Trick of the trade July 2012 competition
Competition time again! Dr Rob Bryant inspired me by suggesting we run a competition on a Trick of the Trade and see who could send in the best clinical tip or Trick they had!
Rob is off to a running start by sharing his Emergency Drug Card with us here
But you cant let him win the competition AGAIN?!
Here is MY Trick of the Trade for all you Prehospital and Retrieval Clinicians out there! Recently my base got the GE Vscan portable ultrasound device for testing.
Its a great little device but due to a minimum depth of imaging of 6cm has real trouble imaging the lung/pleural interface, all so crucial for assessment of possible pneumothorax. To me pneumothorax assessment is one of the game changer benefits of portable USS technology in the aeromedical, prehospital and retrieval medicine field.
SO I came up with a solution/workaround to image the pleural interface better with the GE Vscan!
Firstly here is what normal pleural/lungs sliding looks like in the absence of pneumothorax
Now during a recent aeromedical retrieval I taught the flight nurse how to image the pleural/lung sliding using the GE Vscan and a 100ml Saline bag as a sonogram adjunct. Check out our improvised technique!
The 100 ml saline bag allows the probe distance to be optimal to the pleura. I tested with 500ml mannitol bags, 1000ml saline bags and the 100ml saline bag was the best!
SO POST YOUR BEST TRICK OF THE TRADE HERE OR EMAIL THEM TO ME
Winner will be judged by myself, Amit and Andy and announced first week of August. Prize is a copy of my Prehospital Anaesthesia syllabus and limited edition RFDS mouse pad.