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 …

Big Syringe, Little Syringe

Safety is paramount in anaesthesia, wherever it is being performed (in theatre, in ED or at the roadside). Many of the non-anaesthetists joke about the apparent simplicity of induction agents in an RSI, without appreciating the nuances. RSI is easy! inject the big syringe first – induction then the little syringe – paralysis By far the …

The Cutting Edge

I’ve just had the incredible good fortune to spend a few days between GP15 and PAIC2015 as a speaker and facilitator at RescueExperienceOz events in Victoria and Tasmania. The one day Rescue Experience workshops are provided free of charge around the world by Holmatro – the makers of rescue tools.  I don’t know anything about hydraulics …

Breach of Protocol

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 …

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 …