Discover and read the best of Twitter Threads about #SMACC

Most recents (4)

How to Kill an Asthmatic by

35M asthmatic hx mult intubations

Nebs and Mg and steroids but no better.
Waiting for Heliox...and waiting.

Pt. says "I'm going to die. Intubate me."

Difficult intubation, 4 attempts.
Get the tube, then arrests.
Extended code, then called.

No one with asthma should have been intubated without getting epi.

This is a great great drug and everybody needs to stop being afraid to give it.
Read 12 tweets
Here is this week's @WellingtonICU #Twitterjournalclub prepared by Rosanna Rahman. We are so committed, we don't even stop for #SMACC…
Patients with acute hypoxemic respiratory failure (PaO2:FiO2 ratio ≤300mmHg) frequently require intubation in the intensive care unit.
Rapid sequence intubation (RSI) in the acute setting is associated with a high risk of life-threatening complications. Severe hypoxaemia (SpO2<80% for ≥5sec) occurs in 20-25% of patients and is associated with hypoxia-driven cardiac arrest.
Read 21 tweets
Assessment of Fluid Overload and Hypervolemia (1/8)

Clinical assessment and signs for #FO are aspecific and unreliable:
-pitting edema
-positive fluid balance
-hepatojugular reflux

Preparing for #smacc #ISICEM19 #IFAD2019 #WCACS2019
Assessment of Fluid Overload and Hypervolemia (2/8)

Biochemical Assessment for #FO is aspecific and unreliable:
-low COP
-low osmolality

Preparing for #smacc #ISICEM19 #IFAD2019 #WCACS2019
Assessment of Fluid Overload (FO) and Hypervolemia (3/8)

Radiological and #POCUS imaging and signs for #FO are aspecific and unreliable:
- Absence of #IVCC
- Kerley-B lines
- Lung ultrasound B-lines
- Pleural effusions

Preparing for #smacc #ISICEM19 #IFAD2019 #WCACS2019
Read 7 tweets
So who's coming to #EMSWolfpackFightclub at #SMACC on 26 March? Would be good to have an idea of numbers
@HumanFact0rz are you in?
@jrparamed are we welcoming novices? Would be good to offer a taster
Read 3 tweets

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