The ophthalmoscope, stethoscope, pulse oximeter, otoscope and sphygmomanometer all explained in less than half an hour...what an achievement. I still remain uncertain about the correct cuff size for a sphyg. The AHA arec quoted as saying Proper cuff size selection is critical to accurate measurement. The bladder length and width of the cuff should be 80% and 40%, respectively, of the arm circumference. Blood pressure measurement errors are generally worse in cuffs that are too small vs those that are too big. That sounds like an audit just waiting to happen.
For next week we will ahve two minute talks on practical procedures:
Blood cultures (including from lines) GAJ
Chest drain insertion AA
LP AW
Ascitic tap AG
Joint aspiration MJM
The paper for discussion this week was What patients want to know about adverse events. Whatever we may think, the people who took part in this study wanted to know just about everything. We may disagree or have reasons why we believe this is impractical, but should not dismiss it out of hand. Try asking a patient "What do you want to know about this treatment?" next time you suggest something.
The paper for discussion on 11 September is....to be decided.
Interesting topics
Haemolysis
MJM
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