C & C June 18 – Case discussions

Hi all Thanks Aaron, Hannah G, Colin K for showing up and engaging in good discussions. Case 1 – Amiodarone for cardiac arrest secondary to TCA poisoning Aaron will follow it up for us but the first question he asked was about the use of (or contraindication of) amiodarone for cardiac arrest secondary to TCA…

Basic Airway Skills – Update

Hi all, Thanks for the good turn out and your contribution to the C & C. Adding to the revision of our previous sessions, CSO Blair Andrews sent a strong message for the use of the lateral positioning for the unconscious patients or Pts with lowered GCS unless intubated. It is often called LTP (Lateral…

Basic Airway Update

It’s been a while so there has been a couple of great articles and podcasts about airway subject just in time for our sim practice! On our previous basic airway session, we talked about the importance of; positioning two hands technique slow and gentle ventilation Three prehospital specialist physicians from Sydney Great Area HEMS are…

RSI/DSI – Clinical Decision

This is a thought-provoking (hopefully), and a review blog for ICPs (and others interested) to expand their clinical decision to, or not to RSI/DSI. Please share your thoughts… These are my favourite FOAM for RSI/DSI… Cool eh! Delayed Sequence Intubation (DSI) – EmCrit – This page is a compilation of all things Delayed Sequence Intubation (DSI)…

PreOx & ApOx

Hi team, Preoxygenation (PreOx) and Apnoeic oxygenation (ApOx) are the terms used to describe procedures to reduce desaturation during intubation. PreOx was introduced to our CPG as part of RSI procedure and it serves three purposes. Denitrogenation of the lungs = replacing nitrogen with as much as O2 as possible in the lungs. This is the…

Laryngoscopy & Intubation

Happy 2017! I’m kicking off this year’s blog with an airway subject. This is a review/follow up from the airway series last year, and it is a reminder for you to keep up with the regular drills for laryngoscopy, failed intubation, etc : ) * For those newly joined our C & C, we expect everyone on the…

Surgical Airway

Hey : ) Here is a quick post about the surgical airway. CICO = Can’t Intubate, Can’t Oxygenate leave us with the only choice to proceed with surgical airway. (Needle/Jet ventilation is no longer recommended even for kids.) And for ICPs, some situation we may need to be proactive and be ready for the surgical…

To become a fantastic airway assistant

Thanks for putting up with multiple posts this month and hope I’ve prompted some good ideas, thoughts and discussions (even just in your heads : ). This is the final post with a lot of learning points before the SIM practice C & C. On this post, I’ll talk about things I can think of…

LMA vs ETI

Hey team, OK how did you go with this week’s questions? EGD (Extraglottic device) include various types of LMA and iGel. iGel is popular and is viewed as ETI alternative by some EMS. Obvious problem for LMA is that overzealous bagging often seen by adrenaline driven hands resulting in gastric insufflation causing vomit so once…