Gloucestershire Hospitals NHS Foundation Trust discuss the development of their innovative five-minute flashcards in helping to improve knowledge and teamwork, and ultimately enhance patient safety.
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Five years following DART’s inception, Bristol Royal Infirmary’s Difficult Airway Response Team highlight the challenges intrinsic to maintaining the service and how they have attempted to overcome these.
Authors:
- Dr Natalie Constable, ST6 Anaesthetic Registrar, Department of Anaesthesia, UHBW Foundation Trust, Bristol
- Dr Fiona Oglesby, ST6 Anaesthetic Registrar, Department of Anaesthesia, UHBW, Bristol
- Dr George Bainbridge, Anaesthetic Clinical Fellow, Department of Anaesthesia, UHBW, Bristol
- Dr Helen Howes, Consultant Anaesthetist, Department of Anaesthesia, UHBW, Bristol
- Dr Rachel McKendry, Consultant Anaesthetist, Department of Anaesthesia, UHBW, Bristol
The Bristol Royal Infirmary’s Difficult Airway Response Team (DART), developed in 2017, is a successful, innovative, cross-specialty response unit designed to expedite the arrival of clinical expertise and advanced equipment to the patient’s bedside in complex airway emergencies. Five years following DART’s inception, we intend to highlight the challenges intrinsic to maintaining the service and how we have attempted to overcome these.
This article looks at how the ‘DrEaMing’ care bundle supports patients to Drink, Eat and Mobilise within 24 hours of major surgery and is associated with decreased length of stay for patients and a lower rate of late postoperative complications.
The ‘DrEaMing’ care bundle supports patients to Drink, Eat and Mobilise within 24 hours of major surgery. This simple, patient-centred intervention is associated with decreased length of stay for patients and a lower rate of late postoperative complications.1
Supported by the RCoA and Getting It Right First Time (GIRFT), DrEaMing is a Commissioning for Quality and Innovation (CQUIN) indictor, and was recently updated for 2023/2024. Containing the core features of more complex enhanced recovery pathways, DrEaMing aims to revitalise the quality-improvement (QI) efforts aiding patients’ recovery after surgery.
A positive collaborative culture, with cohesive working between the whole surgical multidisciplinary team, is essential for DrEaMing to become a sustained standard of care. The perioperative team are fundamental in delivering DrEaMing, but the other important party that can drive QI are the patients themselves!
This article explores the results of an anonymous survey into the discriminatory experiences of trainees within the Warwickshire School of Anaesthesia, and the impact it's had on their mental health, work performance and career progression.
With the rise of the Black Lives Matter and #MeToo movements in the last few years, media attention has been drawn to the abusive behaviours that have become embedded in our culture. Under the Equality Act 2010, it is against the law in the UK to discriminate against anyone because of nine ‘protected characteristics’. These are race, age, gender reassignment, being married or in a civil partnership, being pregnant or on maternity leave, disability, religion or beliefs, and sex and sexual orientation.
A survey among doctors and medical students highlighted that 76% had experienced racism in the work place at least once in the previous two years.1 Similarly, 91% of woman doctors in the UK have experienced sexism at work,2 and a survey among European surgeons revealed that 20% had considered quitting their job due to discrimination.3 While surgery is a specialty where discrimination and harassment concerns have been well documented, these issues have not been explored widely among anaesthetists.
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!
This article looks at how you can become an AAC (advisory appointments committee) assessor and explains what it can do for you and your department.
You may well ask why you should think of becoming an AAC (advisory appointments committee) assessor. Perhaps it will be too arduous/boring/difficult. We hope to persuade you that this is not the case, and further explain what it can do for you and your department.
When your department appoints a new consultant or specialist doctor, there are specific requirements that must be fulfilled. One of the most important of these is to hold an AAC. This is a legally constituted interview panel established by an employing body. Its function is to decide which, if any, of the applicants is suitable for appointment and to make a recommendation to the employing body.
The fourth national trainee-led research project of the Research and Audit Federation of Trainees (RAFT) is well into the development stage. We will investigate patient-reported outcomes after day-case surgery, including data on the quality of recovery, pain, and analgesia in the first week after surgery.
Dennis has an anaesthetic is an online Beano comic strip, developed by the RCoA in partnership with the Association of Paediatric Anaesthetists of Great Britain and Ireland. Having surgery can be a worrying time for both children and parents and the comic strip aims to add an element of fun and play, while helping children understand what it’s like to have a general anaesthetic and how they can prepare for an operation.
Dennis has an anaesthetic is an online Beano comic strip, developed by the RCoA in partnership with the Association of Paediatric Anaesthetists of Great Britain and Ireland.
Find out the latest appointments approved, and with sadness we record the deaths of some of our fellows.
Following the murder of George Floyd in the United States in 2020, which moved and touched so many individuals and organisations across the world, the ‘Black Lives Matter’ campaign has acted as a catalyst for positive action and renewed debate about how best to address systemic racism in our society and issues that affect the Black, Asian and Minority Ethnic communities.
Following the murder of George Floyd in the United States in 2020, which moved and touched so many individuals and organisations across the world, the ‘Black Lives Matter’ campaign has acted as a catalyst for positive action and renewed debate about how best to address systemic racism in our society and issues that affect the Black, Asian and Minority Ethnic communities.
During this time the College published its own statement alongside the Faculty of Pain Medicine and the Faculty of Intensive Care Medicine; this was welcomed by members, staff and the public.