Hi guys, First, huge thanks to Dr Malin Zachau for her time and effort in sharing her knowledge. May be a cliché comment, but I found Malin’s passion for the research and her energy to do the right thing was very infectious and inspirational. The session started out with Malin asking us questions around AH,…
Category: Medical
WWJD: What Would Joules Do?
An ambulance is dispatched for a low priority call to a nursing home. A patient is being referred through to the emergency department by their GP because, when conducting a physical examination, the GP auscultated a heart rate of approximately 180. On your arrival, the patient is alert, oriented, seated on the edge of the…
Agitated delirium
Following the latest CCE, these are some of my favourite FOAMs relating to “Agitated Delirium”. First, check out this great lecture from SMACC 2016 by Dr Reuben Strayer. Check out the SMACC DAS site for more details. Another of my fabourites Dr Minh Le Cong from PHARM in his blog ‘Surviving Sedation Guidelines 2016 update’ talks about…
Status Epilepticus
This is a lead-up blog for our C & C next week where we will discuss SE = Status Epilepticus. Midazolam and valproate administrations for the seizure management have been recently added to the paramedic ATP. RSI consideration has also been highlighted for the management of SE. Here is some cool FOAMed to help us…
The Resus Room – Roadside to Resus
The first Roadside to Resus podcast by The Resus Room, featuring James Yates, Simon Laing and Rod Fenwick Roadside to Resus – Acute Heart Failure
Surviving Sepsis Guidelines 2016
Here we have the latest SSC guidelines update. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Check out this good review on the guideline by my usual favorite PulmCrit, Dr. Josh Farkas. He talks about noradrenaline vs. adrenaline (the only option we have), rationale for giving (or not giving) early AB, and the…
Drowning
JOB 15y F, near drowning experience 1/7 prior rescued by lifeguards and sent to hospital. No LOC, no interventions given. X-ray at hospital and sent home that afternoon. Pt out with friends and felt SOB with aching in her joints. Mother collected her and bought home. Use of own inhalers with nil effect and persistent…
Sepsis Prehospital Care
Hey guys, This is the second half of sepsis blogs. Go to the first blog “Defining Sepsis” While experts are still working on the definition and better screening tools to give us the guidelines for the management of sepsis and septic shock, how do we actually apply the current best evidence to our practice in…
Defining sepsis
Hey guys, I’ve written a couple of blogs on sepsis for the C & C in November. Some of the red shifters including Shelly, Jude, Shane, Rowan and I (and probably others) have done some research this year so let’s collaborate and discuss the current practice, and what’s applicable to us in Christchurch. I’m posting…
Modified Valsalva
Myself and Grant were called to a 50yo male complaining of chest pain and the sensation of palpitations. On arrival we were presented with a male sitting on a step with a pallor sweaty complexion with no visible SOB. On initial assessment the patient had a weak, fast radial pulse and was moved to…
The Red Shift 