‘Airway mentor’
In this video one of my airway mentors @[email protected] covers tips on iGel insertion which I think will be of use to all us prehospital and inhospital critical care clinicians who do not get daily exposure to these devices in the operating room
https://youtu.be/9UyTlmjpeaI
🐦🔗: https://twitter.com/cliffreid/status/1598460582780620800
The iGel is a great supraglottic airway device
But like other supraglottic airway devices (SAD) it's not foolproof
Here's how to maximise your success with the iGel - a thread 🧵
🐦🔗: https://twitter.com/cliffreid/status/1598460503629926400
My favourite lead
We suspected this was atrial flutter
Rather than subject a patient to the horror of iv adenosine (which only reveals flutter - it can’t convert it), we moved the ECG limb leads around to get a ‘Lewis lead’ which better shows atrial activity
(See https://litfl.com/lewis-lead-s5-lead/ )
🐦🔗: https://twitter.com/cliffreid/status/1596814457350500352
@[email protected] @[email protected] The patient will have had an unprotected airway for quite some time by now. The aspiration horse has bolted.
Aw patency & ventilation crucial but what’s the problem with FMV?
The most imp part of this induction is haemodynamic control. You can’t control what you can’t monitor.
🐦🔗: https://twitter.com/NicholasChrimes/status/1596620125209526272
“@EM_phile @cliffreid The patient will have had an unprotected airway for quite some time by now. The aspiration horse has bolted. Aw patency & ventilation crucial but what’s the problem with FMV? The most imp part of this induction is haemodynamic control. You can’t control what you can’t monitor.”
Very very excited about this.
🏴 ⚽️
MATCHDAY | 🏴🆚🇮🇷
Our second Group B match following a 1-1 drawn against USA. Let’s do this!! ⚽️🏴⚽️🏴⚽️🏴
🐦🔗: https://twitter.com/wales_watch/status/1596043131056799749
### What you need to know Is the needle tip configuration important when performing a lumbar puncture for any indication? A systematic review published in the Lancet in December 2017 suggests that it is. The review found that using atraumatic (pencil-point) lumbar puncture needles instead of conventional lumbar puncture needles reduced the risk of post-dural-puncture headache and of return to hospital for additional pain control.1 This guideline recommendation aims to promptly and transparently translate this evidence to a clinical recommendation, following standards for GRADE methodology and trustworthy guidelines.2 The BMJ Rapid Recommendations panel makes a strong recommendation for the use of atraumatic needles for lumbar puncture in all patients regardless of age (adults and children) or indication instead of conventional needles.34 Box 1 shows the article and evidence linked to this Rapid Recommendation. The main infographic provides an overview of the absolute benefits and harms (although none were present here) of atraumatic needles. Table 1 below shows any evidence that has emerged since the publication of this guideline. Box 1 ### Linked resources for this BMJ Rapid Recommendations clusterRETURN TO TEXT
Geezer ripped off the door 🤣🤣🤣🤣
🐦🔗: https://twitter.com/FootyLimbs/status/1595075152030863360
Thankfully, so is Mastodon.
Twitter is ALIVE
