> ## Content Index
> Fetch the complete content index at: https://www.theplasticsfella.com/llms.txt
> Use this file to discover other available public pages before exploring further.

# 3 Tips to Reduce Plastic Waste at Work
- URL: https://www.theplasticsfella.com/theplasticspaper-waste/
- Published: 2021-10-24T17:23:27.000Z
- Updated: 2021-10-24T18:00:39.000Z
- Description: Curated evidence-based Plastic Surgery, every week. It can be hard to find time to keep up-to-date with all the reading. thePlasticsPaper sends you 1 email per week - just the highlights!
- Author: PlasticsFella
- Tags: thePlasticsPaper

---

## 💬 In This Week's Edition

1. [A Letter from P'Fella...](https://www.theplasticsfella.com/theplasticspaper-waste/#a-letter-from-pfella)
2. [Article of the Week!](https://www.theplasticsfella.com/theplasticspaper-waste/#article-of-the-week)
3. [You can support P'Fella's mission ](https://www.theplasticsfella.com/theplasticspaper-waste/#you-can-help-grow-the-mission)
4. [Upcoming Plastic Surgery Events](https://www.theplasticsfella.com/theplasticspaper-waste/#upcoming-events)
5. [Work with P'Fella](https://www.theplasticsfella.com/theplasticspaper-waste/#work-with-pfella)

---

## ✍️

## A Letter from P'Fella

P'Fella came across a [tweet](https://twitter.com/halseyhands1/status/1450398098019307520?s=20&ref=theplasticsfella.com) this week that was a great picture showing the environmental impacts of our jobs. When you look at it, it's kinda crazy, right?!?

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/10/FCDZYMHXIAABshq.jpeg)

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/10/FCECeaaXEAEe2tf.jpeg)

[Original Tweet ](https://twitter.com/halseyhands1/status/1450398098019307520?s=20&ref=theplasticsfella.com)by Mr. Tim Halsey, Consultant Orthopaedic Surgeon. 

The [tweet](https://twitter.com/halseyhands1/status/1450443285567246338?s=20&ref=theplasticsfella.com) highlights the environmental cost of a "simple injection: rubber gloves, lots of plastic, paper, cardboard, and glass. Sharps & glass into a sharps bin, the rest in general & clinical waste if contaminated". 

Here are some interesting facts about the environmental impact on surgery:

- Healthcare adds to 7% of the entire nation’s CO2 emissions in Australia, 10% in USA, and 4% in the UK ([Lancet 2017](https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196%2817%2930162-6/fulltext?ref=theplasticsfella.com))
- Operating theatres produce 20-30% of an institution’s waste ([RACS](https://www.surgeons.org/en/about-racs/position-papers/environmental-impact-of-surgical-practice-2018?ref=theplasticsfella.com))
- Single-use plastic can make up to 20% of operative stores ([PlastSurg](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664137/?ref=theplasticsfella.com))

As Plastic Surgeons, what can we do? 

- 5Rs: Reduce, Reuse, Recycle, Rethink, and Research ([CMAJ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3503903/?ref=theplasticsfella.com)).
- Strategies should focus on material, energy, technique, dissemination ([PRS](https://journals.lww.com/prsgo/fulltext/2020/07000/four%5Fways%5Fplastic%5Fsurgeons%5Fcan%5Ffight%5Fclimate.52.aspx?ref=theplasticsfella.com))
- [Resposable](https://www.surginno.com/iwd-2019-2/?ref=theplasticsfella.com) claims to reduce plastic waste in operating theatres by 83%.

P'Fella's personal thoughts: there is increased awareness but minimal action. What are your thoughts on it?

---

## 📚

## Article of the Week

P'Fella came across this systematic review that is well-researched, well-designed, and actually has some clinical use. The only issue is, the authors should have titled the paper **SNOOP**\-DOG (Systematic Naming of Operative Practices). 

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/10/theplasticspaper---October-17th.png)

[Full Article in PRS Global Open](https://journals.lww.com/prsgo/Fulltext/2020/09000/A%5FSystematic%5FReview%5Fof%5FCutaneous%5FDog%5FEar.34.aspx?utm%5Fsource=dlvr.it&utm%5Fmedium=twitter)

Here are some important takeaways from the article

1. There is no single recommended technique.
2. There are 10 commonly described techniques
3. The authors propose a treatment algorithm

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/10/theplasticspaper---October-17th-2-1.png)

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/10/theplasticspaper---October-17th-3.png)

Authors review current publications and their proposed algorithm.

---

## 💪

## You can help grow the Mission

thePlasticsFella is not built for profit. It's built for education. 

The [mission](https://www.theplasticsfella.com/about/) is simple - to be an **independent**, **open-sourced**, **evidence-based** educational platform for Plastic Surgeons and Trainees. The growth of the platform is due to the fantastic community in Plastic Surgery. 

To keep this growth sustainable, P'Fella has designed some [merch](https://www.theplasticsfella.com/swag/) specific to Plastic Surgeons. The first [merch](https://www.theplasticsfella.com/swag/) to drop last week was this [Tote bag](https://www.theplasticsfella.com/swag/), and it was popular! These funds go directly towards keeping thePlasticsFella library free!

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/10/3-2.png)

**[Yes, I want now!](https://www.theplasticsfella.com/swag/)**

---

## 🎭

## Upcoming Events

1. **Pulvertaft**: 25th October - [“Treatment of Neuromas"](https://us02web.zoom.us/webinar/register/WN%5FikBtQspsSCeDwtTqBQyzdg?ref=theplasticsfella.com)
2. **Stoke Mandeville Plastics:** 30th November - [Skin Cancer Recon](Reconstruction for Complex Skin Cancer: )!
3. **PLASTA/BAPRAS:** 2nd December - [Innovation in Plastic Surgery](http://www.bapras.org.uk/professionals/training-and-education/courses-meetings-and-events/bapras-75/plasta-innovation-in-plastic-surgery-conference?ref=theplasticsfella.com)
4. [BAPRAS 75 years:](http://www.bapras.org.uk/professionals/training-and-education/courses-meetings-and-events/bapras-75?ref=theplasticsfella.com) 3rd December
5. [2nd Stoke Mandeville Plastic Surgery Symposium](https://www.stokemandevilleplastics.com/meetings?ref=theplasticsfella.com) \- 14th December

---

## 🏋🏽‍♂️

## Work with P'Fella

Currently, 90+ Plastic Surgeons & Trainees are helping build the largest online Plastic Surgery Question Bank. It's a pretty exciting time for P'Fella and also the educators (because they are getting rewarded for their work). 

[I'm interested in that!](https://tally.so/r/3j70Yw?ref=theplasticsfella.com)