Webucation 26/4/17

This edition of web wisdom hails from the realms of paeds and adult neurology with a smattering of tox and how to move patients. Credit to the original content creators.

• BMI in ED
• The ED transfer
• The 3 must read articles of 2016
• Paediatric cerebral venous thrombosis/
• Still 4 hrs for that level?
• Kicking against stroke thrombolysis

The last link makes you garner some perspectives. Would you really give snake venom to yourself or your loved ones? Know the whole argument prior to making your mind up.

Webucation 25/3/16

This episode of webucation is brought to you by the disciplines of crit care and cardio as well as some imaging thrown in. Do visit/credit the content creators.

• 8 hours of chest pain - EM physicians' ye olde enemy returns.
• Bleed them you say? - Do you bleed your patients for abdo pain?
• Lets talk about subarachnoid haemorrhage - SAH in the modern sense.
• The wrong stuff - Lyse it Cliff, lyse it...
• Ultrasound for ETTs? - Why not? We use it for everything else already!
• Nothing inferior about it  - Steve Smith breaks down the RV AMI.

• Low risk chest pain disposition - Worth it just for the Venn diagram.

This last link is worth the read into current state of affairs. I you must take anything from it, take this pic. An all too forgotten philosophy that one must be complete and holistic, not just a paper reader/quoter.

Transport is TRICI

The recent SEMS 2016 conference in Singapore was well received by attendees and its myriad of workshops/courses and talks continues to grow. This year, Changi General Hospital added a one day workshop to highlight the troubles in transporting critically ill patients. It involved lectures, simulation, quizzes and demos and lots of food.

"Shoutout" goes to Changi Simulation Institute for once again hosting and moulaging our sims.

TRANSPORT In the Critically Ill 

(aka TRICI)

What its all about - TRICI

Demonstrating practically our retrieval bag and contents

Dr Joanne Ang debriefing after a multi-stage simulation

No gain without pain

The actual quiz - learning without the stress of marks

Dr Charles Chan-Johnson (centre) & SSN Himmah (extreme left) giving a synopsis of actual ambulance transport

Ambulance ride along with mannequin

Teaching faculty of Dr Naleen and SSN Irene "treating" a critical patient

A/Prof Loh Lik Eng giving a paediatric transport primer

Feedback was encouraging and we plan to have more of the above. If you would like to join/participate/know more do send us an email.

SEMS 2104: Marcus Ong - PAROS outcomes

A/Prof Marcus Ong gives us the in depth analyses of this much vaunted co-operative study.




The slides are here:

Marcus Ong - PAROS outcomes from Rahul Goswami

SEMS 2014: Benjamin Leong - Dispatch assisted CPR

Dr Benjamin Leong gives a comprehensive account of challenges and triumphs in the Singapore EMS - specifically the intervention of dispatcher CPR.

The slides are here:

Benjamin Leong - Dispatch assisted CPR in Singapore from Rahul Goswami

SEMS 2014: John Tobin - EMS in Arizona

John Tobin goes gives an overview of EMS practices and processes in Arizona for SEMS ASM 2014. It is always nice to see and learn how others do it. Long may this co-operative learning thrive.

The slides are here:

John Tobin - EMS in Arizona from Rahul Goswami

SEMS 2014: Ng Yih Yng - AED registry in Singapore

Dr Ng Yih Yng (from the SCDF delves into the finer aspects of Automated External Defibs.

The slides are here:

Ng Yih Yng - National AED registry from Rahul Goswami

SEMS 2014: Sang Do Shin - Dispatched CPR in Korea

Dr Sang Do Shin relates the Korean experience with dispatcher assisted CPR.

The slides are here:

Sang Do Shin - Dispatcher assisted CPR in Korea from Rahul Goswami

SEMS 2014: Geraldine Leong - Pre-hospital ECGs

Dr Geraldine Leong goes through some important points in ECG reading and tips for the "not-to-miss" pathologies.

The slides are here:

Geraldine Leong - ECG for paramedics from Rahul Goswami

SEMS 2014: John Tobin - A paradigm shift in CPR

John Tobin was the keynote speaker at the EMS track for ASM 2014 and gives an account of where he works and the efforts they have made to pre-hospital deaths in his EMS.

The slides are here:

John Tobin - A paradigm shift in CPR from Rahul Goswami