Paul

NI North Coast Anaesthesia/ICM

[Paul @PaulDaGasman]

@MariaFlynn1234 @deirdreheenan 5 Trusts, 6 inc NIAS, your point stands 👍

[Paul @PaulDaGasman]

@lucey_mark @PulmCrit @BenjaminBier That rationale is why it is/was used but not supported by any evidence. Albumin in bottle does not = patients own albumin

[Paul @PaulDaGasman]

@MichaelRosenYes Covid tried pretty hard to kill you first time round Michael, pretty straightforward you taking sensible steps to avoid giving it another go 👍 Hope you are keeping well 🤗

[Paul @PaulDaGasman]

@roryisconfused Snackcident 👍

[Eddie Burfi @EddieBurfi]

Dr Chris van Tulleken:
“We’ve not all got greedier & lazier over the last 30 years. Instead there has been a total failure to regulate the food companies who shape our food environment.”

#BBCLauraK: “Is it really for gov…to tell what companies can put in [food]?”

Dr C: “Argh!”

[Dr Alexander Davey @sandydoc79]

Causeway coast is an amazing place to be. The Causeway Anaesthesia Theatre & Critical Care Service has passionate & committed team with enormous potential. If you are a generalist looking for a rewarding role have a look

Consultant Anaesthetist (2 posts) https://t.co/gypOEs7kdx

[Paul @PaulDaGasman]

@CromwellStuff Smartphones - mostly not visible with naked eye plus social media to spread the word and technique to view

[Paul @PaulDaGasman]

@amit_pawa @jeffgadsden With basic needling skills & Jeff’s video not much teaching required 😉

[Paul @PaulDaGasman]

@jeffgadsden @Duke_Anesthesia @amit_pawa @GongGasGirl @EMARIANOMD @EM_RESUS @diazolam @OrlandoRPN @DrSleep88 @fuzzymittens @Assoc_Anaes @ASRA_Society @ESRA_Society @doctorwibble @Wilkinsonjonny @MariaaYasminee @RCoANews @saraamaralMD @morefluids @Sedolor @RAPMOnline @dr_ibuprofeno @zedunow @RegionalAnaesUK @AmyPearsonMD @mswami001 @curromir @emilysharpe @KalagaraHari @bobfunn @Steve_Coppens @claralexlobo @educanestesia @IARS_Journals @dr_rajgupta @Nadia_Hdz_MD @anesthesiadocmd @NarouzeMD @nelkassabany @ajrmacfarlane @OBsleepmerchant @IainMoppett @rosie_hogg @antonchau1 @drjohnpatton @Ropivacaine @jon_bailey_anes @MKwesiKwofie @mariapsebastian @LasraAnestesia In the DGH this is my go to for lap converted to open cholecystectomy or primary open choles, as you say, easy, superficial, away from field and easy the feed a catheter - we run int mand bolus pumps as with other fascial plane catheters 👍👍

[Paul @PaulDaGasman]

@Chronotrope @SIVATrainees I have that book and loved it! 🥰 Different cover though. Much preferred to ‘West’ as junior trainee (apols if deemed heretical 😬)

[Paul @PaulDaGasman]

@rosieICM If you don’t laugh you’d cry! 😭

[Paul @PaulDaGasman]

@DrLKVaughan But the conversion rate is 50-70% - that seems crazy, how come? Would guess similar % for pts going through resus in an nhs ed but way less for general attenders, even if excluding those considered ‘innapropriate’ by some. Why the big difference?

[Paul @PaulDaGasman]

@johncampbell01 Not going but a bit jealous, enjoy lads! 🥳 It’s all very serious science stuff…

[Paul @PaulDaGasman]

@emily_fri Yeah, i mostly do it expecting it to cofirm my plan for negative or neutral target balance, not to give fluid, hypovolaemia usually obvious (to experienced clinician) but NOT doing something is harder than doing something (ie give fluid) when confronted with a sick patient

[Paul @PaulDaGasman]

@doctimcook @DrNeilStone Solid thoughts as usual Tim 👍 🫡

[Paul @PaulDaGasman]

@DrJSherrington I’m team shirt (ss, no tie) & trousers where possible. In Anaesthesia often scrubs only option. I’m sympathetic to team scrubs, but they must be available, match and be in serviceable condition, main reason why i bought my own . Also don’t steal from other areas 🙏🙏

[Paul @PaulDaGasman]

@ToryWipeout @chrischirp Might be funny if it wasn’t so fucking tragic, real and of devastating impact for a generation 🤮

[Paul @PaulDaGasman]

@gasbagheera @critconcepts Yup 👍 We’ve just taken custody of a x-vant stimpod for this indication. Why not ensure you wait long enough but not longer than necesary when tech is available. Also helpful for next steps of intra-interhospital transfer

[Paul @PaulDaGasman]

@StephenNolan Auch bollocks! Doug gave me a bit of hope for this place 😤 Fairly liberal & pragmatic unionist but with enough conservative credibilty to keep some from that side on board - Need to maintain an option between Alliance & the DUP or chaos reigns, with or without a ‘New Ireland’

[Paul @PaulDaGasman]

@pritanand @Wilkinsonjonny How come? If using mg i’m almost always giving some ket(0.5/kg + 10-20mg top-ups for long case) as well. I know both have nmda antagonism but clinical effects quite different.