A fantastic team building activity organised by Karen!
(from top to bottom; L-R: Liz Wyatt, Mohsin Ejaz, Mike Gibbons, Lucy Selleck, Karen Winter)
The anticlimax afterwards – case presentations by Hans:
Here’s a wrap of take home messages – due to privacy issues it is not possible to post detailed case reports:
- a dislocated knee causing popliteal artery dissection:
- know your injury patterns and complications
- think about other trauma according to mechanism and do not fixate on the obvious
- incidental finding of low bicarbonate
- look at kidney and lung (ABG, U+E, urine PH)
- try to take note of all abnormalities
- Torsade de pointe in low Potassium and bradycardia
- keep the HR up – if needed with Isoprenaline or overdrive pacing
- it is the absolute QT that counts – use a nomogram
- serum K+ accounts only for 2% of body potassium – required replacement may be quite large
- use Chlorvescent when possible
- give concomitant Mg to fuel the “pump”
- chest pain in someone with Myotonia and preexcitation syndrome
- don’t be scared by weirdomas – rely on your history
- caveats of neuromuscular junction disorders
- difficult induction when intubating
- be aware of high risk drugs (Gentamicin, Benzos and many more….)
- avoid ABCD drugs in WPW rapid AF with antidromic circuit (Adenosine/Beta Blockers/Ca channel blockers/Digoxin)
- mastoiditis in a nonspecific presentation
- be aware of POOP (pain out of proportion to physical signs)
- careful with NESB
- trauma that eventually turned out to be a renal colic
- avoid diagnostic momentum
- if things don’t quite add up – create a “safety net”
- bilateral carotid artery dissection
- if sensible relatives are concerned – you should be concerned
- avoid heavy metal head banging beyond your 20s
Where are the photos and videos Hans?