Etomidate & sepsis
A meta-analysis attempts to quantify etomidate’s effect on mortality and adrenal suppression. Of course, we all know a meta-analysis can […]
Acute Med, All Updates, ICU, Kids, Resus
RSI
All Updates, ICU, Resus
Intubation of the critically ill in Scotland
Hi folks! Cliff has given me the helm of his blogsite for this week whilst he is teaching prehospital and […]
All Updates, Guidelines, ICU, Resus
Extubation guidelines
Tracheal extubation is a high risk procedure in anaesthesia and critical care. Until now most guidelines have focused on intubation, […]
All Updates, Resus
Australasian ED Airway Registry
Managing the emergency airway is one of the most important and risky things we do. We have a responsibility to […]
All Updates, ICU, Resus
Airway lessons relearned
A UK study examined all out-of-operating room intubations over a one month period in nine hospitals1. Patients whose indication for […]
All Updates, ICU, Resus
Steroid replacement after etomidate: no benefit
More fuel for the etomidate debate… In essence: Etomidate has been a useful induction agent for RSI for many years […]
All Updates, PHARM, Resus, Trauma
Make space for pre-hospital intubation
“Control your environment – don’t let it control you” is a reliable adage for pre-hospital providers, and its adherence can […]
All Updates, ICU, PHARM, Resus
Preoxygenation and Prevention of Desaturation
This paper is an excellent review article citing the cogent relevant evidence for optimal preoxygenation prior to RSI in the […]
All Updates, PHARM, Resus, Trauma
Effect of physician specialty on pre-hospital intubation success
Researchers from the London Helicopter Emergency Medical Service describe the success of pre-hospital laryngoscopy according to the grade and specialty […]
All Updates, ICU, Resus
Crike rate 1 in 500 in Scottish ED
A review of over 2500 intubation attempts in the emergency department1, (of which 1671 were rapid sequence intubation attempts) revealed […]