Best Case Ever 46 – Chris Nickson on Hickam’s Dictum
Emergency Medicine Cases
Dr. Anton Helman
4.7 • 602 Ratings
🗓️ 21 June 2016
⏱️ 12 minutes
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| 0:00.0 | Yes, this is E.MK's best case ever mini podcast series, and I'm your host, Dr. Anton Hellman. |
| 0:29.6 | We're live from Smack Dublin with one of the creators of Smack, Dr. Chris Nixon himself, and for the first time we have him on |
| 0:42.3 | EM cases. You know, normally we have Canada's brightest minds in emergency medicine, but Chris, |
| 0:47.8 | I understand you've really had nothing to do with Canada your whole life. Tell us a little |
| 0:52.3 | bit about your background. So, well, first of all, |
| 0:55.7 | Anton, it's great to be talking to EM cases. I've followed it for a long time. I remember years ago |
| 1:01.8 | we met essentials as delegates, and so it's been fantastic to see how it's evolved, and I guess |
| 1:08.6 | we've run these parallel paths into free open access medical education. |
| 1:14.4 | From me, I'm a New Zealander. Let me just reiterate that. I'm a New Zealander, but I live in Australia |
| 1:20.2 | and I'm in Melbourne, trained in emergency medicine and intensive care. I currently work as an |
| 1:25.8 | intensivist at the Alfred in Melbourne. |
| 1:28.3 | Awesome. So let's cut to the chase. Chris, tell us your best case ever. |
| 1:38.1 | One that does stick in my mind was a case where we were called to see if we should put a patient on ECMO. |
| 1:46.3 | Now, I understand that in your neck of the woods, Anton, the idea of crashing, |
| 1:52.6 | hypotensive, shocky patients onto ECMO isn't often an option. |
| 1:57.0 | That's right. |
| 1:57.6 | But this one, I think, has lots of lessons in it. |
| 2:00.0 | So we got a call about a bloke, that's a man this one i think has lots of lessons in it so uh so we got a call about a |
| 2:02.9 | a bloke that's a man who's uh it was in his mid 50s uh from another hospital and uh what |
| 2:10.2 | had happened was that he just had a hip operation and within 24 hours of that became very |
| 2:15.7 | unwell difficulty breathing hypot, you know the story. |
| 2:20.3 | It's a PE. |
... |
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