Shock… Do We Know It When We See It?
'Shock... Do We Know It When We See It?' was a talk by Michelle Johnston at SMACC2013 - you can listen to the audio here and check out the background material and references. Enjoy!
Category Resuscitation
Defibrillation Basics
The ACEM fellowship focuses on ARC guidelines for defibrillation. See this post for the current standards of practise and controversies.
Basic Life Support
The most recent BLS 2015 guidelines (ILCOR 2015) retain many of the 2010 recommendations, again reinforcing the chain of survival. However, there is an increased emphasis on simplification of compression method, good quality bystander CPR and encouragement thereof, dispatcher guided…
François Chaussier
François Chaussier (1746-1828) was a French anatomist and physician. He proposed the use of oxygen in pediatric resus (1781) and the laryngeal intubation (1806)
Miller laryngoscope
The Miller laryngoscope is a straight blade designed to obtain a view of the vocal cords by directly lifting the epiglottis. It has useful application in ‘floppy’ airways making it popular within paediatric anaesthesia
Own the Chest Tube!
The LITFL team have scoured the web to find the best collection of online instructional videos known to man or woman to help you 'own the chest tube'!
Cryoprecipitate
Cryoprecipitate is prepared by thawing fresh frozen plasma (FFP) between 1°C and 6°C and recovering the precipitate
The cold-insoluble precipitate is refrozen.
Tintinalli Resus MCQs
Tintinalli Resus multiple choice questions MCQs for ACEM Fellowship
Cessation of CPR
The decision to stop CPR should be tailored according to the specifics of the individual case and is based on clinical judgement. The decision is best made by the Team Leader in consultation with other team members
Intra-arrest therapeutic hypothermia
Therapeutic hypothermia (T33°C) after return of spontaneous circulation (ROSC) was not found to confer benefit compared to normothermia (T36°C) in the TTM trial
ILCOR Guideline Changes 2010
ILCOR = International Liaison committee on Resuscitation = conglomerate of resuscitation councils worldwide. Changes in 2010
Fluid Responsiveness
Fluid responsiveness is an increase of stroke volume of 10-15% after the patient receives 500 ml of crystalloid over 10-15 minutes (as defined by Paul Marik). The definitive test for fluid responsiveness is a Fluid challenge