@DrHuw@doctimcook@dasairway Interesting. The only paper I could find on this concluded: "We cannot recommend that the McGrath videolaryngoscope be used as a direct laryngscopic device in place of the Macintosh" https://t.co/C1223o47EY
@Casey5122dark Thanks for taking the time to reply Gerard. From my own POV, I think BSD is a scientifically rigorous concept, but we all have to acknowledge the decision to equate it with the death of a person is an ethical, legal, and moral question - not a question of medical fact.
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@cliffreid Nothing to critique but really impressed you've gone to the effort of formulating and approach. Can't help but feel patients with chronic pain too often get short shrift in acute settings!
@MaterTrauma@ThePillarDublin@ProgrammeSpark Invaluable skill, especially in the exsanguinating patient! For those advocating for US: clear evidence that it is superior to landmark for reducing complications of internal jugular cannulation, but the same isn't true for subclavian lines!
I don’t care what anyone says, the blind subclavian central line is a very powerful one—especially in trauma. It’s becoming a lost art in the era of ultrasound, be we should never let it die.
Regional anaesthesia and mixed reality: threading the implementation needle. New correspondence by Singleton et al #RA#anaesthesia#regional
https://t.co/rAWGiWcao5
I'm new to TOE but I'll give it a go... image (1) is a ME LAX view showing AR (2) mechanism looks to be complete prolapse of the NCC/LCC... I've only heard of the Carpentier classification in relation to MR but I'm guessing it would be type 2... is there vegeration coming into view? (3) Colour Doppler over the AV shows plenty of aliasing on the LAX and SAX views, and the last image with the CW measurements shows a PHT of less that 200 msec compatible with severe disease... and is that flow reversal in the Ao during diastole? 4. Resp failure sounds like pulmonary oedema due to fluid backing up into the pulmonary vasculature. 5. Needs repair but minimally invasive vs. open repair and timing of etc. subject controversy! That's my best guess of what's going on - keen to hear from wiser people than me!
"I'm dismayed that Ireland has been left behind when it comes to this key element in trauma system development."
Dr Brian Burns is an Irish doctor in Australia. He says an upskilled Irish emergency service would save lives.
Read more:
https://t.co/6jTYoIVh6K