Differntiate pleural effusions on CT!

Great video by Medmastery. Learnt so much and hope you do too. Support their channel and view their other great meducation posts.  

The Great Disruptor: Covid-19

Covid-19 will be long remembered by this generation. This low lethality but high impact event has left a scar not only on medical fields but theplanet itself. Thoough suffering from a second wave currently, Singapore has a well documented way of dealing with this and our ED/hospital "positives" can be summarised into:

• Good command and control from the beginning
• One source of Information/dissemination + Updated info passed onto the floor daily
• Swab & Go protocols 
• Segregation of fever & non fever areas in the ED
• Fever area - PPE is gown / gloves /N95 / face goggles or shield
• Resus - PPE is N95 / gloves
• Resus (intubating and arrests) - PAPR with N95
• Non fever areas - Surgical mask and gloves

Other good resources:

The original article of the index cases

Handbook by Chinese hospitals

Covid calculators

Johns Hopkins datacentre


Probably the best video you can get on the subject is this detailed look into the pathophysiology and management by ESICM:




And finally when to ECMO:

Essential # management

Excellent self explanatory talk.
Essentials indeed.

Teaming in the real world / work

Been away for a while but we will still be posting EM related content intermittently. Here's a teamwork demonstration like no other which is applicable in complex environments like ours. 

There is no spoon?

Prof. Rinaldo Bellomo is extremely well published and speaks here at SMACC Berlin in a Matrix like talk on physiological belief.
Some great lines here and some well thought out arguments. Chiefly, "we make the measurable important but not the important measurable". Thanks to the SMACC team for making this available.

Get Coached!

If there is a doc you SHOULD listen to for worldly advice without prejudice nor agenda, it is Atul Gawande. In this TED talk, he extols the virtue of coaching. 

Cantor being candid

Richard Cantor is one of the gems in paediatric EM talks. His candour combined with raw experience are always at the forefront. His lessons just may prolong your career and a little one's life.

Dialyse this

John Oliver has done more to demystify fiascos in politics, religion and even medicine than most news organisations.
Here he is giving another insightful expose on American "healthcare".

Vader don't play dat!

ED rant, 90's Wayans reference and Star Wars all in one vid... how can you go wrong?

Sounds better?

Terrible solar rotation this planet has had. Good to round off the year with something to remind us of the better angels of our nature. Happy 2017 folks!

Webucation 8/11/16

Web wisdom this edition comes from the climes of mostly trauma this time but also from philosophers in our field from around the globe. 

• Amal Mattu to the graduating resident - Advice from a sage
• Liver lacs explained - Are you enzyme addicted?
• Motorbike accident with a rare complication - Pneumo - what?
• Out of Africa - Could you take one night in the Cape?
• 10 resus orders  - Fire fighting in EM

• Pressure in trauma? - Probably the best explanation in managing hypotense trauma patients

The last link and its sequel is a must hear audio cast. It is a simplistic yet deep dive into management of the critically injured trauma patient.

Soldier or scout?

Great talk which is very applicable to medicine. What we embrace and how we change our views could be more intrinsic than you think. Do you have a soldier or scout mentality?

Vader needs no satisfaction

Here's zDogg doing his best Force user impression. Pity our colleagues in the States.

Follow him on twitter and his excellent Youtube channel.

Cliff Reid - Advice to a young resuscitationist

Dr Cliff Reid of Greater Sydney HEMS is probably one of the finest exponents of not only resuscitative science but also in transmitting ideas via talks/presentations. This plenary from SMACC Chicago last year gives us important insights into:

• overconfidence
• following up
• changing oneself and systems when thigns go wrong
• other specialists and using their skill and experience
• risks and rewards of being in this field

He has his own channel here for other inspiring talks on resuscitation.

Tupac on nurses

Having learnt some hard lessons when I was fresh and having been on the treatment side of medicine, I can attest to the truth of the following video. This is a never ending shout out to the nurses who embody the spirit of healing.
Testify Zdogg...

How fluid is your practice?

Here's another talk from SMACC Chicago last year from luminaries in teh critical care field debating some thorny issues.
CAUTION: Some profanity and dogma changing views. Might make you think about what you're doing everyday!
Kudos to the SMACC team and animators for this vid.

SMACC: MacSweeny vs. Marik - On Fluid Responsiveness from Scott from EMCrit on Vimeo.

The eyes have it

Prof Larry Mellick posts great medical vids on his Youtube channel. Here's his recent posts on opthalmological emergencies. 
Great tips include:

• Grading and complications of hyphema
• Pathophysiology of corneal ulcers
• Distinction of periorbital and orbital cellulitis

This is modern learning at its finest and make a point to "like" and subscribe to his channel.

Yamahi technique for needle crics

Here's a technique for you might not have heard of or seen. Ventilating that needle cric site may be cumbersome but this quick solve is ingenious.
Here's hoping we never have to use it!

K-wire removal

Prof Larry Mellick describes and assists in removal of this infected wire. Remember that source control is a pillar of sepsis treatment and this is one of those cases.

For more of his videos, go to his youtube site.

In da Lab

What really goes behind the scenes when you are called to retake those samples? The mercurial ZDogg shed some empathetic light on da Lab. All to the sample of 50 Cent's breakthrough hit from 2003.