tricks of the trade - snapup tickets · 2015-11-05 · tricks of the trade stella yiu the ottawa...
TRANSCRIPT
Tricks of the Trade
Stella Yiu
The Ottawa Hospital
@Stella_Yiu
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Critical Care
ENT/EYE
Wound
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Critical Care
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Rehearse mentally.
Get everything ready.
What I grab
Nasal Prongs
Blankets
100cc NS bag
Sharpies + labels
What I grab
Nasal Prongs
Blankets
100cc NS bag
Sharpies + labels
High flow O2 apnea time
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High flow O2 apnea time
High flow O2 apnea time
Tape it to cheek
Extra port
Use blankets to Ramp patients
Ramp intubation success
What I grab
Nasal Prongs
Blankets
100cc NS bag
Sharpies + labels
100cc NS -> Push dose pressor
Phenylephrine
1cc x10mg/cc Phenylephrine
(10mg)
Courtesy of Scott
Weingart
10mg in 100cc NS bag
Phenylephrine 100mcg/cc
Sharpies + Labels
Courtesy of Seth Trueger
Critical care tricks
Phenylephrine
100mcg/cc
ENT/Eye tricks
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Nasal Foreign Body
Oxygen tubing + High flow Oxygen
Parent bear hug
Wear gown
Assistant to start
oxygen
Foreign body in ear
Courtesy of Mimi Lui, www.umem.org
Glue at the end of a Q-tip
What if the glue gets stuck to the
pt?
Courtesy of Brent Core and Daniel Cabrera
Courtesy of Yen Chow and Michelle Lin, www. AliEM.com
DIY soft suction
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Foreign Body in throat
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Fish bone = Radiolucent
Look first
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Courtesy of James Roberts, ‘The Procedure Pause’
Alternatives
Np scope
By ICUnurses (Own work) [CC BY-SA 4.0 (http://creativecommons.org/licenses/by-sa/4.0)], via Wikimedia Commons
Courtesy of Gabriel Cade, Lucienne Lufty-Clayton and
Michelle Lin, www.aliem.com
DiverDave at en.wikipedia [CC BY 3.0 (http://creativecommons.org/licenses/by/3.0)], via Wikimedia Commons
Courtesy of James Roberts, ‘The Procedure Pause’
The bend of Magill forceps might
help
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Eye tricks
By Moist.acuvuehk (Own work) [CC0], via Wikimedia Commons
Lost contact lens -> stain with
Fluorescein
Morgan lens without poking
eye?
Courtesy of Michelle Lin
Morgan lens without poking
eye?
Courtesy of Michelle Lin
Beneath head + Suction
ENT/Eye tricks
Wound care tricks
Hair apposition technique
Hair apposition technique
Modification for short hair
Single volar block for fingers
Tissue adhesives
To prevent runoff with glue
Steri-Strip™ oppose wound first
Abscess tricks
Aspirate 1st pain
Suction helps control odor
Loop
Wound Care tricks
ENT/Eye tricks
Critical care tricks
Phenylephrine
100mcg/cc
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