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Kirsten Kingma (@surferkirst) is currently a medical student, traning to be one of the Doctors in South Africa who started her health care career as a paramedic
We start by talking about the role of the paramedic in South Africa and how the different funding system impacts upon health care.
We also talk about the medical staffing issues in South Africa and then finish up agreeing about how wonderful Twitter and FOAMed is for the ambitious practitioner.
I think I may have persuaded her to come back for more in the future as my South Africa correspondent!
FOAMed
Another article has been highlighted via twitter which further advances the cause for the practice of NODESAT or the use of nasal oxygen during rapid sequence induction. This is a simple thing to do for the patient and it has been shown to be effective and not uncomfortable for the patient:
Use of High-Flow Nasal Cannula Oxygen Therapy to Prevent Desaturation During Tracheal Intubation of Intensive Care Patients With Mild-to-Moderate Hypoxemia Miguel-Montanes, R., Hajage, D., Messika, J., Bertrand, F., Gaudry, S., Rafat, C., … Ricard, J.-D. (2014). . Critical Care Medicine
Apneic oxygenation via nasal prongs at 10 L/min prevents hypoxemia during tracheal intubation for elective surgery. Christodoulou, C., Rohald, P., Mullen, T., Tran, T., Hiebert, B., Lee, T., & Sharma, S. (2013). Eur. Respir. J.
A Randomized Trial on Subject Tolerance and the Adverse Effects Associated With Higher- versus Lower-Flow Oxygen Through a Standard Nasal Cannula. Brainard, A., Chuang, D., Zeng, I., & Larkin, G. L. (2015). . Annals of Emergency Medicine, .2014.10.023
Evidence Based Preoxygenation from Rob from ercast on Vimeo.
Osler
I had a very interesting conversation with one of my Twitter contacts last week, Dr Todd Fraser (@Sunnydoc72). He has become concerned over the years that health care professionals seem to have no consistency over the benchmarking and recording of their skills. As a consequence he has started a crowdfunding campaign to try to get the necessary finance together to produce.
Osler is a digital technology that will allow you to benchmark your performance against others in a similar position providing you a report card of procedural and clinical capability. There will be access to a learning platform with multimedia, interactive and patient focused learning resources. You can keep up to date with the latest literature and Osler Knowledge will give access to a database of latest research, which it will search for you depending on the question you ask.
You will also be able to connect with your peers to help you understand difficulties you maybe having. There will be an authentication process throughout all of this so that you can be sure that the information you get is reliable and the people you are interacting with are trustworthy.
The crowd funding process asks that you make a financial promise. It aims to reach a target of $300,00 within 30 days. You can pledge as little as $10 all the way up to $5000. This money will not be taken from you until the target is reached. If you pledge then there are some incentives offered.
I think this looks like a fantastic idea, but will need some support to get it off the ground. Todd has clearly worked very hard at this and is very passionate. Worth a few dollars I think.
| 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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