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I completed my medical school and background EM training from India (Christian Medical College, Vellore and Apollo Hospitals, Hyderabad) where I worked for 4 years. Following this, I devoted (with all my heart) about 1.5 years to do US Medical Licensing Exams. My stint towards an EM Residency in States did not work but it took me to places and it has been quite a journey. I then relocated to London, England to work as a Registrar (Non-Trainee) in A&E. This gave me an opportunity to better understand NHS, EM training pathways and more importantly the EM Mindsets in the United Kingdom. 

Currently, I am pursuing Higher Specialist Training in Emergency Medicine at South East Scotland Deanery where I have the honour and privilege of training under some of the most innovative brains in the field of Emergency Medicine. Over the past few years, I have realised that LEARNING and UNLEARNING (which can be challenging!) is equally important to deliver cutting edge care to our patients.And through this blog, I aspire to disseminate knowledge, assist trainees with exams and stay up to date with contemporary EM literature. I have always been an avid FOAMed supporter because FOAMed has always played an indispensable role during my training. 


Lakshay Chanana
ST4 EM Trainee 
Edinburgh, Scotland
drlakshayem@gmail.com

Monday, December 14, 2015

Is CE technique the best way to do BVM - May be not!!

We all are familiar with the CE technique that is used to deliver BMV. This is what we routinely learn during the ED/ Anesthesia/ critical care rotations and also at the life support courses. Is this the best way to deliver ventilation? May be not!

Another technique that can be used is the "The two thumbs down technique" or "The thumbs up technique" that has potential advantages over the standard CE technique.

You might get a weird look from those who are not familiar with this technique. Let people know what you are doing and why you are doing this OR just show them this video (by Rueben Strayer, emupdates).

                   

Take Home: BMV is always a 2 person procedure (regardless of technique used) - Skilled person holds the mask and anyone else can provide the breaths + Consider the 2 thumbs down technique for BMV instead of the CE clamp.
And Believe it or Not - Learning BMV is more important than mastering Laryngoscopy !!
DO check out this link (if you have not already) - emupdates

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