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TRANSCRIPT
CLINICAL UPDATES John Mackenzie Medical Project Officer
Where are we….
Great ideas, like if it works lets fix
New Platform….
Website stuff
Frontpage
Search Issues
The Royal Children’s Hospital Melbourne
Factsheets 43 and counting
Clinical tools
Gastroenterology
Infectious Diseases Stuff
Ultrasound
Image and Video Library
Procedures…Getting there
Fascia Iliaca Block
NSW Chest Pain Pathway
For your eyes only…
Top Half
Ischaemia Possible
Bottom Half
Low—Inconclusive--High
Other Good Bits
Risk Assessment Score
High Flow Humidified NP O2
FLORALI study NEJM 2015 • BIPAP vs HHNPO2 vs face mask O2 • Hypoxaemic respiratory failure • RR >25 • Absence of hypercapnea • Absence of COPD • GCS>12 • 50 Ls/min • Most had pneumonia • HHNPO2 better than face mask better than BIPAP
Are we prime time • Yes for hypoxaemic non hypercapnic patients • Yes for rib fractures/flail • Yes where BIPAP not tolerated and ETI not indicated
• We should be thinking about other uses • More trials, watch this space
Finished for now