#Tip drill video vimeo update
RURAL DOCTOR UPDATE – DOCTORS BAG from Tim Leeuwenburg on Vimeo. What size drill bit? A quick video on emergency Burr holes for bush docs…ĮNVIRONMENT / EXPOSURE … & EVERYTHING ELSE !Ĭontrol & Modification of the ED Environmentĭoctors Bag – here is a short video on the contents of a rural doctors’ bag Had to pass the tip UNDER the epiglottis, which is not standardĪccess to the peripheral circulation – IVs, Intraosseous and Rapid Infuser CathetersĮpistaxis Management or “Will daddy ever stop bleeding?” …and here’s another on an anticipated difficult airway (Mallampati IV, Patil 6cm, interincisor distance 2.5cm, limited prognath) in an elective situation. But is VL useful when DL is difficult – you betcha! Here’s an example of VL using the KingVision I try and use VL on every elective list, just to keep my hand in for when I really need it. New devices are around $1000 and affordable for rural health units. Videolaryngoscopy can be a game changer for difficult airways. If you are wondering which difficult airway equipment to stock and are on a budget, check out See also the video presentation of the paper below Meanwhile here’s a 2012 paper on rural GP-anaesthetists and difficult airway equipment – some interesting results. I’ll be adding more content over the next few months, so keep checking…Īvoiding Clinical Inertia and Therapeutic Vacuums You can also check out the FOAM procedure video database from the LITFL crew
#Tip drill video vimeo series
In this section I’ll be adding a series of short videos – covering the basics BUT with added information collated from FOAMed resources and aimed squarely at the needs of rural clinicians. Hence the need for ‘ fifty shades of brown’ – a resource guide to help rural docs and nurses with managing components of care prior to retrieval of their patient.
I was talking to a former ‘rural doctor of the year’ recently, who told me that he had used a YouTube video to refresh his memory on chest drain insertion – a wonderful example of asynchronous learning, not from knowledge gained on a course – but from using bedside FOAMed resources at 3am in remote Australia. FOAMed resources are invaluable to rural doctors. In fact such incidents are few-and-far between, leading to a risk of de-skilling and adding to uncertainty on how best to manage the patient or perform a procedure. It is simply not good enough for rural doctors to be passive players in managing these patients – we need to be au fait with current concepts in critical illness and trauma – and sadly courses like EMST/APLS/RESP just don’t go far enough.Ĭritical illness is not necessarily an everyday occurrence for the rural doctor. But of course the whole process of managing critically ill patients is a continuum…from the roadside or home to the small country hospital…to the retrieval service…to the metro hospital ED … then to Theatre & ICU…we are ALL players in patient care. We are blessed in South Australia with an excellent retrieval service, MedSTAR. Casey Parker over at BroomeDocs has been inspirational in delivering high-quality FOAMed resources for rural doctors and together we’ve discussed the need to ‘bring quality care, out there’. I’m interested in improving care of the critically ill patient from a rural perspective.
14/1/13 – Airway – RSI Practicalities (follow on from Airway – Planning).5/1/13 – Circulation – enFLOW fluid warmer.3/1/13 – Airway – Adjuncts to Intubation (Stylet & Bougie).3/1/13 – Airway – Basic Adjuncts (Oro- & Nasopharyngeal Airways).
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