„It is not a rare disorder, but it is rarely diagnosed“. 90% of Anti-NMDA encephalitis (which is main reason for encephalitis in under 30 yo) are undiagnosed. Psychosis +Fever, Seizures, intollerance to antipsychotics-> think about it #smacc@smaccteam@davidcarr333
Jill Hicks, survivor of the London suicide bombing, opening SMACC. A presentation that is really touching. „Strangers began to care, became lifelines.“
@AlisterFMartin just talket about the #getwaivered campaign, which offers 24/7 help for opioid addicts wanting to get clean. Great projekt and worth thinking about it in Germany as well imo.
SGEM Bottom Line: Properly educated emergency department triage nurses can apply the Canadian c-spine rule to adult blunt trauma patients and safely clear the c-spine. https://t.co/vBC4iSBQGS @alisontraumaRN@CAEP_Docs#SMACC
Adam Rehak: the key to errors in managing difficult airways is to stop and think. What have you tried, who has tried it, how many times? #smacc#emupdates
#Smacc2019 EM Updates
PARAMEDIC-2 demonstrated no benefit to the use of Adrenaline for OHCA vs a Placebo
But it doubled # of neurologically devastated survivors at discharge
(This doesn’t mean you can use your own made up dosing schemes - need to wait for better evidence)
@DrGivasHit @smaccteam
„Fundamental errors in airway management occur not because of a lack if technical skills, but as a result of poor communication.“ (Adam Rehak) #smacc#EMupdates
As usual, Ken Milne (@thesgem) lays it down on the latest in evidence-based medicine. My favorite:
YES OF COURSE RNs CAN CLEAR C-SPINES! https://t.co/0DvdE5hVFz
#smacc#emupdates
Duh. @TheSGEM tells us at #SMACC that triage nurses can clear c-spine given Canadian c-spine rules. Anyone know if this has been compared with NEXUS/ NEXoid?
Ondasetron vs sniffing isopropathol. Placebo effect is strong showing nil difference between groups. Aromatherapy the next frontier? #SMACC#notconvinced
Literature Informs Care BUT Shouldn't Dictate Care via @TheSGEM#SMACC
EBM is Not Only About the Relevant Scientific Literature, But Clinical Judgment and Patient Values/Preferences are Equally as Important in Decision Making