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Nov 10 • 4 tweets • 4 min read
Everyone needs to be on #Medtwitter @StephenLap! Watching @obstetriciasati talk about Obstetric hemorrhage I notice a trend observed at #OAA3dc2022 continuing: manual external aortic occlusion (a REBOA without surgeons or balloon catheter) Image
Dr Ove Karlsson and EXAC group have an article in press:

sciencedirect.com/science/articl…

#OAA3dc2022
Find out more at:

exac.no/about

#OAA3dc2022 ImageImage
Prof Rachel Collis included EXAC in her Geraldine O’Sullivan lecture (thread pending) at #OAA3dc2022 Image

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More from @OBsleepmerchant

Simon Ash Profile picture
Nov 11
@euklaas from @asznl presents on PDPH: new perspectives at #OAA3dc2022. (As promised by teaser) August Bier = father of PDPH, a surgeon started it not #OBAnes 😉 ImageImageImageImage
Current perspective on PDPH. ICHD-3 definition, tied to CSF pressure & volume as is pathophysiology. #OAA3dc2022 ImageImageImage
New anatomical perspectives challenge the classic CSF hypothesis. Choroid plexus not main site of production, CSF doesn’t circulate unidirectionally.

Bulat-Kiarica-Orešković hypothesis: osmotic & hydrostatic forces are main determinants of CSF movement, pulsates

#OAA3dc2022 ImageImageImage
Read 14 tweets
Simon Ash Profile picture
Nov 10
Missing Voices: the key messages of @mbrrace #MBRRACE2022 not too late for #OBAnes leaving #OAA3dc2022, food for thought for those planning #SOAPAM2023 (@PervezSultanMD may have 1 slide) @OAAinfo @noolslucas @SOAPHQ @emilysharpe @ruthi_landau @Ron_George @FarberMichaela @kkjaermd Image
Missing Voices: 229 women. 10.9 per 100,000. 24% HIGHER. @mbrrace @OAAinfo @noolslucas @SOAPHQ @kkjaermd @emilysharpe @Ron_George @ruthi_landau @APSForg @dremilym @AmyPearsonMD @docanaesthetic @rosshofmeyr @brucebicard @GongGasGirl #OAA3dc2022 Image
Missing Voices: 27 babies died. 366 children left motherless
@mbrrace @OAAinfo @noolslucas @SOAPHQ @kkjaermd @emilysharpe @Ron_George @ruthi_landau @APSForg @dremilym @AmyPearsonMD @docanaesthetic @rosshofmeyr @brucebicard @GongGasGirl #OAA3dc2022 Image
Read 10 tweets
Simon Ash Profile picture
Nov 10
@Airwayman1 presents on #HumanFactors in #OBAnes. MedTRiM: medical trauma & resilience management - reminding us of the Declaration of Geneva #OAA3dc2022 ImageImageImageImage
The Boabab lesson (Zambia) applicable to #OBAnes #OAA3dc2022 Image
The plan for the talk. Your patient - straight after new bag sats drop…
NOT Swiss cheese (@girardDev), Emmental(?) model #OAA3dc2022 ImageImageImageImage
Read 14 tweets
Simon Ash Profile picture
Nov 10
@ArviPalanisamy presents his philosophy on the Future of #OBAnes Research in this final session of #OAA3DC2022: practical, aspirational, inspirational (skipping the queue to catch a train, @noolslucas & @OAAinfo) very accommodating in view of train/tube strikes affecting London)
#OBAnes research has plateaued, advancing in increments. A change in thinking is required. Several low hanging fruit, #MindTheGap between #OBAnes research and practice - implementation science something for future? #OAA3dc2022
One subject ripe for implementation science study is awareness. DREAMY study factors associated are known, awareness common (perhaps we’re losing a skill?) & linked to PTSD. #BridgeTheGap #OAA3DC2022
Read 9 tweets
Simon Ash Profile picture
Nov 10
@girardDev presents on managing the obese parturient at #OAA3dc2022. He sets the bar high for the future of presentations at #SOAPAM2023, #OAA23, #ASM23SYD: a QR code that links to all his references as well as a pdf of his slide deck - perfect for #OBAnes #SoMe & #FOAMed.
The value of PERI-oxygenation in obesity is not to be ignored. All patients will go blue, perioxygenated ones take 52 seconds longer (how long it feels depends on the sats?). We all remember the troop pillow, but do we remember the stool? Ergonomics of intubation #OAA3dc2022
@mbrrace meeting 10 November. Hope to see some live tweets of key messages @SusannaStanford. “We are ALL part of the solution” #OBAnes and obesity is definitely part of the puzzle, preventing it part of the solution. #OAA3dc2022
Read 11 tweets
Simon Ash Profile picture
Nov 9
Sawubona @DavidGray37! He’s presenting on Tranexamic acid at cesarean section: Drug Error Deaths. An unforeseen result of Woman trial. Potentially life saving in LMIC, deadly in drug error. Disproportionately #OBAnes in district/ rural settings. TXA a new drug there #OAA3dc2022 ImageImageImageImage
A recent situation. Warning from @ArviPalanisamy and Dr Kinsella. A characteristic presentation - unfortunately very similar to eclampsia, in an environment used to poor antenatal care & eclampsia. Both bupivacaine & TXA now generic, no control of similar packaging. #OAA3dc2022 ImageImageImageImage
And #lookalike vials are a problem, a BIG one. 7 recent cases in SA only from 2 provinces, 5 fatal & 2 major neurological morbidity. Getting worse, under reported. Guidance provided, it’s own complication though #OAA3dc2022 ImageImageImageImage
Read 4 tweets

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