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Nicholas Chrimes 🌀
Anaesthesiologist. Creator of . Project Lead for guidelines. Co-founder of Society. Coordinator of .
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Nicholas Chrimes 🌀 Jul 18
My point was that the analogy of ‘strangers coming into your house to watch TV’ isn’t that relatable. If that happened at my house I’d be calling the police, regardless of whether they introduced themselves. 😂 (not advocating this approach for med students in OT).
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Nicholas Chrimes 🌀 Jul 18
I wasn’t commenting on theatre conduct (though I think there’s a lot of other reasons beyond ‘lack of common decency’ that people new to theatre might not feel confident enough to introduce themselves) - & hence better strategies than indignation to address it.
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Nicholas Chrimes 🌀 Jul 18
Jim, why do you have so much bougie protruding from the tube? I find it makes the tip more difficult to control. I routinely use D-grip for RSI but only have enough bougie protruding to bridge gap bw lips & cords (~ 12cm).
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Nicholas Chrimes 🌀 Jul 18
Replying to @NHS
Also useful for teaching clinicians, the real-time reconstruction of the Elaine Bromiley case: 🌐 And the fictional alternate timeline ‘What If?’, illustrating the potential impact of a variety of human factors interventions. 🌐
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Nicholas Chrimes 🌀 retweeted
Martin Bromiley Jul 18
Thank you Kate. The team found themselves in a situation that the system never really helped them develop the skills for. Humility, insight around human factors and good nontechnical skills are the defences that can make the difference.
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Nicholas Chrimes 🌀 Jul 18
Replying to @NHS
Also useful for teaching clinicians, the real-time reconstruction of the Elaine Bromiley case: 🌐 And the fictional alternate timeline ‘What If?’, illustrating the potential impact of a variety of human factors interventions. 🌐
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Nicholas Chrimes 🌀 retweeted
metajournal Jul 17
Desflurane, LMAs and emergence times ⏱ – why do we still bother?
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Nicholas Chrimes 🌀 Jul 17
Replying to @KArandjelovic
I’m not sure this ‘strangers coming into your house & watching your TV’ analogy is really working.
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Nicholas Chrimes 🌀 Jul 17
Replying to @purplekimbo72
Great to have you back Kimmy!
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EZDrugID Jul 16
Metaraminol, granisetron, neostigmine, oxytocin. All known to have been found misplaced in anaesthetic trolleys. Medication errors waiting to happen. Patient harm waiting to occur.
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Nicholas Chrimes 🌀 Jul 16
I’ve always wondered this.
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Nicholas Chrimes 🌀 Jul 16
The whole process contributes nothing to safe opioid use. Due to spillage it would be rare that remaining = total - used, so if you did it properly by checking it wouldn't work. Invariably though it's done by *calculating* total - used wout *checking*, which achieves nothing.
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Nicholas Chrimes 🌀 Jul 15
Putting the oropharyngeal airway in properly is another nice tip 😉
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Nicholas Chrimes 🌀 retweeted
Stu Marshall Aug 14
This is the largest study I'm aware of - a retrospective analysis of drug name concussions before and after TallMan lettering introduction. 676,000 patients over 8 years and 42 children's hospitals. No difference. None.
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Nicholas Chrimes 🌀 Jul 13
He gets it. I wish I could be that concise.
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Nicholas Chrimes 🌀 retweeted
Principles for Universal Management of Airways Jul 13
Consistent principles that can be adhered to by all clinicians involved in airway management, independent of discipline or context, will facilitate communication, collaboration and improve patient care.
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Nicholas Chrimes 🌀 Jul 13
Don’t miss out on WAMM 2019, the world’s largest airway meeting. Abstract Submission Deadline is 26th July 2019 Early Bird Registration Deadline is 31st July 2019 🌐
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Nicholas Chrimes 🌀 Jul 8
Replying to @archiecurium
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Nicholas Chrimes 🌀 Jul 8
And yes, I know using sugammadex isn’t technically “waking” which is why the uses the term “withdrawal” to describe attempts to restore spontaneous respiration & maintenance of airway patency.
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Nicholas Chrimes 🌀 Jul 8
I don’t think is suggesting you *should* use reversal of NMBA to treat airway obstruction, just that even if you were dumb enough to think being unparalysed would reliably restore the airway, sugammadex means you *still* can’t justify test FMV.
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