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 »
If you’ve been following blogs such as THE PHARM recently, you’ll probably have seen reference to a chap called Minh le Cong and a drug called ketamine. Now it’s no secret that many in the prehospital and emergency fields are fond of ketamine – it’s a useful dissociative agent with analgesic properties and can be
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
Lessons for management of acute agitation in rural EDs Read More »
I was 14 when I nearly considered deliberate defenestration. It’s probably the closest I’ve ever been to suicide, but the memory of the angst that made me contemplate this action is still vivid. The Headmaster had asked each of the 30 pupils in our class to give a talk. I cannot even remember the details
You gotta have love… Read More »
The smaccGOLD debate ‘should real airway experts use checklists‘ in March 2014 between RFDS powerhouse Dr Minh le Cong (against) and myself (in favour) started some nine months prior to the actual event, with an almost daily exchange of trash talk on the topic via the wonderful medium of Twitter. You can download
Should Real Airway Experts Use Checklists? Read More »