Category: Acute Care

BATman; Barkers Anaesthetic Tips

In this series Dr Glenn Barker will bring you tips on all things anaesthesia, airway and retrieval. Here is his first episode on Art line set up. Glenn is a Rural Hospitalist with JCCA and Post Grad Cert in Aeromedical Retrieval....

Introducing CRandalls Ultrasound Hit: CRUSH

As part of our contribution to free and open medical education, the team at Taupo Hospital will feature a series of short and accessible ultrasound posts aimed at Rural Generalist trainees. For further certification in POCUS check out Otago Universities Post Graduate Certificate Here is episode 1. Enjoy....

Ring, ring, why don’t you give me a call?

The phone rings. I wake from a deep sleep slightly panic stricken. It takes me a minute to comprehend that I’m in bed and on the phone to a nurse from an outer island. They run through their patient’s story, requesting advice. It takes me another minute to realise...

Does induction of labour prevent shoulder dystocia?

 Early IOL for women with suspected fetal macrosomia,who do not have gestational diabetes,does not improve either maternal or fetal outcome.(Evid level 4) In women with gestational diabetes, the incidence of SD is reduced with early IOL.(Evid level 2+) The NICE diabetes guideline recommends that pregnant women with diabetes who...

What dose Ketorolac?

Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial Motov, Sergey et al. Annals of Emergency Medicine 2016 Dec. Study Design: N = 240, 18-65 years Randomised to receive 10mg, 15mg, 30mg IV ketorolac as single dose (double blinded)...

Should we be giving our women steroids prior to elective caesarean section?

Delivery by elective caesarean section at less than 39+0 weeks of gestation can lead to respiratory morbidity in neonates, requiring admission to the neonatal intensive care unit A recent retrospective cohort study showed that, compared with elective caesarean section births at 39+0 weeks of gestation, births at 37+0 weeks...

Lung ultrasound for paediatric pneumonia

Q. Can Lung ultrasound reduce need for CXR in children with suspected pneumonia? Jones BP, Tay ET, Elikashvili I, et al. Feasibility and safety of substituting lung ultrasonography for chest radiography when diagnosing pneumonia in children: a randomized controlled trial. Chest 2016;150(1):131-138. randomized 191 children and adolescents with clinically suspected...

The debrief

…further attempts at resuscitation were futile. Debriefing is a dialogue between two or more people pertaining to the actions and thought processes involved in a particular patient care situation. Educational research strongly supports debriefing as an effective mechanism for promoting adult learning and enhancing skills and team performance....