The surgical skills taught at RESUSCITATE
Please note that this list may be modified
Surgical incision below the glottis in order to achieve direct access to lower respiratory tract bypassing the upper airways.
Surgical airway management is often performed as a last resort in 'Can't intubate, can't ventilate' scenario or in complex facial trauma for example.
ULTRASOUND GUIDED NERVE BLOCKS IN TRAUMA
Serratus Anterior block
Useful in delivery of analgesia for ICD, Thoracotomy and rib fractures
Cervical plexus block
Useful in delivery of analgesia for neck access
Fascia iliaca block
Useful in delivery of analgesia for femur fractures
And many more!!
Performed to resuscitate a major trauma patient who has sustained severe thoracic or abdominal trauma and who has lost their cardiac output.
The procedure allows immediate direct access to the thoracic cavity, permitting rescuers to control hemorrhage, relieve cardiac tamponade, repair or control major injuries to the heart, lungs or thoracic vasculature, and perform direct cardiac massage or defibrillation.
Finger thoracostomies, Left antero-lateral thoracotomy, Clamshell thoracotomy, Repair of cardiac injuries will all be taught.
Pre-peritoneal packing is a method of directly packing the retroperitoneum without the need for a laparotomy
Haemodynamically unstable pelvic fracture prior to angiographic embolisation to stop venous bleeding
REBOA is Resuscitative Endovascular Balloon Occlusion of the Aorta
It involves placement of an endovascular balloon in the aorta to control haemorrhage and to augment afterload in traumatic arrest and haemorrhagic shock states
A Sengstaken–Blakemore tube is a inserted through the nose or mouth and used in the management of upper GI Bleed due to varices. The use of the tube was originally described in 1950.
The tube may be difficult to position, particularly in an unwell patient, and may inadvertently be inserted in the trachea hence ETT before the procedure is advised to secure the airway. The tube is often kept in the refrigerator in the hospital's emergency department, ICU and GI ward.
Extracorporeal cardiopulmonary resuscitation (commonly known as ECPR) is a method of cardiopulmonary resuscitation (CPR) that passes the patient's blood through a machine in a process to oxygenate the blood supply.
The use of ECPR to rescue patients with cardiac arrest that is refractory to conventional cardiopulmonary resuscitation has been shown to improve survival in many patient populations.
Subclavian artery injuries
Axillary artery injuries
Penetrating injuries to the axilla and difficult to directly or indirectly control. Cut down to the vessels will allow ligation of same under direct vision.