Video Guides

COVID-19 (Doning/Doffing Video)

March 10, 2020

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

CPAP Set-Up

November 4, 2020

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

Humeral Brace – Application

October 6, 2019

Inclusion 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.

Read more

Insitu SIM Instruction

Insitu SIM Instructions

March 1, 2021

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

Issue 1

SIMNews – Issue 1- Massive PE

March 1, 2021

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

SIMNEWS-Issue 3

SIMNews – Issue 3- Anaphylaxis

March 1, 2021

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 Read more

SIMNEWS- Issue 2

SIMNews- Issue 2- Acute Pulmonary Oedema

March 1, 2021

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

Thomas Spint – how to apply

February 3, 2019

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

Conference

#EuSEM2018 – Day 1

September 10, 2018

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

#EuSEM2018 – Day 2

September 11, 2018

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

Read more

#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?
Read more

#EuSEM2018 – Day 4

September 13, 2018

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
Read more

#EUSEM2020 (virtual conference)

September 28, 2020

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)

Read more

#RCEMasc 2019 – Day 1

October 1, 2019

For 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, 2019

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

#RCEMasc 2019 – Day 3

October 3, 2019

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

RCEM CPD 2019 Day 1

April 2, 2019

 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

RCEM CPD 2019 Day 2

April 3, 2019

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

RCEM CPD Conference Day 3

April 4, 2019

REALISTIC EMERGENCY MEDICINE  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, 2019

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

Journal Club

Journal Club – 18th April 2018

April 22, 2018

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

Read more

Journal Club – 5th March 2018

March 6, 2018

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

Journal Club – December 2020

November 23, 2020

Safety and Efficacy of the SNAP 12-hour Acetylcysteine Regimen for the Treatment of Paracetamol Overdose – [LINK HERE]
Wed 16th Dec 12-13:00
TEAMS meeting Read more

Journal Club – Feb 2021

January 28, 2021

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

Journal Club – Jan 2021

January 27, 2021

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

Journal Club – July 2018

June 19, 2018

The impact of ED crowding on early interventions and mortality in
patients with severe sepsis
10th July 2018 12:00
(cross-site in the seminar rooms) Read more

Journal Club – June 2018

May 22, 2018

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

Journal Club (n)Movember 2018

November 25, 2018

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