Don't just pre-oxygenate: have an Oxygenation Strategy
A key component in the planning of intubation is pre-oxygenation. Recently apnoeic oxygenation during laryngoscopy has been adopted too. These […]
All Updates, ICU, PHARM, Resus
RSI
All Updates, ICU, Kids, PHARM, Resus
Breaking with tradition in paediatric RSI
‘Traditional’ rapid sequence induction of anaesthesia is often described with inclusion of cricoid pressure and the strict omission of any […]
All Updates, ICU, Kids, PHARM, Resus
Atropine for Paediatric RSI?
In some areas it has been traditional to pre-medicate or co-medicate with atropine when intubating infants and children, despite a […]
Acute Med, All Updates, ICU, PHARM, Resus, Trauma
London Trauma Conference Day 3
Dr Louisa Chan reports on Day 3 of the London Trauma Conference There was a jam-packed line up for the Pre-hospital […]
All Updates, ICU, Resus
The non-intubation checklist
Scenario: A 79 year old previously well female presents with loss of consciousness, having been found unresponsive by her daughter […]
All Updates, ICU, Kids, PHARM, Resus, Trauma
RSI haemodynamics in the field
The noxious stimulus of laryngoscopy & tracheal intubation can precipitate hypertension, tachycardia, and intracranial pressure elevation, risking exacerbation of brain […]
All Updates, ICU
Difficult intubation on ICU
A score to predict difficulty of intubation in ICU patients underwent derivation and validation in French ICUs. The main predictors […]
All Updates, ICU, PHARM, Resus, Trauma
The importance of first pass success
A large single-centre study in an academic tertiary care center emergency department (where residents perform most of the intubations) examined […]
All Updates, ICU, Kids, PHARM, Resus
Ketamine & cardiovascular stability
I ‘jumped ship’ from etomidate to ketamine for rapid sequence intubation (RSI) in sick patients about seven years ago. Good […]
All Updates, ICU, Resus
Lifting the Fogg on ED Intubaton
Fellow retrieval specialist and Royal North Shore Hospital emergency physician Dr Toby Fogg and coauthors have published their audit of […]