#SICS18
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nottheflyhalf.bsky.social
A to E assessment of your patients, use #POCUS! @SICStrainees @sicsmembers #ultrascoundrels #FOAMed #FOAMcc #FOAMus I will explain how at #SICS18 and #IFAD2018 @Manu_Malbrain @Fluid_Academy @avkwong @iceman_ex @Gas_Craic @cianmcdermott @ffolliet @ccpractitioner @ffolliet
November 21, 2024 at 7:29 PM
nottheflyhalf.bsky.social
Get a third person to let you know when say the SpO2 drops to a certain level and vocally remind you of your plan. Don’t divert from it under stress! #SICS18 #foamed #foamcc @rallydoc on obesity. Remi, Roc, Suggamadex are your friends in the obese patient!
November 21, 2024 at 7:29 PM
nottheflyhalf.bsky.social
And..@GiuseBozz doesn’t use dopamine #SICS18 #foamed #foamcc
November 21, 2024 at 7:29 PM
nottheflyhalf.bsky.social
Really looking forward to speaking tomorrow at an amazing meeting @SICStrainees @sicsmembers and I’ll be tweeting live from there too👍 Using #SICS18 #foamed #foamcc #pocus #foamus @icu_dave https://www.scottishintensivecare.org.uk/events/
November 19, 2024 at 3:43 PM
nottheflyhalf.bsky.social
Going well here at #SICS18 ....my talk is done! Next up is the very dapper @rallydoc on obesity 👍👍 #foamed #foamcc #pocus
November 19, 2024 at 3:43 PM
nottheflyhalf.bsky.social
Here they are...@rallydoc and the lovely @hughgifford #SICS18 #FOAMcc #FOAMed
November 19, 2024 at 3:43 PM
nottheflyhalf.bsky.social
Harrowing stuff as @rallydoc puts up this harrowing slide and tells us the auto-bias that results from being obese #SICS18 #foamed #foamcc
November 19, 2024 at 3:43 PM
nottheflyhalf.bsky.social
Keep Vt out of closing volume...PEEP is your pal here!! #SICS18 @rallydoc #foamed #foamcc
November 19, 2024 at 3:43 PM
nottheflyhalf.bsky.social
So @rallydoc talks about intuitive heuristic thinking or system 1 thinking when we encounter obesity #SICS18 @foamed @foamcc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
We are less likely to admit the obese patient to ITU. Cognitive bias, added to visceral bias promotes disenfranchisement when making decisions on admission #SICS18 #foamed #foamcc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
But...obese patients actually may do better https://criticalcarenorthampton.com/2017/06/16/survival-of-the-fattest-pardox-not-paradigm-foamed-foamcc/ #SICS18 #foamed #foamcc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
And this is why they desaturate so quickly @rallydoc explains #SICS18 BVM more difficult, intubation may not be though. #foamed #foamcc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
@rallydoc shows us a very simple decision making schematic for induction in the obese patient! #SICS18 #foamed #foamcc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
RSI in the obese patient is all about minimising desaturation time ...plan, plan and plan some more. Don’t get blasé and caught out! #SICS18 @rallydoc #foamed #foamcc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
Lovely airway plan from @rallydoc This is what they would write on the board so all are aware. VL is his friend in these patients. #SICS18 #foamed #foamcc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
Remember the lean body mass formula!! #SICS18 @rallydoc reminds us to work this out in the obese patient.
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
“Fag packet maths”!! Work out LBM in obese patients! #SICS18 #foamed #foamcc @rallydoc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
When anaesthetising the bariatric Patient, should you take consent for potential cricothyroidotomy?? Particularly if you are ultrasounding the neck to mark CTM? #foamed #foamcc #pocus #SICS18 @rallydoc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
Remember RAMP @rallydoc #foamed #foamcc #SICS18 https://www.emnote.org/emnotes/airway-management-in-obese-patients
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
Now the lovely Ramani Moonesinghe on the high risk surgical patient. #SICS18 #foamed #foamcc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
Perhaps we should focus on the so called lower risk groups within surgery. Mortality is surprising!! #SICS18 #foamed #foamcc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
Look at the SORT tool https://www.ncepod.org.uk/sort.html #SICS18 #foamed #foamcc
Surgical Outcome Risk Tool (SORT)
The National Confidential Enquiry into Patient Outcome an...
www.ncepod.org.uk
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
What works on ITU then??? #SICS18 #foamed #foamcc OPTIMISE-2 FLOELA etc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
We just don’t have the ITU capacity to cope!!! #SICS18 #foamed #foamcc
November 19, 2024 at 1:08 PM
nottheflyhalf.bsky.social
SNAP 2 study!! #SICS18 #foamed #foamcc https://www.niaa-hsrc.org.uk/SNAP-2-EpiCCS
November 19, 2024 at 1:08 PM