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Simple Kind of ED (SKED)

The First EM Podcast from Taiwan (Language: Chinese) 以中文為母語的急診Podcast。
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Simple Kind of ED (SKED)
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Dec 2, 2016

急診醫師專訪系列之二(下集)


DAS SMACC第二階段報名時間(2016-12-07 05:00)
http://www.smacc.net.au/
Oct 31, 2016

急診醫師專訪系列之二(上集)

  • 受訪者:簡立建(急專編號:A00975)
  • 台灣外傷醫學會理事長(第九屆)
  • 台北市立聯合醫院和平院區緊急醫療部災難醫學科主任
  • 訪談年份:2016
  • 最一開始想走急診的原因:Trauma
  • 防止burnout的祕訣:別太在意收入
  • 面試新進住院醫師時想問的問題:你為什麼想來急診?
  • 現代急診醫師最應具備的能力:溝通、觀察的能力
Aug 30, 2016
侯勝文與Jess Mason於2016 ACEP Teaching Fellowship時合影這一回由侯勝文訪問Jessica Mason,內容述及她參與錄製幾個Podcast節目的因緣及其對社群媒體與急診醫學教育的看法。
Jul 28, 2016
  • Reuben Strayer: Leisurely Laryngoscopy (SMACC DUB)

    • Position

      • head at head of bed, or beyond (occiput off)

      • ear to sternal notch

      • head of bed up

        • Levitan RM, Mechem CC, Ochroch EA, Shofer FS, Hollander JE. Head-elevated laryngoscopy position: improving laryngeal exposure during laryngoscopy by increasing head elevation. Ann Emerg Med. 2003;41(3):322-30.

      • look into the mouth; not get into the mouth

    • Start laryngoscopy early (but with deliberated slowness)

    • Incremental Goal Directed Tracheal exposure (IGDT)

      • lead with suction

      • soft palate → uvula → posterior wall → epiglottis → interarytenoid notch

      • ELM (external laryngeal manipulation)

    • Eschmann Introducer (Gum Elastic Bougie)

    • Assistant

      • 拉嘴角

      • Jaw Thrust Maneuver

        • Corda, David M., Kevin T. Riutort, Alex J. Leone, Mueez K. Qureshi, Michael G. Heckman, and Sorin J. Brull. "Effect of Jaw Thrust and Cricoid Pressure Maneuvers on Glottic Visualization during GlideScope Videolaryngoscopy." Journal of Anesthesia J Anesth 26.3 (2012): 362-68.

      • 3 Finger Tracheal Palpation

        • Gamble, Jonathan J. "Three-Finger Tracheal Palpation to Guide Endotracheal Tube Depth in Children." Pediatric Anesthesia Paediatr Anaesth 24.12 (2014): 1312-313.

        • Mckay, William P., Jim Klonarakis, Vladko Pelivanov, Jennifer M. O’Brien, and Chris Plewes. "Tracheal Palpation to Assess Endotracheal Tube Depth: An Exploratory Study." Can J Anesth/J Can Anesth Canadian Journal of Anesthesia/Journal Canadien D'anesthésie 61.3 (2013): 229-34.
  • Scott Weingart: Post-Intubation Sedation (SMACC DUB)

    • 止痛先於鎮靜

      • 1mg hydromorphone ivp, then 0.5mg ivp q10min

      • Neuro problem: choose Fentanyl

    • Scott推薦在急診先用Propofol(Dexmedetomidine生效較慢)

    • Pain cannot be a “pressor”

    • RASS score

    • 使用Rocuronium,請別讓病人流淚!
  • dasSMACC: 20170626~0629
Jun 4, 2016
  • 急診就診信任基礎薄弱
  • 退掛&自動出院(AAD)
    • 激烈的抗議手段 vs. 不看最好
    • 何時不能自己退掛
      • 119送入
      • 院內其它單位轉入
      • 自傷傷人行為
    • 退掛的真正理由
      • 換取提早看診的手段 vs. 真的不想看
  • 在急診等待手術者的疼痛問題
    • 真的痛 vs. 換取注意力的手段
  • 老人主訴胸悶
    • 總是找不到原因時要想到depression
      • 和家人互動關係
      • 失能後的憂鬱(e.g. 中風後)

2016-06-24 EMRN網聚
May 14, 2016

每月收聽的急診Podcast清單:

目前使用的android app.: AntennaPod http://antennapod.org/

Apr 10, 2016

由侯勝文醫師介紹Spinal Motion Restriction(譯為『脊椎減移』)
Introducing Spinal Motion Restriction into Taipei EMSS

P.S. 網頁可下載slides (.pdf)及影片(.wmv)

Apr 10, 2016

The First EM Podcast from Taiwan

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