The 4 step approach to The Deteriorating Patient

[@jonylawson73]

as a prime responder and clinical nurse advisor ...this is fantastic ...really clear and very human ..thanks ( to be honest , in 25 + years this is one of the best lectures i have seen )

[@aleksap5459]

This was so great to watch. As an RN I like to appreciate the medical perspective of patient management especially in clinical deterioration. Love that you're an Australian channel, too! I sometimes find non-Australian resources unhelpful at times as they often operate with different guidelines.

[@ABCsofAnaesthesia]

Thanks Aleksa!

[@ArranRWilliamson]

I love the conversational style you presented this information using real experience and your thought processes as you ran through it. Fantastic

[@ABCsofAnaesthesia]

Thanks so much! I’ll definitely try and do more of these with my colleagues :)

[@woodsprite2772]

This was so helpful, doctor! Thank you!

[@lixiaona]

Awesome presentation! I learned a lot as a nurse as well!

[@ABCsofAnaesthesia]

Thanks linda :)

[@xinshou2192]

This is a fabulous video. I learned a lot from it. Thank you for your effort.

[@ABCsofAnaesthesia]

Glad it was helpful! I've got a whole course on the foundations of anaesthesia if you're interested in learning more :) anaesthesia.thinkific.com/courses/foundations

[@ushaadhikari4491]

Such a helpful information!

[@DrSivaMahalingam]

great discussion!

[@ABCsofAnaesthesia]

thanks so much :)

[@samuelo6816]

Wondering what peoples thoughts are on contraindications for NPA regarding basal skull #? It’s something many people mention but it seems to have arisen from a small number of case reports unless I have missed something. I also came across a suggestion these case reports were potentially just cut down ETTs. I consider (mainly within a prehospital environment) if I’m struggling with airway I would use an NP even if concerns over basal skull #.

[@Maryam-r7w]

After how many defibrillation shocks would a skin burn occur?does it after the 1st,2nd,3rd or more for eg. 10 or 12times ? With thanks

[@jonylawson73]

Are the slides available for this (please)!

[@stassji5041]

ABCDE in the hospital is essential. C-ABCDE if in a combat environment. Always carry a tourniquet or a belt with you.

[@spekis1]

Great!

[@13ninjapirate]

I always forget what the 4 H's are because each H just stands for hyper / hypo something. In the middle of a code my lizard brain has zero chance of remembering the 4 H's The mnemonic "VOTE 4 Mr. T" tells you what the thing is that's hyper / hypo: Volume (hypovolaemia) Oxygen (hypoxia) Temperature (hyper / hypo thermia) Electrolytes (K, Na and Glucose - using some poetic licence with electrolytes here) And then the 4 T's as per usual Pity the fool who forgets to VOTE 4 Mr. T!

[@ABCsofAnaesthesia]

really love this comment! I think its really annoying when a memory aid, isnt that effective. I think VOTE is fantastic. we should be able to come up with a similar one for the 4Ts.