We consent older surgical patients for bleeding, infection and clots, and skip the complication they are most likely to meet: delirium. Name it beforehand. What it is, that it typically lifts within days, how families can help. #periop #delirium

Every day is a school day. Oral clindamycin should be taken with a full glass of water, swallowed in the upright position, remaining upright for at least 30 minutes after taking. Why? It can cause mucosal injury, including ulceration, to the GI tract. www.npra.gov.my/index.php/en...

Spinal or general anaesthesia? For delirium after hip fracture surgery, the large trials found little between them. The pathway around the anaesthetic matters more: pain control, hydration, sleep, early mobilisation. #periop #delirium

Myth: Sedatives (like benzos) are mostly helpful in calming delirium. Fact: Sedatives often worsen delirium. Non-drug approaches (reorientation, hydration, mobility) are first-line treatments.

Who else loved their reusable tourniquet as a JHO?

Karma Consequences: What Goes Around Comes Around

Alt: A cartoon penguin runs around a sign stating What Goes Around Comes Around

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British Journal of Anaesthesia@bjajournals.bsky.social · 3w ago

Outlining the #environmentalimpact of #cannulation packs; Bei et al describe a strategy for reducing waste by considering individual consumables and #reusable tourniquets. https://www.bjanaesthesia.org/article/S0007-0912(26)00258-8/fulltext

Does anyone know what these flowers are? They smelled wonderful, really fresh and summery. (at Loch Leven, Perth & Kinross 🏴󠁧󠁢󠁳󠁣󠁴󠁿)

All patients on my list this week looked clinically dry - probably in part because it's so hot in the hospital - need to be even more vigilant in heatwaves...

Alasdair MacLullich@amaclullich.bsky.social · 4w ago

More than 1 in 3 older inpatients in this study were dehydrated. Dehydrated patients: 13% higher odds of falling (OR 1.13, P=.002). ↳ Dehydration is cheap to fix - but easy to miss. 💧💧💧💧💧💧💧💧 ⇉ Do you check fluid status on every ward round?

We are looking for colleagues- one retirement and someone moving for family reasons www.bmj.com/careers/job/...

Consultants in Palliative Medicine - Denny, Falkirk job with Strathcarron Hospice | 825179

Due to a combination of retirement and career progression, we have an exciting opportunity for two Consultants in Palliative Medicine to join our team

bmj.com

I have recently argued that pain scores should be included in the intra-operative anaesthesia chart to prompt regular assessment, accurate record keeping and for monitoring responses to additional medication: all factors required for safe and effective pain management. 5/ bsky.app/profile/anae...

Anaesthesia@anaesjournal.bsky.social · last mo.

"The overwhelming focus of a mother is on the safe delivery of her baby and, to that end, mothers will allow significant injury to themselves; but this does not mean they should have to." @susannastanford.bsky.social #AnSky #ObSky #MedSky #PainSky doi.org/10.1111/anae...

Follow on from NovPod… bsky.app/profile/anae...

Anaesthesia@anaesjournal.bsky.social · last mo.

"The overwhelming focus of a mother is on the safe delivery of her baby and, to that end, mothers will allow significant injury to themselves; but this does not mean they should have to." @susannastanford.bsky.social #AnSky #ObSky #MedSky #PainSky doi.org/10.1111/anae...

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

A hazard of long floaty trousers and rushing down the hill is that you can trip over yourself on the way in to work 🙈 Feeling like a fool, but could have been worse. Thank you to ED for patching me up! I should clearly cease trying to look floaty and summery lol.

One of the reasons I have a separate work phone! 298 WhatsApp messages from work groups in the past 2 weeks while on annual leave.

True story...! www.facebook.com/share/p/1DCt... #AI ? #GetTheBasicsRightFirst lol

When I trained at St. Thomas', qualified 1980, they employed a 'clock man's whose job it was literally to keep the clocks running to time.

A screenshot from a post on X, illustrating how the simple things matter and are often the most effective. (The expanded images show that each wall clock is set to the incorrect time.) x.com/i/status/206...

A very sad read. Condolences to the family and friends of Dr Ahmed. @the-independent.com www.independent.co.uk/news/uk/home...

‘Exhausted’ doctor died in on-call room after working nine 13-hour shifts in a row

Entry had to be forced into the room where Dr Naeem Ahmed was found dead

independent.co.uk

The British Menopause Society has published a new BMS Tool for Clinicians: Menopausal ‘brain fog’ or dementia? – a practical guide for clinicians. #Pharmsky thebms.org.uk/2026/06/bms-...

BMS publishes new clinical tool on menopausal 'brain fog' and dementia

BMS publishes new clinical tool on menopausal 'brain fog' and dementia

thebms.org.uk

I learned yesterday that the academic year for midwifery training at a local university is divided into trimesters rather than semesters, which is beautifully apt. 👶🏻

I have just used this on my home elliptical/cross trainer and it is SO GOOD! 🚵🏻‍♀️ HT @scott.hanselman.com 👏🏻

Scott Hanselman 🌮@scott.hanselman.com · 2mo ago

I have a $30 stationary bike that I got at Goodwill and I have an old Android tablet stuck to it, but I don't have a Peloton membership. Nor do I have the interest to ride 80 miles to the beach. So I made PedalScape.com It's a local PWA, no backend at all, no tracking, just 4k bike rides.

I have a $30 stationary bike that I got at Goodwill and I have an old Android tablet stuck to it, but I don't have a Peloton membership. Nor do I have the interest to ride 80 miles to the beach. So I made PedalScape.com It's a local PWA, no backend at all, no tracking, just 4k bike rides.

PedalScape

Any bike. Any screen. Beautiful rides from home.

pedalscape.com

Well said @thercog.bsky.social www.rcog.org.uk/news/rcog-re...

Are you at the Resident Doctors Conference today? There will be something exciting launching very soon! Tune in to find out what 👀 #AnSky

Good to see that the George Washington statue in Boston is now wearing the appropriate headgear. Pic: Dan Witzke

One of our SAS Specialist doctors is now being facilitated to come off resident nights (>50y). Brilliant news, a great precedent and the right thing to do for our colleagues 👍🏼 It came a little too late for me—one reason I moved to a consultant post—but I'm so delighted for them 🙂 #SASbyChoice

A great collab from Dr Justine Lee + team provides clear(er) evidence for prehabilitation programs in surgery. I'd like to see prehab normalized to the same degree as rehab ie. optimised for every pt; though not everyone will need a formal 'program'. journals.lww.com/journalacs/a...

Physician & suffragist Elizabeth Anderson was born #OTD in 1836. She was the: * First woman to qualify in the UK as a physician & surgeon & first MD in France * Co-founder of the first hospital staffed by women * First dean of a British medical school * First female mayor in the #UK #WomenInSTEM

Current mood The mental load feels overwhelming

It's Too Much!

Alt: It's Too Much!

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Smiley coffee 🙂☕