Agitation Management in TBI

Managing agitation in TBI is important. Here’s a few reasons why, and a few things to consider when you’re doing it.

Summary: C&C March

Health and Disability Commissioner: Consumer Rights A timely reminder, particularly for the paramedics who will be subject to refreshers and demonstrable competence post registration, of the HDC Code of Consumer Rights. It’s something we generally know about, but aren’t too phased about because we are generally pretty good on it. One of the key messages…

Reflection vs Rumination

Some time ago I saw a tweet where a student admits to their supervisor “I just didn’t want to be in the way”, to which their response was “what were you there for? I’m not sure our comprehension on the role you were acting in is the same”. This stuck with me, as we see…

Summary: C&C February

A great spread of people turned out yesterday- different practices, backgrounds, ATPs, and lengths of service in medicine. Many thanks in particular to Suzi for your case study of a 21YO unknown overdose. The apparent offending medication (although not fully known) were sodium channel blockers, resulting in an unfortunately standard presentation. Seizures, cardiovascular compromise, and…

Summary: C&C January

I am grateful to all those who came along, and to all those who spoke yesterday. Paul gave us one of the highest quality pieces of free education I’ve ever had, for which I’m sure we’re all truly grateful. If you would like a copy of his presentation please email Andrew or Paul and we…

Lystra – Brady

Here is one sent in from our Ex-colleague still obviously interested and keen to learn. So thank Lystra for sending this beautiful (?) ecg. 76 yom collapse at side or road. Absent radials, diaphoretic +++    

Case 3 – ECG

Thanks Aaron for sending in this ECG. Hx: 53 yom became stiff at the height of intercourse, had seizure like activity, then unresponsive (exact words from the ePRF). Diaphoresis +++, covered in vomit, urinary incontinent. GCS 11 (3, 3, 5), HR 60, RR 18, BP 70/50, BGL 7.7, Temp 37.2, Pupils 2mm reactive x 2…

Case 2 – ECG

Thanks Shelly and Steph for sending in this case for a 65 yo Male. Clinical findings include; Moderate CP, mild SOB with very slight bilateral crackles, GCS 14 (4, 4, 6), SPO2 92% OA, BP 95/55. What is your ECG interpretation? How do you manage this Pt? What is your management if Pt was less…

HP-CPR Update 2018

Hi all, Thanks for your participation for this month’s C & C! Red Shift HPCPR is coming along nicely with your help!!! We started out our session with Curt giving us some insight into behind the scenes effort St John is making to perfect the details of HPCPR Australasia*. Here is some points that can…

STEMI equivalent

Hi guys, I just had a quick advise from Dr Tony Smith that I’d like to share with you. I was called for a R50 back up for STEMI pathway the other day. EMT/Para crew did well recognising the abnormal ECG and consulted Clinical Desk where they were advised to treat it as STEMI thus…