All the stuff you wish you knew at 4 am…..
Second part of our review on communication during high stress, time sensitive codes. Focus is on Training the team and team dynamics as well as how to build a resus simulator for 140 dollars!!!!!! The last time we accepted the fact that every now and then your ability to communicate during a code will […]
This Episode addresses what you can do to communicate better during noisy and chaotic code blues, resuscitations and trauma codes where things just aren’t going right.
Ever wondered how to set up for an intubation in low light? or in a car crash.? Maybe on an ambulance where you have to be seated ? This is todays topic. Intubation on the field. #Airway #intubation #icu #ems #fieldtransport #medic #criticalcare #emergency airtrainsport #emergencymedicine
How good are you at rounding? How could you making it better? Whats in your ICU rounding checklist? My own checklist. Selected References: The JAMA paper. The Attitudes at Rounds paper. The exploirative discriptive paper. The two Cochrane Reviews: https://www.ncbi.nlm.nih.gov/pubmed/10796485 https://www.ncbi.nlm.nih.gov/pubmed/19588316 The Diffusion of Evidence Based Practice statewide paper. The checklist paper. The computer bsed […]
What is Massive Transfusion? What’s in an MTP? When to Trigger? What’s in the box? New trends and controversies. When to halt your MTP. Selected References: Early high ratio platelet transfusion in trauma resuscitation and its outcomes. Trauma resuscitation requiring massive transfusion: a descriptive analysis of the role of ratio and time. Ten-year analysis […]
THERE IS NO SUCH THING AS AN ED STERNOTOMY! BUT There are emergent sternotomies. and they are exteremly fulfilling. Just a short commentary on a cool video ! Chapter Mentioned. Pictures Referenced. Dr Tongmeesee
How many lumens do you actually need in the real world? Is a single lumen enough? How much more flow can I get from a pressure bag? What’s the optimal way to set up line access? Copy of the powerpoint. Selected readings: An In Vitro Assessment of the Efficacy of Various IV Cannulas for […]
What are vasoelastic assays? How do I read them? What do I do? Is it ready for primetime? TEG VS ROTEM – the format wars. Whats the future like? Selected references: Effect of thromboelastography (TEG®) and rotational thromboelastometry (ROTEM®) on diagnosis of coagulopathy, transfusion guidance and mortality in trauma: descriptive systematic review An assessment of […]
A play by play video of a scalpel finger bougie cric. As much as I’d like to take credit, original video was filmed by Reuben Strayer with patients consent. Simply mind blowing how much cognitive work goes into a surgical airway and the video is just an amazing example. Another good example can be […]
….or an argument against throwing the baby out with bathwater. Invariably we’ve all heard it on the podcasts, blogs and at the conferences. The reasons why we shouldn’t do panscans are all over the internet. From conspiracy theories that radiologists and hospital admins are doing it for the money to the argument that it dulls clinical […]