PM urged to end 'damaging' contract stand-off

The leaders of 13 royal colleges have urged prime minister David Cameron to end the ‘damaging’ junior doctors contract stand-off. The 'eleventh hour' call comes in a letter signed by the clinical leaders which says health secretary Jeremy Hunt’s refusal to return to negotiations, and the resulting impasse, ‘poses a significant threat to our whole healthcare system’. Junior doctors will set up pickets across the country on Tuesday, 26 April and Wednesday, 27 April — the fifth round of industrial action. Last week, the BMA offered to call off the strike if Mr Hunt lifted imposition of the contract, but the health secretary refused. The letter, addressed to Mr Cameron at 10 Downing Street, says: ‘You have spoken many times about your commitment to the NHS. 'In our view, as leaders of the medical profession, the ongoing impasse in the dispute between Government and junior doctors poses a significant threat to our whole healthcare system by demoralising a group of staff on whom the future of the NHS depends. ‘At this eleventh hour, we call upon you to intervene, bring both parties back to the negotiating table, end this damaging stand-off, and initiate an honest debate about the serious difficulties facing UK health services.’   Signatories The letter is signed by: Neena Modi, president of the Royal College of Paediatrics and Child Health Liam Brennan, president of the Royal College of Anaesthetists Derek Bell...
Source: BMA News - Category: UK Health Source Type: news

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Wasting another holiday away from family and friends in the call room, I thought of the adam Sandler movie click. Essentially he gets a remote control that lets him fast forward parts of life. If you had such a remote, would you just fast forward your call shifts and move life along?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Conclusion: In the acutely ill patients with DFNFs, “damage control” fixation with CRPP can be safely performed in lieu of HA to stabilize the fracture in those unable to tolerate anesthesia or the sequelae of major surgery. Patients should be followed closely to evaluate the need for secondary surgery. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of Levels of Evidence.
Source: Journal of Orthopaedic Trauma - Category: Orthopaedics Tags: Original Article Source Type: research
An obese patient goes under anesthesia for knee arthroscopy. What led to his fatal complication?The Doctors Company
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news
Veterinary practices should consider designing and equipping a dedicated space to provide companion animal dental and oral surgical care. A single or multi-table dental suite design will allow organized and efficient delivery of dental care. Each workstation should be equipped with a procedural table that will allow for drainage, shadow-free procedural lighting, an anesthetic machine with monitoring, thermal support, anesthetic scavenger system, dental radiographic equipment, and an air-driven dental delivery system. Lift tables, dental-specific seating, swivel handpieces, and headlamp/surgical loupe lighting should also b...
Source: Veterinary Clinics of North America: Small Animal Practice - Category: Veterinary Research Authors: Source Type: research
We report on the realignment of the anesthesia seminar in an online flipped classroom and the development towards a hybrid model. As such, an adequate transfer of knowledge could take place under difficult conditions and at the same time the teaching concept could be further developed.PMID:34820816 | DOI:10.1055/a-1543-2913
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - Category: Intensive Care Authors: Source Type: research
This article shows how to interpret the raw EEG, spectrograms and processed indices for different age groups and anaesthetics and summarizes the resulting clinical benefits. While propofol and volatile anesthetics produce characteristic frontal EEG signatures with a high activity of coherent α- and δ-waves, ketamine triggers an increase in rapid γ-waves, which leads to incorrectly high indices (BIS, PSI, NI) despite deep anaesthetic levels.In children, frontal α-waves do not appear until the age of approx. 6 months and valid indices (BIS, PSI, NI) can only be derived starting at an age of approx. 12...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - Category: Intensive Care Authors: Source Type: research
J Perianesth Nurs. 2021 Nov 21:S1089-9472(21)00083-6. doi: 10.1016/j.jopan.2021.04.008. Online ahead of print.ABSTRACTPURPOSE: To examine the key factors impacting surgical team performance in a military medical center.DESIGN: A retrospective, exploratory, cross-sectional design.METHODS: We reviewed 751 orthopedic surgical cases to determine the association of surgical team familiarity, surgical complexity, team size, and the presence of student registered nurse anesthetists (SRNAs) with the surgical performance measures of total operative time, turnover time, and on-time surgical start.FINDINGS: We found increases in surg...
Source: Journal of Perianesthesia Nursing - Category: Nursing Authors: Source Type: research
Hoping for some honest advice here: For reasons I won't get into, my employer is asking me to perform upcoming phaco cases under "nurse anesthesia" while we look into replacing our CRNA. Employer also owns the ASC and a few of us operate there. I have serious hesitations about letting the nurses administer fentanyl without a CRNA present. Versed, fine. Propofol, obviously not. Am I crazy to put my foot down on this? I'm not comfortable with recussitation and my patients are often elderly... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums
Conclusion: Dexmedetomidine was slightly better drug for post Bronchoscopy cough scoring whereas propofol is preferred anesthetic agent by the patient. Low dose Propofol and Dexmedetomidine both seems to be safe and effective when given as premedication during flexible Bronchoscopy.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional pulmonology Source Type: research
Conclusion: EI appears to be an attactive option for TSTB patients. We postulate that EI might produce more sustainable benefits in those with pure short membranous concentric stenosis without adverse airway features. Future studies are needed to define the exact role of EI for TSTB patients.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional pulmonology Source Type: research
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