#EuSEM2018 – Day 1
September 10, 2018For those of you working hard on the shop-floor a quick summary of whats going on in Glasgow @ #Eusem2018 Sepsis 3 interesting talks from dual Emergency Med and Infectious disease specialists, from Denmark and Germany, which highlighted that we are all in the same boat, and again doing… Read more
#EuSEM2018 – Day 2
September 11, 2018Very Geri’s heavy day today @ #EuSEM2018 but lots to think about, and even squeezed in a bit of USS
Geriatrics
Gait is an observation
Timed Up and Go test – get up from chair walk 6m turn and come back, over 10s is a marker of frailty
Also mortality – same predictive value as RR>25 or sBP of 90mmHg
#EuSEM2018 – Day 3
September 11, 2018& today has been all about the Heart (New MI definition, Think Aorta, Failure) + some disaster med for my own interest
4th universal Definition of MI
Whats New?
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#EuSEM2018 – Day 4
September 13, 2018Hej Hej Glasgow it was fun, now back to work. Day-4 was full of great Canadian thoughts on neurology (Vertigo, SAH, and TIA) all topped off with a sprinkle of Organophosphates
Vertigo – Guide to the big 3
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#EUSEM2020 (virtual conference)
September 28, 2020My first virtual conference – has been great to dip in and out of all the streams at my leisure. Just a shame they didn’t send some Danish liquorice.
So here is my Summary…..(Kids, Resus, Heads, Others)
#RCEMasc 2019 – Day 1
October 1, 2019For those back home its been an interesting 1st day at the conference – and the top 5 are 1. Learning from Child Death Great session, presented by both clinical staff and parents, around the death of a 3yo with Down’s syndrome, from sepsis. Highlighted some key points that we… Read more
#RCEMasc 2019 – Day 2
October 2, 2019Paracetamol 12hr SNAP regime: 2014 & 2019 What is it? Pre-NAC – 4mg Ondansetron IV Bag 1 – 2hr 100mg/kg NAC in 200ml 5% Dex Bag 2 – 10hr 200mg/kg NAC in 1000ml 5% Dex Advantages Saves 9hrs Significant reduction in anaphylactoid reactions 2% vs 11% Significant reduction in gastric symptoms (if… Read more
#RCEMasc 2019 – Day 3
October 3, 2019AIRWAYS-2 ETT vs SGA (i.e. iGel) in out of hospital cardiac arrest (trauma and kids excluded) Headline Results: Survival with good neurological out come (MRS 0-3) – No difference around 2.75% (for those that required either SGA or ETT) Easiest – SGA easier achieving ventilation within 2 attempts (87.4% vs… Read more
AKI – teaching
June 12, 2020Since we need to keep socially distanced, teaching may need to be a bit different. so this is our first effort to provide you with some local teaching resources. Watch the video Teams Q&A we will send out invites to a teams meeting so we can discuss pointss around… Read more
COVID-19 (Doning/Doffing Video)
March 10, 20202 video links to PHE how to Don and Doff your PPE Read more
CPAP Set-Up
November 4, 2020NIPPV 3 machines are used throughout the trust to deliver NIV and CPAP – and should be commenced in ED if transfer to ward/ICU is adding significant delay
NIV/CPAP is an Aerosol Generating Proceedure (AGP)
Staff must wear full APG PPE
In Side room with a door
Door Marked with APG sign – HERE
CPAP/EPAP levels of 8-15cmH2O
This video demonstrates how to set up CPAP on the NIPPV 3
Dislocated Shoulder (Teaching Video)
December 1, 2018Great review of shoulder reduction, techniques and sedation. Learning points: Most techniques will work 80% of the time (Best results tailor the technique to the patient) Kocker’s shouldn’t be used in # greater tuberosity Cunningham technique looks interesting (I’m going to give this a go) Traction is the what causes… Read more
Epistaxis – ACP/MG Teaching
June 17, 2019Slide set – HERE Main topics Anatomy Cautery Packing – Don’t force it call for ENT help (septal deviation or spurs) Remember – Elderly patients can have devastating posterior bleeds call ENT early Kindly presented by Mr Habib Read more
Fascia Iliaca Block – ACP teaching
November 1, 2020Pre-Cousre teaching on Fascia Iliaca Block
Headache – ACP/MG teaching
March 11, 2019Slides available – here Main topics of discussion were: Primary vs Secondary headache Red Flags Temporal Artritis Venous Sinus Thrombosis – its variable presentation, and need to highlight in the CT request. Read more
Humeral Brace – Application
October 6, 2019Inclusion Criteria – All closed neurovascular intact adult humeral shaft fractures
Exclusion Criteria – Intra-articular fractures of either the proximal or distal humerus, and surgical neck of humerus.
Insitu SIM Instructions
March 1, 2021Click here to view on another tab Don’t forget to have fun Read more
Junior Doctor Training Open to all Nursing Staff
April 24, 2019Hello Everybody It has been agreed that all nursing staff (HCAs/RNs) can attend the Junior Doctor Training which happens every Thursday afternoon (1-4). This will be on a voluntary basis and there is no pressure to attend it is for your own learning and professional development (It can be used as evidence… Read more
RCEM CPD 2019 Day 1
April 2, 2019HEAD AND NECK Tracheostomy Emergency Care – Dr Brendan McGarth www.Tracheostomy.org.uk Needs to distinguish Tracheostomy from laryngectomy as a laryngectomy has no connection to the upper airway however a tracheostomy may have a connection so gives you 2 options for an airway. Trachostomy problems commonly seen in the ED:- Tube… Read more
RCEM CPD 2019 Day 2
April 3, 2019NEUROLOGY #RCEMcpd @RCEMevents Advances in Acute Stroke Intervention Dr Ian Rennie Acute Stroke Thrombolysis only recannulates approximately 10% of large vessels. MR CLEAN trial reduced disablED survivors following stroke from 53% to 29%. NNT <2 (New England Journal of Medicine 2015) Dawn trial showed treatment up to 24 hours from… Read more
RCEM CPD Conference Day 3
April 4, 2019REALISTIC EMERGENCY MEDICINE Read more
Sepsis – Teaching
August 2, 2020A quick but more in-depth than just red-flags and buffalo, sepsis teaching. Covering the pathophysiology and treatment of sepsis we will follow it up with a teams teaching on: Wednesday August 5th 2020 Read more
SIMNews – Issue 1- Massive PE
March 1, 2021Click here to download the poster Click here to view on another tab Running insitu SIM at CHT means we to learn and share our learning @cazandal, @chftedsim EMbeds guide on how to manage PE’s here Read more
SIMNews – Issue 3- Anaphylaxis
March 1, 2021Click here to download the poster Click here to view on another tab Running insitu SIM at CHT means we to learn and share our learning @cazandal, @chftedsim Read more
SIMNews- Issue 2- Acute Pulmonary Oedema
March 1, 2021Click here to view on another tab Running insitu SIM at CHT means we to learn and share our learning @cazandal, @chftedsim EMbeds pulmonary oedema guidelines Read more
Teaching – Palliative Care
March 19, 2021As we know everybody dies, but recognition and palliation of the dying patient can be difficult. One of our palliative care consultants Mary Keily has produced a video on “End of life care medicines”. We also have the Palliative care bundles in our quick orders on EPR, to make prescribing… Read more
Thomas Spint – how to apply
February 3, 2019Invented by a Welshman ‘Hugh Owen Thomas’, the introduction of this simple device in World War 1 went on to reduce the mortality of #femurs from 80% to 16%. The Kit Measuring Tape Thomas splint – Adult or Paediatric (depending on size) Hoop – Sizing guide can be found here… Read more
Trauma Care Conference
March 5, 2019#TraumaCare19 @TraumaCareUK Mix of PHEM and Major incident sessions today Mental Resilience – Professor Richard Williams Resilience – a process linking a set of adaptive capabilities to a positive trajectory of functioning and adaption after a disturbance. Compared to the reference population ED and Pre-hospital staff have higher levels of… Read more
Trauma in the ED…Day 2 of Trauma Care 2019
March 6, 2019Should ED manage the Trauma airway? For: Dr Simon Laing @simon_laing Against : Dr Felicity Clark @felicityjeclark A debate with an ED consultant for and an Anaethestist against. The eventual conclusion was that it doesn’tmatter who manages the airway as long as they are trained, competant and current with good… Read more
