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Keeping it all together…
Like most clinicians, my time spent in anaesthesia drilled me in the importance of performing routine pre-anaesthetic machine checks, of keeping the workspace tidy and paying meticulous attention to...
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Airway Classics – A Love Supreme?
Many people are eagerly awaiting the release of the new Difficult Airway Society UK (DAS UK) guidelines, in the wake of their recent Annual Scientific Meeting. Some recommendations are available HERE...
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Updated RERN Action Cards
I’ve been playing around with cognitive aids such as checklists and action cards for a couple of years (some are available via the RESOURCES section of this site or RURALDOCTORS.NET. Most of these were...
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Critically Ill Airway
I am just putting final touches to the “Being Expert Enough” session for the forthcoming Critical Ill Airway Course to be held at The Alfred Hospital in Melbourne, May 7-8th 2015. The course is being...
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Lessons for management of acute agitation in rural EDs
The South Australian Coroner has just released a report into the sad death of Mr Simos, who died whilst awaiting transfer from a rural ED back to a tertiary centre where he was under a current...
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GP Anaesthesia 2020 & Beyond
The concept of a “GP anaesthetist” or “GP obstetrician” can be a vexed one. Colleagues with the appropriate specialist ticket (FANZCA & FRANZCOG respectively in Australia) may question why the heck...
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A Practical Approach to C Spines?
For the past few decades, the importance of spinal immobilisation has been emphasised in standard texts, trauma education such as the international Advanced Trauma Life Support (ATLS) &...
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Surviving Sedation Guidelines 2015
Updated format – key points are : – appropriate selection of agent, – use of a validated sedation tool – and managing psych as well as anaesthetic risks For more info, read the KIDocs post ‘Got...
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Two papers at smaccUS
Day One of the smaccUS conference was a bit of overload for me. I was nursing a mild hangover from the post-workshop Faculty dinner and was somewhat anxious about my planned talk “All Alone on...
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The Cutting Edge
Thanks to Kenu Dilega Parker for photography I’ve just had the incredible good fortune to spend a few days between GP15 and PAIC2015 as a speaker and facilitator at RescueExperienceOz events in...
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DAS 2015: Ditch the FastTrach?
It’s no secret that I am concerned with management of the difficult airway, especially as pertains to the rural/remote/austere context. This may be either as a rural GP providing anaesthesia in the...
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Big Syringe, Little Syringe
Safety is paramount in anaesthesia, wherever it is being performed (in theatre, in ED or at the roadside). Many of the non-anaesthetists joke about the apparent simplicity of induction agents in an...
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CICO Trainer for under $5
The dreaded ‘cannot intubate, cannot oxygenate’ scenario is one which most clinicians will never encounter. In elective anaesthesia, the CICO rate has been described by Cook & Macdougall as 1/5000...
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Difficult Airway Training – The Wookie Wins!
Full credit for this goes to Dr James DuCanto, airway geek and innovator from Milwaukee, USA. It’s been my great privilege (and crazy pleasure) to facilitate with Jim at smacc airway workshops in...
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Refinements on SALAD Sim
Along with many others, am playing around with various combinations of airway trainer, simulated vomit, pump and suction to develop a self-contained portable SALAD sim (SALAD – suction assisted...
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Portable Vomit Simulator
I’ve just got back from another Critically Ill Airway (CIA) course at The Alfred, run by intensivist Chris Nickson of LITFL. This packed two day course is designed for anaesthetic, emergency,...
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SALAD on the beach
It’s hotting up ‘down under’ and we are planning to spend summer on the beach as is traditional at Xmas/New Year. It is going to be a hot one … Adelaide (nearest city) is supposed to be the hottest...
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Airway Popups
on the big stage with friends at #dasSMACC – with Susan Biswas, Michelle Johnston, Marcelo Amato, Di Egerton-Warburton, myself, MJ Slabbert Just heading home from a whirlwind European trip, ostensibly...
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Gameshow or Desert Island Supraglottic Airway Devices?
There are over 20 different supraglottic airway devices on the market, each with their own pros & cons. This can lead to confusion when choosing preferred supraglottic airways to stock on emergency...
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Rural Generalist, Swiss Army Knives & Waiting Lists
I’m proud to be a rural doctor. My training is in not just Primary Care but also in Emergency Medicine, Obstetrics and Anaesthesia. To be able to serve their communities best, rural doctors need broad...
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