The Surge: Surgery. Trauma. Critical Care

So with all of the issues with offsite ventilation of COVID-19 patients around the world, I've had requests from my surgical colleagues to do a trouble shooting talk on ventilators. 

 

So here it goes....... 

So this WILL NOT BE a be and end all. 

It's about the basics of what modes are, what to do where and what works where. 

For now I'm recommending ARDSNET protocol if in doubt but it will or may change as our reality is we've never done this before so. 

Not a be all , end all summary, more so a run through of relevant parts for a non-gas jockey (I am one so it's okay) to be comfortable. 

 

It literally starts with a drawing of an alveolus and gets to nitrogen content in 40 minutes. 

 

#covid-19 #resuscitation #ventilator #ICU #criticalcare

Just a quick review of how to prepare legally and logistically for the realities of a pandemic.

How do you safely comeback to work and volunteer?

How do you coordinate your team to set up and write a legally binding document that makes sure that you can provide care with limited liability

 

#Corona #Covid-19 #ICU #Criticalcare #admin #administration #foamed #MEDED #emergencymedicine 

Completely (almost) non clinical episode, I feel kind of like we need a COVID-19 break and I received an email asking me why I kept referring to belt rankings. 

 

In my mind there is a growing body of literature that myelin leads to speed of action and speed of thought. Also to Mylenate your brain you need to do drills, develop passion and practice. As a guy who has done a little judo and a little brazilian juijitsu I can tell you it's the same there. 

The key difference is that although people identify belt ranks with a hierarchy they are actual more about masteryand so it's pretty similar to acute care. 

 

Just some thoughts and a summary on the ICU and critical care guidelines outthere. 

 

#foamed #icu #criticalcare #resuscitation #covid19

Basics of 

Hemodynamics

Shock 

Sepsis

Why Swans can be a problem. 

Vasopressor review. 

 #FOAMED #MEDED #COVID-19 #Hemodynamics #ICU #criticalcare #ER #resuscitation

So this is just a quick look at indications, strategies and considerations when needing to intubate. 

This isn't how to manage oxygenation or ventilation. Just the basics of intubating for a white belt to become a blue belt. 

 

#COVID-19 #FOAMED #MEDED #ICU #AIRWAY #ER #EMERGENCYMEDICINE #INTUBATION #RESUSCITATION

With everything going on in the world we will be handling patients on the ward that COVID-19 positive. 

 

How do we do it? 

How do we set up "safe" strategies to prevent cross infection and healthcare worker infection? 

#FOAMED #COVID-19 #pandemic

So as of today there is as of yet no consensus guideline for handling operating rooms with COVID patients. 

What follows is a smorgasbord of review articles, letters to the editor and practical points, to help prepare for that first COVID-19 case. 

 

#FOAMED #COVID #TRAUMA #CRITICALCARE #ICU #EM #ER #COVID-19 #SURGERY #surgeon