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The third in the series with Ollie Poole (@RespReview) on mechanical ventilation. Ollie goes into some more detail on the phases of the breath. This requires some visualisation of the waveform involved. Below is the video from YouTube that Ollie originally produced which should help with that.
Irma Bilgrami does a great job of breaking down some of the principles of mechanical ventilation in her SMACC talk. She approaches it in a similar way to analysing the ECG waveform.
#FOAMed
Delayed Sequence Intubation–
DSI in pts requiring intubation & NOT tolerating preox or peri-intubation procedures http://t.co/vCZX2e10hL #FOAMed pic.twitter.com/3G5MvLiKv7
— Salim R. Rezaie (@srrezaie) February 24, 2015
A new study in Annals of Emergency Medicine seems to support the process of delayed sequence intubation in those patients that will not tolerate pre-oxygneation or peri intubation procedures. EmCrit has a nice algorithm on his site (he was involved in this study) which breaks the process down simply and The Bottom Line has reviewed the paper in question. Scott has also done is usual great job in helping us understand this through his podcast:
Life in the Fast Lane breaks the process down in some more detail.
Cervical Collars–
“CERVICAL COLLARS SLASHED FROM GUIDELINES |” http://t.co/jLcPZVCxca #FOAMed Not just any guidelines – ILCOR guidelines!! This is huge! — UNM Wilderness Med (@UNM_WildMed) February 12, 2015
ILCOR (International Liaison Committee on Resuscitation) have published some draft guidelines on the use of cervical collars which does not recommend their use. Scancrit covers some of this in his blog and, like him, I will quote what they actually say:
“We suggest against spinal motion restriction, defined as the reduction of or limitation of cervical spinal movement, by routine application of a cervical collar or bilateral sandbags (joined with 3-inch-wide cloth tape across the forehead) in comparison to no cervical spine restriction in adults and children with blunt suspected traumatic cervical spinal injury (weak recommendation, very low quality of evidence).
Values and preferences statement: Because of proven adverse effects in studies with injured patients, and evidence concerning a decrease in head movement only comes from studies with cadavers or healthy volunteers, benefits do not outweigh harms, and routine application of cervical collars is not recommended.”
Intensive Care Society State of the Art Meeting December 2015
An interesting early steer from @icsmeetings #icssoa2015 consultation. Add your views! http://t.co/nRdSk0a5KN pic.twitter.com/k56pOT6W3a
— GaneshSuntharalingam (@Ganesh_ICM) February 15, 2015
I have had the recent privilege of being introduced to Ganesh Suntharalingam (@Ganesh_ICM) who is involved in the committee with the Intensive Care Society for the State of the Art meeting later this year. He is gathering a team around him who will help make some changes to the format of this excellent conference. He tweeted some results from a survey he published which makes some very interesting reading. What I found exciting is that others feel, like me, that publication of some of the presentations for those not able to attend would be valuable. This is the FOAMed principle in practice. You can continue to add your own views via this link. Advanced Critical Care Practitioner Conference–
3rd National ACCP conference 3rd July hosted by FICM @ RCoA only £40. Save the date !@accpuk @ccpractitioner — CAROLE BOULANGER (@BOULANGERCAROLE) February 16, 2015
Conference details can be found here.
| Podcast Link | Podcast Episode Name |
|---|---|
| CCP Podcast 001 | Introduction and Interview with Teresa Chinn from @WeNurses |
| CCP Podcast 002 | Twitter, Google Hang Outs and Speakpipe |
| CCP Podcast 003 | Interview with Robin Davies, Lead Resuscitation Officer |
| CCP Podcast 004 | Great Medical Podcasts to Listen To |
| CCP Podcast 005 | Chat with Ken Spearpoint |
| CCP Podcast 006 | Chat with David Barton |
| CCP Podcast 007 | Chat with Bethan Bishop |
| CCP Podcast 008 | Chat with Claire Flatt |
| CCP Podcast 009 | SMACC Me Hard! |
| CCP Podcast 010 | Cricoid Pressure: Do it? Do it right? Or do it at all? |
| CCP Podcast 011 | Social Media...Use it, don't abuse it! |
| CCP Podcast 012 | Get my feet to the floor...please! |
| CCP Podcast 013 | Mind and Body |
| CCP Podcast 014 | How Much Fluid? |
| CCP Podcast 015 | The Power of Practitioners? |
| CCP Podcast 016 | The Strong Arm of Eric...YouTube Learning. |
| CCP Podcast 017 | Simon is one of the First 2 Act |
| CCP Podcast 018 | Mechanical Ventilation... |
| CCP Podcast 019 | SepsisPAM analysed. Gav and Jonathan try to work it out! |
| CCP Podcast 020 | More Power to Practitioners |
| CCP Podcast 021 | Jesse's Show |
| CCP Podcast 022 | ACPs Education, Education, Education. |
| CCP Podcast 023 | Wash Your Mouth Out!! |
| CCP Podcast 024 | Mechanical Ventilation...the basics |
| CCP Podcast 025 | Teresa Gets A Gong! |
| CCP Podcast 026 | Crew Resource Management...What? |
| CCP Podcast 027 | Crew Resource Management Continued |
| CCP Podcast 028 | James DuCanto Talks Intubation |
| CCP Podcast 029 | Mechanical Ventilation...Phases of the Breath |
| CCP Podcast 030 | SMACC it! |
| CCP Podcast 031 | Lifesaver to Lightsabre! |
| CCP Podcast 032 | Hello South Africa! |
| CCP Podcast 033 | Calling all students... |
| CCP Podcast 034 | Mechanical Ventilation...Types of breath |
| CCP Podcast 035 | 5 Tips for Better Presentations |
| CCP Podcast 036 | Head of Bed Elevation and Reflux |
| CCP Podcast 037 | How to Make Ultrasound Easier! |
| CCP Podcast 038 | WeNurses Tweet Chat About Advanced Practitioners |
| CCP Podcast 039 | Early Mobilisation- Get Them Moving! |
| CCP Podcast 040 | Why Won't We Change? |
| CCP Podcast 041 | PTSD in Critical Care |
| CCP Podcast 042 | What angle should I sit my patient at? |
| CCP Podcast 043 | Why won't my patient sleep? |
| CCP Podcast 044 | Helping the ITU patient sleep |
| CCP Podcast 045 | Simple Things to Help them Sleep |
| CCP Podcast 046 | PTSD in Critical Care II |
| CCP Podcast 047 | Advanced Critical Care Practitioner |
| CCP Podcast 048 | RSI- Which Drug? |
| CCP Podcast 049 | Central Venous Catheter- Which Needle? |
| CCP Podcast 050 | LeoPARDS Trial |
| CCP Podcast 051 | ICU Follow Up Clinics |
| CCP Podcast 052 | Chronic Critical Illness |
| CCP Podcast 053 | Nutrition Guidelines |
| CCP Podcast 054 | Nutrition Guidelines at ICSSOA 2016 |
| CCP Podcast 055 | Papers of the Month |
| CCP Podcast 056 | Got to help them cough |
| CCP Podcast 057 | Papers of the Month |
| CCP Podcast 058 | Early Mobilisation. Do we know it works? |
| CCP Podcast 059 | Surviving the ICU: The Patient Experience. |
| CCP Podcast 060 | My Critical Care Patient Can't Swallow! Why? |
| CCP Podcast 061 | Papers of the Month: March 2017 |
| CCP Podcast 062 | Escalate the Patient! |
| CCP Podcast 063 | The Two Jonnys Do Twitter: May 2017 |
| CCP Podcast 064 | Papers of the Month May 2017 |
| CCP Podcast 065 | ACCP Presentation- What, Why, How? |
| CCP Podcast 066 | The Two Jonnys Do Twitter: May 2017 (2) |
| CCP Podcast 067 | Papers of the Month June 2017 |
| CCP Podcast 068 | The Two Jonnys Do Twitter: June 2017 |
| CCP Podcast 069 | DasSMACC Day 1 |
| CCP Podcast 070 | DasSMACC Day 2 |
| CCP Podcast 071 | DasSMACC Day 3 |
| CCP Podcast 072 | The Two Jonnys Do Twitter: July 2017 |
| CCP Podcast 073 | Bariatric Surgery in the Management of the Obese Patient |
| CCP Podcast 074 | Lung Ultrasound with SonoPhysio |
| CCP Podcast 075 | ACP Conference October 2017 |
| CCP Podcast 076 | The Two Jonnys Septmber 2017 |
| CCP Podcast 077 | NCEPOD 2017 Acute NIV |
| CCP Podcast 078 | NCEPOD 2017 Acute NIV- A Discussion |
| CCP Podcast 079 | The Two Jonnys November 2017 |
| CCP Podcast 080 | Nitin does FICE….quickly! |
| CCP Podcast 081 | The Two Jonnys at ICSSOA 2017 (and Dave) |
| CCP Podcast 082 | FICE...Just Do It! |
| CCP Podcast 083 | Guidelines to Tracheal Intubation |
| CCP Podcast 084 | Audits on some ACCPs skills |
| CCP Podcast 085 | Papers of the Month March 2018 |
| CCP Podcast 086 | Psychology of patients, relatives and staff |
| CCP Podcast 087 | ECMO- How can I make the best referral? |
| CCP Podcast 088 | Chat about NTI2018 |
| CCP Podcast 089 | Cath and Jonathan chat about BTS2018 |
| CCP Podcast 090 | Mechanical Ventilation with Thomas |
| CCP Podcast 091 | Practitioners Across The Pond |
| CCP Podcast 092 | Practicing Critical Care Like An Adult |
| CCP Podcast 093 | Recent research with Nicole Kupchik |
| CCP Podcast 094 | Magnesium for the win. |
| CCP Podcast 095 | More mechanical ventilation with Thomas |
| CCP Podcast 096 | Hyponatremia |
| CCP Podcast 097 | ERS Conference 2018 |
| CCP Podcast 098 | Bryan talks AKI |
| CCP Podcast 099 | Fluids- Part I |
| CCP Podcast 100 | The Two Jonnys Season Two |
| CCP Podcast 101 | Palliative Care in the ICU |
| CCP Podcast 102 | Dale Needham and Delirium |
| CCP Podcast 103 | Acute Right Heart Failure |
Get in touch with Jonathan
I would love to hear from you so that we can start to work together.- Send an email to contact@criticalcarepractitioner.co.uk
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