NB: Click here for the 2013 UPDATED version for use with Avery 20 tab index sheet and standard A4 2 ring binder. The same 2013 updated information optimsed for iPad or iPhone (or indeed other tablet) can be downloaded here :
Responsibility for checking procedures and drug doses remains with the user. I use this in my ED and OT as an aide memoire
See also the ANAESTHESIA CRISIS MANUAL
Before every anaesthetic (particularly RSI in OT or ED), I run through my plans for failed airway with staff – not so much because we are expecting difficulty, but because this sets up a shared mental model if a crisis rapidly unfolds. The plan is summarised on wall charts and utilises specific equipment which we have locally. Ain’t no option for AFOI or ‘call the senior anaesthetist’ in a rural hospital!
A useful visual aid and integrated checklist for performing RSI, especially useful with junior or non-anaesthetic staff in a crisis to reduce cognitive overload. You can download this, take to print shop and get them to print out full size and laminate for use in your location.
Managing bleeding in a rural environment can be a challenge – many smaller hospitals only have two units of packed cells. This list from Broome Docs is a start – but you may need to adapt for local conditions. Remember to consider adjuncts like tranexamic acid, haemostatic dressings and damage control surgery. Some remote sites in Oz will still use a living donor, walking blood-bank!
There is also an excellent series of podcasts relevant to airway management :
ATUL GAWANDE on CHECKLISTS in MEDICINE
Frequently used and most visited
http://anaestricks.tumblr.com (Dr. Gavin Doolan @anaestricks has a wealth of helpful tips/tricks and helpful practice)
http://gasclass.wordpress.com (Twitter class and case discussion)
http://hqmeded-ecg.blogspot.com.au (Practice makes perfect, ECG interpretation is an essential GP anaesthetist skill)
http://broomedocs.com (Leading generalist blog with a rural critical care flavor)
http://prehospitalmed.com (Minh posts widely on airway management and PHARM hosts an amazing array of airway videos)
http://www.nysora.com (Principal regional anaesthesia site with a wealth of information and instruction, making it possible to learn regional techniques)
http://totw.anaesthesiologists.org (Exceptional reviews of anaesthetic topics)
http://www.joondalup.org/wp-content/files/Pain-Manual.pdf (Joondalup Anaesthetic Pain manual, JCCA training in WA)
These articles provide excellent reviews, pitched at the busy anaesthetist to keep them relevant with an ever changing clinical environment.
http://www.aaic.net.au (Australian critical care journal, incredibly helpful and current opinion in anaesthesia)
http://www.anaesthesiajournal.co.uk (Basic science and clinical anaesthesia articles)
http://ceaccp.oxfordjournals.org (Critical care review articles, easy to read)
Critical care blogs
Both of these need no introduction, they are must-read blogs for all GP anaesthetists
These sites are on my blog roll and provide an array of anaesthestic perspectives from around the world.
Awake Fibreoptic Intubation
Difficult Airway Society Guidelines
One Minute Ultrasound
Oxford Handbook of Anaesthesia, Third Edition