Ultrasound Case 2

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Ultrasound Case 1

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Education Session: Shock

Knowledge Review Quiz here

Cases we discussed are here

PEA

Causes of elevated LACTATES

Venue Ultrasound : Auto VTI Demo

Femoral vs radial arterial lines, and non-invasive vs invasive BP measurement (PulmCrit): http://emcrit.org/pulmcrit/a-line/

Other references:

1. Perner A, Cecconi M, Cronhjort M, Darmon M, Jakob SM, Pettilä V, et al. Expert statement for the management of hypovolemia in sepsis. Intensive Care Med. 2018 Apr 25;44(6):791–8.

2. Marik PE. Fluid Responsiveness and the Six Guiding Principles of Fluid Resuscitation. Critical Care Medicine. 2016 Oct;44(10):1920–2.

3. Dynamic LVOTO: https://echo.anesthesia.med.utah.edu/dynamic-obstruction/

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Education Session: Ambu aScope

ascope

Here is the pre-reading for the Education Session on the Ambu aScope.

Objectives for the session:

1. Indications for endoscopic airway instrumentation

(1) looking at airways (eg. burns, FBs, stridor)

(2) awake fibreoptic intubation

(3) intubation through a supraglottic device following failed intubation

2. Discussion of recent cases

3. Patient preparation

4. Airway local anaesthetic topicalisation

5. Environment preparation

6. Use of the aScope

Device familiarisation

The aView Monitor:

One of the consultants got intubated by his registrars. It shows the challenge of topicalisation in a non-sedated patient who has not received an antisialogogue:

Further comments and reflection by the intubatee are documented here

The retrieval service (Greater Sydney Area HEMS) has been using the aScope for several years and has some useful aides-memoire and checklists available below.

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Articles of interest

Alpha-blockers in renal colic (rebel em)

Challenging patients (dftb)

”Expectations in the trauma bay”

Calcaneus fractures (core em)

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NIV in ED

My talk from today:

NIV in ED

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Australian Prescriber Feb 2017

Some articles which may be of interest:

Should pulse pressure influence prescribing?

Antimicrobial use and resistance in Australia

Midazolam for status epilepticus

Drugs for chronic obstructive pulmonary disease

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