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Difficult intubation deliberation

Last week I posted on a tricky airway requiring AFOI (awake fibre-optic intubation) – see Awake Intubation Procrastination. I got a bit of correspondence from the readers and a very special reader – Dr James DuCanto, M.D. from Milwaukee, Wisconsin, USA.  (yep, Happy days, the Fonz.. you know the place.)  You will recognize Jim D if you […]

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NIV: thoughts and tips

Non Invasive Ventilation (NIV) comes in a variety of forms, machines and names.  It is something that has really changed the way we manage some common ED scenarios, however it is often misunderstood and done poorly. I have just finished reading through the course manual for an upcoming Emergency Skills Course I am doing next […]

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Spinal injury sequelae

I have seen a run of nasty spinal injuries recently. This has gotten me thinking about the management of the things that go wrong after a serious spinal injury. SO I thought I would pick a few “spinal conundrums” and look at the current best practice, throw it open to you all and get advice from […]

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Clinical Case 059: Tricks from twitter mates

This case is all about the application of tricks and tips I have learned in the last few years from social media,  blogs and the wonderful clinicians out there in the ether who form a community of docs with a common goal – doing better for our patients. A few years ago I would have […]

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RSI: made stupidly simple

The Rapid Sequence Intubation is one of those “gotta have” skills for clinicians who work in frontline medicine. Fair to say there are a lot of sequences out there, but they all follow the same basic plan – prepare, inject the juice, and get the airway secured ASAP.  In recent years there have been a […]