Neuro ICU: ICH: Reversal of anticoagulation (PATCH trial, NOACs, TPA) by Jordan Bonomo

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Category:general -- posted at: 2:10pm AEST

Anaphylaxis is a relatively common and potentially lethal emergency. Current definitions highlight the presence of allergic and allergic-like reactions with end organ damage. Diagnosis can be difficult, but present guidelines (FAAN) focus on sensitivity above specificity. The main aspects of management are early recognition and early epinephrine. First line treatment is intramuscular epinephrine, fluids and positioning. In refractory cases, increasing dose of epinephrine, norepinephrine, vasopressin, glucagon, methilene blue and ECMO are considerations. Patients with airway compromise require advanced management. Disposition depends on severity and access to follow-up. An epinephrine auto-injector is necessary. Biphasic reactions are rare but real, with unclear incidence.

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Category:general -- posted at: 11:47am AEST

Neuro ICU: TBI: Using physiology as a target

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Category:general -- posted at: 3:58pm AEST

Numbers people, give me the NUMBERS! We need CONCRETE data points and percentages...! Go, buy another “ping” machine to deliver the numbers and data points. We need it to be delivered by gadgets, gadgets that go ping and pong...more and more gadgets. Let’s plot it on graphs and write it into a protocol to then be memorised verbatim in training and dutifully regurgitated in medical exams. That makes us excellent clinicians right? Worthy of more numbers and a couple of extra letters behind our names.

Medicine is obsessed with numbers! The glorified science of modern medicine. A fictitious safety net.

What if I told you, your decision-making is far more complex than that? That, how I deal with an emergency also involve guts, prayers and yes, sometimes tricks. Does that make me reckless? A cowboy (girl) or a savant? Or am I just nudged by my unconsciousness. Are you? Whether you like it or not, how you deal with emergencies, how you deal with life is far more complex and “consciously unclear and uncertain” than what quantitative science would like. There is literally way more between heaven and earth than what meets the eye and your unconscious mind is filling in the gaps. So hold on and follow me down the rabbit hole...

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Category:general -- posted at: 8:34am AEST

Intubation is one of the most important procedures that we perform. There are many immediate and bedside methods of confirming tube placement, but we propose you try ultrasound. Here's why: You can use US in real time to guide the intubation, Its got excellent accuracy and there's no need to BVM the patient.

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Category:general -- posted at: 3:10pm AEST

A no-holds barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social work, women in medicine, medicine in the developed work, and the health of healthcare workers. It should be novel, it may get heated, and it is not scripted. Sometimes to comfort the afflicted you also need to afflict the comfortable. This is why no prisoners will be taken, no topic is out of bounds, and no ego will be pampered. It may even offend: you have been warned.

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Category:general -- posted at: 5:30pm AEST

Hardcore EM: EBM - Papers of the year by Justin Morgenstern
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Category:general -- posted at: 2:00pm AEST

SMACCForce: Bariatric Panel Discussion with Mark Forrest, Jason Van Der Velde, Phil Keating, Cameron O'Leary

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Category:general -- posted at: 11:22am AEST

SMACCForce: Mental Health by Ashley Liebig

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Category:general -- posted at: 3:53pm AEST

There are several pediatric cardiac disease processes that get misdiagnosed because they present with other symptoms. No child comes in and says, “I have chest pain” or in any way alerts the Emergency Department providers to include some type of pediatric heart disease in the differential diagnosis. This talk will review the most commonly missed cardiac “zebras,” but that is not all. The presentation is meant to provide you with some helpful hints for when it is time to stray from the straight path and start entertaining a cardiac diagnosis in a sea of children complaining of respiratory, gastrointestinal and other symptoms.

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Category:general -- posted at: 3:44pm AEST