ED Muskoka Physicians - Living the Dream

Archives for August 2016

New gear for trauma …

Hi Guys,

 

Just wanted to throw out a couple ideas to improve our trauma care …

  1. Tourniquets

Pierre had a gunshot extremity the other day and it would have been very useful to have one of these which are pretty cheap https://www.amazon.com/Application-Tourniquet-Improved-Version-American/dp/B00MA6XVVC.  I think Bob is looking into this but I think the group should support him in this regard and have Kathy and Nancy support him so that both sites have access to three or four of these very useful items ..

2. Pelvic Binders

Had a reason to use one of these the other day and frankly sheets are tuff to make stay … I like the T-pod best but it is expensive and some interventionalists don’t like them when they are trying to do immobilization but what can you do …

Here’s a quick link … http://www.trauma.org/index.php/main/article/657/

T-Pod -http://www.pyng.com/products/t-podcombat/

Would love to know what others think about these ideas…

Take care,

Tyler

journal club sept 21st

Journal club !!! HDDMH and SMMH!!!
all mds welcome!!

sept 21st 6- 9
John’s house, 677 sky hills road just off ravens cliff
take ravens cliff road ( muskoka 2 on highway too) west to sky hills.
turn left on sky hills.
we are on left 3 km in.

it won’t be snowy yet so my driveway should be okay.

Please rsvp to me so I can have food/beverages on hand. rsvp no later than sept 14.
perhaps some MDs want to carpool to enjoy a little wine!

John

out of country narcotics

Hi all,
Just a little reminder..
If someone out of country or doesn’t have a valid healthcare….

You need to put drivers license number/passport number ( some valid picture id) on narcotic prescriptions.

There have been several calls about this recent.

John

Stocking/Supply issues at HDMH

For HDMH staff – I am meeting with Kathy next week to chat about stocking in the ER. I have heard concerns about inconsistent stocking of certain items and have run across a few frustrations myself this summer so we are just going to do a walk-through the department to identify certain areas that need attention/feedback to our nursing staff who work through these re-stocking tasks at night.

Please let me know if you have areas of concern. My current list includes:

-Suture carts – ensuring they are stocked the same & with adequate supplies for busy days, including 25g 1 1/2 inch needles and adequate drape supplies if using the new utensil-only suture kits.

-ENT cart – plastic ear curettes, lido spray, cotton balls & cup, possibility of stocking otrivan or similar ?

-Trauma carts – ensuring radial & femoral art lines are clearly labelled and BOTH stocked along with supplies/tubing to set them up; creating a central line kit with all the materials needed (including sterile probe covers, chlorhex sponges, flushes, caps, tegaderm, mask & gown all in one bag);

 

Any other feedback? Thanks

Kirsten