Harsimran Singh
127 posts

Harsimran Singh
@Simran___Singh
Cons Anaesthetist, Regional Anaesthesia enthusiast, dad to 2 lovely daughters, cook decent Indian meals, traveler, cautious investor, director PRAC 🇬🇧🇮🇳
Ampfield, England Katılım Mayıs 2017
177 Takip Edilen73 Takipçiler

@doctimcook @Anaes_Journal Thanks Tim
With current recommendation of not stopping semaglutide Preop what do you do for a TKR planned with spinal who does not want to hear or know anything happening in theatre.
What level of supine sedation are you happy with ?
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Yes but what do we then do for airway management….?
We know the incidence of a non-empty stomach in all elective patients is around 5-6% (much higher in some series)
But the incidence of aspiration is around 1 in 10,000
That’s 600-fold lower
If we start doing RSIs or even intubating all these patients then there is a significant risk we’ll cause more harm.
So I think identifying who has a full stomach is the easy bit. Working out who is actually at high risk or deciding what to do about it is the complex one!
@kariem
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Semaglutide, fasting and gastric ultrasound
Nearly 50% of patients receiving semaglutide treatment had a full stomach on pre-operative gastric ultrasound, regardless of dose, duration, route of administration or withholding time.
#anaesthesia #MedTwitter
doi.org/10.1111/anae.7…

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@BrennanSurgeon @RoyalFamily @Keir_Starmer @RCSnews @RCSEd @rcpsglasgow @CIEHF @BBCNews Many congratulations and well deserved
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Totally overwhelmed to be included on His Majesty The King’s 2025 Birthday Honours List
'For services to Surgery & Patient Safety’
I’m lost for words and literally blown away 🥲
#OBE

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@ZTheTrader @Trader__007 @UKInvestorMAG @uk_investing @Quality_stocksA @Vanguard_Group
As pound strengthens significantly against US dollar, returns in GBP could be reduced or even erased, even if the ETF eg VUAG performs well in USD terms. Not the best time to sell VUAG

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Harsimran Singh retweetledi

F1 doctors often have huge responsibilities while working on Christmas day
They can look after 150+ patients
This pay does not reflect the experience and responsibility a doctor has
The DDRB must make medicine an attractive career with their next pay award #payrestoration
Dr Tony Goldstone@goldstone_tony
Merry Christmas to all those working in the NHS Many staff in the NHS are grossly underpaid (even on Christmas day👇) but none more so than Resident Doctors who frequently graduate with >£100k debt RT to support them & ask government to pay them ALL fairly #PayRestoration
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@diljitdosanjh
My 8 year old wants to see your concert as her Bday gift.
You are a fav for all Punjabis
See you on 5/10
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Harsimran Singh retweetledi

Our shooters continue to make us proud!
Congratulations to @realmanubhaker and Sarabjot Singh for winning the Bronze medal in the 10m Air Pistol Mixed Team event at the #Olympics. Both of them have shown great skills and teamwork. India is incredibly delighted.
For Manu, this is her second consecutive Olympic medal, showcasing her consistent excellence and dedication. #Cheer4Bharat

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Harsimran Singh retweetledi

🇮🇳🥉 𝗔𝗡𝗢𝗧𝗛𝗘𝗥 𝗕𝗥𝗢𝗡𝗭𝗘 𝗙𝗢𝗥 𝗜𝗡𝗗𝗜𝗔! Many congratulations to Manu Bhaker and Sarabjot Singh on securing a superb Bronze for India in the mixed team 10m Air Pistol event.
💪 A second Bronze for Manu Bhaker at #Paris2024, a terrific achievement.
👉 𝗙𝗼𝗹𝗹𝗼𝘄 @sportwalkmedia 𝗳𝗼𝗿 𝗲𝘅𝘁𝗲𝗻𝘀𝗶𝘃𝗲 𝗰𝗼𝘃𝗲𝗿𝗮𝗴𝗲 𝗼𝗳 𝗜𝗻𝗱𝗶𝗮𝗻 𝗮𝘁𝗵𝗹𝗲𝘁𝗲𝘀 𝗮𝘁 𝘁𝗵𝗲 𝗣𝗮𝗿𝗶𝘀 𝗢𝗹𝘆𝗺𝗽𝗶𝗰𝘀 𝟮𝟬𝟮𝟰!
📸 Pics belong to the respective owners • #ManuBhaker #SarabjotSingh #Paris2024 #ParisOlympics #OlympicGamesParis #IndianSports #IndianShooting #Cheer4India #TeamIndia #Sportwalk

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@alicespake @alb7892 Hi
Me and my daughter on road trying to look for them
We are in chandlers ford
Where can we see them tonight ?
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Harsimran Singh retweetledi

Reminds me of- "Portsmouth 5P's @Simran___Singh Push, Pull, pinch, pinch, pinch (3 sensory pinches). These still don't test the Motor of the median and ulnar. We need 2 more P's 🤔
Alan Macfarlane@ajrmacfarlane
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Delighted to have picked up an award for work in #AxSpA field at the #changemaker awards hosted in @HouseofCommons by @Tom_Randall
Congratulations to all the award winners👏🏽
@PHU_NHS @NASSchiefexec @NASSexercise



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Thank you! Genuinely astonished but ever so grateful to be nominated & receive this award!
Even more so when you hear about the incredible things prehospital teams do every day!
Its a real privilege to provide care with friends & colleagues @dsairambulance and in ED @PHU_NHS
Air Ambulances UK@AirAmbulancesUK
🌟 Critical Care Practitioner of the Year sponsored by Zoll goes to Matt Sawyer from @dsairambulance 🏆 🏆 Matt's pioneering ultrasound use, pre-hospital care advancements, and patient advocacy highlight his unwavering dedication to patient care. 👨⚕️👏 #AAUKAWARDS
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Harsimran Singh retweetledi

THOUGHT FOR THE DAY: With well over 120 THOUSAND vacancies in the NHS, waiting lists just hit its HIGHEST ever level at >7.33 MILLION
Current (& future potential) government need to FIX PAY to fix recruitment & #RETENTION
RT if you want Rishi to fix this mess #payrestoration

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#RAUK23 @ESRA_Society @RegionalAnaesUK @NYSORA @
Important to locate Nerve To Vastus Medialis while doing Adductor Canal Block.(Plan A)
Block it or avoid it depending on the indication, just don't kebab it.
Do you use a nerve stimulator for this block ?
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Harsimran Singh retweetledi

The Executive Directors of the @WorldBank today selected Ajay Banga as the President of the World Bank. Mr. Banga begins his five-year term on June 2, 2023.
Read the news release: wrld.bg/8IQq50OeSrl

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@DrSukhSDubb @ChamdalSonika Congratulations may Waheguru Ji bless you both with with everlasting happiness
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I had the wonderful honour of getting married to my best friend & soulmate Sonika @ChamdalSonika
In this beautiful journey together, I truly feel we are 1 soul shared in 2 bodies
Thank you all of you for your love, blessings & wishes
Kindness, love & compassion above all ❤️

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