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Resus M.E | Cutting Edge Resuscitation Medical Education - Health
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Analysing Difficult Resuscitation Cases – 2 | resusme
Towards Excellence in ResuscitationAnalysing Difficult Resuscitation Cases #2Occasionally we step out of the resuscitation room feeling like a case should have gone better, but it can be hard to put our finger on just where it went wrong. Inmy last postI discussed the STEPS approach to analysing res
Blow Them Away in Resus | resusme
One of my nursing colleagues was telling a story the other day about one of the first resuscitations we did together in the ED several years ago. It demonstrates the principle of establishing control of a sub-optimally coordinated team by using some form of attention grabber. She kindly agreed to wr
How far can exponential spread of coronavirus go? | resusme
There has been an exponential rise in COVID-19 cases. There is no doubt we’re feeling the effects of that all over the world. Many people, especially it seems, the lay public and politicians, have a hard time understanding the meaning of ‘exponential’.The scariness of exponential growth shown here w
Analysing Difficult Resuscitation Cases | resusme
Towards Excellence in ResuscitationAnalysing Difficult Resuscitation Cases #1A resuscitationistagonises. These words, expressed byScott Weingartduringa podcast we did together, ring true to all of us who strive to improve our practice. Driven by the passionate conviction that we should never lose a
The Myth of Error-Free | resusme
This guest post from a fellow retrieval clinician contains a powerful message for us all. We have a responsibility to recognise the inevitability of clinician error, and to develop systems within our organisations to support those involved to avoid the ‘second victim’ phenomenon.– 0:01: Error – Noun
Humeral Intraosseous – Stay In & Stay Straight | resusme
This video shows the mechanism for dislodgement and deformation of humeral intraosseous needles and how to avoid this.In summary, if you need to abduct the arm (eg. for thoracostomy), keep the thumbs down (ie. have the arm internally rotated at the shoulder). Otherwise the IO catheter may bend or fa
The Physician’s Pledge | resusme
Described as ‘the contemporary successor to the 2500-year-old Hippocratic Oath‘, theWorld Medical Association (WMA)’s Physician’s Pledgeprovides guidance for the global medical community.I think all healthcare providers would do well to read this from time to time, and ask themselves where in their
Head Rotation for Mask Ventilation | resusme
This is a guest post fromDr Per Bredmose, anaesthetist and retrieval medicine physician in Norway, also known asViking OneI struggle to ventilate the patient in the resus room, airway pressures are high, the bag doesn’t empty properly. In my mind I plan ahead for the next step. Through my mind goes
Understanding Elevated Lactate | resusme
I find clinicians are quick to consider sepsis and hypoperfusion/ischaemia as causes of a raised lactate, but slow to include other causes in their differential.Although an elevated lactate has been shown to be associated with worse outcomes in numerous studies, not all causes of a raised lactate ar
The Area Under The Suffering Curve | resusme
“What’s your leadership style Cliff? How do you like to run the emergency department?”Our new fellow had asked a reasonable question. Although I’d never had to summarise it before, my reply came immediately: “I see my role as doing the most for the most by reducing the sum total of human suffering i