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Http://about.me/timleeuwenburg
I am a Rural Doctor on Kangaroo Island, South Australia with interests in EM, Anaes & Trauma. Avid user & creator of #FOAMed; EMST & ATLS Director, Instruct & Direct on ETMcourse.com; faculty for Critically Ill Airway course and smaccAIRWAY workshops. My sites include KIdocs.org & RuralDoctors.Net, affiliated with smacc Opinions expressed on these sites must not be used to make decisions about individual health related matters or clinical care as medical details vary from one case to another. Reader is responsible for checking information inc drug doses etc.
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Casey
Having recently reviewed an MH policy, some of the recommendations in your checklists have changed, specifically:
– dantrolene dose is now 2.5mg/kg IV push repeated ~15minutely as necessary (I would expect at KI this would translate as “push it as fast as you can make it up until the patient is better or there’s none left”)
– changing the circuit is no longer recommended due to time required – just turn off the volatile and turn up the 100% to ~15L/min
Source: MH ANZ Resource Page (http://www.anaesthesia.mh.org.au/mh-resource-kit/w1/i1002692/), this is the MH protocol endorsed by ANZCA
Christine, thanks for bringing this to my attention; have now updated the MH section. That MH ANZ webpage is an excellent example of taskcards and checklists for crisis management. Thanks again.
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