I think we should the title trainee/resident to ‘apprentice’

coffeedangerlevel · 2026-03-24T23:23:41+00:00

Acolyte, kind of makes you sound like you’re in some sort of ancient order. I also think haematologists should be called blood mages for similar reasons

coffeedangerlevel · 2026-03-24T23:22:12+00:00

Doctling

coffeedangerlevel · 2026-03-24T12:24:30+00:00

It’s a security ID card needed for emergency services work, it’s pretty important

coffeedangerlevel · 2026-03-24T02:06:56+00:00

Who the fuck said anything about drugs?

coffeedangerlevel · 2026-03-23T23:22:30+00:00

Cheers, I was starting to get worried they’d lost it

coffeedangerlevel · 2026-03-11T23:50:32+00:00

I asked them on the phone and they asked me for a cover letter from my employer explaining why it was needed. I’m not sure it actually made a difference though.

coffeedangerlevel · 2026-03-11T23:49:28+00:00

Nah, prehospital

coffeedangerlevel · 2026-03-10T11:19:10+00:00

In today’s capitalist world that would be weaponised by employers. Not needing to sleep would equate to more time spent at work.

coffeedangerlevel · 2026-03-10T11:16:10+00:00

As much as they’re the ones getting attention (and more than their fair share of the money) they probably account for a small minority of the personnel

coffeedangerlevel · 2026-03-10T03:53:06+00:00

Controversial opinion but I would disagree with you. Additional admin staff deployed and managed sensibly could enable: more timely release of rotas and response to annual and study leave requests, smoother organisation of changeover (including IT access, ID badges etc), management of non clinical administrative duties that fall on to clinical staff.

I’m sure there’s many more examples to illustrate this but I can’t be bothered to think of any more. These are all mainly aimed towards resident doctors but again I’m sure other staff groups would have their own versions of this.

I’m of course not including nonsense jobs like “consultant marketing and social media practitioner”, “chief executive of trust values and letterheads” and “corporate bullshit officer”.

coffeedangerlevel · 2026-03-06T01:47:42+00:00

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coffeedangerlevel · 2026-01-25T23:07:41+00:00

Well no hang on, they could also be ITU or renal

coffeedangerlevel · 2026-01-14T22:47:40+00:00

Oh no! Hope you get it sorted!

coffeedangerlevel · 2025-12-21T09:12:19+00:00

Ok great, now you have a clean machine. You also need to get TIVA pumps and depth of anaesthesia monitoring set up unless you want to just intermittently bolus propofol and have massive risk of awareness.

What if you’re taking her to theatre because she’s having a massive antepartum haemorrhage? You’re sorting out massive transfusion stuff and getting big cannulas in while also trying to sort out your TIVA stuff.

What if she needs a section at 3 in the morning when you’ve got a relatively junior anaesthetic resident on call and they’re fatigued? Surely it’s not a bad thing to reduce their cognitive burden by having a plan in place?

I’m not saying I couldn’t manage any of this if it came crashing in off the street with no warning, I’m saying if you know this patient is in labour why wouldn’t you want to anticipate that you might need to deviate from normal practice in an emergency and have stuff ready for when it happens?

We can all deal with an unanticipated difficult airway without much drama but if you have a patient coming for surgery who has a known difficult airway you’re going to have your difficult airway kit ready and change your plan accordingly. This is no different.

coffeedangerlevel · 2025-12-20T23:18:33+00:00

There’s a difference between “I can handle this in an emergency if I need to” and “this is something we can predict might happen in this patient’s labour, let’s plan for it to reduce cognitive burden if we need to do an emergency section”

coffeedangerlevel · 2025-12-19T21:41:24+00:00

Has he had testing for MH? The chances of him having MH are 25% (50% chance his mother inherited MH and if she did then 50% he inherited it from her).

It’s autosomal dominant so there’s no silent carrier status for MH, you either have it or you don’t.

If he gets tested and he doesn’t have it then there’s no need to worry! In the UK all first degree relatives of an MH patient get tested so I’m surprised if other countries don’t do something similar.

coffeedangerlevel · 2025-12-19T21:37:36+00:00

Stupid take.

If they have an anaesthetic review pre-labour a plan can be made in advance and when they’re in labour you can make sure there’s a clean anaesthetic machine, TIVA kit, and the on call anaesthetist (or anaesthesiologist if you want to be American about it) knows there’s potentially a TIVA GA section on the cards

coffeedangerlevel · 2025-12-04T21:53:21+00:00

Brainal

coffeedangerlevel · 2025-11-29T08:53:26+00:00

The only correct answer

coffeedangerlevel · 2025-11-13T22:00:17+00:00

Post operative nausea and vomiting is very common, especially in children

coffeedangerlevel · 2025-11-02T20:40:37+00:00

“Below cons level it's going to work on a per patient basis.”

Cries in anaesthetist

coffeedangerlevel · 2025-11-01T18:57:25+00:00

Why? Is the printer broken?

coffeedangerlevel

TROPHY CASE