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/
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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
There are many incredible women working as part of our team @SydneyHEMS #InternationalWomensDay2020
4Learning, 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/
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