Top 10 Posts of 2017

Mistakes that Kill during Cardiopulmonary Resuscitation

  • Too Slow or Too Fast Chest Compressions
  • Too Shallow or Too Deep Chest Compressions
  • Too Many or Too Slow Breaths
  • Leaning on the Chest
  • Too Many Interruptions
  • Giving Up Too Soon
  • Too Slow Adaptation


 

Oxygen Bubble Bottles or Bacteria Swimming Pools?

Humidified oxygen is widely administered in hospitals and EMS vehicles and this is presumed to alleviate nasal and oral discomfort in the non-intubated patient. Humidification of supplemental oxygen is commonly delivered by bubbling oxygen through either cold or warm sterile water before it reaches the patient. However, the effect on patient comfort is negligible. Bubble humidifiers may, however, represent an infection hazard and should not be used.

 


 

Anaesthesia, Trauma & Critical Care

 

 


 

WHO Emergency and Trauma Care e-Learning Training Course

A modular e-learning course that can easily be accessed by medical providers in an effort to improve emergency trauma care. Give it a try.

 


 

Guillain Barré Syndrome (GBS)


 

Surviving Sepsis Guidelines 2016: Recommendations and Best Practice Statements

 

 

 

Treatment of Helicobacter pylori Infection

 

 


 

2017 American Diabetes Association Standards of Medical Care in Diabetes

 

 


 

I am an Emergency Department doctor…I make mistakes

 

 


 

The Health Act 2017 – Emergency Care

 


 

Thank you for all the support in 2017. We look forward to providing you with even greater emergency care content in 2018. From all of us at the Emergency Medicine Kenya Foundation, HAPPY NEW YEAR!

And don’t’ forget…

 

The Health Act 2017 – Emergency Care

 

Local Anaesthesia Toxicity (LAST)

  • The key in managing LAST is prevention. Know your dose, know your maximum dose, always aspirate prior to injection and ask patient about symptoms
  • Lidocaine toxicity cardiovascular complications are typically preceded by neurological signs/symptoms. If these develop, stop administration, place patient on monitor and ready your antidote
  • Bupivacaine toxicity can be sudden and catastrophic. If you are using the drug, undershoot your max dose and know where your antidote is
  • Intralipid has been shown to be effective in LAST. Administer the drug anytime there are signs of hemodynamic compromise