We're always a little cautious (scared) about entering any sort of emergency airway debate on social media as opinions are usually strongly held, and evidence is often of the lighter variety. One of the more controversial questions is in the use of first choice paralytics for ED RSI.
Ed - At the SMACC conference our good friend and simulation guru Jesse Spurr 1 talked about virtual reality as a future technique for education and for therapy. It's an area that we've not really seen in practice (yet) and so it was really interesting to see this paper published so soon after the conference.
If I develop AF then I reckon I'd be able to spot it pretty quick, and I'd get myself down to ED pronto so that I could get myself cardioverted having read the excellent work of Stiell et al1. Why?
Over the last few years there has been much effort and a fair bit of #FOAMed activity around ensuring that RSI in critical environments is as safe and efficient as possible. Concepts such as first pass success1, apnoeic oxygenation2–4, positioning5, bougies6,7 and more have all aimed to promote safe practice.
Here in Virchester we believe that we were early pioneers of conscious sedation in the UK. It's something we adopted as a routine procedure back in the 90s, in both adults and children, and so over the years we have tried to refine and adapt our techniques as the evidence changed.
This blog reviews the first large randomised controlled trial of cricoid pressure in emergency patients as published in JAMA Surgery, October 2018.
Practical perspectives on trauma care and team leadership.
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