Another ex-medical student. Life long learner and perpetual traveller. Gas board and retrieval. Current Careflight / Sydney HEMS registrar and RFDS alumni.
@EmergMedDr I think we need to stratify patients. I don’t think anyone is suggesting that a patient with any capability for awareness should have an NMB only intubation. However there are scenarios where this may be appropriate; CPR in progress with some residual muscle tone for example.
@jjibber717@cliffreid I disagree. The basic tenants of Anaesthetic practice work well for intubation in theatres. The environment outside theatres is unfamiliar to anaesthetists and is generally suboptimal in terms of equipment, access and assistance. Patients are also sicker.
@VirtueOfNothing A question we have been pondering in our airway audit. Is there are role for NMB only intubation and if not (which is the general consensus), what is the drug of choice for ‘induction’?
@RobertJenrick@MailOnline That’s quite a statement. I’m sure you have ample, un-biased evidence to back up that statement. Perhaps you could share it with us so we can decide whether you are expressing a cheap dog-whistle opinion or verified fact?
@_JaceMullen We are fortunate most of the remote sites we get to have iSTAT POC gear. We can carry EPOC but rarely do knowing iSTAT is fairly ubiquitous. Knowing the PaCO2 relative to ETCO2 is probably the most useful thing, especially in intubated head injury.
@beckimarshRA Helsinki had one bank of e-gates with separate queues for EU and non-EU passports. They just moved the tensa-barriers depending on how many people were in each queue. Though the non-EU queue was definitely maintained longer!
@RestIsPolitics@RoryStewartUK@campbellclaret Both of the above positions may be true. However reform of the NHS in some guise is inevitable. Thousands of NHS staff have left the health service so I’m interested in how he would address this and potentially entice us back. Reform isn’t a bad thing.
@RestIsPolitics@RoryStewartUK@campbellclaret Rory talks a lot about the NHS needing fundamental, difficult reform. As a British doctor who left the NHS due to the intolerable conditions, how would he make it better for patients, staff and the government?