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The Intercollegiate Green Theatre Checklist. TICK Checklist Today, Greener Tomorrow Image of two doctors in surgery

Dr Paul Southall

Version 2.0 of the Green Theatre Checklist is live!

A new blog by Council member @pjsouthall.bsky.social sets out:

🔷 What's new in the 2025 update, led by @rcsed.bsky.social

🔷 How the checklist can improve sustainability, uphold standards of patient care & save money.

ow.ly/AYNZ50V2EgJ

19.02.2025 12:58 — 👍 8    🔁 3    💬 1    📌 0

Conflict is created by the intersection of opposing views, strong emotions and high stakes.

If everyone agrees, no one cares and nothing matters, there is no conflict, but this rarely reflects reality. Nor is this desirable!

Conflict is normal, and healthy.

Loving this BMA leadership course.

05.02.2025 10:53 — 👍 6    🔁 1    💬 0    📌 0

DEFINE_ME

Intracranial Pathology and Pregnancy’ by Dr C. Warrick, Prof W. Schievink, and Dr M. Zakowski explores intracranial physiology during pregnancy, implications of regional anaesthesia, and non-neuraxial methods for analgesia in #BJAEd. Read more: www.bjaed.org/article/S205...

11.01.2025 21:34 — 👍 2    🔁 1    💬 0    📌 0

TBI is different!

05.01.2025 18:08 — 👍 1    🔁 0    💬 1    📌 0

Mostly convention! And because we can’t monitor ICP and thus CCP during the course of surgery.

I suppose it makes sense in terms of maximal vessel wall stress in the context of vascular pathology too.

05.01.2025 18:00 — 👍 1    🔁 0    💬 1    📌 0

There’s not much high quality evidence.

Ultimately <160sys but if starting at 220 as in your example I’d try to get there gently, not in one big immediate drop.

Defo >140sys.

05.01.2025 08:07 — 👍 3    🔁 0    💬 1    📌 0

Today's Paper of the Day is postoperative atrial fibrillation: from mechanisms to treatment
criticalcarereviews.com/latest-evide...

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024

22.11.2024 09:06 — 👍 20    🔁 6    💬 1    📌 1

Very interesting. “Help me do the wrong thing” - I can fully see how this happens.

I happened to see Chris Freck speak at a QI day this week and thought he was fantastic.

22.11.2024 21:03 — 👍 0    🔁 1    💬 0    📌 0

Signal reduction on fMRI, I wish there was a clinical measure in here too. Interesting that indicates memory affected.

21.11.2024 17:14 — 👍 3    🔁 0    💬 0    📌 0

Are you up-to-date with the latest evidence on airway management in patients with suspected or confirmed cervical spine injury?

@sthjournalclub.bsky.social @iliff-helen.bsky.social
@elboghdadly.bsky.social

#AnSky #MedSky 🧪

https://buff.ly/3UXJweg

21.11.2024 08:06 — 👍 47    🔁 29    💬 2    📌 3

Example of learning from other systems for proactive care
George Winder explaining how the local fire brigade moved from reactive to proactive care reduced fires from 3000/year to 300/year
We need to copy this approach for proactive care
#BGSConf

20.11.2024 14:47 — 👍 20    🔁 9    💬 0    📌 0

Anybody out there used IT morphine for analgesia post spinal surgery?

Epidural LA depot flooded in by surgeons can be useful and is used with varying deliberacy in some UK centres. I know of some teams who close leaving an epidural catheter in, then bolus LA down catheter and immediately remove.

21.11.2024 07:33 — 👍 0    🔁 0    💬 0    📌 0

Peri-operative management of SGLT2 inhibitors

Here is a neat summary of the available guidelines, including cessation & resumption times, & the timing of ketone measurements.

Which guideline does your institution use?

#AnSky #MedSky 🧪

https://buff.ly/3O6qa2C

12.11.2024 10:32 — 👍 22    🔁 11    💬 3    📌 1

Oh how nice! Yea I’m waving at you Bob 👋 at a frequency of 0-2 Hz 😴

16.11.2024 21:46 — 👍 2    🔁 0    💬 1    📌 0

Defo! Even subtracting pure surgical rationale, the peak of most “medical” post-op complications (eg MACE) is often post-discharge even in a 3-5 night stay.

16.11.2024 16:55 — 👍 2    🔁 0    💬 0    📌 0

👋

16.11.2024 14:59 — 👍 2    🔁 0    💬 1    📌 0