This talk on resus room management was given at SMACC 2013 and follows on from my ‘Own The Resus‘ talk from 2012. An audio only version is available here: Here are the slides embedded (they are not designed to stand alone as an educational resource without the talk but those who were there may find … Continue reading Making Things Happen
I want to clarify some terminology I use on a day-to-day basis, which is now so ingrained in my vocabulary that I forget that its meaning may not be obvious to all. “You go in there and it looks like a chicken bomb has gone off…” “..external muppet factors can delay preparation for transport” Muppets … Continue reading On chicken bombs and muppets
Here is a bibliography of prehospital ultrasound references initially assembled in 2013 in preparation of a book chapter. It is neither exhaustive nor kept current, although noteworthy references are added intermittently. Reviews Does prehospital ultrasound improve treatment of the trauma patient? A systematic review Eur J Emerg Med. 2010 Oct;17(5):249-53 No evidence in the literature … Continue reading Prehospital Ultrasound
Notes from Day 1 of the London Trauma Conference I’ve always fancied trying my hand at journalism so when this opportunity to cover the London Trauma Conference (LTC) presented itself how could I resist? The LTC is well established now running into its sixth year. So what little gems does it have left to offer? … Continue reading London Calling!!
The eighth Report of the Confidential Enquiries into Maternal Deaths in the UK investigates the deaths of 261 women who died in the triennium 2006–08, from causes directly or indirectly related to pregnancy. Direct deaths (from medical conditions that can only be the result of pregnancy) significantly decreased from 6.24 per 100 000 maternities in … Continue reading Saving mothers' lives
Asphyxiation by an inhaled foreign body is a leading cause of accidental death among children younger than 4 years. A review article examining 12,979 paediatric bronchoscopies made the following observations: Epidemiology Most aspirated foreign bodies are organic materials (81%, confidence interval [CI] = 77%-86%), nuts and seeds being the most common. The majority of foreign bodies … Continue reading Tracheobronchial Foreign Bodies in Children
NASA’s recently launched Solar Dynamics Observatory, or SDO, is returning early images that confirm an unprecedented new capability for scientists to better understand our sun’s dynamic processes. These solar activities affect everything on Earth. Some of the images from the spacecraft show never-before-seen detail of material streaming outward and away from sunspots. Others show extreme … Continue reading A close look at the Sun
Does anyone else find these hard to remember as a non-paediatrician? I’ve written a crappy little poem to act as a mnemonic for some important milestones and age-related features pertinent to ED assessment and communication. If someone wants to turn it into something sounding more like Gangsta Rap it might catch on. At zero months … Continue reading Child development milestones
Intralipid therapy is recommended for local anaesthetic toxicity and in some overdoses. After large doses of Intralipid, the results of blood tests may be difficult to analyse, delayed, or spuriously abnormal. If possible, all blood tests should be taken before the administration of Intralipid. While laboratories will readily identify significant lipaemia, communication about the presence … Continue reading Take bloods before giving Lipid Rescue