A nice little paper caught my eye in this months Emergency Medicine Australasia. Entitled “Review of therapeutic agents employed by an Australian aeromedical prehospital and retrieval service” this is a really simple paper; basically an audit of the medications carried and used over a 12 month period by the Sydney HEMS service. There’s a fair chance […]
On simple research and the gift of sharing… Read More »
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
CICO Trainer for under $5 Read More »
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
It’s Not About the Helicopter Read More »
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
Safety in Resus – Use the Whiteboard! Read More »
Coroners reports are interesting. I think there are many reasons for Doctors to read reports from the Coroner, although am sometimes frustrated that such reports are a legal opinion, operating with total hindsight usually fail to acknowledge the impact of system issues or outside influences (classically the impact of a busy shift, difficult diagnosis etc) is an
Breach of Protocol Read More »