This document discusses various time-critical procedures that may need to be performed in emergency situations. It provides guidance on being cognitively and materially prepared to perform these procedures. Specific procedures covered include intraosseous access, fasciotomy for compartment syndrome, lateral canthotomy for orbital compartment syndrome, and escharotomy for severe circumferential burns. Case examples are also provided to demonstrate how to apply these procedures.
8. Dominating the Resus
Room
• Know your environment
• Know your equipment
• Know your drugs
• Know your algorithms
9. Getting the Most out of
the Team
• Be Nice
• Be authoritative
• Stay patient focused
• Ask for help
• Use the group
• Push the right buttons
• Craft your language
18. Intraosseous Access
• Needle inserted into bone
• Non-collapsible vein
• Infuse into systemic circulation
• 97% first pass success rate
• Insertion in under 30secs
19. Intraosseous Access
• Equal predictable drug delivery
• Equal pharmacological effect
• Flow rates 125-250mls/min
• Pain comparable to PIVC
• Dwell time 24hours
20.
21. Case 1
• No luck PIVC
• IO - humeral head
• Given 2litres CSL
• RSI- Ketamine-Roc
• Given 2g ceftriaxone
• 2/24 later CVC inserted