#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?
Read more
#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
Read more
#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
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
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.
