#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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#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
COVID-19 (Doning/Doffing Video)
March 10, 20202 video links to PHE how to Don and Doff your PPE Read more
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
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
