Tag Archives: RSI

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

Posted in Airway, General PH&RM | Tagged , , | Leave a comment

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

Posted in Airway, General PH&RM, Presentations, training | Tagged , , , , , , , , | Leave a comment

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

Posted in Airway, General PH&RM | Tagged , , | 1 Comment

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

Posted in Airway | Tagged , | 1 Comment

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

Posted in Airway, Presentations | Tagged , , | Leave a comment

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

Posted in General PH&RM | Tagged , , , | 2 Comments

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

Posted in General PH&RM | Tagged , , | 1 Comment

Paramedic RSI in Australia

A prospective, randomized, controlled trial compared paramedic rapid sequence intubation with hospital intubation in adults with severe traumatic brain injury in four cities in Victoria, Australia. The primary outcome was neurologic outcome at 6 months postinjury. Training Paramedics already experienced … Continue reading

Posted in General PH&RM | Tagged , , , , , , | Leave a comment

Ketamine for HEMS intubation in Canada

Ketamine was used by clinical staff from the The Shock Trauma Air Rescue Society (STARS) in Alberta to facilitate intubation in both the pre-hospital & in-hospital setting (with a neuromuscular blocker in only three quarters of cases). Changes in vital … Continue reading

Posted in General PH&RM | Tagged , , , , , , | Leave a comment

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 , , , , , | Leave a comment