Tips & Tricks

A reminder that you can treat acute pulmonary edema quickly and effectively without NIV. I tweeted this a year ago in the context of preparing for COVID. More of our trainees now getting comfortable with nitrate boluses https://twitter.com/cliffreid/status/1241486112909955072

Two minutes on control of the environment and the Zero Point Survey - how to optimise a resus before you get hands on the patient
https://www.youtube.com/watch?v=P2-cSPTPBHU

Sorry everybody I’m on call this weekend so I won’t have time to do any videos lol just kidding I’ll put one up on Saturday I’m an ophthalmologist

You can now subscribe to the #Resuscitology podcast - in the iTunes app, via Google podcasts, via Podbean and via Amazon/Audible podcasts.
Liked our recent podcast on bleeding patients? Subscribe so you don’t miss the next one - links to follow:

Resuscitology Course Manly Oct 2021
Digging deep into effective resuscitation tactics, for all frontline healthcare professionals

http://Resuscitology.com

This is why we use an occipital pad in the prehospital setting @SydneyHEMS

(Image is from a simulation) https://twitter.com/resuscitology/status/1370886481921765380

In trauma patients, lying a patient flat with no pillow leaves the neck EXTENDED. For a NEUTRAL position, occipital elevation is required.

An added bonus: airway management is easier and laryngeal view is improved.

Does your trauma centre leave patients' necks extended?

2

Major GI bleed
Massive PE
Cardiac tamponade

..all referred to ICU with ‘septic shock’ by normally reasonable ED docs thanks to this EMR alert

... a negative consequence of well-meaning systems design. Nudging clinicians towards a diagnosis of sepsis creates false positives

1/ Emergency front-of-neck access is not a ‘failed airway’. It’s an alternative airway, and therefore a ‘successful airway’.

Terminology matters, as it frames our mental models, which influence our behaviour.

A key question to ask in the resus room when you've been resuscitating for a while (especially trauma), or have yet to progress to, say, CT:

"why are we still here?"

Works especially well in the prehospital setting too!

#ICYMI: some great weekend listening:
The @resuscitology crew take you from the roadside to the hospital discussing the art and science of managing the critically ill hemorrhaging patient

Via @LITFLblog: https://litfl.com/rage-podcast-resuscitology-bleeding-patients/

#humanfactors
#systems
#trauma
#FOAMed
#EMConf

2

Here's the Quick Reference Guide to managing life threatening haemorrhage in our resus room.

https://www.dropbox.com/s/5wyu16crc7bw9j0/haemorrhage%20control%20QRG%20v4.pdf?dl=0

2

Our first #Resuscitology podcast is out now! Settle in for a case-based chat between @cliffreid, @HanrahanLibby, @karelhabig, @_NMay, @HawkmoonHEMS and @drgeoffhealy as we think about patients who are bleeding.

https://litfl.com/rage-podcast-resuscitology-bleeding-patients/

A great example of crisis comms,
and team dynamics under pressure.

http://youtu.be/IGwm1QmwN9s

What do you like here?

@StephenHearns1 @ResusPadawan @HumanFact0rz @petrosoniak @cliffreid @chrisshambrook @HawkmoonHEMS

5 years ago today @DocJohnHinds left us. John, you are and always will be present as we strive to always improve and eke out better care for our patients. #delta7

@resuscitology courses 2020 are open for registration. Manly Oct 20/21 Manly, Brisbane Nov 17/18. Deep dive resuscitation case discussions. To register: https://resuscitology.com/

3

COVID-19 miniRAGE with Hicks and Brindley • LITFL

Rapid fire round robin COVID-19 discussion between ⁦@HumanFact0rz⁩ and ⁦@docpgb⁩ - enjoy! #foamed #foamcc #foamcovid https://litfl.com/covid-19-minirage-with-hicks-and-brindley/

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The art and science of saving lives