Great work from @rcoanews.bsky.social and DAS! TL DR; there are various elements to an RSI that you may wish to add, depending on the risk of aspiration, though you should probably pre-oxygenate well/gently ventilate, use a nasogastric tube in bowel obstruction and use a video laryngoscope.

Royal College of Anaesthetists@rcoanews.bsky.social · 2d ago

The latest joint Rapid Sequence Induction (RSI) statement encourages a risk-based approach, careful preparation, and evidence-led practice — empowering anaesthetists to deliver the best care for every patient. Read more and download the statement 👉https://ow.ly/ZKFu50Zwc9q #Ansky #Medsky

I met J-P just once. He impressed me with his willingness to engage with someone he knew nothing of. He demonstrated how much good can come from clinical leaders interacting with harmed patients with curiosity and humility rather than defensiveness. It also makes quite a good story… 1/

Royal College of Anaesthetists@rcoanews.bsky.social · last wk.

In our summer Bulletin, we pay a heartfelt tribute to Dr J‑P van Besouw, a cherished former College President and much‑admired colleague at St George’s Hospital. Our Interim Chief Executive Officer shares a moving reflection on his legacy. Read the full tribute 👉 https://ow.ly/lytb50Zu4ej

FRCA ✅ 🥳 🍾 Looking forward to a life without exams and being able to learn because something is interesting or useful, rather than just because someone might quiz me about in a viva!

Norway pay their female international players the same amount as their male players and have done since 2017.

My heart goes out to the women who shared their experiences for @theguardian.com It is important to understand the experiences of black women maternity care come in the context of lifetimes experiencing micro aggressions and discrimination. Harm is compounded and trust undermined further. 1/

The Guardian@theguardian.com · last mo.

Ethnicity pain gap: the epidural failed and no one believed me – I could feel everything

‘Pain only she knows’ is a challenging editorial. The first author @susannastanford.bsky.social is a patient with lived experience - a voice worth listening to. Some thoughts below @anaesjournal.bsky.social associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.... 1/N 🧵

It’s finally cold enough in theatres again that I need to wear a surgical gown like a cape to keep warm. Order is restored.

Pleased to see that Jeremy Clarkson is in remission, but slightly unhelpful to say that everyone should get tested, given the lack of evidence suggesting routine testing saves lives. Sir Chris Hoy's message is much more nuanced and supported by evidence; get tested if in a high-risk group!

Jeremy Clarkson in remission from prostate cancer

The presenter shared his "aggressive" cancer diagnosis on an episode of Clarkson's Farm earlier this week.

bbc.co.uk

Together with our @cpoc.bsky.social and the @apagbi.org.uk, we have published new guidelines to improve the care of children and young people awaiting surgery or anaesthetic procedures. Learn more and read the guidance 👉 ow.ly/94B350Z9VSm #Ansky #Medsky

Revising for yet another exam and I'm still not sure I understand how the kidney works...

A while ago, I led a national survey on access to PHEM careers. One quote really stayed with me “I’ve never seen a Black female doctor in UK PHEM” I’ve recently started working @gwaac.bsky.social in a breaking barriers post CCT training role #representationmatters instagram.com/p/DUur0pPiAOj/…

New guidance on sterile gown use during spinal anaesthesia aims to reduce unnecessary waste while maintaining high standards of patient safety Guidelines published in @anaesjournal.bsky.social buff.ly/rvtALwy With CAI, @ra-uk.org, @oaa-anaes.bsky.social, @rcoanews.bsky.social, @anzca.bsky.social

👩‍⚕️Ahead of International Women’s Day, we’ve published a new brief on women in anaesthesia. Our specialty has a diverse workforce, with a growing number of women working in anaesthesia. Yet disparities in recruitment, career progression, and workplace safety remain. Read the brief: shorturl.at/Qx8v1

Happy Final FRCA CRQ-eve!

The Association of Anaesthetists@assocanaes.bsky.social · 5mo ago

🩺 New guidance on the peri‑operative management of diabetes mellitus We’re sharing 10 recommendations which aim to enhance safety and improve overall outcomes for patients with diabetes undergoing surgery. 💉 Read the full guidelines: shorturl.at/C3ArL #Anaesthesia #Diabetesmellitus

Hot takes from Final FRCA revision (T-minus 10 days): 1) Any patient with any co-morbidity should be first on the list to limit pre-operative fasting and dehydration. 2) Most situations can be improved by multi-disciplinary team involvement, shared decision making and multi-modal analgesia.

When testing a neuraxial block for caesarean section, AoA guidelines recommend using light touch as the primary sensory modality, but no recommendation on *how* we should assess light touch. So what are people using? Cotton wool? Monofilaments? @assocanaes.bsky.social @oaa-anaes.bsky.social

Random musings from covering obstetrics: does anyone else think of pushing through the ligamentum flavum like a drum roll with the release when you get loss of resistance?

a cartoon character is playing drums and the word drumroll is on the drums

ALT: a cartoon character is playing drums and the word drumroll is on the drums

media.tenor.com

Interesting to note that they aren’t promising to reduce cancer deaths but rather promising to identify cancer earlier…

Three quarters will survive cancer by 2035, government promises

There are plans for earlier diagnosis and faster treatment in England but experts worry about lack of staff.

bbc.co.uk

This #HealthInformationWeek, Patient Information Forum has launched a series of Trusted Health Information collections in partnership with NHS England. Our epidural anaesthetics – risks & side effects resources have been added to the collection 🙌 View them here 👉 https://ow.ly/4xyh50XZEEy

Watching ‘Pluribus’ and the main character picks up two vials of thiopentone, which is presented as a clear colourless liquid! Even though I have never used the drug (sorry traditional RSI enthusiasts), I know it’s a yellow powder stored in a nitrogen atmosphere!

Find out more about our new resources on epidural and spinal anaesthetics, for pain relief options for pregnant women and people. They explain the risks, benefits, and side effects, and can be used in antenatal discussions. Share them widely 👉 ow.ly/zKtC50XNBgn #Ansky #Medsky

please see this one too: emcrit.org/pulmcrit/rsi... I think when the dust settles and the glitter wears off the RSI trial, people will realize that ketamine isn’t that scary and all induction agents drop your BP 🤷‍♂️

PulmCrit: Hot take on RSI trial of ketamine vs etomidate

The RSI trial was just published, comparing ketamine versus etomidate. Unless you're living under a rock, you've probably already heard about it. So I'm

emcrit.org

My current hospital has a piano in it, and it is really heart warming to see patients/other members of the public playing it

This is really exciting! Imagine if there could be compatibility between the TCI pump and this. Though fear for future Primary FRCA candidates would have have to learn about photoacoustic measurements…

British Journal of Anaesthesia@bjajournals.bsky.social · 8mo ago

#Photoacoustic measurements of #propofol concentration in exhaled gas are feasible and accurate compared with #massspectrometry https://www.bjanaesthesia.org/article/S0007-0912(25)00537-9/fulltext

Just voted for @anaesthetistsb.bsky.social for @rcoanews.bsky.social council! Check your email inbox/spam/junk for your link to vote!

Why are pressures the only measurement in healthcare resistant to SI units! In the midst of Final FRCA revision and physiological pressures are measured in mmHg, mechanical ventilation is measured in cmH20 and gases in kPa! I want to see blood pressure as 16/11 kPa!

A LEGO #MRI set to help kids though a traumatic medical experience. 😭🥹 I had some early childhood medical trauma that still haunts me today. This would have helped. Kids are strong if we give them tools to understand. From the LEGO website:

LEGO® MRI Scanner set eases kids’ anxiety in hospitals - About Us - LEGO.com

Play-based LEGO® MRI Scanner set reduces anxiety and sedation for children in hospitals worldwide

lego.com

I came to this country as a child refugee. No English, no certainty, no idea what my life could become. Britain gave me refuge. Not on a timer, not with conditions attached, but with a chance to grow roots. A thread 🧵 1/8 www.bbc.co.uk/news/article...

UK set to limit refugees to temporary stays

Shabana Mahmood is expected to say the era of permanent protection for refugees is over, in major changes to the UK's asylum and immigration system.

bbc.co.uk