We've learned the facts. Only use if it absolutely clinically necessary. 

Propofol TIVA has a carbon footprint 4 orders of magnitude lower than volatile, even with the plastic, pump and sets.

If you need to use volatile, use Sevo at LOW flows. Compound A does NOT cause renal injury in humans.

We need to fight back the move to single use items. The evidence is poor, the effects are large.

Stop drawing up drugs "just in case", if you don't think you will need it, don't open it

If you want change in your trust, form a local group and put the pressure on your trust to declare a  climate emergency. 

We have learned abut the significant impact of N20. Its time to let it go, its time to NIX the Nitrous.

Avoiding a GA  and using regional techniques is a great way to prevent AGPs and lower you carbon footprint.

Turn of the AGSS, Lights, Machines, PCs and ensure the ventilation is in set back mode overnight.

Its timeto get staff, patients and visitors out of cars using Telemedicine, Virtual Conferences and Active Transport. 

Where possible switch your patients from metred dose inhalers to dry powder.

We need recycle more and practice safe waste management.