Latest Blog
Diplopia
A patient presenting to the Emergency Department with diplopia can be a diagnostic challenge. Which patients need urgent imaging and…
Next Event
The New OSCE face to face PLUS The Virtual Course January 20th 2020 Gold Coast
Getting you Ready for the OSCE EXAM Start time 0800 Finish time 2000 Venue will be advised closer to the…
Slow Atrial Fibrillation or Complete Heart Block: Lewis lead to the rescue
A 90-year-old gentleman presents via ambulance to the ED. He has suffered a presyncopal episode whilst out at the RSL....
The Lewis Lead
The Lewis lead(1), is a means of detecting atrial activity and can be used where p waves are not readily evident. It is particularly helpful in wide complex tachycardias, where the presence of atrial activity can be used to exclude...
Brugada Syndrome
A 25 year old male presents to the emergency department following a near syncopal episode. His ECG shows a supraventricular tachycardia(SVT). Vagal manoeuvres are attempted, unsuccessfully. Adenosine is then given for reversion. He reverts and his post-reversion ECG is shown...
11 Things to Maximise Adult Cardiac Resuscitation
INTRODUCTION I was recently speaking with a colleague, about a recently published paper on ‘ideal’ compressions and depth combinations in cardiac resuscitation and I was ranting away. She asked if I would write down the things I was ranting about,...
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Slow Atrial Fibrillation or Complete Heart Block: Lewis lead to the rescue
A 90-year-old gentleman presents via ambulance to the ED. He has suffered a presyncopal episode whilst out at the RSL....
The Lewis Lead
The Lewis lead(1), is a means of detecting atrial activity and can be used where p waves are not readily...
Brugada Syndrome
A 25 year old male presents to the emergency department following a near syncopal episode. His ECG shows a supraventricular...
11 Things to Maximise Adult Cardiac Resuscitation
INTRODUCTION I was recently speaking with a colleague, about a recently published paper on ‘ideal’ compressions and depth combinations in...
Subscribe for FREE regular updates in your inbox.
Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Honey for Button Battery Ingestion?
A 25-year-old patient presents with recurrent lithium button battery ingestion. She had been admitted with the same presentation 3 week...
Why are we still doing log roll, FAST and rectal exams?
In the blunt trauma patient, where we are considering a pan-scan, is there a role for the log roll, the FAST scan or the rectal examination any more? Case The ambulance phone rings: “ETA 15 minutes. We have a 25 year...
Pregnancy and Trauma
Trauma in pregnancy is a much more complex topic than simply, ’tilt them on their side’. Trauma in the obstetric patient is a leading cause of non-obstetric mortality. The complexity of the obstetric trauma scenario relates to: Alterations in maternal...
Fixed Dilated Pupils
Head injury with fixed dilated pupils: Are we done? We have looked at the pupillary response before on this blog in terms of the Doll's Eye Reflex in brainstem death and the oculocephalic reflex. However, what if the pupils are...
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Honey for Button Battery Ingestion?
A 25-year-old patient presents with recurrent lithium button battery ingestion. She had been admitted with the same presentation 3 week...
Why are we still doing log roll, FAST and rectal exams?
In the blunt trauma patient, where we are considering a pan-scan, is there a role for the log roll, the FAST...
Pregnancy and Trauma
Trauma in pregnancy is a much more complex topic than simply, ’tilt them on their side’. Trauma in the obstetric...
Fixed Dilated Pupils
Head injury with fixed dilated pupils: Are we done? We have looked at the pupillary response before on this blog...
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Phenytoin and Levetiracetam: EcLIPSE and ConSEPT trials
There has been a longstanding discussion over which is the best second-line agent to use in paediatric seizures and more specifically in convulsive status epilepticus. We now have two trials that have tried to answer this question by comparing Phenytoin...
The Patient with Diplopia
A 58 yo male presents to the emergency department with an 8 hour history of diplopia. He has no past medical history, has no allergies and is on no medications. He denies any recent illness or trauma. Recently a great...
A new DAWN for stroke treatment
Last week we looked at a case study involving a patient who awoke with stroke symptoms. In these cases there has been little to offer patients. Thrombolysis has no application here, given its 3-4 hour window. Endovascular mechanical thrombectomy has...
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Phenytoin and Levetiracetam: EcLIPSE and ConSEPT trials
There has been a longstanding discussion over which is the best second-line agent to use in paediatric seizures and more...
The Patient with Diplopia
A 58 yo male presents to the emergency department with an 8 hour history of diplopia. He has no past...
A new DAWN for stroke treatment
Last week we looked at a case study involving a patient who awoke with stroke symptoms. In these cases there...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
A new DAWN for stroke treatment
Last week we looked at a case study involving a patient who awoke with stroke symptoms. In these cases there...
BP Control in Intracerebral Bleeds
A/Prof Peter Kas looks at the topic, of how tightly we must control the blood pressure intracranial bleeds.
Not SAH: Are We Done?
A/Prof Peter Kas looks at the patient who has presented with sudden onset of headache and you have ruled out subarachnoid haemorrhage. He asks the question “Are We Done?” The answer is no. Watch to see the other diagnosis, that...
Status Epilepticus: Get the Ketamine
A/Prof Peter Kas looks at the status and refractory as well as super refractory status epilepticus. He covers traditional therapy, talks about efficacy and also discusses the new found use for Ketamine in these patients.
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A new DAWN for stroke treatment
Last week we looked at a case study involving a patient who awoke with stroke symptoms. In these cases there...
BP Control in Intracerebral Bleeds
A/Prof Peter Kas looks at the topic, of how tightly we must control the blood pressure intracranial bleeds.
Not SAH: Are We Done?
A/Prof Peter Kas looks at the patient who has presented with sudden onset of headache and you have ruled out...
Status Epilepticus: Get the Ketamine
A/Prof Peter Kas looks at the status and refractory as well as super refractory status epilepticus. He covers traditional therapy,...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
5 Things to Think About in a Wheezy Child
Minimal Handling Stop touching the patient. Often enough in paediatrics, more is not better. This is of key importance in...
The Crashing Asthmatic Patient
The Crashing Asthmatic Patient is perhaps one of the most frightening of patients to treat. I'm not talking about the patient that has wheeze and gets five or six nebs and gets better in an hour. I'm talking about the...
Which Patients with Pulmonary Embolism should get Thrombolysis?
The diagnosis of pulmonary embolism(PE) is an almost common occurrence in the emergency department. The question of which patients to thrombolyse can be a difficult one to answer. Certainly there is consensus over patients with massive PEs needing thrombolysis. The same...
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5 Things to Think About in a Wheezy Child
Minimal Handling Stop touching the patient. Often enough in paediatrics, more is not better. This is of key importance in...
The Crashing Asthmatic Patient
The Crashing Asthmatic Patient is perhaps one of the most frightening of patients to treat. I'm not talking about the...
Which Patients with Pulmonary Embolism should get Thrombolysis?
The diagnosis of pulmonary embolism(PE) is an almost common occurrence in the emergency department. The question of which patients to thrombolyse...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
A 29 yo male with sudden onset of flaccid paralysis
The Case A Previously well 29 year old male awoke at 0630hrs unable to move his torso or limbs. His...
Hyponatremia
Hyponatremia is a common electrolyte abnormality. It can be acute or chronic. It can occur in isolation or as part of other disease processes. Diagnosing its cause can be challenging in the Emergency Department and there may be some confusion...
Diabetic Ketoacidosis in Children: Management
CEREBRAL OEDEMA: DO WE REALLY KNOW THE CAUSE? We recently had a child with (diabetic ketoacidosis)DKA in our department and the subject of fluid resuscitation came up. Also the Queensland Government guidelines on the Emergency Management of children with DKA...
DKA and Cerebral Oedema – Do we really know the cause?
Cerebral oedema is the most feared complication in children presenting with Diabetic Ketoacidosis (DKA). It occurs in about 1% of cases but has a mortality rate of up to 90% (Waldorf J et al Diabetes Care 2006; 29:1150-9). Patients will...
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A 29 yo male with sudden onset of flaccid paralysis
The Case A Previously well 29 year old male awoke at 0630hrs unable to move his torso or limbs. His...
Hyponatremia
Hyponatremia is a common electrolyte abnormality. It can be acute or chronic. It can occur in isolation or as part...
Diabetic Ketoacidosis in Children: Management
CEREBRAL OEDEMA: DO WE REALLY KNOW THE CAUSE? We recently had a child with (diabetic ketoacidosis)DKA in our department and...
DKA and Cerebral Oedema – Do we really know the cause?
Cerebral oedema is the most feared complication in children presenting with Diabetic Ketoacidosis (DKA). It occurs in about 1% of...
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Cyanosis or Something Else?
A 75 year old gentleman presented with acute on chronic abdominal pain. His triage noted that he was “centrally cyanosed,...
Massive Propranolol Overdose
Massive propranolol overdose is perhaps one of the most challenging overdoses to manage. In 2009 we posted a case we had. We have progressed in our management since then. CASE A 26 yo woman is brought to the ED by...
A Man Walks Into a Hole.
We often start with a case and talk about a single topic. This case is a little different. It is a real-time case. What would you do with this patient every step along the way? In real life, things are...
Treating Patients on Stimulants
Here is a case, you are probably all familiar with: The police arrive with a patient that was "out of control". He is known to take illicit substances. He went home earlier today, where he lives with his mother and 'punched...
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Cyanosis or Something Else?
A 75 year old gentleman presented with acute on chronic abdominal pain. His triage noted that he was “centrally cyanosed,...
Massive Propranolol Overdose
Massive propranolol overdose is perhaps one of the most challenging overdoses to manage. In 2009 we posted a case we...
A Man Walks Into a Hole.
We often start with a case and talk about a single topic. This case is a little different. It is...
Treating Patients on Stimulants
Here is a case, you are probably all familiar with: The police arrive with a patient that was "out of...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Ciguatera Toxicity and Allodynia
The Case: A 60 yo male presents to the emergency department with Ciguatera Toxicity. He is frightened by the symptoms...
Snake Bite
This year at EMCORE 30-31st May, we are proud to have Dr Ken Winkel, Toxicologist and Director of the Australian Venom Research Unit at the University of Melbourne, talking about cold blooded bites. Here is a recent article by Dr Winkel...
Box Jellyfish stings: To vinegar or not?
The call came: a case of Box Jellyfish(Chironex fleckeri) envenomation in a young girl and her father. The father was stable and pain was under control, however the daughter had such significant pain that, anti-venom had to be used. The wound had...
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Ciguatera Toxicity and Allodynia
The Case: A 60 yo male presents to the emergency department with Ciguatera Toxicity. He is frightened by the symptoms...
Snake Bite
This year at EMCORE 30-31st May, we are proud to have Dr Ken Winkel, Toxicologist and Director of the Australian...
Box Jellyfish stings: To vinegar or not?
The call came: a case of Box Jellyfish(Chironex fleckeri) envenomation in a young girl and her father. The father was stable and...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
The man with the croaky voice
A 42 year old male presents following having been punched to the throat. He is sitting comfortably in a chair,...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
The man with the croaky voice
A 42 year old male presents following having been punched to the throat. He is sitting comfortably in a chair,...
Subscribe for FREE regular updates in your inbox.
Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
The man with the croaky voice
A 42 year old male presents following having been punched to the throat. He is sitting comfortably in a chair,...
Subscribe for FREE regular updates in your inbox.
Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
The man with the croaky voice
A 42 year old male presents following having been punched to the throat. He is sitting comfortably in a chair,...
Subscribe for FREE regular updates in your inbox.
Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Lateral Canthotomy
When and How to Perform a Lateral Canthotomy A 35 yo woman presents to your rural emergency department. She has recently...
Aschner Phenomenon in Traumatic Enucleation of the Eye
Introduction Aschner phenomenon or oculocardiac reflex is characterised by an episode of dramatic bradycardia following manipulation of extra-ocular muscles or dramatically raised intraocular pressure. The phenomenon was first described by Aschner and independently by Dagnini in 1908 (1,2). The phenomenon...
The Relative Afferent Pupillary Defect
This is an important part of the neurological examination of the eye. The Relative Afferent Pupillary Defect (RAPD), is also called the Marcus Gunn pupil, after the ophthalmologist that described the defect in 1883. The sign causes much confusion, but...
Sudden visual loss
Sudden loss of vision is a potentially disastrous event. It is stressful, in fact, may be significantly debilitating for the patient. But it can also change your ‘state’, as a doctor. Especially if you don’t see this often……..and none of...
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Lateral Canthotomy
When and How to Perform a Lateral Canthotomy A 35 yo woman presents to your rural emergency department. She has recently...
Aschner Phenomenon in Traumatic Enucleation of the Eye
Introduction Aschner phenomenon or oculocardiac reflex is characterised by an episode of dramatic bradycardia following manipulation of extra-ocular muscles or...
The Relative Afferent Pupillary Defect
This is an important part of the neurological examination of the eye. The Relative Afferent Pupillary Defect (RAPD), is also...
Sudden visual loss
Sudden loss of vision is a potentially disastrous event. It is stressful, in fact, may be significantly debilitating for the...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Gilula’s Carpal Arcs
Gilula's carpal arcs are used to determine carpal alignment. They can assist in identifying ligamentous injury, dislocations and fractures of...
Smith’s Fracture Diagnosis and Management
A 15 yo male with a Smith’s Fracture. The patient had fallen onto his flexed left wrist during a football match. There were no other injuries, however there was a history of a right sided wrist fracture in the recent...
The ‘Lightbulb Sign’ doesn’t always mean a posterior dislocation
A 35 yo woman presents to the emergency department with a complaint of shoulder dislocation. There is a previous history of multiple dislocations, including two posterior dislocations. There has been no trauma, or seizure or other major force, as might...
Elbow Fractures
How good are you at reading elbow X-rays? Here are some tools and rules that will help you pick up those elbow fractures. Fractures of the elbow usually fall into the following groups: CHILDREN: Supracondylar fractures ADULTS: Radial Head Fractures ELDERLY:...
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Gilula’s Carpal Arcs
Gilula's carpal arcs are used to determine carpal alignment. They can assist in identifying ligamentous injury, dislocations and fractures of...
Smith’s Fracture Diagnosis and Management
A 15 yo male with a Smith’s Fracture. The patient had fallen onto his flexed left wrist during a football...
The ‘Lightbulb Sign’ doesn’t always mean a posterior dislocation
A 35 yo woman presents to the emergency department with a complaint of shoulder dislocation. There is a previous history...
Elbow Fractures
How good are you at reading elbow X-rays? Here are some tools and rules that will help you pick up...
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Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Phenytoin and Levetiracetam: EcLIPSE and ConSEPT trials
There has been a longstanding discussion over which is the best second-line agent to use in paediatric seizures and more...
Syncope in Children
Syncope is not uncommon, occurring in up to 25% of children. Most causes are benign, however we need to be aware of the of 3 major groups as these can be very serious diagnoses: Those with a cardiac cause Those...
Paediatric Heart Conditions You MUST KNOW
Congenital heart conditions present at birth, but can also present within the first month of life. We look at a simplified approach to the assessment and management of patients presenting with symptoms of congenital heart disease. In this video Dr...
Myocarditis
Myocarditis is simply an inflammation of the heart muscle, that can lead to myocardial cell damage, myocardial dysfunction and heart failure. A Recent Case A 15 yo male presents to the emergency department with sharp central chest pain that is...
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Phenytoin and Levetiracetam: EcLIPSE and ConSEPT trials
There has been a longstanding discussion over which is the best second-line agent to use in paediatric seizures and more...
Syncope in Children
Syncope is not uncommon, occurring in up to 25% of children. Most causes are benign, however we need to be...
Paediatric Heart Conditions You MUST KNOW
Congenital heart conditions present at birth, but can also present within the first month of life. We look at a...
Myocarditis
Myocarditis is simply an inflammation of the heart muscle, that can lead to myocardial cell damage, myocardial dysfunction and heart...
Subscribe for FREE regular updates in your inbox.
Get notified on all upcoming Conferences PLUS our Webcasts, Education Newsletters, and more!
Exam Resources
ECG Topics
Slow Atrial Fibrillation or Complete Heart Block: Lewis lead to the rescue
A 90-year-old gentleman presents via ambulance to the ED. He has suffered a presyncopal episode whilst out at the RSL. He was described as pale and confused before slumping to the floor. He made a reasonably rapid and complete recovery...
The Lewis Lead
The Lewis lead(1), is a means of detecting atrial activity and can be used where p waves are not readily...
ST Elevation in aVR
A 70 year old woman presents with severe shortness of breath and chest pain. She loses output briefly. Her ECG is...
Brugada Syndrome
A 25 year old male presents to the emergency department following a near syncopal episode. His ECG shows a supraventricular...
ECG Topics
Slow Atrial Fibrillation or Complete Heart Block: Lewis lead to the rescue
A 90-year-old gentleman presents via ambulance to the ED. He has suffered a presyncopal episode whilst out at the RSL. He was described as pale and confused before slumping to the floor. He made a reasonably rapid and complete recovery...
The Lewis Lead
The Lewis lead(1), is a means of detecting atrial activity and can be used where p waves are not readily evident. It is particularly helpful in wide complex tachycardias, where the presence of atrial activity can be used to exclude...
ST Elevation in aVR
A 70 year old woman presents with severe shortness of breath and chest pain. She loses output briefly. Her ECG is shown below She has ST elevation in aVR. What is the diagnosis? Read below and then view the angiogram. We...
Brugada Syndrome
A 25 year old male presents to the emergency department following a near syncopal episode. His ECG shows a supraventricular tachycardia(SVT). Vagal manoeuvres are attempted, unsuccessfully. Adenosine is then given for reversion. He reverts and his post-reversion ECG is shown...
Upright T wave in V1
A 65 year old woman presents with a 20 minute episode of chest pain. Her ECG is shown below. Are there any concerning features for ischaemia? Source: The west journal of EM 18(4):601-606 · June 2017(1) Significance of an upright...
A 51 year old with collapse
The case A 51 year old male is brought into ED after collapsing at work. He had been lifting a box of shopping from the floor to a table when he collapsed. A colleague had heard a thud and entered...
Airway Topics
Should we intubate in the ramped position?
I’ve spoken on awake intubationat the EMCORE Conferences, especially at the last Masterclass. I also spoke about the potential benefits of...
5 Things To Help You Get The Airway
1. Know When To Intubate The Advanced Airway is not just about doing, but also about thinking. It may sound...
Difficult Airway Cases: What would you do?
Airway management is frightening, especially if you don't do it often. Having a plan when we approach an airway is important. My plan involves: Maximising oxygenation with apnoea oxygenation Using...
Should we intubate in the ramped position?
I’ve spoken on awake intubationat the EMCORE Conferences, especially at the last Masterclass. I also spoke about the potential benefits of intubating patients in the ramped positionie., head of the bed up at...
5 Things To Help You Get The Airway
1. Know When To Intubate The Advanced Airway is not just about doing, but also about thinking. It may sound strange, but we should have an approach that allows us...
My Rules for Getting the Airway
There are all these fancy terms out there in respect to airway. There's apnoeic oxygenation, delayed sequence intubation, the vortex...
3 Essential things to do to get the Airway
Well, I'm now writting the lectures for the EMCORE Conferences for Hong Kong, Melbourne and Fiji and I was quite excited about this content and wanted...
An Unusual Foreign Body in the Airway
During a recent stint at a regional base hospital in NSW I was faced with an interesting clinical challenge that, at the time, I thought was most unusual. It appears...
My Rules for Getting the Airway
There are all these fancy terms out there in respect to airway. There's apnoeic oxygenation, delayed sequence intubation, the vortex etc..... Let me tell you something, you already know. This...
3 Essential things to do to get the Airway
Well, I'm now writting the lectures for the EMCORE Conferences for Hong Kong, Melbourne and Fiji and I was quite excited about this content and wanted to share some of it with you. Today I wanted...
VAPOX and Ventilation During the Apnoeic Period
In Rapid Sequence Intubation(RSI), there is that period of apnoea that occurs following delivery of paralytics and prior to attempting...
Effectiveness of Apnoeic Oxygenation Questioned
Everyone knows I'm a huge fan of apnoeic oxygenation. I use it for sedation, for intubation, heck I sprinkle some...
I’ve changed the way I do surgical airway
I think there's a better way. This comes after talking to people who've done ton's of surgical airway. When you work in Australia and don't get the volume of patients...
VAPOX and Ventilation During the Apnoeic Period
In Rapid Sequence Intubation(RSI), there is that period of apnoea that occurs following delivery of paralytics and prior to attempting laryngoscopy and intubation. It's a period of 40 to 50 seconds, before...
Effectiveness of Apnoeic Oxygenation Questioned
Everyone knows I'm a huge fan of apnoeic oxygenation. I use it for sedation, for intubation, heck I sprinkle some on my cereal in the morning. But here is a...
Apnoeic Oxygenation in Resuscitation: Is it time?
We are finally seeing the years of airway in resuscitation dogma being challenged. The original approach to airway which mandated...
Effectiveness of Apnoeic Oxygenation Questioned
Everyone knows I'm a huge fan of apnoeic oxygenation. I use it for sedation, for intubation, heck I sprinkle some...
The BURP, the Sellick and the bimanual – which is better?
Which is better? BURP or bimanual? Is cricoid pressure of any use? Sellick described cricoid pressure in 1961. How useful is it? Well it's purpose is to minimise the passive...
Apnoeic Oxygenation in Resuscitation: Is it time?
We are finally seeing the years of airway in resuscitation dogma being challenged. The original approach to airway which mandated intubation and probably led to significant delays in CPR and...
Effectiveness of Apnoeic Oxygenation Questioned
Everyone knows I'm a huge fan of apnoeic oxygenation. I use it for sedation, for intubation, heck I sprinkle some on my cereal in the morning. But here is a...
Apnoeic Oxygenation in Resuscitation: Is it time?
We are finally seeing the years of airway in resuscitation dogma being challenged. The original approach to airway which mandated...
Effectiveness of Apnoeic Oxygenation Questioned
Everyone knows I'm a huge fan of apnoeic oxygenation. I use it for sedation, for intubation, heck I sprinkle some...
3 Essential things to do to get the Airway
Well, I'm now writting the lectures for the EMCORE Conferences for Hong Kong, Melbourne and Fiji and I was quite excited about this content and wanted to share some of it with you. Today I wanted...
Apnoeic Oxygenation in Resuscitation: Is it time?
We are finally seeing the years of airway in resuscitation dogma being challenged. The original approach to airway which mandated intubation and probably led to significant delays in CPR and...
Effectiveness of Apnoeic Oxygenation Questioned
Everyone knows I'm a huge fan of apnoeic oxygenation. I use it for sedation, for intubation, heck I sprinkle some on my cereal in the morning. But here is a...
Stylet or Bougie for Intubation
As many of you will know, I've been teaching airway workshops now for many years, and have put over 3500...
Rapid Sequence Intubation
Practicing your technique at least every 6 months is very important if you do not regularly intubate. Even if you...
Advanced Airway – How useful is predicting the difficult airway?
We often talk about being able to predict the difficult airway. How useful is this really? In the scheme of things the Emergency Airway is just that, an emergency. Working...
Stylet or Bougie for Intubation
As many of you will know, I've been teaching airway workshops now for many years, and have put over 3500 doctors through the Advance Airways Workshop. I teach equipment in...
Rapid Sequence Intubation
Practicing your technique at least every 6 months is very important if you do not regularly intubate. Even if you do, the ability to practice on different manikins and in...
5 Things To Help You Get The Airway
1. Know When To Intubate The Advanced Airway is not just about doing, but also about thinking. It may sound...
My Rules for Getting the Airway
There are all these fancy terms out there in respect to airway. There's apnoeic oxygenation, delayed sequence intubation, the vortex...
Delayed Sequence Intubation
There's been a lot of talk around about Delayed Sequence Intubation and a little bit of confusion about it, so I thought I'd clear up a couple of things. Is...
VAPOX and Ventilation During the Apnoeic Period
In Rapid Sequence Intubation(RSI), there is that period of apnoea that occurs following delivery of paralytics and prior to attempting laryngoscopy and intubation. It's a period of 40 to 50 seconds, before...
Effectiveness of Apnoeic Oxygenation Questioned
Everyone knows I'm a huge fan of apnoeic oxygenation. I use it for sedation, for intubation, heck I sprinkle some on my cereal in the morning. But here is a...
An Unusual Foreign Body in the Airway
During a recent stint at a regional base hospital in NSW I was faced with an interesting clinical challenge that,...
The GuideIN tube seeks out the trachea
What's this? A device that seeks and finds the trachea and intubates the patient?......enter the GuideIN tube. Reported this week...
The man with the croaky voice
A 42 year old male presents following having been punched to the throat. He is sitting comfortably in a chair, writing in a journal. No-one is really concerned. I’m asked...
An Unusual Foreign Body in the Airway
During a recent stint at a regional base hospital in NSW I was faced with an interesting clinical challenge that, at the time, I thought was most unusual. It appears...
The GuideIN tube seeks out the trachea
What's this? A device that seeks and finds the trachea and intubates the patient?......enter the GuideIN tube. Reported this week in 'Gizmag' from the Hebrew University of Jerusalem. The media...
Are you still using cricoid pressure? STOP IT!
For years we have been using cricoid pressure in the emergency airway, so as to minimise regurgitation when the neuromuscular...
How to make your own AIRWAY CAM
Here is a quick and cool way to make your own airway camera.Use it to demonstrate and teach the technique...
Guidelines Schmidelines – how do i apply them?
Hi everyone. Just finished a great week at the ASM 2011 conference in Sydney. Thanks to all the people that came up and said "hi". One of the talks I...
Are you still using cricoid pressure? STOP IT!
For years we have been using cricoid pressure in the emergency airway, so as to minimise regurgitation when the neuromuscular blocker is given and the gastro-oesophageal sphincter relaxes. The theory...
How to make your own AIRWAY CAM
Here is a quick and cool way to make your own airway camera.Use it to demonstrate and teach the technique of intubation. It costs about $100 to put together, but...
My Rules for Getting the Airway
There are all these fancy terms out there in respect to airway. There's apnoeic oxygenation, delayed sequence intubation, the vortex...
The scalpel,finger,tube method for Surgical Airway
THE ‘SCALPEL-FINGER-TUBE’ METHOD HOT OFF THE PRESS! The February edition of Emergency Medicine Australasia (2012) 24, 23-30 has a case...
I’ve changed the way I do surgical airway
I think there's a better way. This comes after talking to people who've done ton's of surgical airway. When you work in Australia and don't get the volume of patients...
My Rules for Getting the Airway
There are all these fancy terms out there in respect to airway. There's apnoeic oxygenation, delayed sequence intubation, the vortex etc..... Let me tell you something, you already know. This...
The scalpel,finger,tube method for Surgical Airway
THE ‘SCALPEL-FINGER-TUBE’ METHOD HOT OFF THE PRESS! The February edition of Emergency Medicine Australasia (2012) 24, 23-30 has a case series of surgical cricothyrotomies. 24 cases are described by two...
I’ve changed the way I do surgical airway
I think there's a better way. This comes after talking to people who've done ton's of surgical airway. When you...