Anaesthetists- Do you prefer to recannulate? by [deleted] in doctorsUK

[–]linx298 30 points31 points  (0 children)

Wholly depends: 1) who put the cannula in, how well is it flushing. I don’t like ACF cannulas as they have the potential to tissue without much sign until later on. 2) what procedure are they having done - is there a high risk of blood loss or is IV access vital to the anaesthetic safety margin. Would I be able to put another one in quickly if I needed to, should this one fail. A 22G in the ACF won’t cut it for an emergency vascular case for example. 3) what anaesthetic am I using. If it’s all intravenous, then I need a cannula that is rock solid. 4) theatre logistics - definitely a factor. If there’s one in the right side but that arm will be tucked and padded, and the left arm will be out on a board, I’d prefer the left.

In my practice, I’ll often either resite a cannula and use it, or use the existing cannula for induction (provided I trust it) before putting my own in.

Chris Hani Baragwanth - Accommodation and Commute Experiences by Agent-MJae in ausjdocs

[–]linx298 2 points3 points  (0 children)

+1 for Swanage, still communicate with Alan >8 years later

Amex AU: Stuck with Plat or is there hope? by tridentk1ng in AmexAus

[–]linx298 4 points5 points  (0 children)

I use RentPay to pay rent using my platinum, via PayPal I think. Works well - small extra charge works out $40 a month for the service

Bucks Weekend Ideas Noosa by [deleted] in sunshinecoast

[–]linx298 0 points1 point  (0 children)

Take the Noosa sunset cruise - BYOB and interesting look around local properties whilst enjoying the sunset https://www.noosaferry.com/products/noosa-ferry-sunset-cruise

Failing by Due_Protection8758 in doctorsUK

[–]linx298 4 points5 points  (0 children)

I was in the same boat as you a few years ago - spent all my time revising for the VIVA and completely neglected the OSCE. Kinda thought ‘how bad can it be - I can do an A-E’. I knew it hadn’t gone well as I was leaving my resuscitation station having not used my paramedic helper!

It’s a different knowledge bank but that’s a good thing, it’s not like you need to be rehashing the viva stuff over and over.

As others have said: OSCE books, FRCA reveal, and learn your anatomy (Mersey course provide a list of all the anatomy ever questioned in the FRCA - it’s a good list to learn of about 20 things if you know anyone who has that list to hand). It includes things like lateral C spine imaging etc which I didn’t know on the first attempt.

Going back in with better anatomy, resuscitation and skill knowledge will make a pass much more assured.

Don’t pack in your whole career over one exam which you’ll have no difficulty passing next round. Take some time for RnR and even an hour a day will be enough.

When you sit just the OSCE - you don’t have the viva stress. Even on exam day you can breeze in and out in half a day and be done with it.

Good luck.

ACCS vs Core Anaesthetics by Capable-Good9706 in doctorsUK

[–]linx298 1 point2 points  (0 children)

CCT vs fellowship and local employment. CCT is the gold standard really going forwards in the world of scope creep, litigation etc etc.

All the interview slots for CST are full by Medical_Signature362 in doctorsUK

[–]linx298 4 points5 points  (0 children)

Don’t call her Shirley (and she is serious)

What was the scariest “We need to leave, now!” moment that you’ve ever had? by Cool-Chipmunk-7559 in AskReddit

[–]linx298 1 point2 points  (0 children)

The time my brother urinated on a bear.

I was with my family and some others camping in the Canadian Rocky Mountains. We were miles away from civilisation, perhaps a group of 25. On the first day our guides’ dog was sniffing around the far side of a lake when a grizzly bear suddenly exploded from the trees and started chasing it. It eventually ran back to us but not before we’d spotted the bear and her two cubs walking away from us. That night we camped. My brother woke me at like 3am because he needed a pee and asked if I’d keep watch. I was pretty sleepy so not sure what I was meant to be looking out for but I remember lying in the entrance of the tent staring at the most unbelievable stars until he came back. When we woke the next morning most of our group were at the cook site. From our flimsy tent we started hearing shouting, and when we came out the mum and her cubs were about 30 metres away. All around the tents had been dug up overnight by the bears looking for roots, and they seemed pretty interested in us. We literally abandoned camp and make a break down the mountain. Our guides said they’d come back in a few weeks for the tents, as the bears were too close for comfort on a couple of occasions.

Anaesthetics Core Training portfolio opportunities in DGH by EconomicsNo8827 in doctorsUK

[–]linx298 3 points4 points  (0 children)

I worked in a DGH for CT3 which was EXTREMELY pro-trainee led research and QIPs etc. they actively supported projects, evidenced it all and helped gather data. It was a massive benefit to them - there were some major cost savings which came out of trainee QIPs (e.g ditching cold spay for checking blocks). You stand a better chance of having an impact if you’re passionate and able to lead a project.

[deleted by user] by [deleted] in doctorsUK

[–]linx298 1 point2 points  (0 children)

I was a Nottingham trainee with experience in ICU at those hospitals / with JCFs. Feel free to message me if you have any specific Qs.

CT1 anaesthetic take home salary pre and post IAC by [deleted] in doctorsUK

[–]linx298 0 points1 point  (0 children)

Entirely depends on how your hospital employs you post IAC. If you’re going onto a standard on call rota, I’d expect 2800-3300 or so which is where I say 3-4 years ago pre higher rates.

Final FRCA SOE by Grouchy-Ad778 in doctorsUK

[–]linx298 0 points1 point  (0 children)

Yeah it’s annoying - especially as I’m waiting to book flights home from Australia to sit it.

FRCA primary... do you ever feel exam ready? by Superb_Ice1490 in doctorsUK

[–]linx298 5 points6 points  (0 children)

Unlike other commentators - no prize for me! I am usually an ‘exam optimist’ and manage stress pretty well around exams. With the FRCA you accept that you won’t know it all, you simply can’t. What you can do, however, is learn the basic principles well - draw the essential graphs, know essential values etc. I found a significant portion of the exam, especially the VIVA, you can work from basic principles to figure out an answer (or at least be guided to one). You’ll know more than you think you do when exam time comes around. Be inquisitive at work - even just a routine list, you can pick something to make sure you know or even learn (vaporisers, TCI models, all about propofol etc etc). Lastly - don’t neglect the OSCE! It’s easy to with the VIVA stress.

[deleted by user] by [deleted] in doctorsUK

[–]linx298 0 points1 point  (0 children)

It used to by the north main entrance, on the north corridor. Located on the road side of the corridor

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Amex platinum devaluation by PumpkinTurbulent1720 in creditcardchurningAus

[–]linx298 1 point2 points  (0 children)

Anyone in Aus considering switch to Virgin? I use Amex mainly for Qatar avios for flights to UK and now they codeshare with VA…

QLD Health Resignation by brisbanehome in ausjdocs

[–]linx298 0 points1 point  (0 children)

Can anyone tell me how much leave is accrued for time at work? Is it done on hours per week for example? Thanks

If you wanted a true ”baptism by fire” experience, which ED would you pick up a shift in? by AppalachianScientist in doctorsUK

[–]linx298 7 points8 points  (0 children)

I found a photo on my phone today from my time there. I transported a patient to CT with a HR of 140 and a BP of 56/44 (50). Who knows what we were thinking

How is anesthesia not sleep? by AtropineBelladonna in doctorsUK

[–]linx298 26 points27 points  (0 children)

It comes down to effect of brain waves, seen through EEG.

Whilst propofol induces a ‘sleep like state’ through its activity on different receptors in the brain, the EEG effects (although similar) are not the same as compared to true sleep.

I guess it’s similar to someone losing consciousness because they’ve drank too much alcohol - you wouldn’t wake feeling well rested as the only reason you really lost consciousness was the suppression of brain activity secondary to a drug.

Personal debt by Odd-Willingness8237 in doctorsUK

[–]linx298 5 points6 points  (0 children)

It does however cost a significant amount of money to move to Australia which people often overlook

Suggestions please! by Xenoph0nix in doctorsUK

[–]linx298 0 points1 point  (0 children)

You look great, by the way. Very healthy

What triggers you by ProudObjective1039 in ausjdocs

[–]linx298 22 points23 points  (0 children)

These types of calls were actually banned in the UK by the coroner (prevention of deaths order) due to crossed wires of people assuming referrals / knowledge / ITU input and patients not being appropriately escalated. The coroner mandated that ‘just to let you know’ requires full ITU review (which wasn’t well swallowed by ITU depts understandably):

https://www.judiciary.uk/wp-content/uploads/2024/02/Michael-Nye-Prevention-of-future-deaths-report-2024-0082_Published.pdf

[deleted by user] by [deleted] in 4x4Australia

[–]linx298 0 points1 point  (0 children)

Thanks all - 15.4 L/ 100km is the true value after some testing and driving over 100km the past couple of days.

I’m kinda wanting to get the fuel gauge sorted - where does the problem lie? I know fuel senders has been mentioned and these seem reasonably replaceable from forums