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      • What do anaesthetists do?
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      • Medical school anaesthesia societies
      • Career resources
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      • 2021 Anaesthetics curriculum
      • Stage 1
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      • Stage 3
      • Supporting resources
      • Flexibility in training
      • Supervising and assessing
      • Portfolio Pathway
    • Working in anaesthesia
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      • Industrial action advice and FAQs
      • AACs and JD approvals
      • BJA Education online
      • Anaesthesia Associates
      • Revalidation
      • SAS and Specialty Doctors
      • Workforce planning
      • Simulation
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      • CPD accreditation of courses and events
      • Change of School form
      • Curriculum change form
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      • National Emergency Laparotomy Audit (NELA)
      • eFONAr: Emergency Front of Neck Airway Registry
      • Perioperative Quality Improvement Programme (PQIP)
      • Sprint National Anaesthesia Projects (SNAPs)
      • Children's Acute Surgical Abdomen Programme (CASAP)
      • Timeliness to Emergency Laparotomy
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      • Flash card team training
      • Patient safety strategy
      • Safe Anaesthesia Liaison Group
      • Sustained Exhaled CO2
      • Unrecognised oesophageal intubation
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      • Invited Reviews
      • Networks
      • Prehabilitation
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      • The Quality Improvement Working Group and Vacancies
      • Quality Improvement Strategy
      • Raising the standards: QI Compendium
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      • Quality Improvement Newsletter
      • QI and BJA Open
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      • Trustees’ Fiduciary and Environmental, Social & Governance Investment Statement
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      • Perioperative care
      • A new home for the College
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      • Working in Low and Middle Income Countries
      • International Academy of Colleges of Anaesthesiologists
      • Global Fellowship Scheme
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      • Contact the venue hire team
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Schwartz Round in action: my experience

After a a recent incident whilst on call Drs El-Badawi and Aslam write about the opportunity to help develop a wellbeing service within their anaesthetic department.

In recent years, ‘mental health awareness’ and ‘wellbeing’ have been hot topics in almost all facets of life. It goes without saying that I was pleased to see this ethos entering into the mainstream. However, a recent incident while on call left me questioning whether this ethos had translated into my workplace.

In the early hours of an August morning, a cardiac arrest call came through on my bleep. I arrived to find chest compressions being performed on an 11-week-old baby. I was immediately filled with dread, anxiety, and confusion. As with many district general hospitals with limited paediatric service, the vast majority of sick children are diverted elsewhere, so I was not expecting to see a child. I remember feeling totally out of my depth. It had been a while since I’d dealt with paediatric patients, and I’d certainly never participated in a real paediatric arrest. 

Once the immediate shock subsided, I assumed the default position and took over the airway. It was at that point that I could see and feel the baby up close. I’d seen this colour in a child before, and knew this wasn’t going to end well. As I held that baby’s face, ventilating him, I became conscious of my racing thoughts: ‘Am I doing this right?’… ‘I think I’m going to cry’… ‘No one else is crying, get a grip’… ’Thank goodness the registrar is here’… ’This baby is not going to make it’…

Three dogs, a cat and a plan!

Pauline Elliott, Chair of PatientsVoices@RCoA looks at how our five-year commitment recognises the vital role of patient and public involvement in ensuring it meets its ambitious aims.

I doubt there are many Bulletin readers who are old enough to remember the 1963 Disney film ‘The Incredible Journey’. Luath – a golden labrador, Bodger – an aging bull terrier, and Tao – a Siamese cat make a perilous journey across the Canadian wilderness to get to their home 300 miles away. As a little girl I sat in the Ritz Cinema with tears flowing because it seemed inevitable that Bodger had died in the final few miles of the journey. Of course he hadn’t. He trotted over the horizon to an ecstatic welcome from his animal and human family.

I was reminded of Bodger and his fictional achievement when I read about a dog called Pip. Last year Pip’s owner took him for a run in Leigh Woods, a beauty spot in Bristol. They became separated, and Pip’s frantic owner took to social media to get help finding him. Pip was soon spotted on the city’s security cameras. He crossed Brunel’s iconic suspension bridge, ran past the famous BBC studios in Whiteladies Road and was captured on camera running by the steps of the museum. Somehow he safely negotiated the notoriously dangerous traffic in the city centre and found his way to his front garden in Bedminster – about four miles from where he’d left his owner. In fact he got home before she did!

Novice Airway Guidance

from the Difficult Airway Society

Guidance for employing bodies on arranging AACs

Listing summary
Frequently asked questions for employing bodies setting up an AAC

Anaesthesia 2018 podcast | Adverse outcomes and patient optimisation

Listing summary
A podcast from Anaesthesia 2018

Managing CCT dates

Listing summary
Guidance on how to manage CCT dates and use the RCoA CCT date calculator

Counting experience prior to entry into a CCT training programme in Anaesthetics

Listing summary
Counting experience prior to entry into a CCT training programme in Anaesthetics

SEAUK: Interprofessional education

Our working lives as anaesthetists revolve around effective teamwork, communication, and empathy with the many different professions we interact with. Interprofessional education (IPE) is an increasingly familiar teaching methodology which aims to enhance and improve these collaborative abilities. Considering recent critical reports on the lack of teamwork and interprofessional co-operation within clinical systems, we present a review of IPE and how its increased adoption may help address these failings.

Our working lives as anaesthetists revolve around effective teamwork, communication, and empathy with the many different professions we interact with. Interprofessional education (IPE) is an increasingly familiar teaching methodology which aims to enhance and improve these collaborative abilities. 

Considering recent critical reports on the lack of teamwork and interprofessional co-operation within clinical systems, we present a review of IPE and how its increased adoption may help address these failings.

Chapter 5: Guidelines for the Provision of Emergency Anaesthesia Services 2025

Patients with a frailty score of 5 and above should receive a comprehensive geriatric assessment. There should be a focus on multidisciplinary working and integrated pathways to reduce complications. This includes shared decision making based on best treatment options and informed patient preferences.

Blueprint of workplace based assessments mapped against the intermediate level units of training

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