Shazza_P

Crit Care & Retrieval RN. Clinical Educator. Coffee Snob. Wife. Mother.

[Shazza_P @sharonPaddo]

@MedSTAR_SA CGD External Speaker for today is not in some far flung place, in a completely different time zone… @doctorwibble has flown to South Australia to speak to us f2f! Eagerly awaiting that presentation!
Too bad you’re on leave today @bhanders @MazurStef @appearce2

[Natalie May @_NMay]

Can’t wait for this!! #FEMinPHARM #Aeromed23

[ICU OnePager @OnePagerICU]

ICU OnePager guide to blood products:
🩸ordering: irradiated, leuk reduced, washed
🆎typing (& CD38 Ab)
⏱️early & delayed rxns (AHTR, DHTR, PTP)
🌡️common & rare rxns (FNHTR, TRALI, GVHD)
💦non-immune rxns (TACO, hyperK)
🙅‍♂️people who decline transfusions

https://t.co/W8GCmo03YM

[Jan Hansel @VirtueOfNothing]

For anyone interested in videolaryngoscopy outside of the operating theatre...

Now published as an abstract from @ICS_updates SOA 2022, our subgroup analysis of VL performance in three settings: ED, ICU, prehospital.

An interesting pattern emerges.

@dramrogers @doctimcook

[ICU OnePager @OnePagerICU]

The ICU OnePager approach to SHOCK:
⚡ shock is inadequate O2 delivery, NOT a specific BP
4️⃣consider 4 categories using PUMP, TANK, PIPES
💔cardiogenic
🛑obstructive
🫗hypovolemic
🤒distributive
🩺use physical exam & POCUS to differentiate

https://t.co/UQh1I7TgTl

[Nobody @bhanders]

Fantastic D1 of @StephenHearns1 peak performance course @MedSTAR_SA. So many learnings- some which I will be able to use immediately both personally & for the registrars/nurses/paramedics. Privileged to be able to have it run in Adelaide. Participants from all over @SAHealth

[Shazza_P @sharonPaddo]

#isimulate @MazurStef @DanMartin86

[Shazza_P @sharonPaddo]

@jcu Instructing on the Essential Skills miniblock and a security guard just came to tell us that a student was about to call an ambulance as they saw a homeless man unconscious on the ground! 🤣🤣🤣#simulationeducation

[Shazza_P @sharonPaddo]

Excellent presentation by @_NMay on paediatric trauma and so much more #aeromed22

[Shazza_P @sharonPaddo]

@_NMay Wasn’t she awesome?!

[Shazza_P @sharonPaddo]

@Asiritrauma1 @bhanders @MedSTAR_SA @appearce2 @MazurStef Yes… there is a gym on our retrieval base 😊

[Shazza_P @sharonPaddo]

@AlexanderLJones @MedSTAR_SA @SA_Ambulance @AlexanderLJones it’s been a pleasure working with you too! All your hard work and consummate professionalism will be missed while I have to put up with these other two jokers! All the best for the future 💕

[Shazza_P @sharonPaddo]

This 👇🏼

[Shazza_P @sharonPaddo]

#MedTwitter does anyone have experience of, or regularly use an arterial line trainer? Which (if any) are best for art line monitoring/waveform education? Struggling to figure out how to run a session without access to art lines/ICU patients! @ICUnurses @precordialthump

[Shazza_P @sharonPaddo]

@ServiceSAOnline What is going on with online services this morning @ServiceSAOnline? I need to print a registration certificate to sell my vehicle.

[Shazza_P @sharonPaddo]

Skill drills, repetition… develops muscle memory and automaticity… Brilliant infographic @StephenHearns1

[Stephen Hearns @StephenHearns1]

A wee infographic on thinking fast and slow

Training to achieve automaticity is a fundamental tool in improving performance in high pressure, cognitively demanding situations

Automatic processing helps preserve cognitive capacity for complex, nuanced decisions & task execution

[Shazza_P @sharonPaddo]

👇🏼This. @bhanders @MazurStef @appearce2 @MedSTAR_SA #cardiacpack #specialtypacks

[Intensive Care Medicine @yourICM]

Vasopressors in #ICU
1️⃣set MAP/DBP goals
2️⃣individualize
3️⃣may⬇️+ve fluid balance
4️⃣reassess fluid status/CO
5️⃣change mechanism as 2 line
6️⃣high doses?? hydrocortisone
7️⃣vasopressin in RV failure
8️⃣no MAX dose
9️⃣EN can be initiated
🔟can be safe in PVC
🖇 https://t.co/v6Q9nfy5KY

[Shazza_P @sharonPaddo]

You absolutely should! I’d be very proud to show off @MedSTAR_SA 😊

[Shazza_P @sharonPaddo]

Thanks to everyone involved, and everyone that supported me… I ALMOST enjoyed the OSPE’s this time! @doctorwibble consistently sees me at my worst… Bring on the results! @StephenHearns1 @appearce2 @dyellis99 @MazurStef @bhanders @drellie_em Good to meet new faces @DrewCathers

[Stephen Hearns @StephenHearns1]

10 years since we ran the first ever Diploma in Retrieval Medicine at The Royal College of Surgeons of Edinburgh

Great to see all of the examiners again after 3yrs

Standard setting complete. OSPE stations set up. Examiner dinner this eve
⁦
Good luck to all candidates tomorrow

[Shazza_P @sharonPaddo]

@Max_Shelton93 OMG!!! That is FANTASTIC news! Looks like a beautiful setting for you both @ChrissyDrS 💕