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Barry Singleton
@DrBSingleton
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Intubation devices & C-spine immobilisation - so happy to be able to share our systemic review and network meta-analysis. Thanks to co-authors @Fiachra_M @barbarosyet @donalbuggy @ZBPerkins , as well as @TraumaMasters and @BJAJournals
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@EM_RESUS Agreed, but whatever volume you can get in through the IO to bring the veins "up" can only make central access easier!
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@MaterTrauma @ThePillarDublin @ProgrammeSpark Invaluable skill, especially in the exsanguinating patient! For those advocating for US: clear evidence that it is superior to landmark for reducing complications of internal jugular cannulation, but the same isn't true for subclavian lines!
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RT @EM_RESUS: I don’t care what anyone says, the blind subclavian central line is a very powerful one—especially in trauma. It’s becoming a…
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RT @BJAJournals: Regional anaesthesia and mixed reality: threading the implementation needle. New correspondence by Singleton et al #RA #an…
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I'm new to TOE but I'll give it a go... image (1) is a ME LAX view showing AR (2) mechanism looks to be complete prolapse of the NCC/LCC... I've only heard of the Carpentier classification in relation to MR but I'm guessing it would be type 2... is there vegeration coming into view? (3) Colour Doppler over the AV shows plenty of aliasing on the LAX and SAX views, and the last image with the CW measurements shows a PHT of less that 200 msec compatible with severe disease... and is that flow reversal in the Ao during diastole? 4. Resp failure sounds like pulmonary oedema due to fluid backing up into the pulmonary vasculature. 5. Needs repair but minimally invasive vs. open repair and timing of etc. subject controversy! That's my best guess of what's going on - keen to hear from wiser people than me!
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RT @thejournal_ie: "I'm dismayed that Ireland has been left behind when it comes to this key element in trauma system development." Dr Bri…
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@Philip_Goff If you want to call what submarines do when they move through water "swimming", that's fine by me. But it's not what humans do when we describe them as swimming
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RT @FPHCEd: Applications now open for the FPHC Diploma in Retrieval and Transfer Medicine being held on 28/29 April 2025 This popular dipl…
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RT @edelfaherty: We remain very concerned for our lovely colleague, Manuela's, safety. Please, it would be greatly appreciated if people co…
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RT @edelfaherty: PLEASE PLEASE SHARE... Our colleague in @TUH_Tallaght, Manuela, has been reported missing. Last seen on Friday morning in…
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@MoHamza89 @eoconor209 Base deficit now included in the ATLS 10th edition classification of shock... Guess asking about the lactate rather than the Hb a movement in the right direction?
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@doctimcook @cliffreid Perhaps because Macintosh VL also allows the operator to obtain a direct view, which might be important in soiled/contaminated airways where material can stick to the camera? I'm only speculating, agree that their recommendation needs justification!
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