user avatar
Nicholas Chrimes
@NicholasChrimes
Anaesthetist | Creator @VortexApproach | Director @UniversalAirway | Co-founder @SafeAirway | Executive Member Airway SIG | Airway Lead CCLHD | EZDrug ID
Sydney, Australia
VortexApproach.org
Joined March 2009
119
Following
7,994
Followers
Posts
  • Pinned
    user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Feb 1
    Registrations are now open for the @SafeAirwaySociety's Gosford Airway Workshop. Come learn HAVL, VAFI, Neck Rescue & management of tracheostomy/laryngectomy emergencies on NSW's sunny Central Coast. Qualifies for @ANZCA & @CICMANZ CPD Register here: sasevents.eventsair.site/registration
    1.6K
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Aug 21, 2021
    No one should be allowed to use the phrase “living with COVID” without defining what that means in terms of acceptable rates of hospital admission & death. #COVID19
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Apr 6, 2020
    The best protection against aerosols is an appropriate mask and AIRFLOW. The techniques below create a confined space of stagnant air with high viral load. Even with suction placed inside they're unlikely to have the air change capacity of an operating theatre or isolation room
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Jan 20, 2023
    HAVL: "I can see but I can't get the tube in" typically reflects an operator skill deficit or use of inappropriate equipment. HAVL req's an introducer w a stable curve. A coiled straight bougie will unfurl, progressively aggravating tube delivery as intubation challenges⬆️
    00:00
    141K
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Aug 2, 2021
    You’re 4 times more likely to be hit in your home by a crashing plane than to die from a blood clot from the @AstraZeneca vaccine. Graphic from London Telegraph.
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Aug 7, 2021
    18-39yr olds in Victoria who are not eligible under the current phase of rollout are now able to call and book an @AstraZeneca appointment through the National #COVID19 vaccine helpline! Much simpler than booking online & avoids the issue of GP’s declining AZ this group.
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Apr 2, 2020
    COVID seems to have solved all the the contentious airway debates: VL is universal Cricoid is out Neck rescue is scalpel only Thanks COVID 😉
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    May 13, 2020
    Aerosol boxes: longer times to intubation, lower 1st pass success & damage to PPE. Who'd have thought? New study by @SpontVentGA @precordialthump @drdavidbrewster & Kent Lavery in @Anaes_Journal onlinelibrary.wiley.com/doi/abs/10.111…
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Apr 5, 2020
    When performing airway management in COVID-19 patients, minimise variation from standard practice unless there is a compelling safety reason to do otherwise. Unfamiliar processes involve more cognitive load and may have unintended adverse consequences.
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Mar 19, 2021
    Don't people understand how lucky we are a vaccine exists and that we have access to it. All this jabber about wanting the Pfizer in preference to the Astra-Zeneca vaccine is like getting onto a lifeboat from the Titanic then complaining you don't have window seat.
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Aug 18, 2022
    Just so the significance of this is not overlooked. A recommendation for routine use of VL for every intubation has been endorsed by all of the world’s leading airway societies. It’s time for laryngoscopy to enter the 21st century.
    associationofanaesthetists-publications.onlinelibrary.wiley.com
    Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Univer...
    Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events...
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Aug 13, 2021
    You seem to be ignoring: ICU staffing requirements Length of COVID ICU stay Demands of care for COVID pts Limited ICU reserves wout COVID Exponential rise in COVID cases Staggeringly incorrect.
    user avatar
    Dr. Nick Coatsworth
    @nick_coatsworth
    Aug 13, 2021
    Overwhelmed? The nation has over 2200 ventilators for immediate use and only 475 in use with only 33 of those used for COVID patients. Challenging?Yes. Tough on the frontline in Sydney? unquestionably. Overwhelmed? No. #factsmatter #auspol #COVID19nsw
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Jul 21, 2023
    Stop using a self-inflating BVM. No feel for compliance, no ability to distinguish mask leak from obstruction if CO2 absent & diminishing FiO2 with increased MV. Use a flow-inflating bag like a Mapleson. It’s not harder, it’s just honest. If you have a leak the bag goes flat.
    user avatar
    𝗥𝗲𝘀𝘂𝘀𝗠𝗲𝗱
    @ResusMed
    Jul 21, 2023
    📢 Bag mask ventilation is the most underrated skills in emergency and critical care medicine! Everyone thinks they are great at it, but very few are... Let's dive into the intricacies of Bag-Mask Ventilation (BMV) and shed light on some common problems associated with this
    00:00
    49K
  • user avatar
    Nicholas Chrimes
    @NicholasChrimes
    Oct 22, 2021
    GlideRite stylets aren’t malleable! They’re specifically designed with a 70 degree curve to match that of the HA blade. Stop ruining them.