Tag Archives: RSI

Should HAVL Be Used “Universally”?

At Greater Sydney Area HEMS, we carry a hyper-angulated (D-blade) option for our C-MAC video laryngoscope, but in our inter-hospital equipment bag. This means that it is not necessarily immediately to hand for pre-hospital missions (in part to avoid accidental … Continue reading

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Top 10 Coffee and Cases Snippets from April 2023

Thanks for a great month of case discussion!The C+C QI project team

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Coffee and Cases Snippets: Intubating the patient with a HAGMA

Every morning our team discusses cases over coffee. Here is a useful snippet… Patients with a severe high anion gap metabolic acidosis (e.g. from severe DKA, AKI, toxic ingestions, severe lactataemia from bleeding/sepsis/some other form of badness) have a markedly … Continue reading

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3 Minutes of Preoxygenation

This presentation by retrievalist/anaesthetist/intensivist Dr Clare Hayes-Bradley summarises recent Sydney HEMS research into optimal preoxygenation techniques prior to rapid sequence induction.   References: 1. Hayes-Bradley C, Lewis A, Burns B, Miller M. Efficacy of Nasal Cannula Oxygen as a Preoxygenation Adjunct … Continue reading

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Pearls from the Airway Registry – CGD 29/06/2016

(Thanks again to Dr. Clare Hayes-Bradley for presenting the latest Airway Registry and penning the subsequent discussion points below.) To RSI or not to RSI, that is the question… It’s foul weather, near zero degrees and torrential rain, it’s night, … Continue reading

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Prehospital Emergency Anaesthesia Checklist

Our RSI checklist is performed in a challenge-response fashion. The clinician who established the equipment set-up reads, while the other clinician checks and responds. Any discussion, such as difficult laryngoscopy plan, briefing the individual who is immobilising the neck, and … Continue reading

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Apnoeic Oxygenation: Essential in Prehospital RSI

This was a talk from the 2014 London Trauma Conference by Cliff Reid How it works – review by Nicholas Chrimes When it all started in #FOAMed in Dec 2010 – NODESAT article by Rich Levitan We tried it and liked it, so … Continue reading

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CGD 23rd April 2014 – A comes before B comes before C

The latest CGD saw us look at all things airway.  With some scary case-based discussions, excellent debate, a great presentation on the NAP4 findings and a simulation that would make the most senior anaesthetist experience code brown moments, the Sydney … Continue reading

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Towards A Universal Prehospital RSI SOP?

Mainland European countries have a long history of sending physicians out with emergency medical services to provide prehospital critical care. It is interesting to note an almost universal standard in the conduct of prehospital emergency anaesthesia by prehospital critical care … Continue reading

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Prehospital RSI

Here are the slides of the presentation delivered by Dr Peter Sherren to ACAP NSW in October 2012 Pre hospital rapid sequence intubation from nswhems

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