Dr in ICU & anaesthesia. News column contributor. Checklist card concept creator. Ex-A&E & Outback flying doctor.Keen traveller, reader & kitesurfer.

United Kingdom
Joined April 2018
The Global Anaesthetic Safety (GAS) card has received great feedback in many African nations, distributed by @SAFE_courses and @wfsawca. We’ll soon distribute sample cards to anaesthesia societies and keen providers in LMIC. Pls DM me or @mack_kalengajr if interested. 🌍 🇬🇧🇫🇷
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Now’s the time to order airway checklist cards for your August starters’ lanyards. Adult cards (@dasairway @ICS_updates @FICM @RCoANews endorsed) - 38p Paediatric cards with drug and equipment dosing aids - 65p Make your safety checklists unforgettable. 🧠 #patientsafety
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Hi John, here we go. 👍
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The checklist cards usually hang on the lanyard so they can’t be forgotten, and are carried by a whole team. But, some hospitals hang a single card on the emergency grab bag or pager. One card costing under £1, but one big impact. #patientsafety @dasairway @ICS_updates
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The food shelves in our huge #NHS tertiary hospital. Been like this for 3 days. This is the only food outlet, since the main hospital canteen was permanently shut in favour of this @WHSmith /M&S portal. Pls sort NHS food&drink provision @wesstreeting
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Does NAP 7 show we’ve lost our way with human factors? A short piece I wrote for @Assoc_Anaes on #humanfactors - missed opportunities around debriefing, CRM and simulation, and the thorny issue of transposing aviation standards to our practice. #patientsafety
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“Hmm well checklists are great when you’re starting out, but when you’re experienced they’re not really necessary or helpful” 🥸
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Recently we had a reminder of the QRH at our audit day - we all agreed they were great but weren’t always utilised. Then last week we had a hypoxic patient - we took the logical steps then ran through the hypoxia page. Great to be reassured we’d not overlooked anything. 👍 4/
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A few thoughts on the #QRH handbook & checklists. 3 yrs ago I gave a Gen Anaesthetic for an emergency C-section. I was alone, it was 3am, and it was mid-Covid. The young woman ventilated well at first, then didn’t. Tiny volumes, quiet chest. I took as read the normal ET CO2 🫁1/
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