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Questions for those administering calcium for any indication. Particularly when administering packed red cells. What are you indications (e.g. after 4 units, with every unit, only for iSTAT elevated k, ECG changes, etc.) What is your view on treating severe hyperkalaemia of any cause, what is...

Interesting conversation. I suppose the answer to my question depends a lot on what assumptions we’re making about the indications for ETI. It’s probably worth me noting then that in our system intubation for airway protection in patients who are otherwise saturating well and ventilating fine...

Well, I’m not actually trying to make a point, so perhaps we both are! DASH-1A: I haven’t heard of the study. Perhaps I missed it but I didn’t see that the link to Minh’s blog referenced any study, just the idea. I had a brief google and only came across a 2019 study on predictors of things...

I think there might be some miscommunication. We’re not talking about induction. The drugs have gone in. The tube has been attempted. No joy. The usual trouble shooting has occurred. No joy. To this point other and other similar posts: The suggested alternative is to bag them until they...

Yeah I guess the for profit stuff makes sense. Oh my goodness. You have a box for that. America (I assume it's America) never fails to amaze.

It is an interesting point of difference between views in different parts of the world and it's a question that has come up again in my area. Always good to open the floor to people from outside the local culture. It has a curious characteristic. The docs want sedation and paralysis in these...

Apologies, perhaps I should have provided a bit more. So my assumption was that in reaching this stage of the plan, the airway wasn’t obviously going to fail from the start and the usual issues like position, etc. have be trouble shot. You have been able to ventilate with a BVM in between...

My education continues. Thanks :)

Hahaha oh my god. That is abysmal. I’m a little confused as to why their request was granted. Did they straight up lie about the condition of the patient? The risk, the expense and the opportunity cost or that resource....boggles the mind.

You’ve encountered a difficult airway in RSI. The tube failed / wasn’t feasible in the first place. Next steps: - BVM until paralysis (I’m assuming sux) wears off, continue to manage them with BVM or supplemental oxygen to hospital OR - Place an LMA/SGA (or whatever equivalent not-ETT you’ve...

Indications for IV? Immediate need or expected clinical course. Fairly straightforward I would have thought. I would add for the OP that a nurse’s criticism in isolation doesn’t equal wrong doing. They, like everyone, have their own pressures, biases and stressors and not every piece of...

Thanks for your reply. As mgr22 noted, I was under the impression there wasn’t much to the idea in terms of evidence. I agree nobody really knows, but I’m surprised people are deviating from the peak body recommendations in the absence of compelling evidence to contrary. Must be passionate...

0.5 for cardiac arrests is an interesting one. Where did that come/what is the rationale?

Doctor, paramedic or nurse - I think the answer is the same. Formal education is necessary for a number of reasons, not least because you need a piece of paper that says you’re qualified in that thing. This may be a somewhat controversial opinion, but these days, I really don’t think you need...