Top Tweets for #Stabilisationday
This afternoons sessions consisted of 3 high-fidelity simulations. #stabilisationday
@kackmac on now talking about recognition and management of the critically ill child. #StabilisationDay @KIDSNTS @signingtree
Keeping abreast with all things #ESPNIC2021 compliments of @PICJournalWatch @Dr_Hari_Krishna et al & all things #RCPCH2021 compliments of @DrSeanMon @whosalama as I teach on @Bham_Childrens ECLS & @KIDSNTS #stabilisationday courses today! The power of social media #PedsICU
one benefit of virtual #RCPCH21 is that it doesn’t stop me teaching on #StabilisationDay and then sharing a conference room with the amazing @drzaf_pic whilst he teaches ecls for #Pedsicu
More from yesterday’s #Stabilisationday collapsed baby simulation #differentialdiagnosis #paedsrocks #pedsicu @BCH_CPADS @PICU_BCH @WFPICCS #humanfactors #debriefing @Laerdal_UK @Dilanee1 @drzaf_pic @cooperella @kackmac @Lou_Kelly_ @powellina
It must be noted that #ecmo is just a supportive therapy not a cure. There MUST be a reversible condition. Also is it the heart or is it the lungs that need support? = VA vs VV ?
#stabilisationday #PedsICU @rcpch_trainees @cooperella @drzaf_pic @picsanp @BWC_NHS @PICU_BCH
Last up before lunch is @cooperella with some ‘light relief’.......What is ECMO? Why do we do it? & What are we doing @BWC_ClinicalEd @PICU_BCH
#stabilisationday #PedsICU @rcpch_trainees @drzaf_pic @picsanp
Clamshell Thoracotomy in paediatric trauma....should we? Discuss......
#stabilisationday #PedsICU @rcpch_trainees @kackmac @drzaf_pic @picsanp
Paediatric Trauma....is it different? Oh yes!!! ✅ most definitely...but who should be the team leader?? The ED lead or the paediatrician? What is your opinion?
#stabilisationday #PedsICU @rcpch_trainees @kackmac @drzaf_pic @picsanp
Note the difference at the start of the primary survey....manage any major haemorrhage...”turn the tap off!” Also remember NO colar for children...an ill fitting colar is more damaging than no colar.
#stabilisationday #PedsICU @rcpch_trainees @kackmac @drzaf_pic @picsanp
Next up is @kackmac talking about paediatric trauma.
What’s different about children?
#stabilisationday #PedsICU @rcpch_trainees @drzaf_pic @picsanp
2/2 beware of too much salbutamol....doses of >2mxg/kg/min (max total 20mcg/min) May cause toxicity and type B lactic acidosis.
#stabilisationday #PedsICU @rcpch_trainees @drzaf_pic @Dilanee1 @picsanp
1/2 Beware of causing Lactic Acidosis during asthma treatment.
Take home message..if lactate is ⬆️but child ‘looks’ ok, is getting better & is not significantly tachycardic/tachypnoeic no need to worry too much.
However.......
#stabilisationday #pedsicu @rcpch_trainees @picsanp
If you HAVE to intubate prepare by....
Fluid bolus ✅
Peripheral Adrenaline infusion running ✅
Induce with Ketamine ✅
#stabilisationday #PedsICU @rcpch_trainees @drzaf_pic @picsanp
They now want to intubate!!!😳
What are the difficulties that are likely to happen at induction of anaesthesia? & how do we mitigate for this?
Cardiac Arrest is highly likely if not prepared!
#stabilisationday #PedsICU @rcpch_trainees @drzaf_pic @Dilanee1 @picsanp
The group here would....
Take 2 resus✅
O2✅
Non-rebreath mask = 60-70% O2
Monitoring✅
Back 2 back nebs✅ = salbutamol & ipratropium
IV access ✅
Blood gas✅
Steroids & MgSO4✅
Can give > 1 dose MgSO4 ✅
IV salbutamol✅
REASSESS✅✅
#stabilisationday #PedsICU @rcpch_trainees
Now we’ve had coffee we’ve got @Dilanee1 talking to us about the child with asthma and the difficulties we might face managing her. #stabilisationday #PedsICU @rcpch_trainees @drzaf_pic @picsanp
When do neonates collapse? Can be in hours/days/weeks after birth. #stabilisationday #PedsICU @rcpch_trainees @drzaf_pic @picsanp @anju2270
1/2
T - Trauma/NAI
H - Heart/Lungs
E - Endocrine
M - Metabolic/Hypoglycaemia
I - Inherited metabolic
S -Sepsis
F - Feeding
I - Intestinal
T - Toxins/Maternal drug use
S - Stroke/Seizures
#stabilisationday #PedsICU @rcpch_trainees @drzaf_pic @picsanp
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