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Lots of good stuff again from the virtual #RCEMasc21 –  here are a few of the topics that got me thinking Read more

My first virtual conference – has been great to dip in and out of all the streams at my leisure. Just a shame they didn’t send some Danish liquorice.

So here is my Summary…..(Kids, Resus, Heads, Others)

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Paracetamol 12hr SNAP regime: 2014 & 2019 What is it?  Pre-NAC – 4mg Ondansetron IV Bag 1 – 2hr 100mg/kg NAC in 200ml 5% Dex Bag 2 – 10hr 200mg/kg NAC in 1000ml 5% Dex Advantages Saves 9hrs Significant reduction in anaphylactoid reactions 2% vs 11% Significant reduction in gastric symptoms (if… Read more

For those back home its been an interesting 1st day at the conference  – and the top 5 are 1. Learning from Child Death Great session, presented by both clinical staff and parents, around the death of a 3yo with Down’s syndrome, from sepsis. Highlighted some key points that we… Read more

NEUROLOGY #RCEMcpd  @RCEMevents Advances in Acute Stroke Intervention  Dr Ian Rennie Acute Stroke Thrombolysis only recannulates approximately 10% of large vessels. MR CLEAN trial reduced disablED survivors following stroke from 53% to 29%. NNT <2 (New England Journal of Medicine 2015) Dawn trial showed treatment up to 24 hours from… Read more

 HEAD AND NECK Tracheostomy Emergency Care – Dr Brendan McGarth www.Tracheostomy.org.uk Needs to distinguish Tracheostomy from laryngectomy as a laryngectomy has no connection to the upper airway however a tracheostomy may have a connection so gives you 2 options for an airway. Trachostomy problems commonly seen in the ED:- Tube… Read more

#TraumaCare19 @TraumaCareUK Mix of PHEM and Major incident sessions today Mental Resilience – Professor Richard Williams Resilience – a process linking a set of adaptive capabilities to a positive trajectory of functioning and adaption after a disturbance. Compared to the reference population ED and Pre-hospital staff have higher levels of… Read more

Hej Hej Glasgow it was fun, now back to work.  Day-4 was full of great Canadian thoughts on neurology (Vertigo, SAH, and TIA) all topped off with a sprinkle of Organophosphates

Vertigo – Guide to the big 3
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Very Geri’s heavy day today @ #EuSEM2018 but lots to think about, and even squeezed in a bit of USS

 
Geriatrics
Gait is an observation

Timed Up and Go test – get up from chair walk 6m turn and come back, over 10s is a marker of frailty
Also mortality – same predictive value as RR>25 or sBP of 90mmHg

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For those of you working hard on the shop-floor a quick summary of whats going on in Glasgow @ #Eusem2018   Sepsis 3 interesting talks from dual Emergency Med and Infectious disease specialists, from Denmark and Germany, which highlighted that we are all in the same boat, and again doing… Read more