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A prolific blogger from time to time

Rob from ECT4Health maintains a reasonably updated blog page called Knowing Your Jargon or KYJs for short.  There you will find a heap of short posts that address the jargony nature of the health industry.

Enjoy reading these posts here are http://knowingyourjargon.blogspot.com.au/

Robs Stint in the Torres Strait in May – August 2011

In May 2011 – ECT4Health director Rob Timmings worked as a Remote Area Nurse on Three outer islands of Queenslands Torres Strait.

These chronological blogs journal that experience of learning remote sole practice, and a culture so far removed from Toowoomba.

These diary entries are raw, graphic, but honest, and allowed me to reflect and process the amazing experience of remote isolation. My hope that you enjoy them for the unpolished story and journey that was perhaps the most amazing 9 weeks of my career.

The Timmings in the Torres follows Robs journey

In this blogging series, Rob had returned to Toowoomba and collected his wife, also a nurse, and two children. Then for 5 months -til January 2012, ran the clinic on Darnley Island. The journal entries reveal a personal family diary maintained by Joanne and Rob, and even their 16 year old son who was home schooled during the second semester of 2011.

Full of amazing experiences and clinical reflections, this blog series is compelling reading.

Enjoy Timmings in the Torres

Tuning your chest xray skills

Kerley B Lines – not all that curly

chest xray

There comes a time in every clinicians life when a revelation of paradox becomes apparent. For me, one such time was when learning to read chest X-rays. That moment when the penny dropped, and I realised that Kerley B lines were neither curly nor B shaped. I thought I’d spend this session looking at these phenomena and discuss their significance.

Kerley B lines are abnormal. They are 1-2cm (<1 inch) long, horizontal white lines near the periphery of the lung fields.

They represent oedema in the interstitial spaces between lobules of lung. Recall that fluid (oedema) often leaks from the pulmonary capillaries when congestive heart failure occurs (cardiogenic pulmonary oedema). If the left heart has an impaired capacity to pump, pressure or backlog in the pulmonary vessels that drain into the left heart, occurs. This increase in pressure forces plasma out of the pulmonary capillary and into the interstitial space between capillary and alveolar walls. Collection of this fluid, which is more dense than air, is radiopaque, which is why white horizontal fluid collections can be seen on the X-rays of patients with Pulmonary Oedema….Kerley B lines.

Not curly at all!!

A better way to suction an ETT
suction ETT (endotracheal tube)

I was taught to suction ETT (endotracheal tubes) years ago using a twirling technique.

After a bit of experimentation on more than one night shift, I came up with a better way. I have been teaching this newer technique for some years, and it is simple, safe and effective.

Well last week my son videoed my technique of twisting the suction catheter like a pencil being rolled between the finger tips.

View our YouTube suction ETT (endotracheal tube) video

Enjoy reading these posts??  Heaps more to see here at http://knowingyourjargon.blogspot.com.au/.