Ryan

OK #MedSky #NHS clinical supervisors. Why is it the job of a resident to contact the clinical supervisor when they start a new rotation?

The onus should surely be on the clinical supervisor to contact the resident. Just ridiculous this is the responsibility of the resident.

The science of climate change and the effect of anaesthetic gas emissions: a reply Click on the article title to read more.

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

Out of curiosity, what do you consider a 'higher' dose and a 'standard' dose?

The definition of pain would mean that any level of pressure could be conceived as pain. I'm not sure how helpful it is to distinguish between the two when the mother is uncomfortable, other than to reassure the anaesthetist that their spinal 'worked'

Incredible heat in the Mediteranean with sea sfc departures up to 7C (13 F) above normal!
While +13F is not unusual for air temps, for large water bodies it's ludicrous.
Marine heateaves in the Med are now 3X more likely than the 1980s due to climate change - CC can explain 90% of this increase.

Weather: What is a 'heat dome' - and how long is it set to affect the UK? The current heat dome is hovering across most of Europe and bringing soaring temperatures. Here, Sky News looks at how they form, whether they're becoming more common - and why scientists call heatwav...

"Prof James Dyke, an expert in climate science from Exeter University, adds: "The only way to avoid even more extreme heat is to rapidly phase out fossil fuels."" Happy to contribute other obvious insights into climate reporting - journalists, you have my number! news.sky.com/story/weathe...

This is fine actually, I’ll just start drinking out of the local watering hole like a giraffe

Eleveld et al.'s #pharmacokinetic - #pharmacodynamic model of #remimazolam begins to pave the way for its widespread use in #sedation and anaesthesia. #BJA #model #simulation

www.bjanaesthesia.org/article/S000...

Top climate priorities:

1. Electrify everything. Yes even that.
2. Stop burning anything for energy. Seriously.
3. Build and install as much solar PV and batteries as you have money for using the latest technology.

If we don’t do these 3 things as fast as possible our civilisation might be lost.

In adult patients undergoing tracheal intubation in real-world operating theatre settings, universal VL showed clear advantages over direct laryngoscopy.

This is the largest comparative analysis conducted to date!

#AnSky #AirwaySky #MedSky

doi.org/10.1111/anae...

Shocking stats in today's FT: "England faces driest year this century."

April rainfall more than 50% below average across most of the country…

Microbe that infests hospitals can digest medical-grade plastic ― a first The bacterium Pseudomonas aeruginosa produces an enzyme that breaks down biodegradable plastics.

www.nature.com/articles/d41...

Our rising seas. This is only going to get harder to ignore.

This NASA visualization was created by svs.gsfc.nasa.gov/5520/

The Extreme Weather Report, April 10, 2025: This is your weather on fossil fuels.
#extremeweather #weathersky #wx #news

Save $12 Trillion with Rapid Clean-Energy Transition It pays to move quickly to cut costly fossil fuel use

University of Oxford study found that a rapid green-energy transition to 100% renewables could result in a net $12 trillion savings just from reduced energy costs by 2050.

-- doesn't include reduced health care costs and other costs from carbon pollution

leahy.substack.com/p/save-12-tr...

Severe weather is affecting the Greek islands of Paros and Mykonos, turning roads into raging torrents.

Vehicle movement has been prohibited on both islands due to dangerous conditions.

Somehow we ended up between the apocalypse and having to go to work

Wait for it.
NASA animation.
It’s not coincidence, it’s climate change.

New study LA fires: “Conditions are up to 5°C warmer, 15% drier & 20% windier now compared to past. We ascribe the strengthened winds, higher temps & drier conditions to human-driven climate change. Natural climate variability likely played a minor role.” www.climameter.org/20250107-08-...

Very happy to have passed the Final SOE #FRCA! A nice early Christmas present 🥳

Excited to be at my first in-person anaesthetic conference! #DAS2024

The Philippines have now been hit by four typhoons in the span of just 10 days.

Can't say I recall ever seeing this before.

Could you expand on the transverse process end point? I was always taught to make contact, withdraw slightly and hydro dissect to lift the plane. But it seems you're implying this is incorrect?

Climate chaos is coming for us.

Some places face bigger risks than others, but no matter where we live, we're going to struggle to adapt to events unlike anything we've seen before.

I'm a climate futurist.

Let me level with you about what this means.

(Imported) 🧵

(Img: Old Marshall Jail Hotel)

The science of climate change and the effect of anaesthetic gas emissions The dedication of the international anaesthetic community to reducing the environmental impact of healthcare is important and to be celebrated. When this is underpinned by robust science, it has the ...

I think the impact of volatiles has been vastly overstated and TIVA is likely the more environmentally damaging. However more research is definitely needed! "[Volatile agents] climate impact is vanishingly small" associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/abs/10.1...

Cover from The Economist from two years ago "Say goodbye to 1.5°C; why climate policy is off target". It has a graphic of the Earth with an apple on its head, and a arrow shot through the Earth.

A gentle reminder that if we miss the 1.5°C target (and we certainly will), the next target is 1.51°C and not 2°C. We need to keep fighting.

Every tonne of CO₂ emitted makes the job of future CO₂ removal harder, and every 0.01°C of temperature increase makes the world more chaotic and dangerous.

Some benchmarks for the 2-year running mean for the global surface temperature anomaly.

First time passing:

0.25°C - Jan. 23, 1945
0.50°C - Sept. 25, 1980
0.75°C - June 23, 1998
1.00°C - July 11, 2015
1.25°C - Mar. 3, 2017
1.50°C - Nov. 4, 2024