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Airway Mythology

Airway Management Mythology Airway MythologyAs promised, here are selected references from today’s talk on Airway Management Mythology. Thanks to the organizers of the International Conference on Emergency Medicine (ICEM) for the invitation to speak.

Some of the topics discussed are supported by plenty of evidence (ie the use of RSI as an intubation technique), some were simply fun to discuss (holding your breath while intubating) and some remain quite reasonably controversial (the use of etomidate for RSI in sepsis).

I highly recommend visiting Dr. Reuben Strayer’s blog for a brief and enlightening discussion of the use of rocuronium for RSI. Also, Dr. Scott Weingart’s EMCrit blog and podcasts are an excellent source for ED critical care topics. Finally, The Airway Site contains links to key airway management references as well as information on the Difficult Airway Course.

Selected References:

Status Epilepticus

FERNE Status EpilepticusHere are some key references from today’s lecture on Status Epilepticus at ICEM:

FERNE’s seizure and status epilepticus management guide

Key practice guidelines related to seizures:

  • ACEP Clinical Policy: Critical Issues In The Evaluation And Management Of Adult Patients Presenting To The Emergency Department With Seizures
  • Treatment of convulsive status epilepticus. Epilepsy Foundation of America. JAMA 1993; 270:854-859.
  • The neurodiagnostic evaluation of the child with first simple febrile seizure. AAP. Pediatrics 1996; 97:769-775.
  • The role of phenytoin in the management of alcohol withdrawal syndrome. Am Soc Addiction Med 1994 / 1998
  • Evaluating the first nonfebrile seizure in chilren. AAN. Neurology 2000; 55:616-623.
  • Role of antiseizure prophylaxis following head injury. BTF / AANS. J Neurotrauma 2000; 17:549-553.
  • Treatment of the child with a first unprovoked seizure. AAN. Neurology 2003; 60:166-175
  • Antiepileptic drug prophylaxis in severe traumatic brain injury. Neurology 2003; 60:10-16

Special thanks to Professor Andy Jagoda (Department of Emergency Medicine, Mount Sinai, New York)

Research scholars

The ultrasound division is proud to welcome two research scholars: Dr. Hong Chuen Toh and Dr. Shiang-Hu Ang.

Fellows Research scholars

Drs. Shiang-Hu Ang (Ash) and Hong Chuen Toh

Dr Hong Chuen Toh is an Associate Consultant from the Department of Emergency Medicine, Alexandra Hospital, Singapore. He obtained his bachelor degree in medicine and surgery M.B.B.S (Singapore) in 2000 and post graduate degree in Accident and Emergency Medicine MRCSEd (A&E) in 2007. He’s a member of the Royal College of Surgeons of Edinburgh, and his main sub-clinical interest is in emergency ultrasound. He has organized many WINFOCUS courses at his home hospital.
Dr. Shiang-Hu Ang (also known as Ash) is from Singapore’s Changi General Hospital Department of Emergency Medicine. He has been tasked to set up an emergency ultrasound service for his department. His interests include emergency ultrasound as well as emergency critical care, and his research interests lie in the ever expanding field of emergency soft-tissue ultrasound. He also manages the website of the Society for Emergency Medicine in Singapore- please check it out!

www.semsonline.org

WINFOCUS- Singapore 2010

WINFOCUS Singapore2010 WINFOCUS  Singapore 2010Bret Nelson returned to Singapore this month to join the faculty for a WINFOCUS introductory ultrasound course. Over fifty registrants from all over Singapore were in attendance, representing emergency medicine, critical care, surgery, internal medicine, anesthesia, and nephrology. Many thanks to Dr. Francis Lee, course director as well as Dr. Toh Hong Chuen who organized many of the course logistics.

More pics of the conference and Singapore after the break!

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WINFOCUS- Singapore 2009

 WINFOCUS  Singapore 2009

WINFOCUS Singapore faculty and participants- February 2009

Bret Nelson joined the faculty for the WINFOCUS ultrasound course at Alexandra Hospital in Singapore from February 23-26, 2009. There was an incredibly diverse group of physicians participating, as well as the WINFOCUS past president, Luca Neri (who organized the course). The Society for Emergency Medicine in Singapore annual conference followed on the heels of the ultrasound course. It was well-attended by emergency physicians from all over the world.