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Nebulised lignocaine

Some evidence is very slowly adopted ..

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Ketamine

For paediatric procedural sedation, adult ICC insertion, modified RSI in the shocked or asthmatic patient, refractory pain, and several other ED applications Ketamine is useful

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Small things

An Australian ICU study provides evidence for a methodical, clean technique for CVC insertion ..

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An airway in 30 seconds

Dr Gary Middleton provides a demonstration of the scalpel-finger-tube emergency surgical airway technique published by Paix and Griggs in EMA 2011.

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The new 7 P’s of RSI

Positioning, Pre-Oxygenation, Prongs, Preparation, Pharmacology, Placement, Post-intubation care. These are the 7 P's that should now be the standard approach to RSI in the Emergency Department.

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RSI checklist

There are plenty of them out there - the question is: how does one use a list safely?

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Pneumothorax

This week's EM teaching involves reading and then posting your analysis of a journal article on the management of spontaneous pneumothorax in a French hospital.

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