Julian Wijesuriya
Julian is a consultant anaesthetist at the Royal National Ear, Nose & Throat Hospital, UCLH. He is also a HEMS doctor at Kent, Surrey, Sussex Air Ambulance Charity.
Activity
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Thanks John, this is a very real problem for healthcare professionals on scene, do you or others have any suggestions for how to approach this?
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That's great to hear, thanks Natalie!
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Thanks Rainer, the BK117 and other similar aircraft types are likely to be too small to make inflight RSI feasible or safe.
Our scene time KPI for RSI jobs at KSS is <30mins
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Very good point, thank you. Ideally teams should be well practised (through moulage or training) in undertaking RSI in the back of an ambulance before undertaking the procedure in that environment for the first time with a patient
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Julian Wijesuriya made a comment
Great comments and discussion, thanks for all your contributions!
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Thanks John, I completely agree with you. For governance and case review to be meaningful the atmosphere and culture has to be right. People must trust the team around them and the facilitator. They must feel safe to be honest and candid; in that situation the most individual and organisational learning can be gained and shared
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Thank you so much for returning to the course. We built week 6 during 2021 as a direct response to learner feedback and we're so glad to welcome people back!
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Julian Wijesuriya replied to don mclean
I agree and there's more discusion regarding pre-hospital airway assessment in Week 6
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Julian Wijesuriya made a comment
It's great to see such active discussion and valuable contributions from people's experience!
There are some common themes coming through that apply irrespective of professional specialty or area of practice:
- Training
- Preparation
- Assessment & optimisation (patient, environment, resources)
- Effective communication
- Standardised approach ... -
FutureLearn provides the scripts for all media content on the course, this is to help learners with hearing difficulties or limited internet connectivity who may struggle to stream or download the content.
Ramping is a process of supporting obese patients to optimise their position for airway management and to optimise their respiratory physiology. This is...
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Julian Wijesuriya replied to Una M
Thanks for the positive feedback! I really hope we will have colleagues from other agencies/services joining the course or posting for our shared learning.
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Great question, thanks! Our patients are often physiologically very precariously balanced. It is helpful to estimate initial doses based on body weight, but it should not be the only consideration. Other factors including age, frailty, co-morbidity, BMI, injury pattern and physiological status should all be reviewed and then doses decided as a team on a...
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Julian Wijesuriya made a comment
Welcome all to the new course run! I really hope you all learn something useful over the next 6 weeks and we look forward to learning from you too. Please do continue to comment and contribute to the discussions. Also, please honestly feedback about the new Week 6 content so we can continue to develop and optimise it.
It is fantastic to see so many people...
