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PHARM PODCAST 102 : Prehospital Lessons from a PJ – “That others may live”

Pararescue medic Michael Lauria

 

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MORE SMACC GOLD with Dr Steve McGloughlin – The Dying Traveller


Dr Steve McGloughlin is a great speaker. He used to work with me at RFDS Cairns when he was still a registrar so it was great catching up with him since his transition to being a consultant at the esteemed Alfred hospital in Melbourne!

PEEP zero. Is this the answer?

Originally posted on MEDEST:

Inspiring discussion on Twitter (Minh Le Cong@rfdsdoc, Karim Brohi @karimbrohi and Peter Sherren@PBSherren)
The topic:
Your hypotensive blunt/penetrating trauma patient with associated severe TBI needs a vent. How do you set it and how you achive your physiological goals?
Is it possible to mantain eucapnia, avoiding hypercapnic insult to the brain, using low minute ventilation strategy and not depressing stroke volume with high intrathoracic pressure?
“Permissive hypoventilation” in a swine model of hemorrhagic shock.

Conclusions: Although permissive hypoventilation leads to respiratory acidosis, it results in less hemodynamic suppression and better perfusion of vital organs. In severely injured penetrating trauma patients, consideration should be given to immediate transportation without PPV.

But what if we have concomitant severe TBI? How can we avoid respiratory acidosis and hypercapnia (due to hypoventilation) and conseguent insult to the brain?
Is PEEP…

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PHARM PODCAST 101 : ED sedation -towards best practice

 

 

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Making the Call: Enhancing Cognition, Critical Thinking, and Decision Making in Acute Care by Michael Lauria

I saw this on Twitter today and its a great lecture along the lines of Weingart and Reid’s discussion of Combat Mindset in critical care. Check it out!

EMCrit speaks on cricoid pressure

Attributed to some joker on Twitter

Attributed to some joker on Twitter

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Rural Prehospital Care Survey by Dr Tim Leeuwenburg

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ETM Course

CHECK OUT FUTURE ETM COURSE DATES AND REGISTER!

Prehospital airway management- what is the gold standard?

Dr Seth Trueger's gold standard laryngoscope

Dr Seth Trueger’s gold standard laryngoscope

 

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explained: practical, short, how-to crit care videos

Thanks to Intensive Care Network ! Check out this great FOAMEd HOW TO CRIT CARE Video Series!

RSI Checklist app – Reviewed by Dr Tim Leeuwenburg

Read Tim’s review here!

The occasional intubator needs a plan. I got one! Do You?

Originally posted on MEDEST:

want you

Following some discussion on who owns the airway (see the comments at the post Paralytic is the answer on EMPills Blog)

Have to admit: I’m an occasional intubator.

I manage something like 10 airways per month, all of them are “non conventional”, (no operating room, no chance to wake the patient, no chance to call an expert), and usually I have no time to evalute any of common indicators to predict difficult airway (time is often a rare issue in ground or air prehospital scenarios).

Half of the airway I manage are CRASH, half needs an RSI, so, shame on me, I’m also an occasional “paralytic agents user”.

So I desperatley need a plan

But lissen, I got one!

Dear collegue, wathever intubator you are, occasional or regular,  feel free to submit any comment on the plan and also fell free, if you think it’s useful, to use and…

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Ultrasound in prehospital and retrieval medicine

 

IMG_0412

 

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PHARM PODCAST 100!!! : EVO COMPETITION

 

evologo_greyHR

 

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WHAT IS EVO? WATCH THIS!

JOIN THE EVO COMPETITION FOR SMACC CHICAGO!

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