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Forwarded from Junction Bot
Nota Perubatan
What is the optimum position of tIp of Endotracheal Tube (ETT) post intubation from chest X ray?

πŸ”ΉAdults: 5 cm Β± 2 cm above carina (with neck in neutral position)

πŸ”ΉChildren: 1.5 cm above carina

πŸ”ΉIf carina cannot be visualised, the tip of ETT should be at T2 - T4 (with the neck in neutral position)

Source: https://radiopaedia.org/articles/evaluation-of-endotracheal-tube-position

#ED
@nota_perubatan
https://t.me/nota_perubatan/1505
Forwarded from Nota Perubatan
"Doktor, ini chest X ray post intubation patient katil 2 tadi"

What to look for in post intubation CXR?
- To look for complication, especially pneumothorax
- To confirm placement of endotracheal tube

The position of tip of ETT should be 5-7 cm above the carina in the neutral position of neck. When the carina is not visible, the tip of the ET tube should lie over the second to fourth thoracic vertebrae (T2-T4) or at the level of medial ends of the clavicles as carina is located between T5 and T7. 

Further reading:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173625

https://www.radiologymasterclass.co.uk/tutorials/chest/chest_tubes/chest_xray_et_tubes_anatomy#top_2nd_img

#ED
@nota_perubatan
Intubation CSW version.pdf
1.2 MB
7Ps for #Intubation.

Kalau korang nak intubate patient, biasanya MO akan tanya fasal 7Ps ni.

Kalau tak tahu, melepaslah peluang nak intubate patient sebab kita tak tahu details about that procedures πŸ˜…



Nak belajar lebih lanjut tentang #intubation & post intubation care?

Jom praktis sama-sama di Clinical Skills #Workshop Medicorp; 17+3 procedures in 1 day ❀️
How to #intubate patients?

1st you need to #understand indication for intubation,

then be a good & skilful assistant;

prepare all needed #equipment (including the right size of laryngoscope blade & ETT) πŸ‘πŸ»


βœ”οΈβœ”οΈβœ”οΈβœ”οΈβœ”οΈβœ”οΈβœ”οΈβœ”οΈβœ”οΈ

Learn & practice #intubation, together with 16 other must-know #procedures for HOs in just 1️⃣ day at Medicorp’s Clinical_Skills #workshop ❀️
.

More info on the workshop here;
https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop
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1st step of the 7Ps of RSI/DAI ie #intubation; Preparation

Remember MALES;

M - mask (BVM)
A - airway adjunct (OPA, NPA)
L - laryngoscope
E - endotracheal tube
S - stylet, syringe, stethoscope 🩺
Moments from Episiotomy Repair & Suturing #workshop Medicorp πŸͺ‘
.

Register for the session here; https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop
What to #expect from your hospital in term of;

- workload

- clinical #exposure on common cases & procedures

- working environment

- assessment & extension rate

- computerised or manual system?
.

Then don’t miss this LIVE Hospital Review session with Dr Iliana, this Wednesday, 5th Feb at 4pm-5.30pm ‼️
.

Register for FREE here; https://medicorp.onpay.my/order/form/hospreview0225
Must know CXR #interpretation for HOs ‼️


6 Common abnormalities any HO must be able to detext on CXR;

πŸ›‘ cardiomegaly πŸ«€

πŸ›‘ pneumothorax

πŸ›‘ pleural effusion

πŸ›‘ acute pulmonary edema

πŸ›‘ lung infection ie lobar pneumonia 🫁

πŸ›‘ PTB changes
Nota Perubatan
Photo
⬆️ πŸ‘†πŸ» ⬆️ πŸ‘†πŸ» ⬆️ πŸ‘†πŸ» ⬆️ πŸ‘†πŸ» ⬆️

‼️ Also HO need to know what to assess in CXR film after these procedures;

βœ… central & peripheral #line insertion (catheter tip position)

βœ… chest tube insertion (tube position & any complication)

βœ… #Intubation (ETT position);
https://t.me/driliana9/6895?single
Dr Baek oncall guys 🀭😎 #ytjt


Mentorship #revision just started for HO Intake Bil 1/2025 βœ…
Session will start at 4PM tomorrow (not at 5PM as initially planned) ‼️
.

Register here if you wish to join the Live Hospital Review session with Dr Iliana tomorrow πŸ˜‡

https://medicorp.onpay.my/order/form/hospreview0225

See you all at Zoom at 4PM tomorrow 😎
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HO nowadays? Excellent ‼️

Walaupun dah pukul 10 malam lebih,

Tudung senget2, make up semua dah fade 🫒
.

Alhamdulillah9 semua peserta masih #bersemangat,

Dan bagi feedback sangat #happy & puas hati sebab banyak sangat2 belajar dekat Clinical Skills #workshop today πŸ‘
.

All the best for HOship soon!
.

Nangis tu biasa 😭😭😭

Take a deep breath,
Reflect what you can improve,

Chin up & keep going πŸ’ͺ
Yes, we had fun practicing the sutures πŸͺ‘ βœ‚οΈ earlier today

at Medicorp's Episiotomy Repair & Suturing #workshop ✌️
More must know X-ray for HOs

& common #abnormalities that HO need to be able to detect;
.

on βœ… #Abdominal x-ray;

❗PGU (perforated gastric ulcer)

❗IO (small & large bowel obstruction)

❗kidney & ureteric stone
.

on βœ… #Hip xray;

❗Pelvic #factures

❗NOF (neck of femur fractures)

Learn more about identifying pelvic & NOF fractures at Medicorp's #online Orthopaedic course;

http://medicorp-class.teachable.com/p/orthopaedic_onlinecourse