EM Masterclass

Details of blood gas analysis sorted out on metabolic walk. Saved some more Santa’s by matching gasses to patients. Tip: a high osmolality is not the same as a high osmolar gap. DKA has high osmolality due to glucose but a normal osmolar gap.#EMMasterclass

Jury is out: debatting responsibility of RSI in ED in #EMMasterclass. Outcome: Safe RSI in ED is the responsibility of the Emergency Physician. (Which is not the same as being the airway operator).

@drbear13 and @GomorraDoc explaining the purposes of sim; individual learning, team training, system diagnostics, system improvement. It only comes together after breaking it down into components. Just like an orchestra. #EMMasterclass

Biggest lesson for surgical airways: be prepared, mentally and physically. Tip: mental rehearsal with added layers of complications (environment, teams) #EMMasterclass

Using oxylog online for vent workshop in #EMMasterclass. Tip: high pressure alarm -> disconnect patient from vent to figure out which of the 2 is the problem. Can you change your patient, or do you need to change the settings?

#EMMasterclass Finding out which ventilation mode is the best for ARDS. Answer: no evidence suggesting a superior one. EPs are best of using the mode they are familiar with (in lung protective settings). @GomorraDoc @APGvD

Can't believe it has been five years since you did the first cardiovascular in EM one! Emergency Medicine in Europe, growing strong! Running again next year. Crit care in EM today; will keep you posted. #EMMasterclass @GomorraDoc @drbear13 @APGvD @Geijsel @peterallely