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Cutting Edge Resuscitation Medical Education

Last Build Date: Wed, 07 Mar 2018 10:10:26 +0000


Understanding Elevated Lactate

Tue, 06 Mar 2018 03:03:35 +0000

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 are sinister. It’s therefore important to diagnose … Continue reading Understanding Elevated Lactate

The Physician’s Pledge

Fri, 01 Dec 2017 07:37:31 +0000

Described as ‘the contemporary successor to the 2500-year-old Hippocratic Oath‘, the World Medical Association (WMA)’s Physician’s Pledge provides 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 work they or their colleagues might be deviating from these … Continue reading The Physician’s Pledge

The Area Under The Suffering Curve

Mon, 04 Sep 2017 01:59:14 +0000

“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 in the … Continue reading The Area Under The Suffering Curve

The Myth of Error-Free

Thu, 24 Aug 2017 01:42:37 +0000

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 – A mistake I was the picture … Continue reading The Myth of Error-Free

Head Rotation for Mask Ventilation

Thu, 08 Jun 2017 11:36:40 +0000

This is a guest post from Dr Per Bredmose, anaesthetist and retrieval medicine physician in Norway, also known as Viking One I 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 the … Continue reading Head Rotation for Mask Ventilation

No Picnic? Really?

Thu, 09 Mar 2017 11:07:58 +0000

They say emergency medicine and critical care are no picnic, but I’ve been trying to change that. There’s something about sitting down on a blanket and sharing protected time for conversation that makes for good team building and effective communication. If you have snacks, it’s even better. In the emergency department or intensive care unit … Continue reading No Picnic? Really?

Spot the WOBBLER in syncope!

Wed, 15 Feb 2017 05:30:12 +0000

Syncope is a common ED presentation. An ECG is a critical investigation in syncope to identify the cause, including rare conditions associated with risk of sudden cardiac death. So we should be really grateful when we are invited to interpret an ECG while we’re in the middle of six other tasks. The problem with syncope … Continue reading Spot the WOBBLER in syncope!

Do What You Said You Were Going To Do!

Sun, 27 Nov 2016 23:29:10 +0000

‘Do what you said you were going to do – the high performance culture of excellence under pressure’ is the title of a talk by General John Jansen, organised by my friend A/Prof Brian Burns on behalf of Sydney University. It will be held on 20 December at 18.00 hrs at the Royal Prince Alfred … Continue reading Do What You Said You Were Going To Do!

Das SMACC in Berlin

Mon, 17 Oct 2016 06:46:25 +0000

  Don’t miss your chance to register for the best emergency/prehospital/critical care conference out there Tickets will be released on the following dates: Here are a few ‘rules of the game’ from the course organisers: There will be 3 separate ticket releases: the major release will be as above on Wednesday, 26th October, a smaller … Continue reading Das SMACC in Berlin

It’s Tamponade – Now What?

Wed, 14 Sep 2016 06:04:35 +0000

You ultrasound the chest of your shocked patient in resus with fluid refractory hypotension. You see fluid around the heart. The right ventricle keeps bowing inwards, which you recall being described as ‘a little invisible man jumping up and down using the RV as a trampoline’, and you know this is in fact a sign … Continue reading It’s Tamponade – Now What?