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Reposted by Sethina Watson

Dmitry Grozoubinski @explaintrade.com · 2d

This is an exact encapsulation of why I moved to Bluesky.

No amount of handwringing in the Atlantic about how I owe some eternal Promethean suffering to the discourse is going to make me stay on a site I hate, that stopped doing anything for me professionally years ago.

Well – no. Bluesky may or may not be, as one centre-right friend who felt unwelcome put it, “self-righteous island”. But the idea that’s why we went is nonsense. That I’ve largely stopped posting on a site that’s done more to shape my career and social circle than the rest of the internet combined is less about avoiding rival opinions (I love arguing with people who are wrong!) than with the fact the site simply became unusable. It stopped generating the things (good jokes, interesting debate, clicks) I wanted; it became extremely good at generating the things (racists, pornbots, racist pornbots) I did not.

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Sethina Watson @sethina.bsky.social · 3d

It’s Survey Sunday! Hashtag Survey Sunday. OK, I made that up. But if you have 5 mins & feel like sharing your experience of being (or not being) IPed on a resus course we’d love to hear it. Open to all grades, specialties across UK.

Share on your team WhatsApps! Thanks all 😁🤩

Sethina Watson @sethina.bsky.social · 13d

Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.

forms.gle/HYRNUzkgwMsZ...

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Reposted by Sethina Watson

Sethina Watson @sethina.bsky.social · 5d

More answers welcome from doctors of all grades, specialties and backgrounds. Thanks

Sethina Watson @sethina.bsky.social · 13d

Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.

forms.gle/HYRNUzkgwMsZ...

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Sethina Watson @sethina.bsky.social · 5d

More answers welcome from doctors of all grades, specialties and backgrounds. Thanks

Sethina Watson @sethina.bsky.social · 13d

Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.

forms.gle/HYRNUzkgwMsZ...

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Reposted by Sethina Watson

Raj LB @rajlb.bsky.social · 9d

Modified RSI = iGel

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Reposted by Sethina Watson

TomH @thomhall.bsky.social · 10d

Either do the three way tap trick, or just hit the Ce at 6 and augment with an extra 10mls in the cannula port.

TIVA purists will flap with the latter but you titrate to effect anyway so it makes no difference.

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Reposted by Sethina Watson

Pete Hart @intensiveperson.bsky.social · 10d

RSI is a failed construct. It no longer represents any consistent set of interventions and so is not a useful term to communicate meaning. So the answer to the question "Can you do an RSI with TIVA" depends entirely on what components of RSI you think are important. (1/2)

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Reposted by Sethina Watson

Pete Hart @intensiveperson.bsky.social · 10d

The things I do to reduce risk of regurg/vomiting are 1) Rev T'berg, 2) Avoiding proemetic stimuli (large opioid bolus, cricoid pressure!) before/during LOC, 3) No bagging unless they need it, and therefore PreO2 +/- ApOx, large dose of relaxant. IMO time/speed is overemphasised. (2/2)

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Reposted by Sethina Watson

Andrew Spooky Bones MD @apbohn.bsky.social · 10d

To me, (US ER doc) RSI means induction and NMB given in rapid succession, no positive pressure ventilation after NMB.
I usually induce with ketamine, NMB with 1.2+ mg/kg rocuronium.
No *routine* cricoid pressure (youtu.be/j8mr3GXOGyE?...).

Cricolol

YouTube video by Chris Cole

youtu.be

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Sethina Watson @sethina.bsky.social · 10d

What does RSI mean for you? Is a modified RSI just an RSI now? Thio? Sux? Anyone?

Pete Hart @intensiveperson.bsky.social · 10d

First: define RSI.

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Sethina Watson @sethina.bsky.social · 11d

Your answers are valuable! Keep them coming and share with all your doctor colleagues who may have attended these courses. Instructors and non instructors all welcome to complete. Thank you

Sethina Watson @sethina.bsky.social · 13d

Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.

forms.gle/HYRNUzkgwMsZ...

1

Reposted by Sethina Watson

Sethina Watson @sethina.bsky.social · 13d

Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.

forms.gle/HYRNUzkgwMsZ...

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Reposted by Sethina Watson

Royal College of Anaesthetists @rcoanews.bsky.social · 11d

RCoA College Award - Dudley Buxton prize, to Dr Jude Partridge

RCoA College Award - President's Commendation, Jeff Handel

RCoA College Award - Honorary Fellowship: Mohammad Abdur Rahman

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Sethina Watson @sethina.bsky.social · 11d

Huge congratulations to you all. Especially proud to have nominated Dr Jeff Handel! Instrumental in so many people’s careers

Royal College of Anaesthetists @rcoanews.bsky.social · 11d

Congratulations to our College Award winners 🙌

🎖️College Medal: Caroline Evans, Alistair McKenzie, David Selwyn
🎖️Dudley Buxton: Jude Partridge
🎖️President's Commendation: Jeff Handel
🎖️Honorary Fellowship: Mohammad Abdur Rahman

Find out more 👉 ow.ly/sJwX50X4OQA

#Ansky #Medsky

RCoA College Medal winner Caroline Evans

RCoA College Medal winner Alistair McKenzie

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Reposted by Sethina Watson

Clare M @clamc.bsky.social · 12d

Not sure I’d ever want to! Other than the graph on the pump looking nicer, what’s the benefit? Decide how much propofol to give by visual feedback in a sick person to avoid ⬇️⬇️⬇️BP, which the pump cannot do!! (or use Thio or Ketamine). Could use BIS if desperate to use TIVA thereafter.

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Sethina Watson @sethina.bsky.social · 12d

How do you do a TIVA RSI?

Anaesthesia @anaesjournal.bsky.social · 14d

"... a ‘RSI–TCI’ mode with a pre-programmed manual bolus offers a pragmatic solution for those who wish to preserve an intact pharmacokinetic model for accurate propofol delivery, while allowing the rapid induction clinicians expect from a manual bolus."

#AnSky #MedSky

doi.org/10.1111/anae...

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Sethina Watson @sethina.bsky.social · 12d

Doctors across the UK land, hear my call.... Home from work? About to go in for a night shift?

Another survey you think. Not now, perhaps later. Ohhh.... this is on getting Instructor Potential on courses & takes only a few minutes. I'll do that and share it with all my friends!

Sethina Watson @sethina.bsky.social · 13d

Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.

forms.gle/HYRNUzkgwMsZ...

1

Sethina Watson @sethina.bsky.social · 13d

Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.

forms.gle/HYRNUzkgwMsZ...

4 3

Sethina Watson @sethina.bsky.social · 13d

Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.

forms.gle/HYRNUzkgwMsZ...

Reposted by Sethina Watson

BJA Education @bjaeducation.bsky.social · 23d

🔑 In major trauma, the priority is a patent airway + adequate oxygenation.
Suspected unstable cervical spine injuries are rare, and airway takes precedence.
Read more: www.bjaed.org/article/S205...
#Prehospital #AirwayManagement

Prehospital management of the airway in trauma

Poor airway management is a significant cause of morbidity and mortality in patients suffering major trauma. In 2007 a National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report…

www.bjaed.org

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Sethina Watson @sethina.bsky.social · 26d

Ethnicity recruitment data for NHS speciality training

medical.hee.nhs.uk/binaries/con...

medical.hee.nhs.uk

Reposted by Sethina Watson

Graham Murray @gkmurray.bsky.social · 26d

2025 NHS England Competition ratios for postgraduate medical training by specialty. Medsky 🩺https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/competition-ratios/2025-competition-ratios

2025 Competition ratios | Workforce, training and education | NHS England

Competition ratios for the 2025 recruitment round

medical.hee.nhs.uk

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Sethina Watson @sethina.bsky.social · Sep 14

Just drove by our local Italian restaurant run by Eastern Europeans displaying St George flags. Make it make sense.

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Reposted by Sethina Watson

Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · Sep 14

The weekend MedSky debate comes from @dr-amit-pawa.
How do you manage frail #NOF patients taking direct oral anticoagulants?? #BILIH
Wait, reverse, GA-nerve block or spinal?
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16226

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Reposted by Sethina Watson

Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · Sep 10

Live this weekend!!

Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · Sep 10

With respect to #ESRA2025, the regional anaesthesia conference in Oslo attended by all the social media medical royalty, the #MedSkyDebate comes from Amit Pawa @dr-amit-pawa.
The nicest person who is the best speaker I have ever met, unlike me he only speaks words of wisdom.

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