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Critically Ill Airway
I am just putting final touches to the “Being Expert Enough” session for the forthcoming Critical Ill Airway Course to be held at The Alfred Hospital in Melbourne, May 7-8th 2015. The course is being...
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Lessons for management of acute agitation in rural EDs
The South Australian Coroner has just released a report into the sad death of Mr Simos, who died whilst awaiting transfer from a rural ED back to a tertiary centre where he was under a current...
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Got droperidol?
If you’ve been following blogs such as THE PHARM recently, you’ll probably have seen reference to a chap called Minh le Cong and a drug called ketamine. Now it’s no secret that many in the prehospital...
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GP Anaesthesia 2020 & Beyond
The concept of a “GP anaesthetist” or “GP obstetrician” can be a vexed one. Colleagues with the appropriate specialist ticket (FANZCA & FRANZCOG respectively in Australia) may question why the heck...
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All About That (MedSTAR) Base
Readers of the blog will know that I spent the second half of the year with MedSTAR, South Australia’s retrieval service and part of SA Ambulance Service (SAAS). As a rural doctor I am usually a user...
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Two papers at smaccUS
Day One of the smaccUS conference was a bit of overload for me. I was nursing a mild hangover from the post-workshop Faculty dinner and was somewhat anxious about my planned talk “All Alone on...
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Airway Thrills
Attribution : Dr Andy Buck of ETMcourse.com I’ve been asked to run an Airway Workshop for rural doctors at the annual RDASA Masterclass conference to be held in Adelaide 2015. Airway management is an...
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Breach of Protocol
Coroners reports are interesting. I think there are many reasons for Doctors to read reports from the Coroner, although am sometimes frustrated that such reports are a legal opinion, operating with...
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Out with the Old – In with the New
It’s been three years since I last went to a national conference aimed at primary care clinicians in Australia. Workshops aside, I was so disappointed with the content and general lack of engagement...
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The Cutting Edge
Thanks to Kenu Dilega Parker for photography I’ve just had the incredible good fortune to spend a few days between GP15 and PAIC2015 as a speaker and facilitator at RescueExperienceOz events in...
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Big Syringe, Little Syringe
Safety is paramount in anaesthesia, wherever it is being performed (in theatre, in ED or at the roadside). Many of the non-anaesthetists joke about the apparent simplicity of induction agents in an...
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Safety in Resus – Use the Whiteboard!
There’s no doubt that for the small rural emergency department, a critically unwell patient can quickly overwhelm available resources. Like many small rural hospitals in Australia, there is one doctor...
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Don’t Find A Fault – Find A Remedy
I’ve just been reading the latest Clinical Communique from the Victorian Institute of Forensic Medicine – stoked to see fellow FOAMed enthusiast Gerard Fennessey contribute, along with a reference to a...
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Keeping It Real – Forget ECMO, Crowdsourced Community CPR Is Needed
Advances in modern emergency medicine and critical care are amazing. Previously unsalvageable patients may be rescued, thanks to both attention to detail for the basics (FAST HUGS IN BED) and advances...
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It’s a Clinical Handover…not a Discharge Summary!
I’ve been the ICU reg, critical of ED referrals. I’ve been the ED reg, critical of prehospital care and low quality primary care referrals I’ve been the primary care doc, frustrated with “GP to chase…”...
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It’s Not About the Helicopter
Just got back from #smaccDUB – I chose not to speak this year and that was a GOOD decision – it allowed me time to actually wander around and soak up some of the high quality talks, as well as to...
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CICO Trainer for under $5
The dreaded ‘cannot intubate, cannot oxygenate’ scenario is one which most clinicians will never encounter. In elective anaesthesia, the CICO rate has been described by Cook & Macdougall as 1/5000...
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On simple research and the gift of sharing…
A nice little paper caught my eye in this months Emergency Medicine Australasia. Entitled “Review of therapeutic agents employed by an Australian aeromedical prehospital and retrieval service” this is...
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Difficult Airway Training – The Wookie Wins!
Full credit for this goes to Dr James DuCanto, airway geek and innovator from Milwaukee, USA. It’s been my great privilege (and crazy pleasure) to facilitate with Jim at smacc airway workshops in...
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Building Community Resilience with Careflight
Rural trauma – a high-speed vehicle roll over, a farming accident with a chainsaw, a gas BBQ explosion at the family picnic. These are all scenarios that may affect individuals & families…and the...
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