Not (yet) practice changing but a trial you should certainly read if you’re currently doing #emmasterclass , fits nice in the first weeks. CENSER https://t.co/VxGUvKD7Pc
Maintain job satisfaction by continuing to strive for a higher level. Keep asking questions. Why? When? Who? How? Options? To yourself and to others. Growing together. Improve patient care. Enjoy your job. #emmasterclass kicked off today in Utrecht with a group doing just that!
My favourite saying during the trauma MC by Paul Ransom: “everyone on the trauma team lives in the present, you (team leader) live in the future”. #EMMasterclass what was yours?
Amazing #EMMasterclass session on critical appraisal by @Evpco. ask yourself every time: why do I do what I do, what is the evidence, what is the quality of the evidence, how does that relate to my patient, practice and experience?
Viva type SCEs in #EMMasterclass help structure thoughts, identify goals and share mental models, before jumping into details. Consultant behaviour and really helpful for education.
Details of blood gas analysis sorted out on metabolic walk. Saved some more Santa’s by matching gasses to patients. Tip: a high osmolality is not the same as a high osmolar gap. DKA has high osmolality due to glucose but a normal osmolar gap.#EMMasterclass
Details of blood gas analysis sorted out on metabolic walk. Saved some more Santa’s by matching gasses to patients. Tip: a high osmolality is not the same as a high osmolar gap. DKA has high osmolality due to glucose but a normal osmolar gap.#EMMasterclass
Jury is out: debatting responsibility of RSI in ED in #EMMasterclass. Outcome: Safe RSI in ED is the responsibility of the Emergency Physician. (Which is not the same as being the airway operator).
@drbear13@GomorraDoc on simulation: “tailor your sim to your objectives, tailor your objectives to your learners and/or your system needs”. #EMMasterclass
@drbear13 and @GomorraDoc explaining the purposes of sim; individual learning, team training, system diagnostics, system improvement. It only comes together after breaking it down into components. Just like an orchestra. #EMMasterclass
@Evpco: awesome lazy way to work out delta gap: take the delta AG, add it to the bicarb, if it is above 24, your delta ratio is >1 (pure HAGMA); no need for further maths. If not, revert to full formula deltaAG/deltaBic. #EMMasterclass
Biggest lesson for surgical airways: be prepared, mentally and physically. Tip: mental rehearsal with added layers of complications (environment, teams) #EMMasterclass
Using oxylog online for vent workshop in #EMMasterclass. Tip: high pressure alarm -> disconnect patient from vent to figure out which of the 2 is the problem. Can you change your patient, or do you need to change the settings?
#EMMasterclass Finding out which ventilation mode is the best for ARDS. Answer: no evidence suggesting a superior one. EPs are best of using the mode they are familiar with (in lung protective settings). @GomorraDoc@APGvD