Have you ever been to emergency because you can’t get off a fake nail? Taken your poorly pet to emergency instead of the vet? the next Emergency Musical Interlude comes form the NHS…
It might sound far-fetched but the star of this video, Dee, sings about some real-life examples of emergency department misuse. She is advised by our singing physician on the best times to use emergency and about the alternative services to utilise when things aren’t as emergent…
- Concept and Creative: NHS Arden Commissioning Support
- Lyrics by Aaron Ashmore, (NHS Arden Commissioning Support), James Cannock (One Nation Studios) and Edi Johnston
- Design: Vashti Purvey (NHS Arden Commissioning Support)
- Animation by Ignite Creative Ltd
- Vocals: Edi Johnston
- Music produced by: One Nation Studios
LITFL musings and meanderings
The post NHS Emergency Fail Tale appeared first on LITFL.
Clinical EM Bottom Line:
- Check pulses upon patient arrival. No pulses = Step 1.
- Fundamental: Only perform actions that will affect patient survival
1. Airway - Control the airway.
- Pre-hospital intubation = Move to Step 2.
- No airway = Intubate or Supraglottic device > Move to Step 2.
2. Breathing – Bilateral Finger Thoracostomies
- Tension Pneumothorax is one of the few reversible causes of traumatic arrest.
- If no improvement = Move to Step 3.
3. Circulation – Bedside Echo
- Cardiac Standstill = Futile Resuscitation
- Cardiac Tamponade = ED Thoracotomy or Pericardiocentesis (less successful)
- Cardiac Activity = Hemorrhagic Shock > Give blood products (ie. Massive Transfusion Protocol)
4. Identify Sources of Bleeding
- Scalp Lacerations or Extremity Bleeding
- Blood with Finger Thoracostomy = Bleeding in Chest
- Positive FAST = Bleeding in Abdomen
- Pelvic Instability = Bleeding in Retroperitoneum
The post Rational Approach to the Traumatic Arrest appeared first on Clinical EM.
ON my twitter feed today I spotted a post by
She is a Canadian flight nurse in Halifax, Nova Scotia. She linked a good overview article of Canadian Air Ambulance and recent suspension issues related to patient safety concerns. Well worth a read so thanks to her!
Here is the news article
Filed under: Aeromedical retrieval
, Prehospital medicine
Clinical EM Bottom Line:
- There is evidence that the use of atropine is unnecessary when performing RSI in paediatric patients in the Emergency Department.
- However, this evidence lacks statistical power and further studies are needed.
The post Pretreatment with Atropine in Pediatric RSI appeared first on Clinical EM.