education

CICO Trainer for under $5

The dreaded ‘cannot intubate, cannot oxygenate’ scenario is one which most clinicians will never encounter.  In elective anaesthesia, the CICO rate has been described by Cook & Macdougall as 1/5000 in elective cases, proceeding to emergency surgical airway in 1/50,000 (a more recent study from Japan describes CICO as 1/32,000 – either way, a rare event). CICV although rare, accounts […]

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It’s Not About the Helicopter

Just got back from #smaccDUB – I chose not to speak this year and that was a GOOD decision – it allowed me time to actually wander around and soak up some of the high quality talks, as well as to socialise with like-minded colleagues from around the world. FOAMed is the passion which inspires

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It’s a Clinical Handover…not a Discharge Summary!

I’ve been the ICU reg, critical of ED referrals. I’ve been the ED reg, critical of prehospital care and low quality primary care referrals I’ve been the primary care doc, frustrated with “GP to chase…” letters from tertiary centres and the lack of information in discharge summaries (and sometimes the lack of a summary!) This is of course

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Don’t Find A Fault – Find A Remedy

I’ve just been reading the latest Clinical Communique from the Victorian Institute of Forensic Medicine – stoked to see fellow FOAMed enthusiast Gerard Fennessey contribute, along with a reference to a paper written by Casey Parker (BroomeDocs) and myself on the value of FOAMed for rural clinicians. There’s also expert commentary from Ass. Prof Matt

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Safety in Resus – Use the Whiteboard!

There’s no doubt that for the small rural emergency department, a critically unwell patient can quickly overwhelm available resources.  Like many small rural hospitals in Australia, there is one doctor on call for emergency presentations, with the ward-based nursing staff (two in out location) responsible for ward care, assessment of outpatient attendances as well as

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