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Albany Crit Care Teaching 28 February 2024 - Rural trauma Care

FOundations of rural trauma care

Facilitator - Steph

0830-0930 Interesting cases, great saves, and what we have learned last week.

Case/ECG/Image/VBG of the week

0930- 1000 Doing the basics well (Steph)

Rural Major Trauma Care… in Albany

1000-1015 COFFEE

1015- 1045 If air goes in & out, blood keeps going round and round…usually (VOLUNTEER PLEASE)

>>> The Airway in Trauma

  • When & why to take it?

  • Who to take it?

  • How to take it?

  • Challenges?

  • Optimisation?

  • Cases

1045-1115 I feel the need for speed… (VOLUNTEER PLEASE)

>>> Chest Trauma-Pearls & Pitfalls

  • B- assessment

  • B- killers

  • B- management

  • Speed holes & tubes.

  • Myth busting

1115- 1145 All bleeding stops…. eventually (VOLUNTEER PLEASE)

>>> Massive Haemorrhage & Shock in trauma

  • <C> and C

  • Find the bleeding-Stop the bleeding.

  • MHP- how to use it

  • CAT, Pelvic binder & CT6- practical***

1145- 1215 LUNCH

1215 Celebration of Knowledge aka Simulation

--Steph

Pre-reading/ Pre-watching/ Pre-Listening

https://trauma.reach.vic.gov.au/podcasts

  • One stop shop--Podcast series on all things trauma.

  • Made in Australia

Airway- oldies but goodies

Preoxygenation and Prevention of Desaturation During Emergency Airway Management

Weingart SD, Levitan RM

https://www.annemergmed.com/action/showPdf?pii=S0196-0644%2811%2901667-2

The importance of first pass success when performing orotracheal intubation in the ED

Sakles et al.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530518/pdf/nihms705574.pdf

Airway Management after major trauma, Canshaw J. et al. https://academic.oup.com/bjaed/article/6/3/124/375420

Breathing- old and new(er)

Pleural Decompression- Fitzgerald et al.

https://emcrit.org/emcrit/needle-finger-thoracostomy/

https://trauma.reach.vic.gov.au/sites/default/files/Thoracic%20Trauma_Ver%201.0_30102017.pdf

Circulation

https://emcrit.org/wp-content/uploads/resus-of-crit-ill-trauma-patients.pdf

A review of transfusion- and trauma-induced hypocalcemia: Is it time to change the lethal triad to the lethal diamond? Siegler J. et al

For auditing purposes - 15% paediatrics