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Ik snap dat de tijd tot ROSC bij een TCA van het grootste belang is, maar is het gebruikelijk om te wachten met intubatie/RSI tot na de thoracotomie op straat? Nou zal er in een echte situatie hopelijk al een tube geplaatst zijn door de verpleegkundige of paramedic, maar het riep wel deze vraag bij me op.
Methoxyflurane in Practice - Experiences from the SEC Ambulance Trust - Paul Cloves
John Wood @johnboy237Methoxyflurane being used now in the UK @SECAmbulance. Interesting presentation on Penthrox @swasFT #LTC2015 pic.twitter.com/SZosp8lE60
Samuel Bulford @SamuelBulfordReady for the REBOA simulation #LTC2015
James Turbett @JamesTurbettREBOA demonstrated at #LTC2015 pic.twitter.com/0rCTs38bxD
Tom Konig @Tomkonig@LDNairamb REBOA demonstration @LDNtrauma #LTC2015. No mannequins were harmed in the process pic.twitter.com/xXuObTR4Zd
Duncan Bew @duncanbew#REBOA demonstration at #LTC2015 @pryormedical
Samuel Bulford @SamuelBulfordBrilliant REBOA sim at #LTC2015 - great to get familiar with this potentially lifesaving intervention pic.twitter.com/WbySBTx2sD
Pre-hospital Sepsis - Prof. Kai ZacharowskiQ1: How to make the diagnosis?Q2: What early interventions count?Q3: Are biomarkers the future?
James Tooley @jamestooleyIncidence and mortality of sepsis at home #LTC2015 pic.twitter.com/kyGJqJUHAN
Alistair Quaile @aliquaileSepsis should be a serious consideration among ambulance services as care can begin pre-hospital #LTC2015 pic.twitter.com/JGscq1r3Zr
Alistair Quaile @aliquaileEvidence of infection during examination #LTC2015 pic.twitter.com/qoxvIST02n
Chris Gray @cgraydocRemember to consider sepsis pre-hospitally, prompt recognition can help on arrival to hospital. Prof Dr Dr (!) Kai Zacharowski #LTC2015
Alistair Quaile @aliquaileTherapy at the site given by emergency medical services #LTC2015 pic.twitter.com/zowAj5csCb
Brad Gander @BG_999_Clinical indicators of systemic inflammatory reaction, very similar to the @SECAmbQIG #CodeYellow criteria #LTC2015 pic.twitter.com/FYH9OYKbMU
Chris Gray @cgraydocIt's up to prehospital provider to hand over the suspicion of sepsis to the hospital so they can prioritise patient correctly KZ #LTC2015
Brad Gander @BG_999_Feedback to amb staff vital in quality improvement & assurance. Should happen in UK. Prof Kai Zacharowski #LTC2015 pic.twitter.com/6dQ51AOoBW
Louisa Chan @louisa_chanNo surprises here! Prehospital fluids given to severe sepsis patients reduces mortality #LTC2015 pic.twitter.com/YvVRyUMPDI
Mike Christian @DrMikeChristian#LTC2015 sepsis mgmt in prehosp setting needs to be more of a focus, a good tool @UKSepsisTrust
Alistair Quaile @aliquaileProf Zacharowski now giving quick fire session on point-of-care testing in pre-hospital haemorrhage #LTC2015
Chris Gray @cgraydocTrauma induced coagulopathy is not simple. It's a complex disease resulting from inflammation, bleeding, organ damage. KZ #LTC2015
Chris Gray @cgraydocConventional lab testing in coagulopathy takes ages, and by the time it is back, it might not be useful anymore. KZ #LTC2015
Chris Gray @cgraydocNo evidence for standard lab coagulation tests in trauma. Use POC ROTEM/TEG to better assess patient's needs. KZ #LTC2015
James Tooley @jamestooleyNewer methods of measuring trauma coagulapathy #LTC2015 pic.twitter.com/jtI0mnEb3o
James Tooley @jamestooleyImportance of clot lysis #LTC2015 pic.twitter.com/hr6ibykRUV
Chris Gray @cgraydocIf your trauma patient continues to bleed, it's probably their platelet function. Check the platelets and give them platelets! KZ #LTC2015
Chris Gray @cgraydocCorrecting coagulopathy leads to decreased blood product consumption. KZ #LTC2015
Prehospital REBOA a year on - does it work? - Dr. Samy Sadek
James Tooley @jamestooleyReboa - does it work #LTC2015 pic.twitter.com/AI0pIS6k07
Chris Gray @cgraydocREBOA is for pelvic trauma pts who won't survive to theatre, and you are certain of diagnosis, as a bridge to damage control. Sadek #LTC2015
Chris Gray @cgraydocREBOA isn't for people with bit of low BP, it's for truly sick patients who are going to die before they reach hospital. Sadek #LTC2015
Alistair Quaile @aliquaileLack of REBOA cases illustrates how it is only considered in the sickest patients #LTC2015
Mike Christian @DrMikeChristianREBOA outcome @LDNairamb #LTC2015 in past ~24m pic.twitter.com/qJcaSXJmNJ
Alistair Quaile @aliquaileA year on from last year's talk a number of questions can be answered #LTC2015 pic.twitter.com/GrALPdTpfd
Alistair Quaile @aliquaileCurrent evidence surrounding REBOA #LTC2015 pic.twitter.com/xY0liD7fyy
Brad Gander @BG_999_Dr Samy Sadek "endovascular resuscitation is an avenue we should all look to explore" #LTC2015 pic.twitter.com/PSljIyfSYa
PALM: Elegant rescue technique or dangerous compromise? - Dr Matt Thomas
James Tooley @jamestooleyOur @mjcthomas74 from @GWAAC talking about PALM #LTC2015 pic.twitter.com/9mxDhiF7JA
Alistair Quaile @aliquaileDr Matt Thomas speaking on pharmacologically assisted laryngeal mask insertion (PALM) #LTC2015
James Tooley @jamestooleyAnaesthesia ABC - Anaesthesia , biscuit , coffee ? #LTC2015 pic.twitter.com/Gkho643rNw
Chris Gray @cgraydocCheck out @PHEM_cast LMA podcast here - @mjcthomas74 #LTC2015
James Tooley @jamestooleyPALM for the truly trapped #LTC2015 pic.twitter.com/SLbPKF51bx
John Wood @johnboy237This is who should be PALMED #LTC2015 pic.twitter.com/IWH89EHiVn
James Tooley @jamestooleyPALM is a rescue technique (not a primary technique) - we all have it as plan B in our failed airway algorithm even those that RSI #LTC2015
Brad Gander @BG_999_Dr Matt Thomas with some great advice... "just because you've seen it on twitter, doesn't always make it a good idea" #LTC2015
James Tooley @jamestooleyThe 10,000 hour rule - to become an expert #LTC2015 - how do you become an expert in PALM pic.twitter.com/XLHEZFfLFw
Chris Gray @cgraydocPALM - a great plan B but why use it as plan A? Then your only plan B is surgical airway! Thomas #LTC2015
John Wood @johnboy237@mjcthomas74 final verdict on PALM #LTC2015 pic.twitter.com/aHQnfhzYaV
In de demo van de prehospitale thoracotomie zag ik dat er, voorafgaand aan de ingreep, thoraxcompressies gegeven werden. Kan je dat niet beter achterwege laten?
Ja, bij traumatisch arrest wel.
