Podcasts about minh le cong

Scene management, logistics, and stabilization of a blunt trauma patient in the Australian outback with Dr. Minh Le Cong (@ketaminh), rural GP and retrieval physician for the Royal Flying Doctor Service and host of the PHARM podcast. Takeaway lessons If there is reasonable suspicion of the presence of a pneumothorax (of any size), have a … Continue reading "Episode 24: Rural retrieval medicine with Minh Le Cong"

Today the boys interview Dr Minh Le Cong. Minh is a rural generalist with the Royal Flying Doctor's Service in Queensland, Australia, with a keen interest in all things pre-hospital. He is also the creator and host of the PHARM podcast, and blog  https://prehospitalmed.com/about/ Today we chat about the challenges of the pre-hospital environment, education, social media and what the future may hold. 

Ep 14 GroundHog Day - the deja vu RACGP keynote manel with special guest Minh Le Cong by @MedEdStuffNN

“ipsa scientia potestas est” This is FOAMed. Thus there are a lot of people that are nothing short of obsessed with airways. It’s as if humans were primarily a giant "Pass the Parcel" game with a super difficult intubation inside. This will allow us individually to be the airway super-hero that we dream we could be. But we don’t have super powers. None of us do. We do have some information though and information is power. NAP-4 out of the UK was the product of information collected by the College of Anaesthetists in the UK. Before that was published Toby Fogg had already started collecting airway data at the Royal North Shore Hospital in Sydney, Australia and beyond. Toby spoke to Minh Le Cong on his PHARM podcast 5 years ago. This rather helped get the word out and he followed up with a post on Lifeinthefastlane. https://lifeinthefastlane.com/do-you-know-if-you-really-own-the-airway/ 5 years later we caught up with him to find out how it is all going. Toby is still collecting the data. Some people collect stamps, some collect beer glasses. Toby collects airway data. He's been at it for about 7 years now with the cooperation of a significant number of hospitals around the country. He has been able to see the changing trends in Australian airway management from the publication of the NAP-4 audit to emerging practices such as Delayed Sequence Intubation, Apnoeic Oxygenation and the increasing use of ketamine and rocuronium for RSI. He has also had to learn the intricacies of setting up a database for potentially sensitive information. In the background Luna Park was in full swing with music playing and rides running, which reflected the rollercoaster ride that Toby has undertaken. Sounds like a laugh. The Airway Registry - http://www.airwayregistry.org.au/airway-heros.html 
The Emergency Care Institute - https://www.aci.health.nsw.gov.au/networks/eci https://lifeinthefastlane.com/do-you-know-if-you-really-own-the-airway/ Musical inspiration today is the reggae classic “Give me Power” by Lee “Scratch” Perry & The Upsetters. (I don’t think Lee was thinking of airway data though.)

Soft collars are being supported more with a growing body of literature.  There is growing support for the change from semi-rigid (hard) collars to soft collars by a number of organizations, especially prehospital, in nations such as Australia.  After our initial primer podcast on this subject, we review some of the finer points to this debate on this podcast.  Details on the pros and cons are mentioned more extensively in the podcast itself so take a listen.

To some, the rightful place for a rigid cervical collar is in a trash bin, but is it really that easy?  Parts of Australia seem to think so and have made a hard push in that direction.  To prepare us for the debate, this podcast is devoted to an introduction of the issue.  A primer if you will.  Minh Le Cong helps explain more in the podcast.

There was a lot of coverage for the original Vortex Approach and the revised version has also caught some attention. Others like Minh Le Cong have covered it and the British Journal of Anesthesia has the paper available for free (at this time). It is definitely worth going to the Vortex Approach website as well for details, especially regarding training.

After our talk with Minh Le Cong from the PHARM podcast, we decided it was appropriate to discuss the POKER Trial.  No, it is not about cards, but rather about if propofol mixed with ketamine is better than propofol alone. In addition to this podcast, there have been a few other blogs such as St. Emlyn's and REBEL EM that reviewed this study. At this time, we believe that this is the only podcast to create an audio discussion in detail on the subject (we may have missed someone and we apologize). For that reason, we wanted to make sure there was a way you could listen to a detailed analysis of this study soon as it is still a relatively recent publication.

The image above is the chemical structure of ketamine, and that is exactly what we are talking about today.  This is the second half of our conversation with Minh Le Cong who is best known for his involvement on Twitter with the FOAMED world and his PHARM podcast.  If you did not listen to the first half, please go back to Podcast #5 to listen to that portion.  Otherwise, get ready for the second half of this excellent conversation.    

Minh Le Cong is known worldwide especially on Twitter and his PHARM website.  On August 16, 2016 he agreed to get on Skype and discuss ketamine in detail with me.  Although we lost some of the original audio due to a mistake on my end, we still recorded approximately one hour's worth of audio.  Due to the length, we are breaking up the discussion into two separate podcasts.  The second one will come out next week.  So sit back, relax, and enjoy the conversation.  

Dr. Karel Habig of Sydney HEMS, leads a global panel in the discussion of the retrieval of patient with a difficult airway in a rural ED. Additional discussion surrounds the capabilities of HEMS services around the world. Participants include: Dr. Geoff Healy, Dr. Stephen Hearns, Dr. Craig Bates, Dr. Mike Abernethy, Dr. Minh Le Cong, Crystal Upshaw. 

Video laringoskop son derece pahalı ve günümüz sağlık sisteminde yöneticilerin acil servislere almak istemediği cihazların başında geliyor. Cep telefonlarımızın bile mükemmel videolar çektiği zamanlarda olmamıza rağmen basit bir video laringoskop ucundaki kamera sisteminin bu kadar pahalı olması akıl alacak gibi değil. Geçtiğimiz senelerde özellikle mali durumu yetersiz yerlerde en azından eğitim amacıyla kullanmak için ev yapımı video laringoskop konusu FOAMed dünyasında gündeme gelmişti. İlk defa bir ambulans hekimi olan Dr. Malcolm Russell tarafından bildiğimiz inşaat boroskopu ile bir deneme yapılmış ve bu denemeyi youtube'dan izleme şansı bulmuştuk. Bu boroskop 100 USD civarında bir maliyete sahipti ve o zaman ülkemizdeki fiyatı da 300-400 TL arasındaydı. https://vimeo.com/62716322 Ama teknoloji hızla ilerledi ve ucuzladı. Dr. Minh Le Cong (@ketaminh) ve Dr. John Hinds (SMACC'de tanıştıktan bir ay sonra kendisini ne yazık ki elim bir motorsiklet kazasında kaybettik) geçen sene ucuz yollu video laringoskop yapmak için türlü denemeleri kendi bloglarında paylaşmışlardı. Ben de konuyu yakından takip eden biri olarak 15 gün önce son derece ucuz (8,84 USD yani 30 TL'nin altında!), su geçirmez, 5 mm kalınlığında ve 2 metre uzunluğunda, ışık miktarı ayarlanabilen bir USB endoboroskop görünce hemen satın aldım ve ilk denemeyi yaptım. Elime dün geçen endoboroskop kaliteli bir kabloya sahip. Mac ve Windows bilgisayarlar cihazı takınca direk USB 2.0 kamera olarak tanıyor. Mac'de Quicktime içerisinden USB camera diye seçerek hemen görüntü alabiliyorsunuz. Windows 7 ve 8 için ise bilgisayarınıza endoskop ile gelen bir cd'deki programı kurmanız gerekiyor. Malzeme kalitesi orta seviyede, öyle yıllarca dayanacakmış gibi bir hali yok aslında (bu sebeple ben de sipariş verirken 2 tane vermiştim).  Işığı çok güçlü, görüntü 480p, 0,3 megapiksel. Yani selfie çekerken kullanılan iphone ön kamerasına denk bir kalitesi var. Laringoskop ucuna bağlarken birkaç santim geride tutmak gerekiyor, bir de üzerinden üstü neresi altı neresi belirtmediğinden kameradan bakıp tam üste gelecek şekilde sabitlemelisiniz. Sabitleyince ise aşağıdaki görüntü alınıyor. Zaten alışık olduğunuz Mac blade kullanmak en büyük avantaj, sadece ucuna kamera eklemiş oluyorsunuz. Hasta üstünde denemek gibi bir durum söz konusu olmadı ancak üstünde çektiği elektrik son derece düşük voltajda, ayrıca su geçirmez, yıkanıp, alkol bazlı sterilizasyon sıvılarında bekletilebilir olup olmadığını test etmek gerekiyor. Ancak şu haliyle video laringoskopu olmayan kliniklerin maket eğitimlerinde rahatlıkla kullanabilecekleri, 30 TL'lik bir video laringoskop sahibi oldunuz. Hayırlı olsun.

We review use of longboards and cervical collars for spinal immobilization using the  new ACEP statement and posts by ScanCrit (Curse of the Cervical Collar, Cervical Collar RIP,  Cervical Collars Slashed From Guidelines), a post by Dr. Minh Le Cong from PHARM, and this Medest118 post (in addition to new policy statement from ACEP)  Then, we delve into core content pearls on differentiating spinal shock from neurogenic shock, the incomplete cord syndromes such as anterior cord syndrome, central cord syndrome, and Brown Sequard syndrome, as well as a quick and dirty review of key spinal reflexes.  We do this using Tintinalli, and Rosen's as a guide.  As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

dscotblog.com for the show notes

This week we review the Taming the SRU podcast, "Ketamine Cagematch" (iTunes) in which Drs. Minh Le Cong and Chris Zammit banter about the use of ketamine in patients with traumatic brain injury (TBI).  Then, we delve into core content pearls on concussion/mild TBI including diagnosis, treatment, and complications using Tintinalli 254 but to be honest, Rosenalli is lacking on this topic so we've turned to the ACEP clinical policy, AAN guidelines, Ontario Pediatric Guidelines, and the  AAP guidelines on the topic. As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

A google hangout discussing the latest study on Early Goal Directed Therapy - ARISE. Featuring Anthony Delaney, Simon Carley, Segun Olusanya, James Day, Minh Le Cong, Jonathan Downham and Oli Flower.

Minh Le Cong (@rfdsdoc), speaks on agitation in the ICU. His punchy talk covers why agitation happens (on both sides) as well as strategies for managing the agitated patient. The potential of ketamine use for agitation and refractory depression is also discussed. This great podcast was recorded from the Bedside Critical Care Conference 2013.

The discussion of verapamil as an option for the treatment of supraventricular tachycardia (SVT) in RAGE Session Two went off like a fire cracker in the FOAM world. In this RAGEback, Minh Le Cong from the PHARM podcast explains why the RAGE discussion is not going to change his practice, which is to use adenosine as a first line agent. This is followed by a response by RAGErs Karel and Cliff. You — the listener — are left to make up your own mind about which patients (if any) you'll consider verapamil as an option.

Minh Le Cong gives the finer points to maximise best outcomes managing the airway.

In this podcast short, Minh Le Cong discusses three airway disasters.