A presentation by Jonas Åkeson at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
Young brains and anaesthesia - how big are the risks?scanFOAM
A presentation by Pia Glatz at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
Reframing shock physiology - a tale of 3 pressures - Sara Crager - TBS24scanFOAM
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Manual pressure augmentation in OHCA - David Anderson - TBS24scanFOAM
This document summarizes a presentation on manual pressure augmentation (MPA) for out-of-hospital cardiac arrest. MPA involves a paramedic applying firm, even pressure over electrode pads or paddles during defibrillation attempts to potentially improve current delivery to the heart. The presentation reviewed prior studies showing MPA improved defibrillation success for atrial fibrillation. It proposed a new study called AUGMENT-VA to evaluate if MPA could also benefit patients in ventricular fibrillation/ventricular tachycardia. The trial would randomize paramedics to provide standard care or MPA in addition to standard care during cardiac arrest resuscitation efforts, with the goal of improving survival to hospital discharge rates.
Scalpels and Stories - rediscoverin narrative in medicinen - Matt Morgan - TBS24scanFOAM
This patient has a rare blood disorder called TTP and is at high risk of infection due to immunosuppressant treatments. While starting a new treatment, the medical team will closely monitor for infection given other health issues. A tracheostomy may be needed to help breathing but will only be considered carefully over the next week based on the patient's condition and risks versus benefits. The team is very concerned about the patient's frailty and limited chances of survival due to the disease and prior health.
Whole blood for trauma haemorrhage - UK experience - Laura Green - TBS24scanFOAM
Whole Blood for Trauma Haemorrhage: UK experience
1) A study in the UK found that using a component of red blood cells and plasma (RCP) in pre-hospital trauma patients reduced wastage and had similar clinical outcomes compared to separate red blood cells and plasma.
2) This led to the development of a whole blood program and component to evaluate the potential benefits of whole blood transfusion in the pre-hospital setting.
3) The SWIFT trial is now underway, randomly assigning severely injured trauma patients to receive either two units of whole blood or two units of red blood cells and plasma to determine if whole blood transfusion leads to reduced mortality or need for massive transfusion.
TBI and CV dysfunction - Flora Bird - TBS24scanFOAM
Traumatic brain injury (TBI) is a major global health problem and the leading cause of death and disability in people under 40 in many countries. Approximately 24% of patients with severe isolated TBI experience cardiovascular dysfunction prior to physician-led emergency helicopter assessment. These patients have lower GCS, higher heart rate and lactate, and worse coagulopathy compared to those without cardiovascular dysfunction. They also require more blood transfusions, have higher mortality, and are less likely to be discharged home. Further research is needed to better understand the pathophysiology of cardiovascular dysfunction following severe TBI in order to improve recognition and treatment in the critical hyperacute phase after injury.
The document appears to be a slide presentation on using point-of-care ultrasound (POCUS) in emergency settings. It includes multiple poll questions, ultrasound images, and case descriptions of various trauma and medical patients where POCUS could be used to aid in diagnosis and treatment. Key information discussed includes using POCUS to identify pneumothorax, pericardial effusions, aortic abnormalities, and free fluid in trauma and obstetric patients. The importance of POCUS for volume assessment, guiding procedures, and detecting complications is also highlighted through several case examples.
How kissing a frog can save your life - Matt Morgan - TBS24scanFOAM
This short document discusses how kissing a frog can save your life by encouraging learning in different departments and upholding one oath. It suggests that being open-minded and exploring new ideas, as the fairy tale implies by kissing the frog, can lead to personal growth and development across different areas of life and work.
Young brains and anaesthesia - how big are the risks?scanFOAM
A presentation by Pia Glatz at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
Reframing shock physiology - a tale of 3 pressures - Sara Crager - TBS24scanFOAM
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Manual pressure augmentation in OHCA - David Anderson - TBS24scanFOAM
This document summarizes a presentation on manual pressure augmentation (MPA) for out-of-hospital cardiac arrest. MPA involves a paramedic applying firm, even pressure over electrode pads or paddles during defibrillation attempts to potentially improve current delivery to the heart. The presentation reviewed prior studies showing MPA improved defibrillation success for atrial fibrillation. It proposed a new study called AUGMENT-VA to evaluate if MPA could also benefit patients in ventricular fibrillation/ventricular tachycardia. The trial would randomize paramedics to provide standard care or MPA in addition to standard care during cardiac arrest resuscitation efforts, with the goal of improving survival to hospital discharge rates.
Scalpels and Stories - rediscoverin narrative in medicinen - Matt Morgan - TBS24scanFOAM
This patient has a rare blood disorder called TTP and is at high risk of infection due to immunosuppressant treatments. While starting a new treatment, the medical team will closely monitor for infection given other health issues. A tracheostomy may be needed to help breathing but will only be considered carefully over the next week based on the patient's condition and risks versus benefits. The team is very concerned about the patient's frailty and limited chances of survival due to the disease and prior health.
Whole blood for trauma haemorrhage - UK experience - Laura Green - TBS24scanFOAM
Whole Blood for Trauma Haemorrhage: UK experience
1) A study in the UK found that using a component of red blood cells and plasma (RCP) in pre-hospital trauma patients reduced wastage and had similar clinical outcomes compared to separate red blood cells and plasma.
2) This led to the development of a whole blood program and component to evaluate the potential benefits of whole blood transfusion in the pre-hospital setting.
3) The SWIFT trial is now underway, randomly assigning severely injured trauma patients to receive either two units of whole blood or two units of red blood cells and plasma to determine if whole blood transfusion leads to reduced mortality or need for massive transfusion.
TBI and CV dysfunction - Flora Bird - TBS24scanFOAM
Traumatic brain injury (TBI) is a major global health problem and the leading cause of death and disability in people under 40 in many countries. Approximately 24% of patients with severe isolated TBI experience cardiovascular dysfunction prior to physician-led emergency helicopter assessment. These patients have lower GCS, higher heart rate and lactate, and worse coagulopathy compared to those without cardiovascular dysfunction. They also require more blood transfusions, have higher mortality, and are less likely to be discharged home. Further research is needed to better understand the pathophysiology of cardiovascular dysfunction following severe TBI in order to improve recognition and treatment in the critical hyperacute phase after injury.
The document appears to be a slide presentation on using point-of-care ultrasound (POCUS) in emergency settings. It includes multiple poll questions, ultrasound images, and case descriptions of various trauma and medical patients where POCUS could be used to aid in diagnosis and treatment. Key information discussed includes using POCUS to identify pneumothorax, pericardial effusions, aortic abnormalities, and free fluid in trauma and obstetric patients. The importance of POCUS for volume assessment, guiding procedures, and detecting complications is also highlighted through several case examples.
How kissing a frog can save your life - Matt Morgan - TBS24scanFOAM
This short document discusses how kissing a frog can save your life by encouraging learning in different departments and upholding one oath. It suggests that being open-minded and exploring new ideas, as the fairy tale implies by kissing the frog, can lead to personal growth and development across different areas of life and work.
Fully Automated CPR - van der Velde - TBS"4scanFOAM
Dr. Jason van der Velde conducted an observational study on advanced respiratory support techniques for managing hypoxia and hypercarbia during cardiac arrest situations. The objectives of his presentation were to provide excessive detail and promote his own findings, criticize current practices, add unnecessary complexity to guidelines, present opinions as facts, ignore best practices for presentations, and go significantly over time.
ECPR at the Roadside - Mamoun Abu-Habsa - TBS24scanFOAM
This document discusses expanding the use of extracorporeal cardiopulmonary resuscitation (ECPR) for cardiac arrest patients. It examines current guidelines on patient selection criteria and outlines a proposed collaborative model for pre-hospital ECPR delivery. This model involves advanced paramedics performing roadside cannulation to begin ECPR within 10 minutes of arrest. It also discusses developing common training standards, clinical governance structures, and telemedicine support to safely implement a pre-hospital ECPR system across multiple centers. The goal is to establish earlier ECPR access for select cardiac arrest patients.
Mechanical ventilation in PARDS - same as adults? - Demirakca - TBS24tion_in_...scanFOAM
This document discusses mechanical ventilation strategies for pediatric acute respiratory distress syndrome (PARDS). It provides definitions for mild, moderate, and severe PARDS based on oxygenation index (OI) and oxygen saturation index (OSI) values. It recommends using a lung protective ventilation bundle with low tidal volumes, plateau pressures below 28 cm H2O or 32 cm H2O in cases of reduced chest wall compliance, positive end-expiratory pressure (PEEP) according to a PEEP/FiO2 table, and limiting driving pressure to 15 cm H2O. The document also discusses challenges with adherence to these guidelines in clinical practice and potential solutions like computerized decision support tools.
Failure is an option - journey of an astronaut candidate - Matthieu Komorowsk...scanFOAM
This document summarizes the lengthy process to become an ESA astronaut candidate. It involves submitting an application with credentials and experience meeting strict criteria. If selected, candidates undergo psychological tests, medical tests, and technical and professional interviews. From the initial applicants, only about 17 are selected for the final training cohort. The document emphasizes that the role requires strong teamwork, risk tolerance, and emotional stability to handle the challenges of space travel.
Unmanned aerial systems "drones" - increasing SAR response capability - Will ...scanFOAM
Will Smith is an expert in unmanned aerial systems and their increasing role in search and rescue operations. He discussed terminology related to drones, different drone platforms that could be used for SAR including their capabilities and limitations. He covered regulations and certifications required as well as concepts for how drones could be deployed for various SAR missions like lost person searches, mass casualty incidents, and avalanches. Partnerships between SAR teams and those with drone expertise will be important to establish effective drone programs for improving SAR response capabilities.
Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halde...scanFOAM
This document outlines an integrated emergency care simulation programme that uses immersive simulation to train healthcare professionals. It discusses using realistic scenarios, environments, equipment and live actors to create challenging simulations that move beyond traditional skills stations. The goal is to improve learners' technical skills as well as their non-technical skills like leadership, communication and emotional intelligence. Examples provided include simulations of trauma resuscitation, complex medical emergencies, and disaster scenarios to fully immerse learners in realistic high-pressure situations.
Groupthink - lessons from the Challenger disaster - Vahé Ender - TBS24scanFOAM
The document discusses a teleconference between NASA officials about whether to launch the Space Shuttle Challenger on January 27, 1986. It notes the timing of the teleconference and includes quotes from the discussion. It then analyzes why the decision was made to launch, despite concerns about the weather, citing issues like groupthink, desire for conformity, intolerance of dissent, and deference to perceived expertise. The document suggests these group dynamics may have prevented an objective evaluation of the risks.
Precision in neonatal transport - Ian Braithwaite - TBS24scanFOAM
This document discusses precision in neonatal transport. It notes that tight control of PaCO2 and oxygen saturation is important during transport. Data shows the percentage of transports where PaCO2 was outside the target range of 4-7 kPa has decreased in recent years. Medication delivery also requires precision, and various factors like pump orientation and syringe size can affect stability. The physical forces involved in transport like shocks, vibrations and accelerations are defined, and data shows ambulance transports experience more impulsive events than helicopters. Precision is important throughout the entire transport journey.
Mantas Okas - where do we come from and where can we go if we feel like?scanFOAM
This document discusses the importance of stress management training for medical students. It describes a 2-week course called "The Inevitable Stress" that teaches stress management through simulation exercises. The course focuses on developing emotional intelligence, awareness of one's stress responses, and practical skills to handle stress. Student feedback praised the highly relevant content, opportunity to strengthen skills, and safe learning environment. The document argues that stress management training should be a mandatory and ongoing part of the medical school curriculum to create doctors who can handle stress and work better, improving patient care.
The document discusses the benefits of exercise for both physical and mental health. It notes that regular exercise can reduce the risk of diseases like heart disease and diabetes, improve mood, and reduce feelings of stress and anxiety. Staying active also helps maintain a healthy weight and keeps muscles, bones, and joints healthy as we age.
A talk by Sara Crager at TBS24
Shock isn’t about hypotension, it’s about hypoperfusion. While we know this in theory, we don’t do a great job of applying it in practice. In order to move beyond our reliance on blood pressure to recognize shock at the bedside, we need to stop thinking about shock as a diagnosis and instead think about it as a continuum.
Fully Automated CPR | Jason van der Velde | TBS24scanFOAM
Embark on a fascinating exploration of Fully Automated Cardiac Arrest Management with Dr. Jason van der Velde, who’s been part of a team refining the FA-CPR algorithm since 2019. Gain unique insights into real-world applications and ongoing research opportunities in optimising the “Low Flow State” through innovative approaches like Chest Compression Synchronised Ventilation (CCSV). Dr. Van der Velde shares an iterative journey, supported by real-life data, underscoring the profound impact of personalised CPR tailored to individual patients in rural Ireland. The talk goes beyond conventional guidelines, delving into the intricate science and human factors essential for achieving substantial improvements in Return of Spontaneous Circulation (ROSC) rates. Attendees will leave with a deep understanding of the potential of Fully Automated CPR with CCSV as a dynamic and continually evolving strategy, acting as a strategic placeholder to buy essential time for comprehensive diagnostics and personalised interventions. The presentation hints at transformative possibilities in resuscitation science, featuring case studies that showcase the concept of bridging patients to definitive interventions such as cardiac angiography and Extracorporeal Membrane Oxygenation (ECMO).
The future of the emergency room | Jean-Louis Vincent at TBS23scanFOAM
This document discusses the future of emergency medicine and intensive care. It suggests that emergency departments will see both smaller and larger patient populations as telemedicine and home care become more prevalent, allowing efficient comprehensive management. Specialists, labs, imaging, and AI will play larger roles. Triage and disposition may be aided by AI, and the roles of ER, ICU, and specialists will evolve in an integrated hospital network supported by telemedicine. Data standardization, large databases, and AI/machine learning can help provide personalized care and evaluate new therapies.
Stop complaining and train - news in ultrasound | Domagog Damjanović at TBS23scanFOAM
Dr. Domagoj Damjanović gave a presentation on February 8th, 2023 about optimizing the use of resuscitation ultrasound. The presentation discussed updating teaching content based on recent findings, focusing on minimizing hands-off times during cardiac arrest, and integrating ultrasound training with simulation and emphasis on the workflow process. The goal is to seamlessly integrate ultrasound into advanced life support protocols to improve patient care and outcomes.
Airway Session | Michael Selz and friends at TBS23scanFOAM
This document outlines an upcoming advanced airway workshop hosted by airwaymanagement.dk. The workshop will cover various topics related to airway management including what is already known, developing an airway plan and predicting difficulty, awake intubation techniques, and new airway devices and techniques such as the LMA C-trach. It also introduces a presentation on tube tip in pharynx ventilation by Sandra Ellefsen that will be part of the workshop.
Septic shock initial 1 hour EM | Jean-Louis Vincent at TBS23scanFOAM
The document discusses sepsis and antibiotic therapy for sepsis. It defines sepsis as a life-threatening organ dysfunction caused by a dysregulated host response to infection. It emphasizes that in severe sepsis cases, such as septic shock, broad-spectrum antibiotics should be administered urgently, within 1-3 hours. For less severe sepsis cases, antibiotics can be started earlier after further evaluation. The goal of early antibiotic therapy is to treat the infection while avoiding overuse of broad-spectrum antibiotics that can promote antimicrobial resistance.
Rescuing the right ventricle | Sara Crager at TBS23scanFOAM
This document discusses right ventricular physiology and management of right ventricular failure. It begins by explaining why right ventricular function is important and often overlooked. It then details the physiology of the right ventricle and how it is more vulnerable to changes in preload, afterload and contractility compared to the left ventricle. The document outlines a vicious cycle that can occur with right ventricular failure and presents a 5 step approach to rescuing the right ventricle focusing on optimizing preload, afterload and contractility through use of fluids, vasodilators and inotropes.
Precision vent management | Sara Crager at TBS23scanFOAM
The document outlines an organized clinical problem solving approach to precision ventilator management consisting of the following elements:
1. Identifying the problems to target in multiple body systems including pulmonary, thoracic, hemodynamic, metabolic, and neurologic factors.
2. Determining appropriate strategies and targets to address each problem, such as optimizing PEEP, minute ventilation, and I:E ratio while balancing oxygenation, CO2, pH, lung protection and mental status.
3. Employing an iterative hypothesis testing approach of gathering data, revising hypotheses, and adjusting management on a continuous basis to refine ventilator settings.
RSI in adult patient - what about ventilation | Alexandre Jeleff at TBS23scanFOAM
- The document discusses the risks of rapid sequence intubation (RSI) and debates whether positive pressure ventilation should be used during RSI.
- While regurgitation during RSI has a very low incidence (0.01%) and mortality (0.002%), severe hypoxia during RSI has a much higher incidence (30-50%) and can result in cardiac arrest in 2% of cases.
- A large multicenter trial found that using a bag-mask device with PEEP during the apnea period of RSI reduced the lowest observed oxygen saturation and the risk of severe hypoxemia, without increasing risks of regurgitation or pulmonary aspiration.
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...Media Logic
When it comes to creating marketing strategies that target older adults, it is crucial to have insight into their media habits and preferences. Understanding how older adults consume and use media is key to creating acquisition and retention strategies. We recently conducted our seventh annual survey to gain insight into the media preferences of older adults in 2024. Here are the survey responses and marketing implications that stood out to us.
Fully Automated CPR - van der Velde - TBS"4scanFOAM
Dr. Jason van der Velde conducted an observational study on advanced respiratory support techniques for managing hypoxia and hypercarbia during cardiac arrest situations. The objectives of his presentation were to provide excessive detail and promote his own findings, criticize current practices, add unnecessary complexity to guidelines, present opinions as facts, ignore best practices for presentations, and go significantly over time.
ECPR at the Roadside - Mamoun Abu-Habsa - TBS24scanFOAM
This document discusses expanding the use of extracorporeal cardiopulmonary resuscitation (ECPR) for cardiac arrest patients. It examines current guidelines on patient selection criteria and outlines a proposed collaborative model for pre-hospital ECPR delivery. This model involves advanced paramedics performing roadside cannulation to begin ECPR within 10 minutes of arrest. It also discusses developing common training standards, clinical governance structures, and telemedicine support to safely implement a pre-hospital ECPR system across multiple centers. The goal is to establish earlier ECPR access for select cardiac arrest patients.
Mechanical ventilation in PARDS - same as adults? - Demirakca - TBS24tion_in_...scanFOAM
This document discusses mechanical ventilation strategies for pediatric acute respiratory distress syndrome (PARDS). It provides definitions for mild, moderate, and severe PARDS based on oxygenation index (OI) and oxygen saturation index (OSI) values. It recommends using a lung protective ventilation bundle with low tidal volumes, plateau pressures below 28 cm H2O or 32 cm H2O in cases of reduced chest wall compliance, positive end-expiratory pressure (PEEP) according to a PEEP/FiO2 table, and limiting driving pressure to 15 cm H2O. The document also discusses challenges with adherence to these guidelines in clinical practice and potential solutions like computerized decision support tools.
Failure is an option - journey of an astronaut candidate - Matthieu Komorowsk...scanFOAM
This document summarizes the lengthy process to become an ESA astronaut candidate. It involves submitting an application with credentials and experience meeting strict criteria. If selected, candidates undergo psychological tests, medical tests, and technical and professional interviews. From the initial applicants, only about 17 are selected for the final training cohort. The document emphasizes that the role requires strong teamwork, risk tolerance, and emotional stability to handle the challenges of space travel.
Unmanned aerial systems "drones" - increasing SAR response capability - Will ...scanFOAM
Will Smith is an expert in unmanned aerial systems and their increasing role in search and rescue operations. He discussed terminology related to drones, different drone platforms that could be used for SAR including their capabilities and limitations. He covered regulations and certifications required as well as concepts for how drones could be deployed for various SAR missions like lost person searches, mass casualty incidents, and avalanches. Partnerships between SAR teams and those with drone expertise will be important to establish effective drone programs for improving SAR response capabilities.
Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halde...scanFOAM
This document outlines an integrated emergency care simulation programme that uses immersive simulation to train healthcare professionals. It discusses using realistic scenarios, environments, equipment and live actors to create challenging simulations that move beyond traditional skills stations. The goal is to improve learners' technical skills as well as their non-technical skills like leadership, communication and emotional intelligence. Examples provided include simulations of trauma resuscitation, complex medical emergencies, and disaster scenarios to fully immerse learners in realistic high-pressure situations.
Groupthink - lessons from the Challenger disaster - Vahé Ender - TBS24scanFOAM
The document discusses a teleconference between NASA officials about whether to launch the Space Shuttle Challenger on January 27, 1986. It notes the timing of the teleconference and includes quotes from the discussion. It then analyzes why the decision was made to launch, despite concerns about the weather, citing issues like groupthink, desire for conformity, intolerance of dissent, and deference to perceived expertise. The document suggests these group dynamics may have prevented an objective evaluation of the risks.
Precision in neonatal transport - Ian Braithwaite - TBS24scanFOAM
This document discusses precision in neonatal transport. It notes that tight control of PaCO2 and oxygen saturation is important during transport. Data shows the percentage of transports where PaCO2 was outside the target range of 4-7 kPa has decreased in recent years. Medication delivery also requires precision, and various factors like pump orientation and syringe size can affect stability. The physical forces involved in transport like shocks, vibrations and accelerations are defined, and data shows ambulance transports experience more impulsive events than helicopters. Precision is important throughout the entire transport journey.
Mantas Okas - where do we come from and where can we go if we feel like?scanFOAM
This document discusses the importance of stress management training for medical students. It describes a 2-week course called "The Inevitable Stress" that teaches stress management through simulation exercises. The course focuses on developing emotional intelligence, awareness of one's stress responses, and practical skills to handle stress. Student feedback praised the highly relevant content, opportunity to strengthen skills, and safe learning environment. The document argues that stress management training should be a mandatory and ongoing part of the medical school curriculum to create doctors who can handle stress and work better, improving patient care.
The document discusses the benefits of exercise for both physical and mental health. It notes that regular exercise can reduce the risk of diseases like heart disease and diabetes, improve mood, and reduce feelings of stress and anxiety. Staying active also helps maintain a healthy weight and keeps muscles, bones, and joints healthy as we age.
A talk by Sara Crager at TBS24
Shock isn’t about hypotension, it’s about hypoperfusion. While we know this in theory, we don’t do a great job of applying it in practice. In order to move beyond our reliance on blood pressure to recognize shock at the bedside, we need to stop thinking about shock as a diagnosis and instead think about it as a continuum.
Fully Automated CPR | Jason van der Velde | TBS24scanFOAM
Embark on a fascinating exploration of Fully Automated Cardiac Arrest Management with Dr. Jason van der Velde, who’s been part of a team refining the FA-CPR algorithm since 2019. Gain unique insights into real-world applications and ongoing research opportunities in optimising the “Low Flow State” through innovative approaches like Chest Compression Synchronised Ventilation (CCSV). Dr. Van der Velde shares an iterative journey, supported by real-life data, underscoring the profound impact of personalised CPR tailored to individual patients in rural Ireland. The talk goes beyond conventional guidelines, delving into the intricate science and human factors essential for achieving substantial improvements in Return of Spontaneous Circulation (ROSC) rates. Attendees will leave with a deep understanding of the potential of Fully Automated CPR with CCSV as a dynamic and continually evolving strategy, acting as a strategic placeholder to buy essential time for comprehensive diagnostics and personalised interventions. The presentation hints at transformative possibilities in resuscitation science, featuring case studies that showcase the concept of bridging patients to definitive interventions such as cardiac angiography and Extracorporeal Membrane Oxygenation (ECMO).
The future of the emergency room | Jean-Louis Vincent at TBS23scanFOAM
This document discusses the future of emergency medicine and intensive care. It suggests that emergency departments will see both smaller and larger patient populations as telemedicine and home care become more prevalent, allowing efficient comprehensive management. Specialists, labs, imaging, and AI will play larger roles. Triage and disposition may be aided by AI, and the roles of ER, ICU, and specialists will evolve in an integrated hospital network supported by telemedicine. Data standardization, large databases, and AI/machine learning can help provide personalized care and evaluate new therapies.
Stop complaining and train - news in ultrasound | Domagog Damjanović at TBS23scanFOAM
Dr. Domagoj Damjanović gave a presentation on February 8th, 2023 about optimizing the use of resuscitation ultrasound. The presentation discussed updating teaching content based on recent findings, focusing on minimizing hands-off times during cardiac arrest, and integrating ultrasound training with simulation and emphasis on the workflow process. The goal is to seamlessly integrate ultrasound into advanced life support protocols to improve patient care and outcomes.
Airway Session | Michael Selz and friends at TBS23scanFOAM
This document outlines an upcoming advanced airway workshop hosted by airwaymanagement.dk. The workshop will cover various topics related to airway management including what is already known, developing an airway plan and predicting difficulty, awake intubation techniques, and new airway devices and techniques such as the LMA C-trach. It also introduces a presentation on tube tip in pharynx ventilation by Sandra Ellefsen that will be part of the workshop.
Septic shock initial 1 hour EM | Jean-Louis Vincent at TBS23scanFOAM
The document discusses sepsis and antibiotic therapy for sepsis. It defines sepsis as a life-threatening organ dysfunction caused by a dysregulated host response to infection. It emphasizes that in severe sepsis cases, such as septic shock, broad-spectrum antibiotics should be administered urgently, within 1-3 hours. For less severe sepsis cases, antibiotics can be started earlier after further evaluation. The goal of early antibiotic therapy is to treat the infection while avoiding overuse of broad-spectrum antibiotics that can promote antimicrobial resistance.
Rescuing the right ventricle | Sara Crager at TBS23scanFOAM
This document discusses right ventricular physiology and management of right ventricular failure. It begins by explaining why right ventricular function is important and often overlooked. It then details the physiology of the right ventricle and how it is more vulnerable to changes in preload, afterload and contractility compared to the left ventricle. The document outlines a vicious cycle that can occur with right ventricular failure and presents a 5 step approach to rescuing the right ventricle focusing on optimizing preload, afterload and contractility through use of fluids, vasodilators and inotropes.
Precision vent management | Sara Crager at TBS23scanFOAM
The document outlines an organized clinical problem solving approach to precision ventilator management consisting of the following elements:
1. Identifying the problems to target in multiple body systems including pulmonary, thoracic, hemodynamic, metabolic, and neurologic factors.
2. Determining appropriate strategies and targets to address each problem, such as optimizing PEEP, minute ventilation, and I:E ratio while balancing oxygenation, CO2, pH, lung protection and mental status.
3. Employing an iterative hypothesis testing approach of gathering data, revising hypotheses, and adjusting management on a continuous basis to refine ventilator settings.
RSI in adult patient - what about ventilation | Alexandre Jeleff at TBS23scanFOAM
- The document discusses the risks of rapid sequence intubation (RSI) and debates whether positive pressure ventilation should be used during RSI.
- While regurgitation during RSI has a very low incidence (0.01%) and mortality (0.002%), severe hypoxia during RSI has a much higher incidence (30-50%) and can result in cardiac arrest in 2% of cases.
- A large multicenter trial found that using a bag-mask device with PEEP during the apnea period of RSI reduced the lowest observed oxygen saturation and the risk of severe hypoxemia, without increasing risks of regurgitation or pulmonary aspiration.
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...Media Logic
When it comes to creating marketing strategies that target older adults, it is crucial to have insight into their media habits and preferences. Understanding how older adults consume and use media is key to creating acquisition and retention strategies. We recently conducted our seventh annual survey to gain insight into the media preferences of older adults in 2024. Here are the survey responses and marketing implications that stood out to us.
Health Tech Market Intelligence Prelim Questions -Gokul Rangarajan
The Ultimate Guide to Setting up Market Research in Health Tech part -1
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
This lays foundation of scoping research project what are the
Before embarking on a research project, especially one aimed at scoping and defining parameters like the one described for health tech IT, several crucial considerations should be addressed. Here’s a comprehensive guide covering key aspects to ensure a well-structured and successful research initiative:
1. Define Research Objectives and Scope
Clear Objectives: Define specific goals such as understanding market needs, identifying new opportunities, assessing risks, or refining pricing strategies.
Scope Definition: Clearly outline the boundaries of the research in terms of geographical focus, target demographics (e.g., age, socio-economic status), and industry sectors (e.g., healthcare IT).
3. Review Existing Literature and Resources
Literature Review: Conduct a thorough review of existing research, market reports, and relevant literature to build foundational knowledge.
Gap Analysis: Identify gaps in existing knowledge or areas where further exploration is needed.
4. Select Research Methodology and Tools
Methodological Approach: Choose appropriate research methods such as surveys, interviews, focus groups, or data analytics.
Tools and Resources: Select tools like Google Forms for surveys, analytics platforms (e.g., SimilarWeb, Statista), and expert consultations.
5. Ethical Considerations and Compliance
Ethical Approval: Ensure compliance with ethical guidelines for research involving human subjects.
Data Privacy: Implement measures to protect participant confidentiality and adhere to data protection regulations (e.g., GDPR, HIPAA).
6. Budget and Resource Allocation
Resource Planning: Allocate resources including time, budget, and personnel required for each phase of the research.
Contingency Planning: Anticipate and plan for unforeseen challenges or adjustments to the research plan.
7. Develop Research Instruments
Survey Design: Create well-structured surveys using tools like Google Forms to gather quantitative data.
Interview and Focus Group Guides: Prepare detailed scripts and discussion points for qualitative data collection.
8. Sampling Strategy
Sampling Design: Define the sampling frame, size, and method (e.g., random sampling, stratified sampling) to ensure representation of target demographics.
Participant Recruitment: Plan recruitment strategies to reach and engage the intended participant groups effectively.
9. Data Collection and Analysis Plan
Data Collection: Implement methods for data gathering, ensuring consistency and validity.
Analysis Techniques: Decide on analytical approaches (e.g., statistical
About CentiUP - Product Information Slide.pdfCentiUP
A heightened child formula, with the trio of Nano Calcium, HMO, and DHA mixed in the golden ratio, combined with NANO technology to help nourish the body deeply and comprehensively, helps children increase height, boost brain power, and improve the immune system and overall well-being.
Nursing management of the patient with Tonsillitis PPTblessyjannu21
Prepared by Prof. Blessy Thomas MSc Nursing, FNCON, SPN. The tonsils are two small glands that sit on either side of the throat.
In young children, they help to fight germs and act as a barrier against infection.
Tonsils act as filters, trapping germs that could otherwise enter the airways and cause infection.
They also make antibodies to fight infection.
But sometimes, they get overwhelmed by bacteria or viruses.
This can make them swollen and inflamed.
Tonsillitis is an infection of the tonsils, two masses of tissue at the back of the throat.
Tonsillitis is inflammation of the tonsils, two oval-shaped pads of tissue at the back of the throat — one tonsil on each side.
Tonsillitis is common, especially in children.
It can happen once in a while or come back again and again in a short period.Nursing management of Tonsillitis is important.
A comprehensive understanding of the operations for management of Tonsillitis and areas requiring special attention would be important.
Test bank calculating drug dosages a patient safe approach to nursing and mat...rightmanforbloodline
Test bank calculating drug dosages a patient safe approach to nursing and math 2nd edition by castillo werner mccullough
Test bank calculating drug dosages a patient safe approach to nursing and math 2nd edition by castillo werner mccullough
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Undergraduate teaching, training and examination of urgent bedside management
1. | 1
Undergraduate teaching,
training, and examination of
urgent bedside management
Jonas Åkeson, MD, PhD, EDAIC, ETP
Professor/Sr Consultant
Anaesthesiology and Intensive Care Medicine
Lund University
Skåne University Hospital
Malmö
Sweden
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
2. | 2
No conflict of interest
Jonas Åkeson, MD, PhD, EDAIC, ETP
Professor/Sr Consultant
Anaesthesiology and Intensive Care Medicine
Lund University
Skåne University Hospital
Malmö
Sweden
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
3. | 3
Few studies have reported
systematic undergraduate
teaching of clinical patient
safety issues
Nie et al. BMC Med Ed 2011;11:33
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
4. | 4
Within a decade, Sweden will
most probably have a
compulsory six-year program
of undergraduate teaching
and training, leading to
medical licensure.
Medical schools should
prepare to meet this
challenge.
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
5. | 5
Traditional teaching
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
clinical signs
clinical signs
clinical signs
clinical signs
clinical signsdiagnose
diagnose
diagnose
diagnose
diagnose
6. | 6
Teaching preparing for licensure
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
diagnose
diagnose
diagnose
diagnose
diagnose
clinical signs
clinical signs
clinical signs
clinical signs
clinical signs
7. | 7
Clinical Medicine 5
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
8. | 8
Clinical Medicine 5
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
9. | 9
knowledge
and clinical practice
from previous semesters
Clinical Medicine 5
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
10. | 10
knowledge
and clinical practice
from previous semesters
Clinical Medicine 5
emergency medicine
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
11. | 11
knowledge
and clinical practice
from previous semesters
Clinical Medicine 5
anaesthesiology and
intensive care medicine
emergency medicine
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
12. | 12
Clinical Medicine 5
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
13. | 13
Clinical Medicine 5
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
14. | 14
Clinical Medicine 5
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
16. | 16
structured evaluation
pain problems
ABCD problems
trauma
simulations
case seminars
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
17. | 17
structured evaluation
pain problems
ABCD problems
trauma
structured work
simulations
case seminars
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
18. | 18
simulations
case seminars
structured evaluation
pain problems
ABCD problems
trauma
structured work
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
19. | 19
structured evaluation
pain problems
ABCD problems
trauma
structured work
simulations
case seminars
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
20. | 20
clinical
practice
structured evaluation
pain problems
ABCD problems
trauma
structured work
simulations
case seminars
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
21. | 21
clinical
practice
structured evaluation
pain problems
ABCD problems
trauma
structured work
simulations
case seminars
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
emergency department
ambulance
out-off-office-hour anaesthesia
intensive care unit
22. | 22
clinical
practice
structured evaluation
pain problems
ABCD problems
trauma
structured work structured work
simulations
case seminars
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
emergency department
ambulance
out-off-office-hour anaesthesia
intensive care unit
23. | 23
clinical
practice
structured evaluation
pain problems
ABCD problems
trauma
structured work structured work
differential
diagnostic thinking
simulations
case seminars
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
emergency department
ambulance
out-off-office-hour anaesthesia
intensive care unit
24. | 24
clinical
practice
structured evaluation
pain problems
ABCD problems
trauma
structured work structured work
simulations
case seminars
examinations
differential
diagnostic thinking
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
emergency department
ambulance
out-off-office-hour anaesthesia
intensive care unit
25. | 25
clinical
practice
structured evaluation
pain problems
ABCD problems
trauma
structured work structured work
simulations
case seminars
examinations
differential
diagnostic thinking
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
emergency department
ambulance
out-off-office-hour anaesthesia
intensive care unit
diagnostic
test
diagnostic
test
26. | 26
clinical
practice
structured evaluation
pain problems
ABCD problems
trauma
structured work structured work
simulations
case seminars
examinations
differential
diagnostic thinking
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
emergency department
ambulance
out-off-office-hour anaesthesia
intensive care unit
27. | 27
structured work structured work
differential
diagnostic thinking
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
28. | 28
structured work structured work
clinical
reports
differential
diagnostic thinking
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
29. | 29
structured work structured work
MCQ
test
clinical
reports
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
differential
diagnostic thinking
30. | 30
structured work structured work
MCQ
test
simulation
tests
clinical
reports
differential
diagnostic thinking
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
32. | 32
ANAESTHESIOLOGY & INTENSIVE CARE MEDICINE
urgent bedside
management
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
33. | 33
ANAESTHESIOLOGY & INTENSIVE CARE MEDICINE
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se
66. | 66
We consider proposed
major components
of this compulsory course
to help medical students
prepare for medical licensure
– regardless of whether
clinical internship
will be maintained or not
in the future.
PREPARING MEDICAL STUDENTS FOR RAPID BEDSIDE ACTION
jonas.akeson@med.lu.se