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Chris Nickson
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Chris Nickson
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emergency medicine  - 
 
+Reuben Strayer has an interesting synthesis of approaches to intubation in the emergency setting in his latest post on EM updates. When to use RSI, DSI, KSI (ketamine-supported intubation) or awake intubation?
What do you think about it?
Rapid sequence intubation, the simultaneous administration of a paralytic and induction agent immediately followed by laryngoscopy, provides the optimal view of the glottis and prevents emesis. RSI...
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Kathryn Woolfield's profile photo
 
The premise of this post is spot on. In critical care we see a wide range of patients who require intubation and a one size fits all approach does not make sense. The next step is to take this algorithm and play with it according to one's own skill set and working environment.
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Chris Nickson
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resuscitation  - 
 
+Cliff Reid talked about 'When (not) to stop resuscitation' at #smaccGOLD. He emphasised the useless of prognostication during resuscitation in a patient where, to paraphrase Peter Safar, 'Death has got his timing wrong'. According to Cliff, these patients deserve heroic measures, and the the time to prognosticate is later (treatment can be withdrawn if neurological outcomes are poor). Such extreme measures do not apply to, say, the elderly and infirm patient who has arrested. Any thoughts from people who heard Cliff's talk, or from others?
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Kathryn Woolfield's profile photoRichard van der Kleyn's profile photo
2 comments
 
I loved Cliff's talk. But it did also raise questions. How do we reconcile the desire to save a life with the desire to avoid poor quality of life or delayed death? And who determines what is a good functional recovery? Us? the patient? And at what cost (financial and otherwise)? And what of the psychiatric burden? (I met a young patient who had an NFR order placed after his recovery from cardiac arrest!)
It's hard when the family is there looking to you for answers but you don't know what the right thing to do is... or what the result will be.
Ultimately in the young, previously fit person we want to "do heroic measures", but what about when it is less clear cut?
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Chris Nickson
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Discussion  - 
 
Anyone going to smaccGOLD?

The bloggers and podcasters will be taking turns manning a booth, so it will be great to meet some of the FOAMccers out there.

Also, the smaccLounge was a big success last year, and allows for great mixing and mingling opportunities. There will be over 1200 people this year - so finding people you're looking for could be a problem - social media may help in this regard!

BTW, it is in your interest to network with people from other countries and other specialties if you want to win the $5000 GOLD RUSH prize...

It will be great if SMACC attendees use the FOAMcc community page to involve others in discussions about topics and issues that come up. Also look out for +Rob Rogers who is planning to livestream interviews from the conference.

Even if you're not at smaccGOLD, you will be... See you there!
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Minh Le Cong's profile photo
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Chris Nickson
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Discussion  - 
 
The 25th anniversary issue of Emergency Medicine Australasia is packed with articles related to FOAM - look out for articles by +EMCrit , +Victoria Brazil +Mel Herbert and many other great people!
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Chris Nickson's profile photoJohn Greenwood's profile photo
2 comments
 
Thanks John - first mention of #FOAMcc  in the 'traditional' medical literature I suspect... :-)
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Remember everyone, the FOAMcc community is primarily about initiating discussion - you can use Twitter to simply share links.

The community description includes this sentence:
"If sharing a link provide an explanation why it is relevant to the FOAMcc community and use it to initiate discussion. "
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Chris Nickson
owner

Discussion  - 
 
A reminder to #FOAMcc  users of how this community is moderated. Posts that simply advertise links authored by the poster are removed unless they appear to be an honest attempt to start a discussion or provide information genuinely of interest to the community. Twitter is a better way to simply share links, as people can choose to follow you (or not). It is important the G+ community page does not become a vehicle for spam. I'm happy to discuss different points of view on this. Thanks everyone, Chris
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Minh Le Cong's profile photo
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Chris Nickson
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Discussion  - 
 
Plans for SMACC Chicago are already being made, if you have any suggestions, ideas or requests please contact me, +Oliver Flower or +Roger Harris and we will add them to the brainstorm. Once again we hope SMACC will be a hardcore critical care conference that celebrates FOAM and the people who are the essence of critical care (thanks +EMCrit ). Thanks everyone for making FOAM - and especially #FOAMcc, so awesome!
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Minh Le Cong's profile photoChris Nickson's profile photoDavíð Þórisson's profile photoRenee Garcia's profile photo
6 comments
 
awesome, would love to help, if needed!
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Chris Nickson
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critical care  - 
 
Can you think of examples in critical care where 'normal' is 'bad'? If so, share them on Twitter using the hashtag  #euBOXIa  and I'll feature them in my talk on 'EuBOXIa and (Ab)Normality' at smaccGOLD next week. Examples can be anything measured or observed, from clinical assessment or investigations.
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Chris Nickson's profile photoMichael Ng's profile photomads astvad's profile photoRenee Garcia's profile photo
14 comments
 
Thanks everyone for the great examples of #euBOXia  !
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Chris Nickson
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emergency medicine  - 
 
Since +KAREL HABIG brought up the use of verapmil for SVT management in RAGE Session Two there has been much discussion. +Minh Le Cong and +Anand Swaminathan (among others) were firing tweets off left right and center. Anand talked about his recent experience with verapmil on +ercast (http://blog.ercast.org/2014/02/run-code/). Minh raised his concerns by sending in a RAGEback, to which Karel and +Cliff Reid have responded. If you think there is more to discuss - discuss it here!
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Chris Nickson
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Discussion  - 
 
If you want to share a critical care link that is FOAM on Twitter - remember to use the #FOAMcc  hashtag! It may get retweeted by the @FOAMcc twitter account.
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In his circles
345 people
Have him in circles
565 people
Hussam Tayeb's profile photo
Anthony Delaney's profile photo
Maaike Moller's profile photo
Anton Helman's profile photo
Pieter van Driel's profile photo
Richard van der Kleyn's profile photo
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Doctor
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Introduction
An oslerphile suffering from a bad case of knowledge dipsosis. I spend much of my time trying to keep calm amid a storm of interests that include: emergency medicine, critical care, toxicology, tropical medicine, clinical epidemiology, history, literature and the internet-learning revolution.

I’m also known as @precordialthump
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