Alex Jones

Passing gas in Bristol

[Alex Jones @AlexanderLJones]

I’m now over at the other place. You know, the one with the bluer skies:

@anapplesaday.bsky.social

[Alex Jones @AlexanderLJones]

The time is right for “single/double summer time” #sdst after tonight, we will not see the sun past 5pm until February 2025

[Jeff Gadsden @jeffgadsden]

@Duke_Anesthesia @amit_pawa @GongGasGirl @ashwani_doc @fuzzymittens @EMARIANOMD @EM_RESUS @OrlandoRPN @ASRA_Society @ESRA_Society @ESRA_trainees @JTraumAcuteSurg @Assoc_Anaes @AoraIndia @tsmurali @Wilkinsonjonny @Nadia_Hdz_MD @anesthesiadocmd @RCoANews @Ron_George @dr_ibuprofeno @diazolam @DrSleep88 @morefluids @RegionalAnaesUK @mswami001 @drp297 @PedsAnesNet @CASUpdate @curromir @Paul_Wischmeyer @paulhting @NarouzeMD @emilysharpe @James_Kim_MD @ajrmacfarlane @AlanaFlex @nelkassabany @bobfunn @OBsleepmerchant @ruthi_landau @TomJelic @DrNavSidhu @snouzin @mick_kerr @L_D_White @acopand @noolslucas @UCSFAnesthesia @DeepaKattail you reminded me that our surgeons have adopted the term “TAP block” for ANY abdo block. They’ll say, “hey can you do a TAP block at the end?” which REALLY means “please use your expertise to choose the most appropriate fascial plane block for this patient” 😂🤷‍♂️

[Jeff Gadsden @jeffgadsden]

@Duke_Anesthesia @amit_pawa @EMARIANOMD @EM_RESUS @fuzzymittens @Aidan_Baron @Assoc_Anaes @ASRA_Society @ESRA_Society @Paul_Wischmeyer Let’s talk about the costoclavicular approach to the brachial plexus. It’s been proposed as a convenient place to capture the plexus because it’s all on one side of the artery just distal to the clavicle. Like a bunch of of grapes. #Blocktober24 @GongGasGirl @maffygirl @bobfunn

[Alex Jones @AlexanderLJones]

@jeffgadsden @Duke_Anesthesia @amit_pawa @GongGasGirl @EMARIANOMD @ASRA_Society @ESRA_Society @AoraIndia @tsmurali @diazolam @DrSleep88 @OrlandoRPN @sassistheword @Assoc_Anaes @Paul_Wischmeyer @zedunow @Wilkinsonjonny @MariaaYasminee @Ron_George @morefluids @bobfunn @Nadia_Hdz_MD @anesthesiadocmd @Sedolor @RegionalAnaesUK @ajrmacfarlane @diegoslsampaio @AmyPearsonMD @HouthoffKavita @Steve_Coppens @claralexlobo @mswami001 @drp297 @KiJinnChin @PedsAnesNet @emilysharpe @dr_melissabyrne @Jennythatcanbl1 @acopand @jon_bailey_anes @MadanNarayanan @dr_rajgupta @drchadb @ruthi_landau @James_Kim_MD @paulhting @educanestesia @NarouzeMD @sally_ghazali @HighamMatt

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

How empty are patients' stomachs prior to surgery?

Elective vs emergency surgery
• 61% vs 56% had an empty stomach
• 28% vs 29% had fluid
• 9% vs 14% had solid/mixed gastric content

@ganter2ganter #POCUS #GastricUltrasound

https://t.co/QgtUEVrI81

[Alex Jones @AlexanderLJones]

Come and be part of this fantastic dept in brilliant Bristol!

https://t.co/X4IsRqJlrc

[Alex Jones @AlexanderLJones]

https://t.co/StsWZ2rHlt

[Test Match Special @bbctms]

“It’s as if you’re not there, as if you’re hovering outside your body and playing on autopilot. It probably only happens four or five times in your career.”

The record-breaker on ‘batting nirvana’.

#bbccricket

[Shoaib Alam @ShoaibAlamKhat2]

A telehealth pharmacist-partnered opioid tapering service before hip/knee surgery led to 90% of patients reducing opioid use by 50%+💻💊
Feasible and effective—more research needed!
#Telehealth #Opioids #Surgery #Pharmacy #PainManagement #Arthroplasty
https://t.co/MR6xECaNwi

[Alex Jones @AlexanderLJones]

@goldstone_tony @elcarthy Tony, thanks for the great videos! I'd love an explainer for those of us who have taken a bit more of a long-winded route to consultancy & have contributions in the 2008 section? For e.g. Who or what is McCloud?! If useful, scheme info attached & am 37 yo & 1 year into cons job

[Alex Jones @AlexanderLJones]

#Paris2024 #openingceremony

[Alex Jones @AlexanderLJones]

Coming to an #frca exam near you soon. Carbon monoxide rebreathing to measure haemoglobin mass https://t.co/4hHdpFSoGu #tourdefrance
#anaesthesia #pog #Vingegaard @CentralTrench @kajbo @kieranoglesby

[Lewis Goodall @lewis_goodall]

Rachel Reeves: "The cost to the taxpayer of Covid fraud is estimated at £7.2bn. Every cheque signed by Rishi Sunak...We'll appoint a Covid corruption commissioner, a hit squad of investigators...to take the fraudsters to court...We want that money back."

[Alex Jones @AlexanderLJones]

I would also like to remind you that Boris Johnson was the PM that introduced voter ID in 2022. In May 2024 he was turned away from a polling station for not bringing…voter ID. Another example of Tory incompetence and arrogance

[Alex Jones @AlexanderLJones]

I would like to remind you of the untold damage inflicted to the UK by Liz Truss & Kwasi Kwarteng. Incompetence & arrogance . They have set back this waning country by decades. When we ask why labour do not have ambitious policies, look at them. hands are tied by their legacy.

[Jeff Gadsden @jeffgadsden]

Sooooo....we're now doing gastric POCUS for ALL GLP-1 agonist pts. And the results are...not pretty. It changes our mgmt frequently. Rather than rely on an arbitrary fasting time, a bedside test has been key. If you're new to this, check out this vid 👇

https://t.co/ZAbr7akqwj

[Alex Jones @AlexanderLJones]

@bhanders @cliffreid @SydneyHEMS @MedSTAR_SA And I worry about the ergonomics of the NIV. If vent starts alarming you are then looking at/fiddlling with the vent and not looking at patient and not managing their airway - which is likely the root cause of the problem. (E.g. airway is not patent or there’s a big leak etc)

[Alex Jones @AlexanderLJones]

@bhanders @cliffreid @SydneyHEMS @MedSTAR_SA I’d prefer to manually bag with a mapleson C/waters when apnoeic. Plus can support spont ventilation with pos pressure pre drug delivery if needed. Gives tactile feedback about leak and patency of airway when you are delivering pos pressure through bag.