EMCrit WEE – SMACC 2013 Summary and Learning Points

The Conference

SMACC 2013 was, bar none, the best Critical Care Conference I have ever attended!

The People

I got to meet people like…

Doug Lynch

Doug Lynch (@thetopend)

Victoria Brazil (@SocraticEM)

and Most Importantly,

to all of the wonderful listeners that introduced themselves–I Love You!


Great Article (CLEVELAND CLINIC JOURNAL OF MEDICINE 2011;78(10):675)

SMACC-Backs are coming…

The Clinical Stuff

IVC Ultrasound




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  1. says

    Hi Scott

    Glad you made it home safely – very jealous you didn’t get smashed by jet lag!

    “SMACC backs” – great concept… Can’t wait to check ’em out.

    Obviously we could not have done SMACC without EMCrit mate – thanks so much for coming. SMACC 2014 will be bigger and better, we’re making sure that we listen to the masses and deliver what they need.

    SMACC is not-for-profit conference dedicated to the ethos free open access meducation (FOAM) – all the content will go online – but more importantly is the meeting place for people who believe in FOAM in emergency medicine and critical care. My reflection on SMACC is here on LITFL: http://lifeinthefastlane.com/2013/03/smacc-down-but-not-out/

    Brisbane March 17th to 19th 2014 – see you at SMACC!


  2. says

    Scott, we are all glad to hear that it was as good for you as it was for us! Great to meet you, a true hero of mine, true to the Cliff Reid definition of hero! The benefit you have brought to critical care practice globally is frankly immeasurable, and for that I thank you. See you at #SMACC2014. Sorry I cartooned your avatar burying his head in the sand!!!

  3. says


    How I wish I had heard you jet lag tips before flying home! I am only just coming out the other side now!

    Thanks so much for all your contributions at SMACC. I’m looking forward to reviewing some of the talks when they are published online and directing others, who weren’t there in person, to them. Thank you also for being kind to our St Emlyn’s team in SimWars – I’m sure there were a lot more clinical shortcomings you could have mentioned (and please rest assured that in “real” clinical situations there would be a few less jokes!).



      • says

        Love the idea of making system changes to help humans out in resusc.

        Re: Intub call/response checklist – suggest given HOp kill concerns, (if not suggested/done already) adding BP watch role to pulse ox watch role.

        Also any thoughts about considering timing intubation attempts for those critically ill where missed airway situation is recognized earlier rather than wait for sats to drop like a rock or taking too long for intubation attempt with hypoventilaton for the severe metabolic acidosis.

  4. Kath Woolfield (@lanafeld) says

    Haha loved your discussion of jetlag. It’s what my mother has been telling me to do for years… She reckons it’s also worthwhile for recovering from nightshift. I plan on doing an n=1 study at some stage.

    So many more clinical pearls. Pleased to see not everybody completely agrees with you (and that you present different opinions).

    Privileged to have been one of many listeners to have met you at SMACC 2013.

  5. David Levy says

    You referred to some books you have read on critical care thinking. Is that available on your blog? Thanks

  6. Ed Egan says

    It was great to see you firing on all cylinders at SMACC. Thanks for the jetlag stuff. I used your discussion & the paper referenced for my flights from Sydney to London yesterday.
    Couple of personal tips:-
    1. Before leaving home, I pre-cut my Melatonin 2mg. It made me feel like a real drug-pro but I didn’t want any security issues with pill cutter blade (then forced to try to break Circadin with my teeth, plastic fork etc.)
    2. I foolishly tried to substitute the Zolpidem for couple of glasses of white with my family last night. I’m no longer the drinker I was at med school & am benzo naive so didn’t want to fully comatose myself in my brothers attic room. However I’ve woken a couple of times in night with full bladder & dry mouth so I’ll be abstaining from grog tonight & sticking with the Zolpidem.
    3. Circadin 2mg & Zolpidem 10mg were easy to obtain in Oz, even in country NSW from my local pharmacist in Murwillumbah with script written by a colleague.

    Thanks again for this & all your hard work on your shop floor plus sharing so much of your knowledge, experience & study with us all so generously.

  7. says

    Hey Scott,

    Great meeting you at ACEP Denver by the way. We are doing needle decompression rapidly in the 4th/5th mid auxillary space as it yields better results in evacuating the tension prior to chest tube insertion. I agree to not intubate the patient first as this could prove to be the fatal blow in their hemodynamics.


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