Author Archives: ketaminh

Palliative care in the cardiac ICU

The provision of care in the intensive care unit (ICU) is based on extremely innovative technology and cutting-edge techniques, often prioritizing the delivery of aggressive treatment to manage the disease while neglecting the human dimension of the patient. However, in recent times there has been a surge in the introduction of Palliative care in the ICU,…Continue reading “Palliative care in the cardiac ICU”

Building Community Resilience with Careflight — KI Doc

Rural trauma – a high-speed vehicle roll over, a farming accident with a chainsaw, a gas BBQ explosion at the family picnic. These are all scenarios that may affect individuals & families…and the rural community. Occasionally a multi-agency event such as a bushfire, extreme weather event or other natural disaster will cause traumatic injuries and… viaContinue reading “Building Community Resilience with Careflight — KI Doc”

Tim and Jim in Dublin

Full credit for this goes to Dr James DuCanto, airway geek and innovator from Milwaukee, USA. It’s been my great privilege (and crazy pleasure) to facilitate with Jim at smacc airway workshops in Chicago and Dublin, using the SALAD sim (suction assisted laryngoscopic airway decontamination). This is a great setup to teach techniques to manage… viaContinue reading “Tim and Jim in Dublin”

#SMACCAirway in Dublin

St.Emlyn's – Meducation in Virchester #FOAMed In its 4th iteration at SMACC this year, the airway workshop was held twice – in the morning and afternoon. It was essentially a masterclass in what is being developed and implemented regarding airway simulation and skill around the world. Each workshop was divided into four sessions –… via #smaccAIRWAYContinue reading “#SMACCAirway in Dublin”

Tim rants about Paramedic RSI – Its worth a read

A nice little paper caught my eye in this months Emergency Medicine Australasia. Entitled “Review of therapeutic agents employed by an Australian aeromedical prehospital and retrieval service” this is a really simple paper; basically an audit of the medications carried and used over a 12 month period by the Sydney HEMS service. Everyone likes playing with…Continue reading “Tim rants about Paramedic RSI – Its worth a read”

CICO Trainer for under $5 — KI Doc

The dreaded ‘cannot intubate, cannot oxygenate’ scenario is one which most clinicians will never encounter. In elective anaesthesia, the CICO rate has been described by Cook & Macdougall as 1/5000 in elective cases, proceeding to emergency surgical airway in 1/50,000 (a more recent study from Japan describes CICO as 1/32,000 – either way, a rareContinue reading “CICO Trainer for under $5 — KI Doc”

Lining It All Up — Songs or Stories

It’s been a while since a collected tips and tricks post. Previously we’ve had posts on cannulation, bag-mask technique and laryngoscopy. Time to get back to vessels and some odds and ends on central lines. Anaesthetists are skilled at many things. Airways. Making scrubs look fashionable. Or deliberately unfashionable. Even making small talk. Sometimes withoutContinue reading “Lining It All Up — Songs or Stories”

Still Meandering Towards Apneic Oxygenation — Emergency Medicine Literature of Note

The use of apneic oxygenation – so-called NODESAT – has been gaining rapidly in popularity. Curiously enough, however, its continued promotion occurs in the absence of high-quality evidence for benefit.This most recent study is a prospective, observational evaluation of two years’ worth of intubation procedural outcomes. Patients receiving passive oxygenation during intubation were compared with… viaContinue reading “Still Meandering Towards Apneic Oxygenation — Emergency Medicine Literature of Note”

SMACCDUB – A Trainee’s Perspective. St.Emlyn’s — St.Emlyn’s

St.Emlyn's – Meducation in Virchester #FOAMed Having recently returned to the real world after attending SMACCDUB in Dublin, we thought we should try to articulate some of the things we learnt. Rich: Having only lost my SMACC virginity last year, I had little by way of comparison other that what had been a monumental… via SMACCDUBContinue reading “SMACCDUB – A Trainee’s Perspective. St.Emlyn’s — St.Emlyn’s”