Alex B

@archiecurium @mattster @lengreview @threadreaderapp Not sure you want to, it’s a disaster

@mattster @lengreview @threadreaderapp please unroll

1/ Now the embargo has lifted, I’ve had time to read the @lengreview in full. While some celebrate minor cosmetic wins, I see the formal entrenchment of a parallel, underqualified medical workforce — built without medical training.

@TheRACP Who is calling for this?

What role could Physician Assistants/Associates (PA) play in easing workforce shortages in Australia and Aotearoa New Zealand? What challenges might arise? Join the new RACP Binational PA Working Group. EOIs close Mon 23 June 2025 👉 racp.edu.au/expressions-of…

@cliffreid 🥳🥳

For the record, I complimented our hospital’s anaesthetists on an international WhatsApp group today. Credit where it’s due.

@GongGasGirl Stellar logic there!

Reduce safety, improve patient experience?? Huh? #NHSConfedExpo

@IM_Crit_ I thought this argument was done. NS only useful in ABI, otherwise Hartmanns/Lactated ringers for the win.

Spoiler alert: what you would expect

@doctimcook @Anaes_Journal @SOBAuk Solid

@AlCourtney @Anaes_Journal @SOBAuk The Canadians wrote (in 2021) guidelines recommending use a VL for all tracheal intubations. The rest of the world is waiting to catch up. Lovely people. Elbows up. aimeairway.ca/uploads/articl…

Planning to anaesthetise patients living with obesity. From "Airway management in patients living with obesity: best practice recommendations from the Society for Obesity and Bariatric Anaesthesia" #anaesthesia #MedTwitter #obesity doi.org/10.1111/anae.1…

@doctimcook @Anaes_Journal @SOBAuk What did Canadians do to you?

@SOBAuk use a VL routinely for the obese That’s 31% of the population Add that to -predicted difficult -actually difficult -dodgy necks -small kids -patients in whom you don’t want to accidentally intubate the oesophagus -the critically ill -Canadians …..the number of people who aren’t specifically recommended to use a VL is getting ever smaller Compared to recommendations to use a DL -Nobody. @dasairway

@txsportsdoc @DrDiGiorgio But that’s rubbish. We owe no one but ourselves (and families/loved ones). Perpetuating this bullshit that modern students/doctors a “weak” or “entitled” or “lacking fortitude” is just perpetuating a broken system built on the backs of broken doctors (and nurses). /n

@txsportsdoc @DrDiGiorgio Sorry, but many of the views here are antiquated and demonstrated in research to be unsafe. It’s not “heroic” to work 72 hours straight, doing anything, let alone neurosurgery. It’s stupid. The system is broken because we have been tricked into thinking we owe the patients. /n

The patient with a subdural and a blown pupil at 2am needs a craniotomy. Not all needs are equal.

@DrMLivingston @Telstra If I recall correctly, previous years there’s been statements to the effect that they just use a random number generator to spam texts. Random but confined to Australian mobile numbers. It’s coming from one of those computer text services, rather than a phone too

Yep I never gave them my phone number so riddle me this @Telstra why did you give them my number?

@pinguufoster @SaraTon08500527 Hard when it is the self appointed “leader”. Also difficult when various examples of PAs being used to replace doctors (eg TAVI, Paeds liver, etc). I understand why there is so much anger. the individual PA might not be responsible, but if they take the role…

@SaraTon08500527 You are being a bit disingenuous here. The concern is about people who aren’t doctors misleading patients who think they are seeing a doctor. It’s not about physiotherapists or diabetic educators and their patients. You know this.

Our healthcare system, characterised by patient choice and the independence of doctors, has provided world class care to generations of Australians. Now this system, built on the foundations of Medicare, is under threat. 1/3 @snouzin

Today’s decision by the ACCC paves the way for US style Managed Care in Australia. @no2managedcare 2/3

Emergency Procedures App litfl.com/emergency-proc…

Registration for the free #SAS2021 online event is now open. 19th Nov 10:30am AEDT #ExcellenceThroughCollaboration

Mental Health First Aid course for @ASA_Australia trainee members! Email events@asa.org.au to register! #mhfa #MentalHealthMatters

#crazysocks4docs go team!! @anzca1992 @monash_health instagram.com/p/CPrgozaNkma/…