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 (@thetopend)
Victoria Brazil (@SocraticEM)
and Most Importantly,
to all of the wonderful listeners that introduced themselves–I Love You!
Jetlag
Great Article (CLEVELAND CLINIC JOURNAL OF MEDICINE 2011;78(10):675)
SMACC-Backs are coming…
The Clinical Stuff
IVC Ultrasound
SIMWars
- BP Rep Time
- Drip Sheets – See the EHCED drip-sheet project
- Tension Pneumo
- Bind the Pelvis
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Editor-in-Chief, at EMCrit.org
An ED Intensivist from NY.
Professor
Chief, Division of Emergency Critical Care
Director, Resuscitation and Acute Critical Care Unit
Stony Brook Medicine
Stony Brook, NY, USA
No conflicts of interest (coi).
Professor
Chief, Division of Emergency Critical Care
Director, Resuscitation and Acute Critical Care Unit
Stony Brook Medicine
Stony Brook, NY, USA
No conflicts of interest (coi).
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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… Read more »
Somehow I think Nickson and the crew will manage to make SMACC2014 even better, which will be a feat indeed.
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!!!
Pleasure to meet you and I am all for graphical mocking.
Scott, 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!).… Read more »
Iain–so good to see you there. I know naught about snake bites; I don’t think I could have done any better.
Love your idea for the greying-out of old BP measurements.
Now we just have to convince every monitor manufacturer
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.
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.
Scott:
You referred to some books you have read on critical care thinking. Is that available on your blog? Thanks
book recs at https://emcrit.org/smacc
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… Read more »
Fantastic additional tips!
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.
thanks for the additional support.