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Cliff Reid
@cliffreid
EM/ICM/PHEM doc. LOVE learning + teaching. I work in the sky above Sydney, have the attention span of a bullet, + often have days that are like cartoons #FOAMed
https://cliffreid.substack.com
Joined March 2009
Posts
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    I showed a resident how to diagnose a pneumothoraces She asked 'don't you mean a pneumothorax?' I replied 'it's pleural'
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    Someone left a stethoscope on the orthopaedic surgeon's desk
    00:00
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    A patient with a rare condition was brought in to our ED last night - the first one our senior nurse has seen in her forty year career. It was a gunshot wound.
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    If anyone knows Kirsty the internal medicine trainee/recent geriatrics clinical fellow from Edinburgh who recently managed an in-flight emergency from Sydney to Hong Kong please tell her she’s awesome & pass on my thanks & Twitter contact so I can give her patient follow up info
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    Just a reminder to all nurses and doctors everywhere that placing a hypotensive patient in a head down position isn’t good for their airway, their breathing, their intracranial pressure (and hence their cerebral perfusion) and doesn’t usually help their blood pressure
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    Moments in the Jurassic Park Emergency Department - a 🧵
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    I had multiple attempts to insert the arterial line in the correct vessel but all my efforts were in vein
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    I am grateful for the Pause our ICU nurse in charge conducted today after the death of a patient. Apparently the first one done on this Unit. Meaningful for all staff present. Interested to hear who else is doing this in their EDs & ICUs thepause.me/2015/10/01/abo…
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    A beautiful CMAC video. It shows the visual representation of the 'clicks' you feel when the coudé tip of the bougie bounces over the tracheal rings, like a kid dragging a stick along a picket fence.
    GIF
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    Extubation Readiness: A to L Checklist We're obsessed with safe intubation, but what about taking the tube out? How do we assess extubation readiness? Here's my simple, alphabet-based A to L checklist: 1/17
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    Recently on ICU... Me (to team): this lady no longer requires any critical care. Get her back to the surgical ward asap. Senior nurse: Cliff I don't know what it is but I'm worried about this patient and don't think she should go to the ward Me: this patient is staying on ICU.
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    The iGel is a great supraglottic airway device But like other supraglottic airway devices (SAD) it's not foolproof Here's how to maximise your success with the iGel - a thread 🧵
    GIF
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    How I review ECGs of syncope patients to avoid missing the rare stuff. The 'WOBBLER' approach resus.me/wobbler/
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    What are your ‘famous last words’ at work? I’ll start: “I’ll just quickly see this elderly patient before I go home”