Tim Leeuwenburg

COWs at night

I am a dinosaur

Perpetually perplexed by computers-on-wheels clogging up corridors and clinical spaces

Intense prehospital emergency care (PHEC) course in regional Victoria, Aus

Helping rural docs translate their existing skills to prehospital scene, to support local ambulance for pts with time critical needs before retrieval arrive #traumagap

Immersive scenarios

Trauma
Burns
End of life
Etc etc

The AI used in '200,000' doctor consultations per week Some GPs are now relying on artificial intelligence to take notes during patient consultations. So, how safe is our sensitive information?

Adjuncts such as Heidi used in some clinics to record and summarise the consultation

Maybe useful in anaesthesia for anaesthetic consult and anaes consent?

www.abc.net.au/news/2025-08...

Another PHEC (prehospital emergency care) course complete on Gold Coast today - 24 rural
Docs completing scenarios to help translate their existing skillset to prehospital, helping close #traumagap in rural

Oz needs rural responder networks to help improve outcomes where resources are limited

Wow

UK British Medical
association calls for new regulator given how compromised GMC is

activism.bma.org.uk/page/172664/...

As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep

The Government banned them in case I was influenced to prescribe a certain medication

This should also be banned @rthonwesstreeting.bsky.social unless you have a way to justify this?

I think it is evident that we have already brought the conversation to BlueSky!

In an environment plagued by scientific misinformation, do medical organisations/journals have a moral imperative to remain, to provide a source of truth & reason?

Or should they just.. leave?

Let's discuss.

#AnSky

Evening Brisbane!

Hectic circuit from Cairns-Melbourne-Brisbane for @etmcourse.bsky.social

Next three days will be challenge attendees with scenarios of increasing complexity…which will become easier due to training in generic resus room skills

- role allocation
- closed loop
- next 3 steps

In the #impostersyndrome we discount what we know and inflate what we think other people know. You know more than you think. Others know less than you think. You're not an imposter. #impostersyndrome #phdchat #ECRchat #PhdForum

So much this

Thanks @drglauco.bsky.social

Thoughts on American healthcare, insurance and accessibility….

This paper on BIS in @bjajournals.bsky.social (study done right here in Cairns) is one of my all time favourites.

Administration of NMBA alone drops BIS to 44 in completely awake subjects!

#ASM25CNS

academic.oup.com/bja/article/...

Huge respect to @anzca.bsky.social for leaving Twitter behind. Time for other health related organisations to do the same.

You have the power to bring the conversation to BlueSky.

@safeairwaysociety.org @rcoanews.bsky.social @anaesjournal.bsky.social
@bjajournals.bsky.social

#ASM25CNS

Cairns

Just completed theee days as director for an @etmcourse.bsky.social in this fabulous location

ANZCA ASM kicks off soon…

PERUSE before you Infuse poster.

Inspired by posters going up in anaesthetic rooms at @ekhuft.bsky.social, I thought I'd share this again.

Error with TIVA is potentially more common, because multiple errors are not yet prevented by the equipment.

You can check your working with #PERUSEbeforeYouInfuse .

youtu.be/HGtBMHXUVyA?...

Prefer SIRSI

“Somewhat indolent rapid sequence induction”

Yesssssss!

We need to make sure GPs can deliver high-quality care sustainably and aren't under pressure to see more people, more quickly.

More targeted funding to support people with chronic, complex conditions is still the most cost-effective way to improve our health system. 3/3

That'll need careful consideration to make sure it's sustainable and funding goes to those who need it most.

Extending bulk billing incentives to everyone won't necessarily mean everyone gets bulk billed, because patients' rebates are still too low to cover the cost of care. 2/3

From the ausjdocs community on Reddit: Supposedly accidentally sent to Hunter New England JMOs… Explore this post and more from the ausjdocs community

Would like to congratulate my Junior Doctor Colleagues at Hunter New England Local Health District in NSW

Who have recently been appointed as clinical marshmallows.

www.reddit.com/r/ausjdocs/c...

Priming Status — The Vortex Approach  READY   SET   GO

I wonder if they’d get same answers if asked emergency & prehospital care?

I’d argue decision is easy - thanks to trading such as Vortex priming, airway plan verbalised, checklists & eFONA training

That said, my first was hard (hospital)…next few easy (PHaRM) www.vortexapproach.org/cicostatus

I knew one day I’d have to watch powerful men burn the world down – I just didn’t expect them to be such losers | Rebecca Shaw Elon Musk and Mark Zuckerberg’s desperation to be cool as they suck up to Donald Trump is so cringe it makes my skin crawl

Now that's a headline.

Hey folks

Meet @shorty-med.bsky.social

A legend in UK paramedicine and prehospital care

And a thoroughly nice chap to boot

Give him a follow for entertaining tidbits on paramedicine and prehospital pearls

Statement from ANZCA

Good to see @anzca.bsky.social continuing to lead the way and move from Twitter/ X to this platform.
This is the new home of medical information on social media.
@AnSky @MedSky

Benefits of physician-paramedic interprofessional pre-hospital teams YouTube video by Mike Christian

Benefits of physician-paramedic for prehospital critical care demonstrated in this neat study

www.youtube.com/watch?app=de...

In geographically vast Australia it takes time for teams to arrive to rural/remote incidents

We need rural responder networks to support ambulance in rural Oz

This is Bruno, an orphaned possum drinking special milk formula (which is more expensive than cocaine it seems)

Zen mode after a feed….

Today has been a day for possum care here on Kangaroo Island

Spending my anaesthetic oncall caring for native wildlife….

60 public access defibrillators on Kangaroo Island (South Australia) under the HeartSafeKI program - along with 30% of island population (4200) trained in hands only CPR - included under SA Ambulance and @goodsamapp.bsky.social

60 people blocked c access defibrillators on Kangaroo Island (South Australia) under the HeartSafeKI program - along with 30% of island population (4200) trained in hands only CPR - included under SA Ambulance and @goodsamapp.bsky.social

We're saddened by the passing of ANZCA fellow Dr Di Khursandi. We send our condolences to Dr Khursandi's family, friends and colleagues. Di was a trailblazer, a champion for women and equity, a passionate advocate for the welfare and wellbeing of clinicians and a very proud and committed fellow.

The @rcoa is to be congratulated on navigating the treacherous path defining scope of practice for Anaesthesia Associates via
-huge surveys of opinion
-aiding #Nap7 analysing real life practice
-Cochrane review
-professional liaison/listening
-pragmatic approach to patient safety & existing AAs

1/2

thanos says i am inevitable while pointing his finger ALT: thanos says i am inevitable while pointing his finger

Australia and New Zealand will soon follow in the UK's footsteps to have widespread adoption of PAs, and maybe even AAs. It looks inevitable.

A not-so-brief thread 🧵on how we got here and why I think this is a bad idea. #MedSky #AnSky
1/n