#dom2

Should we always use a Bougie for RSI? This paper says yes. Our journal club blog on a meta analysis of bougie use in airway management. #FOAMed @stemlyns @cliffreid @EMManchester

This week Cliff Reid highlighted a recent meta-analysis of the use of bougies in tracheal intubation. This is something that has been routine practice in Virchester ED for many years, but we still get colleagues in anaesthesia and ICM who occasionally decline and prefer to use a plain tube. Whilst I have my own personal opinions on this, it is always worth reviewing the research too to see if my…

The FAKT study. An RCT of fentanyl vs. placebo in ED RSI. Does it affect Cardiovascular stability? #FOAMed #fentanyl @stemlyns @cliffreid @hawkmoonhems

As a relatively recent pre-hospital clinician it’s been interesting to compare practice between the emergency department and the prehospital environment. One theme has been that in the prehospital environment clinicians are seemingly more cautious when it comes to drug doses in procedures such as RSI and sedation. Perhaps this is to be expected as in the prehospital environment there is less back…

Great blog on paper from @ehaat_ on demographics and success of prehospital thoracotomy in a non-metropolitan setting. via @resusone @stemlyns #FOAMed

Resuscitative thoracotomy remains a controversial procedure in prehospital and emergency care. This month we have more evidence of its effectiveness in prehospital care. Despite significant advances in trauma care, we are still challenged with moving the needle in trauma mortality in those patients suffering profound hemorrhagic shock. Marsden and Harvin both showed the mortality in patients…

Big Shock.....Do we ❤ POCUS? Rapid review of POCUS in the assessment of shock in the resus room with @Dr_Pete_EmMed #POCUS #FOAMed #ultrasound

‘Red Standby 4 mins’ tannoys the nurse in charge. ‘It’s a 70yr old male BP 68/49, pulse 120, GCS 14/15, O2 sats 98% on 15L NRB, temperature 37.5°C’ you are reliably informed by a colleague. What goes through your mind in the minutes before similar patients arrive in your department? It almost makes me as nervous as watching England taking penalties in Euro 2020 😥! The potential differential…

JC: Real world cricothyroidotomy experience from @airambulancekss High procedural success, but few survivors reflecting very sick patient group. #FOAMed #Cricothyroidotomy #PHEM

Cricothyroidotomy is a procedure that worried many emergency physicians. Partly because it’s a rare procedure, but also because we are likely to embarking on it at a time when things are ‘going wrong’. The most likely time will be during a failed intubation when stress levels will be high, the patient will be seriously unwell and time will be running out. The fear that many of us feel about this…