NIHR ACF in Intensive Care Medicine - exceptional opportunity to get into ICU research in Southampton @OfficialNIHR Critical Care Research Mike Grocott Denny Levett #CharlesDeakin wessexdeanery.nhs.uk/recruitment/re…
Today’s College of Paramedics talk included the following learning nuggets!
1. The presence of a radial pulse does not correlate with a SBP >80. BP may be MUCH lower. From bmj.com/content/321/72… charles deakin
A very eminent professional and expert in the area is against #DSD As Tom Quinn etc. would say, show me the evidence and #CharlesDeakin is saying bias in what little publication there has been
Jeff Anderson Caroline Leech College of Paramedics charles deakin When a ‘seasoned’ para holds the wrist: ‘Yeah, they’ve got a good radial.’ 🤦♂️ A small bit of reading of easy-to-find studies smashed that little pearl of wisdom.
Jeff Anderson Caroline Leech College of Paramedics charles deakin I would think mentation would be a better indicator than presence of a radial pulse.
Caroline Leech College of Paramedics charles deakin Does bring us back to the question about how useful systolic BP is esp when measured non invasively. I’m much more interested in MEAN non invasive BP.
Caroline Leech College of Paramedics charles deakin The radial pulse/ BP issue usually comes up when deciding if a patient needs fluid. Would it be fair to say that if a patient has a radial pulse they are perfusing well enough to not need a fluid bolus?
#handson Advanced Resuscitation #CarstenLott #CharlesDeakin Starting in 15 minutes in Room3 #ERC13kralow
Beardless Batnurse Jeff Anderson College of Paramedics charles deakin Unless the patient also has a traumatic brain injury 😉
Simon Carley Caroline Leech College of Paramedics charles deakin ...as it is for an ED experiencing ‘pressure’ issues!
Caroline Leech College of Paramedics charles deakin But the real question is arguably about flow rather than pressure