advance!
Sydney, New South Wales 🇦🇺 English
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Jo Organ
Jo Organ@MonocledBadger·
@HumanFact0rz @TheSGEM @EMManchester @davidcarr333 But how many of these fracture were only visible with CT? If this tool was developed in a time and place where CT was not routinely used for chest injury, it has implications if applied in a situation where we scan more liberally.
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Jo Organ
Jo Organ@MonocledBadger·
@londonsdrcosmo It was originally a mechanical plotting pen, which is why it plots that way. They stil display that way as a holdover from that. Agree it doesn’t add any information.
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Cosmo
Cosmo@londonsdrcosmo·
@MonocledBadger Aware of that, just not sure it adds any information at all! It's the maximum strain at each time point that is of value.
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Cosmo
Cosmo@londonsdrcosmo·
Does anyone know why viscoelastic tests are displayed as a positive AND negative y axis? What's the point, other graphs are usually just a single trace above x axis. It's always symmetrical.
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Paddy Morgan
Paddy Morgan@drpaddymorgan·
So when using a Waters’ Circuit in the prehospital environment how much gas flow is required for the larger patient (90kg+) aiming to reduce EtCO2 for neuro protection following their head injury? Asking for a friend… #PHEM
British Journal of Anaesthesia@BJAJournals

In our centenary year we have reviewed landmark papers published in the BJA, as part of our citation classics series. We started the year with this classic by Mapleson, describing his eponymous classification of semi-closed breathing systems. #bjacentenary #bjacitationclassics

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Dr Linda Dykes has moved to Bluesky
Dr Linda Dykes has moved to Bluesky@DrLindaDykes·
I’m toying with organising one-day virtual event about chest injuries. Current standards of care for rib injuries (in the elderly esp) aren’t well known (especially in primary care) and have changed enormously in last 10 years. Would anyone be interested in a #HurtyRibs day?
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Jo Organ
Jo Organ@MonocledBadger·
@londonsdrcosmo @philgods There’s work done looking at TEG6 prehospital. In hospital, the only difference I’ve noticed is the TEG gives the A10, rather than at 5 minutes.
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Cosmo
Cosmo@londonsdrcosmo·
@philgods I wonder if we can predict requirement earlier using TEG-ACT - and target the right patients. Smaller machines getting analysis even closer to the patient.
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Phil Godfrey
Phil Godfrey@philgods·
Fantastic work by this team again. I think that most institutions will leave their current major haemorrhage protocols unchanged (ie. cryo comes in box 3ish). In practice, I believe empiric & protocolised transfusion ratios in the first couple of hours is still the way to go.
Karim Brohi@karimbrohi

OK here's a run down of why @CRYOSTAT_2 trial results will mark a turning point in the treatment of trauma-induced coagulopathy (TIC) Paper in @JAMA_current: jamanetwork.com/journals/jama/… and some additional resources on our @CommsC4TS web pages: c4ts.qmul.ac.uk/research-progr… Firstly...

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Keşfet

@numboblivion @amit_pawa @Anaes_Journal @T_Potter_1 @GSTTanaesthesia @docdgn @karimbrohi @AnnielondonAA