Medcast news and blog
Post-operative fall - using an ABCDE assessment to identify risks
Marjory is a 68 year old in-patient who is 2 days post hip replacement. She is on rivaroxaban (xarelto) for VTE prophylaxis. You find her sitting on the floor of the bathroom, alert but in pain.
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In this urgent scenario, Carl's respiratory distress prompts the question of rapid sequence induction. The case includes impending airway compromise, the risks of an unprotected airway, and key elements for successful intubation. A challenging airway situation unfolds.
Sepsis is a life-threatening response to infection. Did you know that more than 18 000 Australians suffer from sepsis every year with more than 5000 deaths a year; this is twice the number of deaths due to traffic accidents.
Once anaphylaxis has been identified, immediate treatment is required to stop the allergic cascade from producing histamines, prostaglandins and cytokines, and manage the effects of these agents. Management will include immediate treatment, refractory management and post crisis management.
Gail is a 63 year old post abdominoplasty who is complaining of tingling lips, abdominal cramping and watery eyes...
Sam was found unresponsive at a scene of a single motorcycle accident. No obvious signs of blood loss or fractures...
Total Intravenous Anaesthesia (TIVA) has become an increasingly popular choice for anaesthesia, as alternatives to volatile agents. Surgical technique advancements and increasing utilisation of day hospital centres have created an environment where minimal downtime after general anaesthesia is highly desirable.
The increasing use of technology and move into online learning options has expanded the options for delivering education, including resuscitation education. Theory can now be delivered in high quality and engaging modes, and allow educators to focus on the practical skills that are necessary in resuscitation.
One of the most important assessment tools in rapid paediatric assessment is the central capillary refill time (CRT). It is quick, easy to perform and does not require any special equipment.
The opportunity to reduce time to thrombolysis or EVT has significantly reduced the risk of disability for patients who were were able to access the MSU, and improved transfer times to appropriate EVT hospital centres.