Emergency

Surviving Sedation Guidelines 2015

Updated format – key points are : – appropriate selection of agent, – use of a validated sedation tool – and managing psych as well as anaesthetic risks For more info, read the KIDocs post ‘Got Droperidol?‘ A handy guide to Psych Sedation is downloadable from SSG2015v6 For more information, see this guideline 140911 – Consensus […]

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A Practical Approach to C Spines?

For the past few decades, the importance of spinal immobilisation has been emphasised in standard texts, trauma education such as the international Advanced Trauma Life Support (ATLS) & Pre-Hospital Trauma Life Support (PHTLS) courses and in many emergency medical service (EMS) operating procedures. Such approaches often mandate the universal application of spinal immobilisation to trauma

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Lessons for management of acute agitation in rural EDs

The South Australian Coroner has just released a report into the sad death of Mr Simos, who died whilst awaiting transfer from a rural ED back to a tertiary centre where he was under a current detention order. The Coroners report can be accessed here. As with all Coroner’s reports, it makes for salutary reading and

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Critically Ill Airway

I am just putting final touches to the “Being Expert Enough” session for the forthcoming Critical Ill Airway Course to be held at The Alfred Hospital in Melbourne, May 7-8th 2015. The course is being convened by that powerhouse of energy, Dr Chris Nickson of LITFL, smacc & RAGE podcast fame. Co-conspirators include external collaborators like Scott

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Updated RERN Action Cards

I’ve been playing around with cognitive aids such as checklists and action cards for a couple of years (some are available via the RESOURCES section of this site or RURALDOCTORS.NET. Most of these were designed for handing off to nursing staff in the rural ED, partly to mitigate against the phenomenon of people disappearing off to the ‘big

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