Archive for category Tricks of the Trade
One of the key ingredient to running an efficient Emergency Room is good communication. Depending where you work finding charts, immediately finding a nurse or calling radiology can take longer than expected. Huntington Hospital is currently using an Iphone/Ipod device that allows the health care staff better communicate with each other. It does this via VOIP (Voice over Internet Protocol), basically the set up the system in the hospital to call each other using these devices instead of the hospital PBX or screaming across the ER. The Voalte One system provides voice, alarm and text services all on one device. Overall helps reduce the noise level and makes it easier for the staff to text each other or call each other.
Over all points:
- Receive Voice calls, alarms, and text messages all on a single device
- Easily manage multiple text message conversations
- Intuitive user interface and ringtones
- Allows simple alarm acceptance or rejection
- Custom, user-generated “quick messages” facilitate instant messaging of common items to other users or a web-based client
Overall I see both pros and cons, on one side I think it would be useful to have one device to do it all.
On the other side, I worry that it might make it to easy to interrupt us from patient care. In the end it is all about the balance act.
Huntington Hospital is a 636-bed trauma hospital. For more information, visit www.huntingtonhospital.com
Company website: www.voalte.com
You are about to endotracheally intubate a patient. As you struggle to elevate the laryngoscope more anteriorly, has your left hand ever trembled while trying to see the vocal cords? Before you say, “I think the cords are too anterior, hand me the [insert your favorite backup airway adjunct]“, let’s focus on some basics.
How can you gain significantly more laryngoscope lift strength? You can do more left arm bicep/tricep exercises, or…
Trick of the Trade
Hold the laryngoscope handle as close to the blade as possible.
Grabbing part of the blade helps to stabilize against the “waggling” of the handle. Furthermore, it is easier to pull exactly along the long-axis of the handle at this grip point. I would avoid holding the laryngoscope handle as shown in the image above. Is the physician intubating or holding a fragile cup of tea?
The most stabilizing larngyoscope grip
which provides maximal lift strength.
For other airway Tricks of the Trade, take a look an older post.