thx @aroradrn Motivation takes many forms and has many different recipients … learn to recognise them. #ICSSOA2017 #FOAMed #FOAMcc
November 22, 2024 at 8:08 AM
thx @aroradrn Motivation takes many forms and has many different recipients … learn to recognise them. #ICSSOA2017 #FOAMed #FOAMcc
#ICSSOA2017 Caroline leach talking trauma you can use clothing labels on children to make weight estimates. Devil juice (abnormal saline) can you withhold prehospital and wait for the red stuff.
January 27, 2025 at 3:12 AM
#ICSSOA2017 Caroline leach talking trauma you can use clothing labels on children to make weight estimates. Devil juice (abnormal saline) can you withhold prehospital and wait for the red stuff.
#ICSSOA2017 SBT with peep and pressure support is the most effective way to do an SBT and extubate from that support rather than CPAP or Tpiece
January 27, 2025 at 3:07 AM
#ICSSOA2017 SBT with peep and pressure support is the most effective way to do an SBT and extubate from that support rather than CPAP or Tpiece
#ICSSOA2017 Gavin Perkins.
SBT with PS and peep.
If SBT with Tpeice or cpap, rest for 30min before extubation
SBT with PS and peep.
If SBT with Tpeice or cpap, rest for 30min before extubation
January 27, 2025 at 3:07 AM
#ICSSOA2017 Gavin Perkins.
SBT with PS and peep.
If SBT with Tpeice or cpap, rest for 30min before extubation
SBT with PS and peep.
If SBT with Tpeice or cpap, rest for 30min before extubation
#ICSSOA2017 Gavin Perkins
High risk pts who pass SBT, extubate to NIV
Lower risk pts consider extubation to HFNO2
High risk pts who pass SBT, extubate to NIV
Lower risk pts consider extubation to HFNO2
January 27, 2025 at 3:07 AM
#ICSSOA2017 Gavin Perkins
High risk pts who pass SBT, extubate to NIV
Lower risk pts consider extubation to HFNO2
High risk pts who pass SBT, extubate to NIV
Lower risk pts consider extubation to HFNO2
#ICSSOA2017 advanced in ventilation
Spontaneous breathing may be injurious in ARDS. Asynchrony may induce lung and muscle injury. Consider optimising asynchrony. ? Oesophageal pressure monitoring to measure asynchrony.
Spontaneous breathing may be injurious in ARDS. Asynchrony may induce lung and muscle injury. Consider optimising asynchrony. ? Oesophageal pressure monitoring to measure asynchrony.
January 27, 2025 at 3:07 AM
#ICSSOA2017 advanced in ventilation
Spontaneous breathing may be injurious in ARDS. Asynchrony may induce lung and muscle injury. Consider optimising asynchrony. ? Oesophageal pressure monitoring to measure asynchrony.
Spontaneous breathing may be injurious in ARDS. Asynchrony may induce lung and muscle injury. Consider optimising asynchrony. ? Oesophageal pressure monitoring to measure asynchrony.
#ICSSOA2017 advances in respiratory failure management.
The future.Assess recruitability, monitoring of asynchrony.
The future.Assess recruitability, monitoring of asynchrony.
January 27, 2025 at 3:07 AM
#ICSSOA2017 advances in respiratory failure management.
The future.Assess recruitability, monitoring of asynchrony.
The future.Assess recruitability, monitoring of asynchrony.
#ICSSOA2017 what's a cuff leak? Auidable? Based on 25% cuff leak measured? No common definition yet.
January 27, 2025 at 3:07 AM
#ICSSOA2017 what's a cuff leak? Auidable? Based on 25% cuff leak measured? No common definition yet.
#ICSSOA2017 gavin Perkins. We don't know what the minimum support to extubate from. But studies are beginning to challenge our assumptions about what pressures we can extubate from.
January 27, 2025 at 3:07 AM
#ICSSOA2017 gavin Perkins. We don't know what the minimum support to extubate from. But studies are beginning to challenge our assumptions about what pressures we can extubate from.
#ICSSOA2017 important consideration in multiple stabbing incidents. Pts may be stabbed with a weapon used against multiple victims with potential for blood born virus transmission.
January 27, 2025 at 3:07 AM
#ICSSOA2017 important consideration in multiple stabbing incidents. Pts may be stabbed with a weapon used against multiple victims with potential for blood born virus transmission.
#ICSSOA2017 glenfield tower victims, need for multiple RSI in 30min timeframe due to fire related airway injury.
January 27, 2025 at 3:07 AM
#ICSSOA2017 glenfield tower victims, need for multiple RSI in 30min timeframe due to fire related airway injury.
#ICSSOA2017 in major events, every patients belongings, clothing and even shrapnel is evidence and needs to be retained.
January 27, 2025 at 3:07 AM
#ICSSOA2017 in major events, every patients belongings, clothing and even shrapnel is evidence and needs to be retained.
#ICSSOA2017 major incident. Watsapp essential communication tool for calling in offduty staff. Switchboard calls to mobile phones will register caller withheld if staff don't answer their phones.
January 27, 2025 at 3:01 AM
#ICSSOA2017 major incident. Watsapp essential communication tool for calling in offduty staff. Switchboard calls to mobile phones will register caller withheld if staff don't answer their phones.
#ICSSOA2017 @tanjidayo what plans do the panel have in place for mass paediatric casualties, what if the Manchester arena incident happened with younger children or toddlers
January 27, 2025 at 3:01 AM
#ICSSOA2017 @tanjidayo what plans do the panel have in place for mass paediatric casualties, what if the Manchester arena incident happened with younger children or toddlers
#ICSSOA2017 what are the implications for the trauma unit in mass casualty events
January 27, 2025 at 3:01 AM
#ICSSOA2017 what are the implications for the trauma unit in mass casualty events
#ICSSOA2017 mass casualty events may require blood born virus screening even if a victim went home from the scene and presented to other services in the coming days. Hundreds required screening and follow up after Manchester arena incident
January 27, 2025 at 3:01 AM
#ICSSOA2017 mass casualty events may require blood born virus screening even if a victim went home from the scene and presented to other services in the coming days. Hundreds required screening and follow up after Manchester arena incident
#ICSSOA2017 documentation is key when discharging pts for mass casualty events. Pts readmitted/died or have a transfer adverse events can lead to complaints +\- litigation later
January 27, 2025 at 3:01 AM
#ICSSOA2017 documentation is key when discharging pts for mass casualty events. Pts readmitted/died or have a transfer adverse events can lead to complaints +\- litigation later
#ICSSOA2017 ever wonder why secretions build up in the back of patients mouths when their intubated and awake? Stick a finger between your teeth and try and swollen.
January 27, 2025 at 3:01 AM
#ICSSOA2017 ever wonder why secretions build up in the back of patients mouths when their intubated and awake? Stick a finger between your teeth and try and swollen.
#ICSSOA2017 @aroradrn trachys in ITU session. Should all former trachy pts be assessed for ongoing airway problems as part of ITU follow up?
January 27, 2025 at 3:01 AM
#ICSSOA2017 @aroradrn trachys in ITU session. Should all former trachy pts be assessed for ongoing airway problems as part of ITU follow up?
#ICSSOA2017 mechanical circulatory support Pasacl Vrancx. Routine AIBP is dead. VA ecmo complete cardiac output support but increases after load. Use vasodilator/inodilators, IABP, impella, with VA ecmo to off load the LV.
January 27, 2025 at 3:01 AM
#ICSSOA2017 mechanical circulatory support Pasacl Vrancx. Routine AIBP is dead. VA ecmo complete cardiac output support but increases after load. Use vasodilator/inodilators, IABP, impella, with VA ecmo to off load the LV.
#ICSSOA2017 mechanical circulatory support Pasacl Vrancx. Harlequin syndrome with VA ecmo. Oxygenated blood south, deoxygenated north. May require switching catheter input/output.
January 27, 2025 at 3:01 AM
#ICSSOA2017 mechanical circulatory support Pasacl Vrancx. Harlequin syndrome with VA ecmo. Oxygenated blood south, deoxygenated north. May require switching catheter input/output.
#ICSSOA2017 mechanical circulatory support Pasacl Vrancx. R side off loading using impeller in the IJ and feeding into the PA.
January 27, 2025 at 2:56 AM
#ICSSOA2017 mechanical circulatory support Pasacl Vrancx. R side off loading using impeller in the IJ and feeding into the PA.
#ICSSOA2017 mechanical circulatory support Pasacl Vrancx. VVA ecmo, twin venous blood removal with arterial return for RV failure.
January 27, 2025 at 2:56 AM
#ICSSOA2017 mechanical circulatory support Pasacl Vrancx. VVA ecmo, twin venous blood removal with arterial return for RV failure.
#ICSSOA2017 mechanical circulatory support Asworth on ECPR in Manchester. 0.4% neuro recovery from 30min + cardiac arrest. In younger pts 80% arrest associated with exercise. Outcomes ELSo registry 29% survival (not neuro recovery data). case 1 80min to VA ecmo, went home gcs15
January 27, 2025 at 2:56 AM
#ICSSOA2017 mechanical circulatory support Asworth on ECPR in Manchester. 0.4% neuro recovery from 30min + cardiac arrest. In younger pts 80% arrest associated with exercise. Outcomes ELSo registry 29% survival (not neuro recovery data). case 1 80min to VA ecmo, went home gcs15
#ICSSOA2017 mechanical circulatory support Asworth on ECPR in Manchester. Ecmo trolley, lucus. Sim training for ED. Use sim to streamline catheterisation, 18min from puncture to ecmo. Not a commissioned service at present. 25% neuro intact survival at discharge 3/12.
January 27, 2025 at 2:56 AM
#ICSSOA2017 mechanical circulatory support Asworth on ECPR in Manchester. Ecmo trolley, lucus. Sim training for ED. Use sim to streamline catheterisation, 18min from puncture to ecmo. Not a commissioned service at present. 25% neuro intact survival at discharge 3/12.