On simple research and the gift of sharing…

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 …

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 …

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 …

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 …