Editorials

Saving vascular surgeons: a personal view of embracing vulnerability through coaching and mentorship

Author(s):

Winterborn RJ1,2

*Trigger warning – this article contains mention of surgical trauma. I would like to congratulate the authors on conducting the survey of Early Year Consultants in this edition of the JVSGBI and thank the respondents for their honesty in answering the questions.1 The results are worrying but, I am afraid to say, not surprising. As…

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How do we best support our early year consultant vascular surgeons?

Author(s):

Sritharan K,1 Popplewell MA,2,3 Garnham A2

The first few years of your consultant career can be a lonely space place, with the pressure to prove yourself in an NHS which is struggling for resources and demanding ever more from its workforce. The data from the survey published in this issue of the JVSGBI highlight the urgent need to place the well-being…

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Is there a cuckoo in the nest? How to rear and develop a new professional group

Author(s):

Garnham A,1 Shelmerdine L1

In this edition of JVSGBI, we can see the views of VSGBI members at various stages of their career on working with a new group of colleagues, Physician Associates (PAs).1 This survey followed a vigorous debate that played out in both social and mainstream media. The ramifications spread to the highest levels of medical leadership,…

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Models of same-day emergency care for vascular limb salvage

Author(s):

Sivaharan A,1 Brooks M,2 Bevis P,2 Day J,2 Davies RSM,3 Sayers RD,3 Sandford B4

Introduction The efficient and effective management of patients with chronic limb-threatening ischaemia (CLTI) is a challenge for UK vascular services, due to the volume and complexity of patients and centralisation of services.1,2 In an attempt to provide comprehensive limb salvage services in keeping with the global vascular guidelines,3 more than 14,000 revascularisation procedures are performed…

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Improving radiation protection amongst the UK vascular surgery workforce

Author(s):

Sritharan K,1 Garnham A,2 Bowbrick G,3 Saratzis A,4 Lakshminarayan R5

Introduction The use of ionising radiation in the UK is regulated nationally through legislation. The legal requirements for employers for the protection of radiation exposed workers are detailed in Ionising Radiation Regulations 2017 (IRR17),1 Ionising Radiation (Medical Exposure) Regulations 2017 (IRMER17)2 and Ionising Radiation (Medical Exposure) (Amendment) Regulations 2018,3 with the ultimate responsibility for their…

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Blue toe syndrome

Author(s):

Ninkovic-Hall GA,1 Sritharan K2

Introduction Blue toe syndrome (BTS) is not an uncommon referral, with vascular services often being the first port of call from primary care or the emergency department setting. It is a condition which is often overlooked, misdiagnosed or falsely labelled in the wider medical setting. Nevertheless, it warrants a thorough history, examination and assessment due…

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