RT @mmbangor: @CEMFOAMed @WalFOAMed a #FOAMed contribution fr Bangor in North Wales! Conference report from April's #Retrieval2014...
0
0
0
0
Hashtag
#retrieval2014
Advertisement · 728 × 90
#retrieval2014 A+++...
0
0
1
0
My talk and review of day 1 at #retrieval2014
@EMRSscotland @Gasdoc2857
@alg_1972 @davidrhogg @PBSherren
@LukeARegan
stemlynsblog.org/paediatric-sepsis-first-...
0
0
0
0
My talk and review of day 1 at #retrieval2014 @retrieval2014
#FOAMed
@WeekesLauren @cliffreid
@karelhabig
stemlynsblog.org/paediatric-sepsis-first-...
0
0
0
0
If you missed @davidrhogg and his amazing talk at #Retrieval2014 try this video count the collaborating services
https://vimeo.com/86227756
0
0
0
0
Symplur data from day 1 of #retrieval2014 @retrieval2014
www.symplur.com/healthcare-hashtags/retr...
0
0
0
0
knowing ‘what’ to do is easy, 'making it happen’ is hard.
YOU must make it happen
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
Saline acceptable as early resus fluid, but balanced fluids such as plasmalyte arguably better
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
Don’t guess what to give. Use an online drug calculator.
I like this
http://www.crashcall.net
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
how many docs to get a paed IV?
2/limb cannulating + 1 at head (saying all is fine) = MADNESS
Use an IO!!
#paedsepsisEM #retrieval2014
0
0
0
0
Neonates.
Admit for obs
If still in doubt admit.
If still in doubt admit and tx for sepsis.
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
IV access is tough in sick kids.
You’re not as good as you think.
2 IV tries then use an IO.
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
Great resource for learning how to spot sick kids
https://www.spottingthesickchild.com
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
We cannot absolve ourselves of responsibility to treat critically ill children through fear.
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
As generalists look for similarities between paed and adult care as well as differences
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
The dogma that ‘Children are not little adults’ can paralyse clinicians who fear children.
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
..but incidence of severe sepsis low so diff. to be ‘expert'
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3631515/
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
Most sick kids are in non-PICU hospitals - we must resuscitate
them.
www.thelancet.com/journals/lancet/article/...
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
Audit data shows that we miss resus targets in 60% of paeds sepsis cases.
http://adc.bmj.com/content/94/5/348
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
Easy to know ‘WHAT’ to do in 1st hour.
Making it happen is harder…why?
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
After 60ml/Kg fluids should be planning for inotropes +/- ventilation.
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
Early
1. recognition
2. O2 & IV/IO access
3. antibiotics
4. fluid resus
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
Lots of guidance exists for 1st hour management. All have 4 features.
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
Aggressive sepsis mx great for adults - kids too
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
A competent resuscitationist can, should & must be able to manage first hour of paeds sepsis.
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
Front door management of sepsis in kids talk starting now
#paedsepsisEM #retrieval2014 @retrieval2014
0
0
0
0
Moodle mentioned at #retrieval2014 by niall McMahon, the backbone of @stemlyns educational courses. Great resource.
http://classroom.stemlyns.org.uk/login/index.php
0
0
0
0
#hobnobs is trending at #retrieval2014
Apparently better than grilled corn
#smaccgold @cliffreid @EM_Educator @CriticalCareNow
0
0
0
0
Resilience in rural communities by @davidrhogg from http://ruralGP.com #retrieval2014 - one of those 'real doctors' like @KangarooBeach
0
0
0
0
0
0
0
0