The ACE THE ACEM BOOTCAMP covered the key assessment systems for low and intermediate chest pain in the ED
WE reviewed the MJA 2016 ACS guidelines and looked at the
TIMI VS. EDACS VS HEART VS GRACE
scoring in ED
and looked at current pathways for accelerated chest pain pathways.
Key knowledge for the exam and on floor !!!
Another tough discriminating ECG for the Fellowship exam. The ACE THE ACEM BOOTCAMP covered atrial infarctions in the ED with the Lew Criteria as key to diagnosis:
PTa elevation > 0.5 mm in II, III OR AVF ( right side) or V4,5 ( left atrial)
With reciprocal PTa depression in precordial leads.
Also note the increased mortality associated with atrial rupture !!!
The ACE the ACEM BOOTCAMP covered it’s first cardiology session towards the May 2020 exam. D1 lesions are tricky to diagnose - STEMI in AVL and V2 with depression in III AND AVF. Look out for this tricky ecg in the exam and also on floor !
Airway assessment and management
We started the new webinar series in prep for May 2020 with some key structured thoughts on airway
The anatomically difficult airway
MOAN - bvm ppv possible?
RODS - LMA / extraglottic device possible ?
LEMON- Laryngoscopy possible?
SMART - Cricothyroidotomy possible ?
The PHYSIOLOGICALLY DIFFICULT AIRWAY
HOW WOULD YOU IPTOMISE YOUR RSI IF THE ABOVE WERE PRESENT ?
Have your devices ready to roll:
Standard : BVM BOUGIE CMAC ETT LMA
INTUBATING LMA / stylet
Fiber optic intubator
Know the following algorithms:
‘AWAKE’ oral intubation