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
Happy birthday, @DocJohnHinds. May your legacy live on in every honourable intention.
I’ll be talking about prehospital trauma care in 2030. https://twitter.com/nswitim/status/1372000782204080128
@EMcardiac @paedsem @DFTBubbles Actually maybe it’s in the @resuscitology podcast...
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
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?
Major GI bleed
..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/
Here's the Quick Reference Guide to managing life threatening haemorrhage in our resus room.
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.
A great example of crisis comms,
and team dynamics under pressure.
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/