Tanya Selak Profile picture
Aug 20 21 tweets 9 min read
Frank Clark. Launceston Obstetrician Gynaecologist.

Speculums and laryngoscopes – unlikely bedfellows!

#ACE22TAS
Notes how great it is to come to a conference which isn't o and g .... we learn from each other.

#ACE22TAS
Went to Antarctica because a friend showed him a post on Facebook about an expedition.... previously with 4 kids and full time work no time.

Hey @Dr_Polarbird this is right up your alley!

#ACE22TAS
Antarctica adventures for an obgyn!

#ACE22TAS
First interview question to this obstetrician to get an Antarctica job was ‘can you enucleate an eye’.

#ACE22TAS
Desired characteristics for Antarctica doc:

ability
sociability
emotional stability

#ACE22TAS
Yes, he had his appendix out before he went. Learnt about what it can be like for his patients having lap's.

#ACE22TAS
Training principles pre expidition - highly focussed, very practical, at the right time.

Four weeks of dentistry - who would like their OBGYN to take a few teeth out! (FW says the training actually works ... it's very targeted for the remote environment).

#ACE22TAS
Rural emergency skills training (ACRRM)

Scored highly on advanced airway!

#ACE22TAS
How do you turn an OBGYN into an anaesthetist in 3 weeks?

Shout out to @cjwilde and friends who created the training.

Notes if you have to actually do an anaesthetic in Antarctica you have to do the surgery as well.

Recipe book.

#ACE22TAS
Notes staff are mostly pretty healthy so should be ok if they needed an op ... . BMI limit for staff in Antarctic is 35. However staff have monthly medical and it *may creep up over the months. ...

Plenty of checklists, labelled picture guide, everything numbered.

#ACE22TAS
How to provide safe anaesthesia in Antarctica?

Check lists.
Check lists.
Check lists.

Routine scheduled checks of equipment, with reports to base. Mandatory.

#ACE22TAS
2017 UTAS Expedition medicine course Mole Creek Caves was very useful training. #ACE22TAS
Inf dental nerve block handy for the dental excavations as a temp measure.
Dental nurse was the plumber.
Shane - diesel mechanic for the Anaes.
Teledentistry - images sent to dentist, missed a bit ... had to re-do the procedure worked for the few months of winter.

#ACE22TAS
Sugammadex has made it to Antarctica!

Loads of pictures to demonstrate to lay staff how to draw up.

#ACE22TAS
2,500 nautical miles from Australia and doing some bird counting and there’s fire coming from 7 floors below…. Muster muster this is not a drill … swing past the medical centre to pick up things …. Then drs called to the bridge …. Lost engineer …. #ACE22TAS
Next minute the obgyn is on a hose ….

Yup, obstetricians will hold a hose.

#ACE22TAS
Engineer was ok but the ship was not. Lifeboats assembled…. Luckily didn’t need as a storm was coming … never been so frightened…. #ACE22TAS
Audience qs:

Who will look after you if you are sick in Antarctica and you are the only dr?

It's only you .. yes he said it can mess with your head...at gym ... gut ache... is that a hernia? what if it strangulates? what if covid comes? who would ventilate me?

#ACE22TAS
Q about communication and the internet. Good comms but sometimes internet dodgy. WhatsApp video to family was the most reliable. #ACE22TAS

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More from @GongGasGirl

Aug 20
Meeting Pugh this morning has left me feeling unexpectedly contemplative. Beautiful park, cold crisp Sunday morning, not many people about. Thinking of my many anaesthetic teachers across 3 countries who taught me so much, their wisdom stays with me. On the shoulders of giants. Image
Went wandering around Launceston…. Image
For some bizarre reason though it would be a good idea to get on a chair lift over a gorge with raging waters below when no one else was brave enough …. Image
Read 9 tweets
Aug 20
Could that be him?

#PughHunt Image
Found him!

#PughHunt Image
Image
Read 5 tweets
Aug 20
The Australian Wine Industry in the 2020's. The challenges and a few solutions.

Christopher Barnes.

Senior Lecturer Wine Technology and Viticulture.

#ACE22TAS
Love this talk. Every industry can teach us lessons.

The glass is indeed half full.

#ACE22TAS
How big is the wine industry in Australia?

Over 2000 wineries in Au. 6000 grape growers. Employ 163,790 people. In 65 wine growing regions. $45 billion contribution to the Australian economy.

#ACE22TAS
Read 20 tweets
Aug 20
Next up Deb Willson @anzca councillor about the DRGA. Coming to a hospital near you. #ACE22TAS
What is the problem?

Workforce data shows a distribution problem. Rural and regional populations are under serviced.

#ACE22TAS
JCCA has served us well, however underfunded, held together by amazing volunteers by all 3 colleges over the years. In the fullness of time the qualification no longer meets requirements of the medical regulator, hence the need for refresh.

#ACE22TAS
Read 10 tweets
Aug 20
Lahiru Amaratunge

Unlocking the opportunities of lockdowns
– the unexpected rewards of educating online

#ACE22TAS
'Accidental online educator since 2020' @lahiru82

#ACE22TAS
Free YouTube channel: ABC's of anaesthesia.

"I just really love teaching.'

#ACE22TAS

youtube.com/c/ABCsofAnaest…
Read 17 tweets
Aug 20
Opioid Stewardship in Acute Pain.

Luke Murtagh Canberra Hospital.

#ACE22TAS Image
Luke acknowledges the theme of our conference which is to be optimistic; glass half full; but there are also many issues we need to speak frankly about. #ACE22TAS Image
Notes that we should all read this document, #ACE22TAS. Image
Read 29 tweets

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