Kat Hunter
Kat is an Anaesthetist at University Hospitals Sussex in Brighton and a HEMS Doctor with Air Ambulance Charity Kent Surrey Sussex.
Location Sussex
Activity
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Awesome! Do you have any strategies for creating plans and communication that you find particularly helpful?
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Thanks Ali! Does anyone out there want to share their reasons for ongoing sux usage?
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Great comments Marie! I feel that one possible to solution to such a dynamic environment is to make sure that we train together across different organisations as much as possible.
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Kat Hunter replied to Alison Blake-Reed
Great question! There's some excellent suggestions on scene management dotted around the comments this week e.g. giving bystanders tasks, utilising Police/FRS colleagues.
Your scenario highlights really well the need to communicate our plan with relatives as well as other colleagues on scene, so that they know what to expect. I've also seen people use the...
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Kat Hunter replied to Dawn Giffin
Great comment, getting comfortable with using a particular device and then maintaining that exposure can be challenging, how do we get the right training in place?
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I think you're right, my guess is that surgical masks at the least for RSIs are here to stay
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Kat Hunter replied to Chris Keeliher
Good point, it's a process of continual refinement for all agencies I think. As the number and complexity of interventions that we can perform increases how do we keep our kit manageable and relevant? I'd love to hear how others evaluate their kit!
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Kat Hunter replied to Jordan Gray
Glad you enjoyed it Jordan! I'm hoping we can get back to much more multi-agency training post covid as we have so much to learn about how we work with others
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Great point John, we tend to focus on the role of sux within an RSI but it arguably could have a use in the scenario you describe above. That said, if as providers we're much more used to using rocuronium, should we be reaching for a drug that we're less familiar with in a stressful situation such as laryngospasm?
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Kat Hunter replied to John Powdrell
That's a really interesting suggestion John- what level of training would responders need? Would there also need to be a system of governance?
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Does anyone have any experience of using sugammadex for reversal pre-hospital that they are willing to share?
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Great question Oliver. The manufacturers of Sugammadex suggest administering a 16 mg/kg dose to reverse a 1.2mg/kg dose of rocuronium that has been given roughly 3 mins previously, there isn't any reference to the reversal of a 2mg/kg dose in the product literature.
I would argue that if the decision to intubate a patient in the pre-hospital environment has...
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Kat Hunter made a comment
To echo the comments of several colleagues below; I’ve only ever practiced my CICO drill with other anaesthetists, I will be making it a priority to get some MDT sim up and running
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Kat Hunter made a comment
Great course so far! My 'hot take' is thus;
- as a trainee who has grown up in the NAP-4 era, it's easy to assume that all the recommendations made have been implemented wherever I've worked. On closer examination there are often still things we haven't introduced, improving safety doesn't necessarily mean breaking new ground, it can mean ensuring that our...
