Great way to plan your approach and get the team ready
OK – a week or so later and the results are in! Here is what the 41 people who took the poll said they would do –
Click here to view the survey results. As you can see the vast majority waned to get control of the airway and do a planned, NO DESAT type induction – which is reflective of the practice in big hospitals (I suspect the readers).
What would I do [what have I done in this scenario]:
I was one of the 3 respondents who decided to stick it out with the NIV and get him through the night. Of course we also needed to plan for the worst – had the kit and team briefed for a difficult airway etc
So I called off the RFDS / evacuation team and we optimised the NIV and medical therapy, minimised oxygen consumption.
And we had a win – weaned off the NIV 12 hours later.
Not a popular call, but I think a good outcome for all concerned. As Kurt would say: ” and so it goes…”
I am a GP working in Broome, NW of Western Australia. I work as a hospital DMO (District Med Officer) doing Emergency, Anaesthestics, some Obstetrics and a lot of miscellaneous primary care. Also on the web as @broomedocs | + Casey Parker | Contact