I’m just back from an Emergency Management of Severe Burns course. Great little course. Concise manual. A day of very brief lectures, then skills stations, then scenarios then a written and practical exam. It runs in 16 countries including Australia, NZ, UK and South Africa. Not everyone will be able to go on the course [...]
The third and last talk by Cliff Reid of Resus.me this time on managing the ventilated patient that you can’t ventilate. Disconnect from ventilator, let them exhale, in case there is breath stacking ETCO2. Hand ventilate. Reintubate if flat trace. Difficult to bag: Suction the tube ? tube too deep and causing bronchospasm -> withdraw [...]
Another great talk from Essentials of Emergency Medicine 2012 – today. Cliff Reid from Resus.me again. This time he is debunking some of the myths (and my beliefs) about prehospital stay and play vs load and go. Stay and play, +/- RSI, has actually been shown to get patients to theatre more quickly. And [...]
Cliff Reid from Resus.me gave this talk at Essentials of Emergency Medicine in Las Vegas today. He discusses mastering your team, yourself and the patient. He advocates training in resus for resus, having systems to manage stress like RSI checklists Here’s the one we use in Whanganui: It looks complicated – because it’s a complicated [...]
Just a quick reminder about phenylephrine. Phenylephrine is a pure alpha agonist = pure vasoconstrictor. So it causes peripheral arterioles and venules to constrict with out any ß effect. So you get a rise in BP with no tachycardia – you may get a reflex bradycardia. Great for the hypotensive AF patient. For [...]
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