Category: Sedation

101 Reflective Lessons from a Year with Sydney HEMS. Part Three: Clinical

This post, detailing my reflections on clinical retrieval medicine, is the third in a series recording my reflections on the past twelve months, which I have spent working for Sydney HEMS in prehospital and retrieval medicine.

JC: Is Ketofol worth the hassle? St.Emlyn’s

We’ve been interested in Ketofol for many years in Virchester. We were early adopters as the pathopharmacological argument makes sense for patients requiring sedation for short painful procedures in the ED. A mixture of Propofol

Managing Acute Behavioural Disturbance

  A 31 year old gentleman is wheeled into your resuscitation room by two paramedics and four police officers. You were pre-alerted five minutes ago that you would be receiving an agitated man who was found in

Is Ketofol the milk of human kindness for procedural sedation. St.Emlyn’s

Another fine day in Virchester and another marvellous weekly Journal Club discussing Ketofol. I was unable to attend our traditional meeting (which ended a few minutes ago) as I was visiting my parents but I

Paediatric Pain and Sedation – Tips to Change Your Practice from #EuSEM15

Flicking through the tracks at EuSEM15 you might notice that there are several presentations – including mine – devoted to the management of pain and procedural sedation in children. And you might wonder why this

JC: The last breath for apnoeic oxygenation?

Apnoeic oxygenation in emergency intubation in the ED is a concept that has emerged in the past few years and has been promoted by the FOAMed community quite extensively. I have to admit it is

JC The REVERT trial: Dip or doom for SVT in the Emergency Department?

SVT (supraventricular tachycardia) is something we see a lot of in Emergency Medicine.  Any emergency physician will tell you exactly how satisfying it is to treat a patient with SVT.  There must be close to a

JC: ED physicians are not Propofol Assassins – St.Emlyn’s

If you’ve never listened to the rant by Cliff Reid on Propofol then you should do so now. It’s a great description of why propofol is a rather ‘courageous’ agent for RSI in the ED

Driving children to distraction: Techniques for the PED

We’ve had some great recent posts at St. Emlyn’s on the use of ketamine and LAT gel for children undergoing procedures in the Emergency Department. In this post I’m going to discuss something quite simple, but potentially

Intranasal Ketamine: Mum “Nose” Best at St Emlyn’s

  St Emlyn’s in Virchester is a place full of talent, only a small cross-section of which is showcased here. Now and then, the opportunity to highlight the work of other Emergency Physicians arises. Such

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