Skip to content

Posts from the ‘Uncategorized’ Category

Does video make for little airway stars?

Originally posted on The Collective:

Most of us are always out for new techniques to make difficult cases easier. Videolaryngoscopy is one area of great change over the last decade. Here Andrew Weatherall looks at videolaryngoscopy as it relates to looking after the little kidlet airway. 

Seeing is believing. It can happen in a moment in sport. It’s the whole basis of magicians plying their trade.  Even people seeing mysterious circles appearing in crops want to believe.

Perhaps that impulse is why everyone wants to believe in videolaryngoscopy. And it makes sense. It’s persuasive. The view is better than your eyes alone. It must be better.

And yet … the evidence doesn’t help us back up our gut reaction. So the debate starts. It’s a pretty big debate too. Too big for here.

So let’s just talk about one bit. Let’s see where videolaryngoscopy fits in with kids.

Open Bias

I should declare an interest here. I like videolaryngoscopy. I…

View original 1,512 more words

Top Tricks for Little Pricks

Originally posted on Songs or Stories:

One of the things we hope to share on here are those practical tips people use in day to day practice. There was an obvious spot to start.

This is a post about frustration. It’s a post about humility. It’s a post about annoyance and triumph that shouldn’t be treated as a victory.

It’s about cannulation.

Getting a cannula in the patient can be the most mundane, most satisfying or most frustrating part of a day at work for a kids’ anaesthetist. Cannulation is not just useful clinically. It has an excellent habit of keeping any practitioner from getting too far ahead of themselves, just when they are feeling like the supreme clinician.

Anyone who has worked with anyone else has also seen or heard lots of different tips and tricks that individuals have built into their practice over the years. Of course, if there was a single thing that…

View original 1,197 more words

Chat about Chests – On Holes and Whether Plastic is Fantastic

Originally posted on The Collective:

Dr Andrew Weatherall with an introduction to a new type of thing (well, for this site anyway). 

*Ahem* [clears throat].

Well, we finally thought we should try chatting. After much delay we finally sat down and tried recording a chat with a microphone. And then after a much longer delay I have finally spent some time learning what to do with all that noise. All that slightly-too-quick-talking noise.

This effort features me chatting with Dr Alan Garner about those times you need to decompress the pleural space. It seems to be an area where a lot of people have passionate ideas about how and when to intervene. This makes it ideal for a chat, although maybe harder to be definitive about what to do. While Alan makes the argument that many of the disadvantages of tube thoracostomy first solved by the open technique have other solutions apparent in modern practice. However, all…

View original 652 more words

Load-Play-Go and “6 minutes approach” in Out of Hospital Cardiac Arrest . Is this just fool?

Originally posted on MEDEST:

PROTOCOLLO ELS da plastificare_engI’m really surprised of the great debate that the previous post (Load-Play-Go in Out of Hospital Cardiac Arrest. The “6 minutes approach”) arouse around the “6 minutes approach”, and all the comments on the “load-play and go” way to manage the OHCA patients potentially candidate to Externa Life Support.

Most of the comments affirmed that 6 minutes to run a code is an utopia, and that stay and play is the right and only way to manage out of hospital cardiac arrest (OHCA).

“This is silly. 6 minutes to work a code into the back of your ambulance?….”, “I just wish I could convince more people that out-of-hospital cardiac arrest is a “stay and play” and not a “half ass cpr that provides nothing to the patient and rush to the hospital” kind of call……”, “There’s next to nothing that will be done in the hospital that you can’t…

View original 619 more words

Better Pink or Better Blue? Dealing with Cardiac Kids

Originally posted on Songs or Stories:

OK, here we go. This is the first in a 2 part series on a general approach to kids with cardiac disease. This post, by Dr Andrew Weatherall, is on key points of assessment. The second post in the series will be an attempt to provide simple goals of anaesthesia when looking after these kids. Dr Andrew Weatherall is a paediatric anaesthetist and prehospital doctor, working mostly at The Children’s Hospital at Westmead. He spends some time doing cardiac anaesthesia, including a couple of aid trips. This post also had a check by Dr Justin Skowno, also a cardiac anaesthetist at The Children’s Hospital at Westmead. 

Better Pink or Better Blue? The Kid with Congenital Heart Disease

We all have nightmares. They might have been monsters once. They might relate to Elvis Presley’s diet. For anaesthetists, it can be any number of clinical scenarios. Or sometimes the quality of the next cup of coffee.

View original 1,507 more words

Paramedic Registration

Originally posted on DOWNSTAIRS CARE OUT THERE BLOG:

If your unaware, the big day for the Paramedic Registration vote is the 7th of August! Time to start making some noise about what we want as paramedics.

Registration is Important. So get on social media and make some noise the tag is #PararegAus

Its time to stop playing prehospital care state by state an move to a national qualification system!

View original

Managing airways in TBI

Originally posted on MEDEST:

Logo MEDEST2

View original

Another SMACC Perspective

Originally posted on AmboFOAM:

This week (somewhat late) we have another perspective on SMACC from Ben Lawson (@Paramedidad).  Ben is a Paramedic from Queensland and a first time SMACC attendee.  Please note the lateness of this post is entirely my fault: Ben emailed me before even getting home from SMACC.  Sorry Ben!

View original 610 more words

“Pinky and the Brain…..”

Originally posted on "Sweat the small stuff....":

Hi readers! If you’d ask me about my knowledge of brain injuries, I would have given you a gormless look much similar to Pinky’s one to Brain….

Then I went to a wonderful conference day this week organised by the Kent, Surrey & Sussex Air Ambulance. It was on Brain Injuries (traumatic and medical) and had some eminent speakers, including  Richard Lyon, Mark Wilson, Gareth Davies, Alistair Nichol and Kevin Fong. It was chaired by Dr Malcolm Russell. As the title of this post suggests, I am “Pinky” and all the speakers are collectively “Brain”

https://twitter.com/bhanders/status/623504159652843520

KSS Hems is a very special organisation for me for many reasons. Through out the day I was tweeting some learning points with the #KSSBrain. (Click on the hyperlink to see all the tweets.)

winnie-the-pooh-and-piglet-original-a-dusting-of-stars-upon-dim-shores-pictures

Those who are clever, who have a brain, never understand anything

I thought I’d summarise…

View original 1,047 more words

Fidelity – can you have too much of a good thing?

Originally posted on The Collective:

Finally Dr Sam Bendall returns with another post on things educational. This time around it’s about how to focus on fidelity. You can read Sam’s earlier post right about here

The human mind is a complex machine. I am constantly amazed at its ability to “fill in the gaps” or create a reality. Like …. I was SURE I saw my keys on the bench this morning.

This is not a post about drug-altered states. (By Rob Gonsalves.) This is not a post about drug-altered states. (By Rob Gonsalves.)

Fortunately for those of us who love simulation as a teaching tool, this amazing ability can be exploited to create realism in our scenarios.

So this then begs the question, if the most powerful simulator in the world is on top of your neck, capable of filling in many environmental deficits, how much external fidelity do we really need? I love Dr. Cliff Reid’s line: “Run resuscitation scenarios in the highest…

View original 1,186 more words

Should we stop looking at first look intubation rates?

Originally posted on The Collective:

A brief note: I get to do the editing duty this week (Dr Andrew Weatherall that is) and I could not let it pass without a word of tribute to Dr John Hinds. I had only had the chance to learn from the good Dr Hinds via his online presence. It was a big presence. 

As one who did not know him personally, I can only reflect that he demonstrated many of the best qualities of a passionate doctor and that his passing, far too soon, has revealed many of the best qualities of his colleagues. 

Just in case you needed another reminder, you could watch him in action here, or read good words by @Eleytherius here, or sign a really worthwhile petition to deliver a vision for a better prehospital service for patients in NI here. 

As to this week’s post, Dr Alan Garner has a post on looking…

View original 1,726 more words

SMACCed to the Future

Originally posted on DOWNSTAIRS CARE OUT THERE BLOG:

Second year of SMACC, this year I made the decision to go to a Workshop, that was not a mistake!

The second time round I get worried, I’ve been let down by second performances before (Jurassic Park: The Lost World, anyone?)

This was not a let down at all! After arriving at the hotel at 0100 on the Morning of SMACCForce, I went to sleep and awaited the bus.
SMACCForce was far less a workshop, more of a prehospital conference just prior to SMACC The speech by Ashley Leibig on PTSD, provider wellness, taking care of your own. I’m rather sad that that wasn’t filmed because it just got to me and really resonated.

There was also a captivating speech on what to do after an incident or accident by Mike Abernethy that was all about keeping the team functional but not rushing back into work.
Post incident time should…

View original 460 more words

SMACCed Over

Originally posted on AmboFOAM:

SMACC has come and gone again for another year.  It’s always a bit of a comedown, returning to normality after the conference, and this year it is with greater sadness that we return to our ordinary lives.

Enough has been written, tweeted, and blogged about the death of Dr John Hinds just after the SMACC conference.  Nothing I can say will add to that, or make anyone feel any better, so rather than dwell on the loss and sadness, I will instead look back at the fun times I had at SMACC this year.

Please be warned, this is essentially the online version of my holiday photo slideshow.  It is image intensive, and catastrophically boring for everyone but me.  I shall therefore take delight in inflicting it on all of you…

View original 1,356 more words

EZDrugID: International campaign to improve the distinctiveness of medication packaging

Originally posted on MEDEST:

“Look-alike Drugs”is a present concern for all the emergency medicine professionals. EZDrugID Campaign address this topic with a petition a survey and suggesting strategies to prevent medication errors.

Go to the website http://ezdrugid.org/EZDrugID/About_EZDrugID.html and sign the petition, take the survey but most importantly introduce in your working place the awareness of “Look-alike drugs” danger for medication errors.

NMBDOne of these thingsPregnancySuxPancWheresWally_1

Logo MEDEST2

View original

Sandpits, Better Eyes and New Monitors – Can NIRS work for prehospital medicine?

Originally posted on The Collective:

This is part 2 of a series (part 1 is here) on trying to study near-infrared spectroscopy in the prehospital setting by Dr Andrew Weatherall (@AndyDW_). Can NIRS work? No one can be sure but here’s one approach to getting some data we can actually use. 

A while back I did a post where I pointed out that when you get sold technology, there’s a whole history behind the machine that goes beep that means it’s probably not what you’re told. And the example I used was near-infrared spectroscopy tissue oximetry.

That was partly because I’m involved in research on NIRS monitoring and I’ve spent a lot of time looking at it.  Like every time I look carefully in the mirror, there’s a lot of blemishes that I miss on a casual glance. I also don’t mind pointing out those blemishes.

So that post was about all the things that…

View original 1,445 more words

airwayNautics

"Live as if you will die tomorrow; Learn as if you will live forever"

Songs or Stories

Sharing the Science and Art of Paediatric Anaesthesia

IC-HU PROJECT: HUMANIZING INTENSIVE CARE

In memory of Dr John Hinds

"Sweat the small stuff...."

"If someone is willing to teach you something for free, take them up on it. Do it. Every single time. All it does is make you more likely to succeed. And its kind of a nice way to go through life...."

Liz Crowe

Wellbeing Counsellor and Educator

#badEM

In memory of Dr John Hinds

EM Basic

Your Boot Camp Guide to Emergency Medicine

Ash Witt

In memory of Dr John Hinds

gasdoc2857

Ramblings from a gasdoc with interests in #anaesthesia, #intensivecare, #echo, #PHEM and #FOAM

PulmCrit: Pulmonary Intensivist's Blog

In memory of Dr John Hinds

Miss Chardy

Laughter in the Outback

The Collective

A Hive Mind for Prehospital and Retrieval Med

Bits & Bumps

Obstetrics and Gynaecology FOAM

FOAMcast

Why FOAM it alone?

In memory of Dr John Hinds

DrGDH

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

rain0021

A great WordPress.com site

Genevieve's anthology

Writings to amuse, teach, inspire and entertain.

JR Paramedic

In memory of Dr John Hinds

Monash Anaesthesia

In memory of Dr John Hinds

Keeweedoc

A topnotch WordPress.com site

BoringEM

Bringing the boring to emergency medicine

resusNautics

Navigating resuscitation

Doctor's bag

by Dr Edwin Kruys

EM nerd

In memory of Dr John Hinds

The Chart Review

In memory of Dr John Hinds

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

Not just a GP

Why GP is the greatest job in the world

the short coat

In memory of Dr John Hinds

BoringEM

Bringing the Boring to EM

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

KI Doc

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

In memory of Dr John Hinds

Intensive Care Network

In memory of Dr John Hinds

Broome Docs

Rural Generalist Doctors Education

Resus M.E!

In memory of Dr John Hinds

Follow

Get every new post delivered to your Inbox.

Join 10,448 other followers