CLINICAL UPDATES John Mackenzie Medical Project Officer

Where are we….

Great ideas, like if it works lets fix

New Platform….

Website stuff

Frontpage

Search Issues

The Royal Children’s Hospital Melbourne

Factsheets 43 and counting

Clinical tools

Gastroenterology

Infectious Diseases Stuff

Ultrasound

Image and Video Library

Procedures…Getting there

Fascia Iliaca Block

NSW Chest Pain Pathway

For your eyes only…

Top Half

Ischaemia Possible

Bottom Half

Low—Inconclusive--High

Other Good Bits

Risk Assessment Score

High Flow Humidified NP O2

FLORALI study NEJM 2015 • BIPAP vs HHNPO2 vs face mask O2 • Hypoxaemic respiratory failure • RR >25 • Absence of hypercapnea • Absence of COPD • GCS>12 • 50 Ls/min • Most had pneumonia • HHNPO2 better than face mask better than BIPAP

Are we prime time • Yes for hypoxaemic non hypercapnic patients • Yes for rib fractures/flail • Yes where BIPAP not tolerated and ETI not indicated

• We should be thinking about other uses • More trials, watch this space

Finished for now