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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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Great 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

Slides 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

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

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