I tried a Koala last week….screen kept cutting in and out (have had this experience with CMACs too). Wasn’t impressed. Have used portable CMAC on ward, was fine but found it bulky all a matter of what we get used to using of course
VL default. McGrath my VL of choice, but my only options are that or CMAC. I like it because: lightweight, lower profile plastic blade feels gentler on the patient, easier to get in room than wheeling bulky cmac in. Open to using other devices but don’t have them available atm
Thank you for appropriately re-writing the headline
At my hospital, if one wants to contact ortho they must dial “The Bone phone”
Agree. And terrifying at the same time
it’s even more demoralizing when the history you’re repeating is history you were around for the first time
Rising rates of sugammadex anaphylaxis concern me, but I do use it when TOF not favourable for neo/glyco. I guess in ICU setting where no quant TOF hard to know when safe to ext post neo/glyco though…you guys need quant TOF!
With 4 twitches I would use a weight-based dose of neo/glyco, not sug. I always reverse roc
📌
👀 Hot off the press: A scathing open letter co-authored by all 17 former ACIP members. It's a frank look at ACIP history and the hard truths America will grapple with in the upcoming months.
Turns out the former ACIP members have more spine than CDC leadership 🙄
jamanetwork.com/journals/jam...
💯 agree
This is also my standard practice regardless of BMI. I teach this technique to every registrar I work with. They are routinely amazed at speed to ETO2 >80, as I was before they…and I achieve ETO2s higher than I could achieve even with longer pre ox time without PSV/CPAP
Agreed! A friend’s dad recently had foot surgery (private hosp)- orthopod recorded a personalised post-op chat including how his specific surgery went/findings, and post-op advice. Emailed it to patient. Slick production. I was super impressed by this strategy!
And I have the means and inclination to pay for what I consider reputable journalism. So what hope does/did the lay public have? And most importantly- how do we/can we even avoid another such fuck up in the post-truth era?
To be clear- I agree that lab leak is implausible, but I was definitely in the “It’s possible” (never the deliberate leak) camp at first until ?the time of the first journal articles and reports of the raccoon dog + covid samples from around the market. And I have an MD and a public health degree…
Agree excellent episode. I thought the comment “too much commentary, not enough reporting” in the thick of pandemic was spot on. Having said this- it is not hard given the many complexities to see how even the above average Joe had low chance of following this and coming to the “logical” conclusion
I wasn’t aware of this pod- all the eps look great 🙏🏻 as if I need more pods on rotation 🤣
RFK Jr.‘s extreme anti-vax views — and his related conflicts of interest — were a huge problem during his confirmation process.
So he promised not to change the vaccine advisory panel.
Today, he fired every single expert on that panel. It's a public health disaster.
Loved this song as a kid 🤣🤣
Team tuck + scrub cardi all year round
VL v DL Laryngoscopy
Additional evidence that VL is superior.
This question is settled. There is no rationale for not adopting a universal VL first approach (in high resource settings).
B!
In adult patients undergoing tracheal intubation in real-world operating theatre settings, universal VL showed clear advantages over direct laryngoscopy.
This is the largest comparative analysis conducted to date!
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
Thank you. Brilliant film as well 😊 I will rewatch
Trained using both techniques. If I was the pt I’d prefer US-guided. Nearly no situations (in my practice) where there isn’t time or equip available to use US and get it in the first time with hopefully lower risk of comps for pt. Not all have US skills so in some hands blind would be better I guess
*parents’
Vividly remember this CD in my parent’s collection. Loved playing it 💙 🤍
I would have said music works in “mysterious ways”, but wrong album for that gag. Iconic cover shot as well ❤️
I have been sick for a week and I just read about "something going around" in a subreddit, which I guess is how I get my information now that the CDC is officially spending the next four years determining when and how microscopes became gay.
