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Reducing risk from unrecognised oesophageal intubation

‘Her death was wholly avoidable and was contributed to in major part by neglect.’ This was the conclusion of the coroner examining the death of Mrs Glenda Logsdail following her death from hypoxic-ischaemic encephalopathy after an unrecognised oesophageal intubation.

Authors:

  • Dr Natalie Silvey, ST7 Anaesthetics, London School of Anaesthesia; DAS Trainee Representative
  • Dr Moon-Moon Majumdar, ST5 Anaesthetics, London School of Anaesthesia; DAS Trainee Representative
  • Dr Abhijoy Chakladar, Consultant Anaesthetist, University Hospitals Sussex NHS Foundation Trust; DAS Surveys Co-ordinator
  • Dr Barry McGuire, Consultant Anaesthetist, Ninewells Hospital and Medical School, Dundee; DAS Immediate Past President

‘Her death was wholly avoidable and was contributed to in major part by neglect.’

This was the conclusion of the coroner examining the death of Mrs Glenda Logsdail following her death from hypoxic-ischaemic encephalopathy after an unrecognised oesophageal intubation.

Her death, like those of Sharon Rose Grierson and Peter Saint in 2016, has placed this issue at the forefront of safety strategy within the anaesthetic community. Following Glenda Logsdail’s death, the coroner issued a Regulation 28 report to prevent future deaths: several teaching aids and educational materials were released in the subsequent six months. We wanted to establish what was being done in individual departments to prevent unrecognised oesophageal intubation.

EU friends – don't worry, we haven't left!

Despite Brexit, Dr Ted Rees tells us how the College still plays an active role in setting and improving standards of anaesthetic training and clinical practice in Europe.

Had your head buried very deeply in the sand for most of the last decade? Then it may have escaped your attention that the UK has cleaved itself away from the European Union. But fear not! The College and the Association of Anaesthetists are both still represented on the European Board of Anaesthesiology (EBA), the Anaesthesia section of the European Union of Medical Specialists.

Known by its French acronym, UEMS is a non-governmental organisation created in 1958 in the same year as the European parliament. The aims of UEMS are to improve patient care throughout Europe by developing and supporting excellence in specialist medical training and practice and, as a by-product, to promote free movement of medical specialists around the EU.

The UEMS represents more than 1.6 million specialist doctors from 41 countries:

  • full UEMS members – EU countries plus Iceland, Norway, Switzerland, UK
  • associate members – Armenia, Israel, Serbia, Turkey, Ukraine
  • observer countries – Georgia, Iraq, Lebanon, Morocco, Tunisia.

Independent review of exams

We are pleased to announce that, following an open tender process, Professor John McLachlan has been appointed to carry out an independent external review of the FRCA, FFICM and FFPMRCA examinations.

FICM update: optimising rotational training

Dr Andrew Sharman shows us that rotational training doesn’t come without challenges and tells us what the Faculty is doing to overcome them.

Dr Andrew Sharman shows us that rotational training, while offering a broad range of training opportunities, doesn’t come without its challenges and tells us what the Faculty is doing to overcome them.

Another year goes by, and again I am humbled by the resilience and resolve of our resident doctors.

Last year, responses to our intensivists in training (IiT) survey were overall very positive for ICM training, with resident doctors appreciating their trainers. Also, our regional advisors survey demonstrated how much excellent work is ongoing across the country. Exam and regional teaching courses, mentoring programmes, and the offering of a variety of Special Skill Years (SSYs) are just some examples of an ever-growing list of successes.