An abominable airway!

the case. a 28 year old male presents to your Emergency Department with a 2-3 week history of increasing neck swelling. He is now spitting out frank purulent discharge from his mouth and reports fevers and night sweats. He reports a rapid increase in neck swelling which is now preventing him from eating a normal diet. His purulent secretions started…

via an abominable airway… — thebluntdissection

Outback cooking – dessert

We have eaten our way through the whole outback cattle station menu and I feel full just thinking about dessert. I must admit I am not a huge lover of cooking dessert. I do like to eat it though and perhaps that is where the problem lies. So what is your go do dessert recipe? Mine…

via Miss Chardy’s Guide to Station Cooking – Part 7 – Dessert — Miss Chardy

Victorian prehospital chemical restraint 2017 update

It’s time for another post on everyone’s favourite drug: ketamine! Hooray! Ok, so this is not entirely about ketamine, but ketamine does come into it. AV paramedics have recently received training to administer IM ketamine to agitated patients as part of a greater focus on paramedic safety when managing these situations(MICA paramedics have had ketamine for […]

via Just Kalm Down! — AmboFOAM

Editors note : I find it surprising given the Australian research published on acute behavioural disturbance and updated guidelines in Queensland and NSW recently, that droperidol is not included in these latest Victorian Ambulance protocols. Why it has not replaced midazolam given its superior safety profile in the research, is baffling. And when its written that mild – moderate agitation can be managed with “a little midazolam”, I would suggest an oral agent is likely just as effective in this situation than a needle.