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SMACC Day 3

The last but by no means the least. How did the conference see out the last day of

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SMACC Day 2

So day 1 was pretty phenomenal and day 2 certainly has a lot to live up to, again

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Sepsis SMACCback

So we’re here at SMACC being treated to a fantastic conference and some superb talks. Last night (Day

Clinical Topics

SMACC Day 1

So here we are in Chicago with the biggest FOAM if not EM-Critical Care conference on the planet this year!! Here’s a whistle stop tour of some of the sessions from the first day at the conference, which followed the dramatic opening ceremony and I’ll just cover the major take home messages from each session……… Cliff Reid’s

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Peripheral vasopressors and preshospital LMA vs ET Tube in Cardiac Arrest

Over the last few episodes we’ve talked about the use of vasopressors and their utility in resuscitation. It

Clinical Topics

RSI in the ED; should EM be taking the lead?

What is an RSI? Rapid sequence induction, or RSI, is the preferred method of emergency tracheal intubation outside

Clinical Topics

Presyncope, what does it mean for our patients in ED?

What does presyncope mean to you? If you ask this question to a handful of doctors you’ll get

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Vasopressors & Inotropes in the ED

In this podcast we are going­­­­­­­­­­­­­­­ to be talking about inotropes and vasopressors. And we’re going to be

Clinical Topics

The PROMISE trial; is this the end of EGDT???

Trial of Early, Goal-Directed Resuscitation for Septic Shock NEJM March 17 2015   Sepsis has been in the EM literature a lot over the past 12 months. Add this content to your CPD

Clinical Topics

Thrombolysis for presumed MI in cardiac arrest

You’re in resus leading a cardiac arrest. Lying on the trolley is Dave, a 45 year old male, known hypertensive and type 2 diabetic. Add this content to your CPD

Clinical Topics

pH on the gas, should it influence you cardiac arrest prognostication??

It’s a common scenario in multiple ED’s every single day; The pre hospital cardiac arrest has arrived in your resus. They’re undergoing ALS, the team has run through their 4H’s and 4T’s. So far they haven’t been able to achieve a ROSC and are at a tipping point. They’re wondering whether continuing with this resuscitation

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Urine testing; who gets the antibiotics??

Just to let you know, the patent in cubicle 7 has got a UTI, can you prescribe her some antibiotics? Err, I guess so. How do you know? Well she just went for a wee, it looks infected and and she’s got leucocytes on her dipstick….. We’re often led by tests that we haven’t ordered

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Septic Arthritis; waiting for the bloods…..

If you’ve worked in Emergency Medicine for any period of time then you can’t have avoided this conversation….. ED Dr  ‘Hello I’ve got a patient I’d like you to see. They’ve got a hot swollen knee, no history of trauma, unable to weight bear and a normal X-ray. I’m pretty sure they’ve got a septic

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Assessing fluid status; USS and the IVC

Fluid resuscitation represents the bedrock of initial treatment in the critically ill and injured patient with shock. In

Clinical Topics

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