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AiR Videos- [131] Hot Floppy Bougies
- [130] Hyoepiglottic Ligament
- [129] Fluid Flow During Laryngoscopy; OOHCA
- [128] Laryngoscope Too Deep - Then Pops Down
- [127] Parker Tip Tube Grabs Epiglottis
- [126] Dentures
- [125] Cuff Herniation
- [124] Black ETT Lines Visible - Becomes Extubation
- [123] CMAC after iGel AScope
- [122] Ambu AScope via Flexi ETT Through iGel3
Tag Archives: procedures
Escharotomy Man 2.0
By Sydney HEMS registrar Jamie Andrews For Clinical Governance Day on 5th of November 2014, (Burns theme for Guy Fawkes Night care of the UK contingent!) I was tasked with re-producing Dr Ed Burns’ escharotomy model. Ed had previously hoped that the … Continue reading
Posted in burns, simulation, training
Tagged burns, escharotomy, procedures, training
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Escharotomy
Sydney HEMS retrieval specialist and intensivist (and emergency physician, by the way) Dr Craig Hore covered a workshop on escharotomy for severe burns at the Bedside Critical Care Conference in 2013 EXPLAINED: Emergency Escharotomy from Oliver Flower on Vimeo.
Always Bring Your Scalpel
In this 28 minute audio podcast recorded at the SMACC conference in 2013 Sydney HEMS physician Dr Brian Burns talks about being prepared for life, limb & sight saving procedures in the prehospital environment. http://traffic.libsyn.com/smacc2013/know-your-weapons-burns.mp3 You can download the podcast by right-clicking here Here … Continue reading
Delivering salbutamol to an intubated prehospital patient
Chris “Willko” Wilkinson (SCAT paramedic) shared this handy trick of the trade during a recent simulation session. Scenario Road primary job to a school where a 6 year old girl is in severe respiratory distress with known asthma. On arrival … Continue reading
Needle crike: low rate and allow exhalation
Two dedicated devices for transtracheal oxygen delivery through a cricothyroidotomy needle are available, the ENK Oxygen Flow Modulator (ENK) and the Manujet. Both maintain oxygenation, but the ENK is thought to achieve better ventilation (as previously shown in a pig … Continue reading
Posted in General PH&RM
Tagged airway, anaesthesia, cricothyroidotomy, equipment, procedures
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Pre-hospital amputation
British trauma surgeon and pre-hospital pioneer Professor Keith Porter describes how to do a pre-hospital amputation in this months EMJ. Thankfully the procedure is only rarely necessary and often only requires cutting remaining skin bridges with scissors. The indications are: … Continue reading
Posted in General PH&RM
Tagged extremity, pre-hospital, procedures, surgical, Trauma
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LMA not always successful; needle crike fails often
A meta-analysis of pre-hospital airway control techniques evaluated alternative techniques to tracheal intubation. The outcome was placement success; there were no data on effectiveness of ventilation or other clinical outcomes. Although limited by poor quality studies, there are some interesting … Continue reading
Pre-hospital RSI by different specialties
This aim of the study was to evaluate the tracheal intubation success rate of doctors drawn from different clinical specialities performing rapid sequence intubation (RSI) in the pre-hospital environment operating on the Warwickshire and Northamptonshire Air Ambulance. Over a 5-year … Continue reading
Posted in General PH&RM
Tagged airway, education, Prehospital, procedures, RSI, training
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EM trainee RSI experience
A single centre observational study of rapid sequence intubation (RSI) was performed in a Scottish Emergency Department (ED) over four and a quarter years, followed by a postal survey of ED RSI operators. There were 329 RSIs during the study … Continue reading
Posted in General PH&RM
Tagged airway, critical care, education, procedures, RSI, training
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Burr holes by emergency physicians
Emergency physicians at Hennepin County Medical Centre (HCMC) are trained in skull trephination (drilling a burr hole) for patients with coma, anisocoria and epidural (extradural) haematoma (EDH) who have not responded to osmotic agents and hyperventilation. This may be particularly … Continue reading
Greater Sydney Area HEMS 