RCT of methylene blue in septic shock patients https://ccforum.biomedcentral.com/articles/10.1186/s13054-023-04397-7
Own The Resus
A video on how to nail resuscitation
I made it more than a decade ago but the concepts havenāt changed even if it looks a bit dated
https://youtu.be/ng5knBxKTuI
Should you WORRY about a WELL looking patient with mild hypotension?
Three minutes on When Not to Worry using the 'Four Ws'
https://www.youtube.com/watch?v=_FU4633jtkk
Cardiac arrest airway management issue:
How a LUCAS mechanical CPR device can move the hinged screen of a CMAC Videolaryngoscope in a relatively short patient unless head positioning is optimised
https://www.youtube.com/watch?v=80cFhjIxb3s
We use arterial lines during cardiac arrest to guide vasoactive therapy to optimise coronary perfusion
This study provides data to guide paediatric resus
DBP> 25āmm Hg for infants & > 30āmm Hg for older children associated with higher rates of survival
https://journals.lww.com/ccmjournal/Abstract/2023/01000/Diastolic_Blood_Pressure_Threshold_During.11.aspx
This will be our first time bringing DFTB to Adelaide, so let us explore some fun facts together! #DFTB23 #ACC #AdelaideEvents
For me this is as complex as it gets in retrieval medicine. VA ECMO, COVID, & multi organ failure in the back of a helicopter reminds me of my personal PHRM principles
Remember your basics.
Do them well.
You are never alone.
@resuscitology #14 will be in Western Australia 28/29 March 2023. https://resuscitology.com/
Seven & a half years ago John Hinds knocked everyone's socks off with Crack the Chest Get Crucified in Chicago
Remembering John & his family at Christmas
Always reminded to keep our intentions honourable
Your inspiration is immortal mate
@DocJohnsMum
https://litfl.com/crack-the-chest-get-crucified/
As we close in on the final weeks of December (only 11 days to go š²) we wanted to reflect on what a year it has been and share a month by month mashup of all that we've done. Thank you to our community for always being our biggest supporters.
Expressions of interest for the 2023 Clinician Educator Incubator are open!
If you want to develop your potential as a Clinician Educator by joining a community of practice of interprofessional critical care clinicians get your EOI in by Feb 10th 2023. https://litfl.com/anzcen-incubator/
Lessons on the Impella Ella Ella eh eh eh
#foamed #foamcc https://twitter.com/MLSCourse/status/1602592378912739328
Resuscitology merchandise! Many people have suggested they want some, but what would you pay for?
This reflects our experience too @SydneyHEMS
NIBP becomes a random number generator in very hypovolaemic patients
So many arguments now for femoral arterial access in severely ill patients - both in trauma & medical illness
For central monitoring & endovascular resuscitation https://twitter.com/AndyPattonIRL/status/1601154986830102528
@resuscitology @SydneyHEMS @airwaycam For more on paediatric airways - as well as loads of other critical care tips, tricks and gems - why not join us in Bunbury, WA next March? https://resuscitology.com/registration/
Something that comes up @resuscitology regularly is paediatric airway management, particularly in major trauma - so here's a short thread š§µ with the way I think about it. This is for you particularly if you *arenāt* a paediatric anaesthetistā¦!
iGel thread which should be of use to first responders and EMS providers, emergency department and ICU staff, and even novice anaesthetists https://twitter.com/cliffreid/status/1598460503629926400
Remember when you admit a patient with ROSC post CPR, as well as their medical condition you are also admitting a patient with significant thoracic trauma
HT ā¦@precordialthumpā© https://journals.lww.com/jtrauma/fulltext/2021/12000/chest_wall_injuries_due_to_cardiopulmonary.9.aspx
Regardless of who intubates in your ED all EM clinicians should have a clear understanding of certain anaesthetic drugs and approaches to intubation like RSI
This is covered in detail on the Critical Care in the Emergency Department course
London 9 Dec
https://www.eventbrite.com/e/critical-care-in-the-emergency-department-one-day-seminar-tickets-467286455367