Tips & Tricks

Now seems a good time to post out our spaces repetition learning postcards to all who attended @resuscitology in Manchester last year.

Lots of great ideas very relevant to the situation with #covid19

COVID-19 - INTENSIVE

This collection of resources from the ⁦@intensiveblog⁩ ICU team at ⁦@AlfredHealth⁩ is really shaping up! Please share widely.

#FOAMed #FOAMcc #FOAMcovid #COVID #covid19 #covid_19 https://intensiveblog.com/covid-19/

3D printed connector to allow filter to be inserted into portable suction unit. One of many solutions from the amazing brain of @karelhabig https://twitter.com/cjmdenny/status/1245123847403130882

Curious what we are up to at Sydney Hems? Here is a glimpse on our website. Busily training our teams and planning for supporting the people of NSW through this pandemic. https://sydneyhems.com/covid-19-resources/

COVID-19 precautions during Code Blue on the wards - Alfred ICU guideline - INTENSIVE

#covid19 #foamed #FOAMcc https://intensiveblog.com/covid-19-precautions-during-code-blue-on-the-wards-alfred-icu-guideline/

1/
Intubation of #COVID19 Patients

We are sharing our resources in the hope that some of the ideas and processes will be of use to other units who don’t yet have systems fully in place.

**Please read the rest of the thread first**

Endorsed by @anzics
@CICMANZ @acemonline
Australian Society of Anaesthetists (ASA), NZ Society of Anaesthetists (NZSA),
Australian College of Perianaesthesia Nurses (ACPAN),
NZ Anaesthetic Technicians' Society (NZATS),
Western Australia Airway Group (WAAG) #FOAMed #covid19 https://twitter.com/SafeAirway/status/1239458227550470145

All Resuscitology courses are on hold for now due to the pandemic.

We need to limit spread, and be there to support our teams and serve our communities.

We apologise for the inconvenience.

Soiled airway fun - @karelhabig teaches the @SydneyHEMS approach including the SALAD technique by @jducanto at our first Resuscitology course

Join us for one or two days in Manly next month 7-8 April

http://Resuscitology.com

Resuscitology UK Registration is on hold for now. If things change for the better, we will run the course. Impossible to predict how things will be in May but appropriate to be cautious.

Australian events going ahead. Being optimistic but realistic regarding UK.

Learning, connection, and positive change

https://litfl.com/resuscitology-learning-connection-and-positive-change/

In asphyxial cardiac arrest,ETCO2 higher than arrest from primary cardiac origin.During resp. arrest pulm. blood flow will cont. for some time prior to cardiac standstill +hence CO2 will cont. to be delivered to lungs, incr. alv. CO2 + hence initial ETCO2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC374361/

There is correlation between ETCO2 and degree of heart cavity compression during CPR as measured by TTE. Consider recording subcostal video loop during CPR to check piston position/manual hand placement is compressing heart adequately. https://ccforum.biomedcentral.com/articles/10.1186/s13054-019-2607-2

ETCO2 monitoring trends in awake/ventilated patient with cardiac tamponade undergoing pericardiocentesis under drapes is a good indicator of perfusion when automated oscillometric manometry is not reliable in extreme hypotension.

ETCO2 cut-offs for discontinuation of CPR should be confined to arrests of primarily cardiac cause.
ETCO2 will be low in massive PE. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681977/

Establishing a positive workplace culture is one of the layers of the 'cake' of optimal resuscitation that @cliffreid discusses at the Resuscitology course. Next course Apr 7-8 in Manly

http://Resuscitology.com

Thanks to @ErinHawkey Resuscitology is now accredited with the Australian College of Rural and Remote Medicine

April 7-8, Manly, NSW

http://Resuscitology.com

@KangarooBeach @broomedocs @ketaminh @nomadicgp @ruralflyingdoc @Fly_texan @RuralDoctorsAus @ACRRM

Surviving Sepsis Guidelines for Children 2020

- balanced crystalloids rather than 0.9% saline

- norepi/epi rather than dopamine, via peripheral IV or IO if no CVC

nothing else practice changing, lots of 'weak recommendation, low quality of evidence'

https://link.springer.com/article/10.1007%2Fs00134-019-05877-7

Details to follow, but lock in 13th May 2020 now for our second Manchester Resuscitology! Registration coming soon at http://resuscitology.com #Resuscitology9

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The art and science of saving lives