Skip to content

PHARM Podcast 21 – Australian Emergency Perspective June 2012 with Dr Amit Maini

Tune in to hear Amit and I discuss current affairs in EM and Critical Care for June 2012!

Hi folks!

This episode is the start of a regular monthly one with Dr Amit Maini, an Australian Emergency Physician who will provide a regular current affairs update and opinion on all things EM and Critical care for the PHARM Podcast.

He runs his own superlative EM/CC blog site called ED Trauma Critical Care . Check it out!

On this episode we discuss some hot EM/CC topics currently being debated on the blogsphere and twitterverse!

1.DSI – Damn Sexy Intubation or Dumb Silly idea?

2.Femoral vein access – the root of all evil

3. Thrombolytics in submassive PE – do you feel lucky?

4. ETI vs SGA in OHCA – why pigs should be intubated

Amit came and did my Prehospital Anaesthesia and Airway course back in May. Here are some awesome photos of him in action during our extrication exercise.

 

Stay safe and enjoy the interview

Minh

Now on to the Podcast

Right Click and Choose Save-as to Download the Podcast.

3 Comments Post a comment
  1. great discussion! 2.5 comments (I’ll separate them just in case they generate discussion…):

    1- re: nasal cannula during intubation. it can interfere with mask seal. as discussed briefly earlier, in the truly PEEP-dependent patient, it may be necessary to hold the nasal cannula until you start laryngoscopy (obviously with communication & coordination with the team beforehand)

    1.5- in most patients, a nasal cannula at 15 lpm is annoying but tolerable. I’ve tried it personally, and I know some others including Minh have as well. I used to keep it at 3-4 lpm as you discuss in the podcast until the meds were pushed, but the med/apneic time is truly time-dependent, there’re a lot of things going on, the stress level is high as you just paralyzed a patient and are waiting for laryngoscopy… adding one more task into that period seems like a bad idea to me. given how innocuous 15 lpm nasally is, I just put it on the patient and tell them it’s annoying but they’ll feel better soon.

    June 21, 2012
    • just listening to your new post on DSI with Scott Weingart & both of these points are just what he talks means about sterile cockpit– nothing unnecessary during grown-up time.

      June 21, 2012
  2. 2- re: femoral lines. I agree with Matt Pirotte’s characterization of the femoral line as not something to avoid altogether, but a distant 3rd choice. that being said, I believe that a femoral line REQUIRES ultrasound for placement. the anatomy is too variable. Sinai’s US director, Bret Nelson, does a great job with our residents every time we sono anyone’s groin — look at the proper, textbook anatomy, then move up and down and watch the artery and vein dance back and forth. then reposition the leg and watch a whole new set of anatomic relationships. there is far too much inter- & intra- patient variability in groin anatomy to permit a landmark only approach.

    June 21, 2012

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Adventure Medic

Prehospital and retrieval medicine blog

DrGDH

Or "How I'm Learning to Stop Worrying and Love Emergency Medicine"

Pondering EM

One junior EM doc's journey through the curious world of Emergency Medicine...

rain0021

A great WordPress.com site

Genevieve's anthology

Writings to amuse, teach, inspire and entertain.

Prehospital and retrieval medicine blog

Prehospital and retrieval medicine blog

Keeweedoc

A topnotch WordPress.com site

BoringEM

Bringing the boring to emergency medicine

resusNautics

Navigating resuscitation

Doctor's bag

by Dr Edwin Kruys

Prehospital and retrieval medicine blog

Prehospital and retrieval medicine blog

ETM Course

Emergency Trauma Management Course

The Doctor's Dilemma

Modern Medical Musings from Dr Marlene Pearce

Sim and Choppers

A blog combining medical education, simulation and helicopter retrieval medicine

GreenGP

Reflections of a Rural GP

Auckland HEMS

Unofficial site for prehospital care providers of the Auckland HEMS service

Rural Doctors Net

useful resources for rural clinicians

expensivecare

Searching for the big picture in intensive care

Nomadic GP

Adventures of a Rural Locum

AmboFOAM

Free Open Access Medical Education for Paramedics

the short coat

Prehospital and retrieval medicine blog

BoringEM

Bringing the Boring to EM

Keep Caring

When your shift turns to shit? Keep moving, keep caring!

Kangaroo Island doctor blogging about Rural Medicine in Australia

thebluntdissection

pulling apart cases from the ED...

Little Medic

Learning everything I can from everywhere I can. This is my little blog to keep track of new things medical, paramedical and pre-hospital from a student's perspective.

MEDEST

Prehospital Emergency Medicine

ruralflyingdoc

Just another WordPress.com site

MDaware.org

Prehospital and retrieval medicine blog

Intensive Care Network

Prehospital and retrieval medicine blog

Broome Docs

Rural Generalist Doctors Education

Resus M.E!

Prehospital and retrieval medicine blog

EMCrit Blog - Emergency Department Critical Care

Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

St Emlyns

Meducation in Virchester #FOAMed

Emergency medicine and critical care medical education blog

RFDS Australia - Queensland Section The STAR Program

Specialised Training in Aeromedical Retrieval

Follow

Get every new post delivered to your Inbox.

Join 6,858 other followers

%d bloggers like this: