India's COVID-19 lockdown closed schools and businesses and forced 1.3 billion people to stay home—but also drastically decreased air pollution levels. abcn.ws/2xQdYQ0

Ed Mariano, MD, MAS, FASA, FASRA Ariana Bustos Elizabeth Malinzak, MD, FASA @SPO1707 Alexis (Lloyd) Hansen Congressman Raja Krishnamoorthi @DappyDuuuck Megyn Kelly @AlexAndersonMD CSA ASA® The American Board of Anesthesiology Kariem Sunny Jha Dr Amit Pawa💉🎙️ Brave Enough MD Marjorie Stiegler MD Dr. Ron George 🇨🇦 #Anesthesiologist Alyssa Burgart, MD, MA Thank goodness for the resident a/w ‘buddy’. He helped me doff safely snd v quickly. I had an ortho hood over PAPR & under gown. No air flow-fan was off. It had definitely been on prior. Has Anyone else seen this?

Is your #PPE good enough? “Seven of 8 participants had fluorescent markers on their exposed skin, 6 on the neck, and 1 on an ear...All team members had fluorescent markers on their hair and 4 had markers on their shoes.” ⁦JAMA⁩ #COVID19 ⁦ jamanetwork.com/journals/jama/…

Andrew Neil Good Morning Britain This was in March .... Richard Horton of the Lancet The Lancet torches Boris Johnson's Tory Government’s handling of #coronavirus as a “national scandal” #CoronaVillains #clapforNHS #bbcqt #COVID2019 #ToryShambles

We have put together a short podcast as a tribute to our colleague and friend Manjeet Singh Riyat who sadly passed away recently. bit.ly/3d5W4YH

£60,000 death-in-service offer could leave families in financial difficulty, warns BMA gponline.com/article/1681562

The Ruler of Dubai, Sheikh Mohammed bin Rashid Al Maktoum, has purchased 60 tonnes of of personal protective equipment (PPE) to donate to the NHS. The first of several plane loads has arrived at Heathrow from suppliers in China this afternoon - including face masks.

Another robotic Cystectomy and 5 prostates this week. First week of our Covid free centre. All patients screened with isolation, swabs, chest CT. All staff swabbed clear. 220 cancer ops in total in April. Congratulations to the team Royal Surrey Royal Surrey Anaesthesia, Guildford, UK Guildford Urology

NEW: Fri 1 May update to our excess mortality tracker, adding new countries and updating all locations • 153k more deaths than usual across the 21 countries we‘re tracking • 58k above reported Covid deaths at the time (+60%) All charts free to read at ft.com/coronavirus-la…

The FDA has issued an emergency use authorization for remdesivir to help patients get quicker access to the first antiviral showing promise against Covid-19 infections politico.com/news/2020/05/0…

NEW: fresh data from Italian stats agency Istat give the first full picture of Italy’s excess deaths. 25,000 excess deaths in March alone. When April’s data land this will rise. Clear geographical pattern. Regions sorted North to South here; death tolls far higher up North

Is it time to talk frankly about the risks of COVID? We may have to live with it for a while. Our risk as individuals of dying as individuals (if one of ~10 % infected) is still less than one in a hundred. As David Spiegelhalter points out this is quite normal buff.ly/35CB0Xb

Feel like I spend much of my time saying ‘I don’t know but this is what evidence suggests’ to coronavirus questions. No easy answers, no quick solutions. And we are just at the start of this outbreak. Early serological studies estimate 7-10% of populations exposed so far.

As a frontline NHS doctor I plead with you, PLEASE:

Here’s the UK. 9/12 regions have excess deaths above 50%. Utility of the "how many regions" measure is it shows whether a country managed to contain its outbreak in one broad area, as Italy & China did. Bad outbreaks in multiple regions suggest action was taken too late.

Hot tip: If you see a surgeon that tells you he is “the only one that can do your operation” you should know he is not just a surgeon. He is also a pathological liar and an irrepressible narcissist. And both of those things mean he is also dangerous.

Aerosol boxes: longer times to intubation, lower 1st pass success & damage to PPE. Who'd have thought? New study by Jonathan Begley Chris Nickson @precordialthump.bsky.social David Brewster & Kent Lavery in 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 onlinelibrary.wiley.com/doi/abs/10.111…

if we only keep one thing from this pandemic, i hope it’s priests with water pistols

My favourite poet @brian_bilston does it again.

Mothers should be encouraged to breastfeed as normal after anaesthesia says the new guideline being published today in the Association’s 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 coinciding with #WorldBreastfeedingWeek Learn more: ow.ly/hrq650ALges