Consequences hitting closer to home. #CASAM2025

Why bother? CO2 has natural cycles… and they continue to, just at a higher baseline. World temperatures are rising. #CASAM2025

Speakers to come: Dr Cliff Shelton, Dr Anita Rao and Dr Gwen Morgan #CASAM2025

Completely disappointing progress! We are already paying out that £ and more in harm to women & babies. And of course the human & lifelong cost of harm is incalculable. We need to do much more & NOW!

Dr Fiona Donald completes her #OAA25ASM Bruce Scott lecture with a summary of who #OBAnes (indeed @OAAinfo) are and a vision of the future - and bright it is! (Belfast weather hopefully contagious)

… so! How do we makes this a reality?

#OBAnes as subspecialty: SIA since 2021 (≈ Periop Med), offer post-CCT fellowships (well subscribed), own specialist society ( @oaa-anaes.bsky.social = largest spec society, trusted source of patient information {Labourpains}, official journal { @ijoajournal.bsky.social}) - ideally poised? #OAA25ASM

#AnyAnes & related specialties: PHEM only GMC recognised subspecialty, Pain Medicine now Faculty of @rcoanews.bsky.social, ICM separate CCT. Perioperative Medicine = growing SIA, has @cpoc.bsky.social provides a home with resources partnerships & support for high quality care #OAA25ASM

Dr Fiona Donald begins rounding off the #OAA25ASM Bruce Scott lecture with a look towards the future. AI will come, it isn’t here already: need to embrace opportunities to teach it well so it unlearns human biases embedded in algorithms for #OBAnes - perhaps AI = parity/ equity?

The complete CON position “Sterile gowns should NOT be mandatory for spinal #OBAnes” from @ClaireAbeyseke1 at #OAA25ASM - an #OBAnes 🧵.

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The complete PRO position: “Sterile gowns SHOULD be mandatory for spinal #OBAnes” from @lateraltilt.bsky.social at #OAA25ASM - a #OBAnes 🧵

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The take home message from @ClaireAbeyseke1 with thanks. #OAA25ASM

Financial implications: the organic banana rate (Cesarean section costs 12k organic bananas) #OAA25ASM #OBAnes

Now this is more palatable: caffe latte exchange rate - something everyone can do WITHOUT flying somewhere. And perhaps something people WILL do, with less risk to patients? (Estimating risk of decaffeinated #OBAnes aside) #OAA25ASM

Carbon costing. An annual carbon audit cycle, working back from Carbon volumes, also using London-Belfast exchange rate (slightly less carbon & different offset than @ClaireAbeyseke1 numbers). Maybe planes are different? #OAA25ASM #OBAnes

The environmental impact of the #OBAnes spinal gowns in Bristol alone - the equivalent of >1.5k trips to airport! Using @lateraltilt.bsky.social historic data, around 1000round trip flights to Belfast from LHR. #OAA25ASM

Dr Abeysekera gets to meat of her argument: climate change. Environmental burden of sterile gowns ≠ zero. Their life cycle has its own CO2 burden over the gown itself. Reusable gowns not better, esp if laundry remote. 60 cycle limit? (Does someone count?) #OAA25ASM #OBAnes