Monthly Archives: May 2014

MacGyver’s Do-It-Yourself Nasal ETCO2 Cannula

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Many thanks go to Dr Finn Coulter for his ingeniously designed nasal ETCO2 cannula. We currently are awaiting shipment of these vital procedural sedation adjuncts… but in the meantime, in true Kiwi fashion (although strictly speaking Finn isn’t Kiwi), Finn has worked out a cheap alternative. I’ve yet to give it a go, but seemingly this works!

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Step 1: cut the end off some normal ETCO2 piping…

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Step 2: pierce a hole as shown in some normal nasal cannulae…

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Step 3: tape the ETCO2 tubing too the outside of the nasal cannulae…

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Step 4: …but poke the end of the ETCO2 piping through the hole into the nasal prong part of the cannulae. Tape accordingly.

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Step 5: step back and look at your beautiful ETCO2 trace… and continue with your procedural sedation paying usual diligence to all other vital patient parameters!

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Step 6: watch an episode of McGyver when you get home. It’s classic 80’s entertainment for the whole family.

C-Mac use in Auckland ED

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Auckland ED is currently conducting usability testing of the Storz C-MAC video laryngoscope. Resources are found below:

<p><a href=”http://vimeo.com/40230198″>Introduction to the Storz/C-MAC Video Laryngoscope</a> from <a href=”http://vimeo.com/pemcincinnati”>Brad Sobolewski</a> on <a href=”https://vimeo.com”>Vimeo</a&gt;.</p>

Literature regarding C-MAC use in ED

Comparative effectiveness of the C–MAC video laryngoscope versus direct laryngoscopy in the setting of the predicted difficult airway.

A comparison of the GlideScope video laryngoscope to the C–MAC video laryngoscope for intubation in the emergency department.

A comparison of the C–MAC video laryngoscope to the Macintosh direct laryngoscope for intubation in the emergency department.

Endotracheal intubation using the C-MAC® video laryngoscope or the Macintosh laryngoscope: A prospective, comparative study in the ICU

Resources:

Lifeinthefastlane.com videos and discussion

ACME Course Content

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Core Modules

  1. Human Factors: To improve the understanding of Human Factors and their impact on the quality of team-based clinical care, in the complex, uncertain, dynamic and time pressured environments characteristic of emergency medicine
  2. Cardiovascular Instability: Reviews principles of diagnosing and managing cardiovascular instability
  3. Airway and Respiratory Emergencies: Revises and develop skills in the management of acute airway and respiratory emergencies
  4. Shock and Complex Emergencies: In the challenging ED environment to practise managing patients with complex illnesses including shock.

Inter woven throughout the modules are core themes of effective teamwork, teaching, professionalism, safety and quality. In addition, where relevant, paediatric content will be included in the modules. Pre-reading is required.

The following additional modules will also be available as rotating options with the overall course design depending on where you complete the course.

Centre-Selected Additional Modules:

  1. Altered conscious state
  2. Toxicology
  3. Death, dying and grief counselling
  4. Musculo-skeletal and spinal injury
  5. Toxinology
  6. Obstetric and gynaecological emergencies
  7. Transport of the critically ill patient
  8. Ear, nose and throat and ophthalmological emergencies
  9. Behavioural emergencies