always carry your scalpel
DESCRIPTION
Brian Burns gives you all the right reasons to carry a blade. Go to www.intensivecarenetwork.com for the talkTRANSCRIPT
Disclosures
courtesy http://www.ranulphfiennes.co.uk
Always Carry Your ScalpelBrian Burns
Procedures
Are sometimes performed infrequently
Life saving
YOU MUST PREPARE FOR THESE PROCEDURES
Cognitive hurdle
by Fiona Reardon
Surgical Airway
courtesy jack milenius
Surgical Airway
courtesy jack milenius
6
SURGICAL AIRWAY is
NOT a VISUAL procedure
SURGICAL AIRWAY is
NOT a VISUAL procedure
DECIDE
SURGICAL AIRWAY is
NOT a VISUAL procedure
DECIDE
LOCATE
SURGICAL AIRWAY is
NOT a VISUAL procedure
DECIDE
LOCATE
INCISE
SURGICAL AIRWAY is
NOT a VISUAL procedure
DECIDE
LOCATE
INCISE
FEEL
SURGICAL AIRWAY is
NOT a VISUAL procedure
DECIDE
LOCATE
INCISE
FEEL
BOUGIE
SURGICAL AIRWAY is
NOT a VISUAL procedure
DECIDE
LOCATE
INCISE
FEEL
BOUGIE
TUBE
SURGICAL AIRWAY is
NOT a VISUAL procedure
DECIDE
LOCATE
INCISE
FEEL
BOUGIE
TUBE
ETCO2
Surgical Airway - tips
Open thoracostomy
courtesy BMJ
Sight Saving Procedure
Lateral Canthotomy
Lateral canthotomy-tips
Escharotomy
Field Amputation
Field Amputation
Clamshell thoracotomy
Indications
Contraindications
Clamshell Thoracotomy
Possible Outcomes….
courtesy London HEMS
Clamshell thoracotomy-TIPS
courtesy London HEMS
Things to avoid….
Perimortem hysterotomy
Cardiac arrest > 24 weeks gestation
<5 minutes to deliver baby from cardiac arrests
Takes 1 minute, hence start at 4 minutes after arrest
Perimortem hysterotomy
Cardiac arrest > 24 weeks gestation
<5 minutes to deliver baby from cardiac arrests
Takes 1 minute, hence start at 4 minutes after arrestdogma ?
Perimortem hysterotomy
Scalpel & Scissors
Perimortem hysterotomy-tips
Umbilicus =20 w. 1 week/cm above that
Don’t stop chest compressions
Cut around the umbilicus
Things not cool with a scalpel
cutting yourself during procedure
cutting the pilot tube of an ETT instead of trachy tape
NOT using it when indicated
forgetting to bring your scalpel
Thank you !