EMbeds.co.uk

2 video links to PHE how to Don and Doff your PPE Read more

NIPPV 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

BTS has released the guidance – HERE  Read more

Click here to view on another tab Don’t forget to have fun Read more

Click 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

Click 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

Invented 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

For 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

Very 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

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Hej 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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My 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)

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Paracetamol 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

AIRWAYS-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

 HEAD 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

NEUROLOGY #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

#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

Should 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

The H-Impairment Index (HII): a standardized assessment of alcohol-induced impairment in the Emergency Department

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Intravenous versus oral paracetamol for acute pain in adults in the emergency department setting: a prospective, double-blind, double-dummy, randomised controlled trial 

Thanks for the great turn out especially from ACP’s and Nurses (come on docs we are being out shone!!!) – and a really insightful look at the paper. Read more

Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism
Wed 24th Feb 12-13:00
TEAMS meeting  Read more

Acute Kidney Injury After Computed Tomography: A Meta-analysis
Wed 27th Jan 12-13:00 – OUTCOME
TEAMS meeting  Read more

Intraosseous Vascular Access Is Associated With
Lower Survival and Neurologic Recovery Among
Patients With Out-of-Hospital Cardiac Arrest
6th June 2018 13:00
(cross-site in the seminar rooms) Read more

This month we will be looking at:
 
“High-sensitive cardiac troponin T” (Ru-Yi Xu et al 2013)
 Date, time TBC
(cross-site in the seminar rooms) Read more