Blog Archives

Resus Topic: Vascular Access

Our first resus topic of the month is Vascular Access. Here are the questions, which you can download as a PDF here Resus Topic of the Week: Vascular Access 1. Where are central venous catheters (CVCs) kept? 2. What are

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Posted in Education

Status Epilepticus Sim 2016-05-26

This hypothetical case was simulated today with resident medical staff and nursing staff. The Case An obese 40 year male with type 2 diabetes mellitus presented in status epilepticus. He had taken an oral hypoglycaemic agent but rather than have

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Cardiac Arrest Sim 2016-04-06

A case of hyperkalaemia resulting in ventricular fibrillation followed by symptomatic bradycardia was simulated. The simulation highlighted some great learning points worth sharing: In cardiac arrest, it is worth having both medical and nursing team leaders, with physicians focusing on diagnosis

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Posted in Education

Cardiac Arrest Sim 2016-03-11

A case of refractory ventricular fibrillation was simulated, outlining the challenges faced in a non-cardiac centre in a patient for whom standard Advanced Cardiac Life Support measures fail to achieve return of spontaneous circulation. The simulation highlighted some excellent approaches

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Posted in Education

Resident Education 11-02-2016

1400 Airway Mangement Checklist 1430 Case Presentation 1500 Airway Practical Skills Basic Airway Management Surgical Airway References / Further Reading:  

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Posted in Teaching references, Uncategorized

Age adjusted D-dimer cut-off values

Age adjusted D-dimer cut-off values (age×10 µg/L) improve specificity without losing sensitivity for venous thromboembolism. This could spare many elderly patients unnecessary imaging. Diagnostic accuracy of conventional or age adjusted D-dimer cut-off values in older patients with suspected venous thromboembolism:

Posted in Journal Club

Whiplash RCT

Emergency department treatments and physiotherapy for acute whiplash: a pragmatic, two-step, randomised controlled trial Lancet. 2013 Feb 16;381(9866):546-56 http://www.ncbi.nlm.nih.gov/pubmed/23260167

Posted in Journal Club

Registrar teaching 10th May 2013

Emergency Neurology Updates 1. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. Perry JJ, Stiell IG, Sivilotti ML, et al. BMJ. 2011 Jul 18;343:d4277Take home points: Non-contrast CTB

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Posted in Teaching references

New CO2 cables in Resus

We’ve moved to using new sidestream end tidal carbon dioxide adaptors in resus. A video on how to connect them is here: Remember, end tidal CO2 detection, or capnography, is mandatory in ALL intubations, including cardiac arrest. It is the

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Posted in News and updates, Video

Registrar teaching 5th April 2013

Ventilation in ARDS The updated (Berlin) definition of ARDS can be found here Here’s the original ventilation strategy used in the ARDSnet study: ARDSnet mechanical ventilation protocol card Severe life-threatening asthma Check out Dr Weingart’s notes on asthma on crashingpatient.com and

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Posted in Teaching references

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