22 September 2021 - Trauma
Teaching this week will be on Microsoft Teams:
Program
1000—1025: Recap — Stu Howard & Rosi Bansal
1025—1030: ECG of the Week — Luke Bayley
1030—1100: Traumatic Brain Injury — Rosi Bansal
1100—1200: ICU Joint Case Discussions — including ED Case presented by Joseph Colcough & Sally Morcos
1200—1230: Acute Pain Service in Patients with Blunt Chest Trauma — Mike Ng (Anaesthetics Fellow)
1230—1300: Blunt Chest Trauma Guideline
1300—1315: Short Break
1315—1330: Homeless COVID Vaccination Program — Sarah Simons (link here for COVID-19 Vaccination Training)
1330—1400: Cardiac Arrest in Trauma — Sally Morcos
Break-out Groups
1400—1445: COVERT Intubation Simulation with Stuart Dilley (Teaching Lab in Education Centre) — Sarah Simons & Andrew Catran
1400—1445: Ultrasound with Mark Rugless — Camillo Vesga
1400—1500 Fellowship Written Group with Alex Handrinos (Zoom Meeting link) — Rachel Goh, Andrew West, Rosi Bansal, Matthew Kilmurray
ECG of the Week
81yo man with sudden-onset palpitations and SOB. GCS 15. BP 110/60.
1) Describe the ECG.
Monomorphic VT
2) Please list at least 5 differentials for a broad-complex tachycardia.
VT
Torsades de Pointes
Accelerated idioventricular rhythm
SVT with aberrancy
Rapid AF/Atrial flutter with aberrancy
Pacemaker dysfunction
Na channel blocker overdose
Hyperkalaemia
3) What patient and ECG features would make you think of VT rather than other causes of a broad-complex tachyarrhythmia?
4) You diagnose the rhythm as VT. As the patient is currently stable, you consider an amiodarone infusion. Which differentials for broad complex tachyarrhythmia would make amiodarone a potentially catastrophic choice?
Torsades de Pointes
Accelerated idioventricular rhythm
WPW and rapid AF
Na channel blocker toxicity
Hyperkalaemia
