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Sunday, November 22, 2015

BLS and ACLS Updates 2015 - The Malaysian Perspective

A talk that I presented during the Kelantan Resuscitation Updates 2015 (22 Nov 2015) based on the new AHA/ILCOR guidelines. However, I have put in some emphasis on certain aspects which are relevant in the Malaysian setting (for both major referral hospitals as well as smaller, lesser-equipped hospitals/clinics). Basically however, there are no major changes in this year 2015 updates. If you have already been doing well with the Guidelines 2010, you don't really need to waste money for an updated ACLS course. As Justin Morgenstern said it so well

"If I had to take away just 2 learning points, they would be:
  1. These guidelines are very similar to the 2010 guidelines. There are no changes important enough to warrant paying for another ACLS course. If you know the 2010 guidelines, just keep providing good patient care.
  2. As always, the science is weak. Only 1% of recommendations were “level A”, meaning high quality evidence from more than one RCT. The most common phrase I encountered reading through these guidelines was “may be reasonable”. This phrase is essentially meaningless and can easily be translated into “may not be reasonable”. Tread with care."  (Emphases mine, read more in his blog)

ACLS 2015 Updates - The Malaysian Perspective from Chew Keng Sheng

To download this slide in pdf, go to and click 'download'.

Anyway, a number of great resources worth mentioning (much better than I can ever produce):

1) Emergency Medicine Cases Podcast has released a 2-part series on ACLS 2015 Guidelines (episodes no 71 and 72 - click here and here to access)

2) Boring EM Blog has released a series of infographics on the Top Five series - top five BLS changes, top five ACLS changes, etc. Beautifully, beautifully done. Great for visual learners. Trust me, it is not "boring"! Click here to download for FREE.

3) This is THE website, THE front page that you should go to for CONTINUOUS updates on BLS, ACLS, PALS, etc. As the American Heart Association has mentioned, there will no longer be a 5-yearly update.  But it is going to be a continuous web-based updates (e.g. the ROC-ALPS trial, of which, the results will probably be published early 2016 and it may shed some light as to whether amiodarone or lignocaine for shockable rhythms may actually improve survival to discharge). Click here and come back here often.

4)  As mentioned above, Justin Morgenstern's take on the first 10 minutes is worth reading. Click here.

5) R.E.B.E.L Em podcast: Our Top Five AHA 2015 Guideline Updates. Click here to download and listen.

6) And finally, of course, download the entire full text of the AHA Guidelines here in Circulation.

It is interesting to note that the highlights of AHA 2015 Guidelines is now also available in Bahasa Malaysia. Click on the image to go to the website to download: 

Sunday, September 27, 2015

Mechanical Ventilation in ED - A Practical Approach

This post is created using padlet. Padlet is like a huge digital notice board where the owner as well as other collaborators can "pin" up notes by simply clicking on the board.

Monday, September 21, 2015

An Approach To Chest Pain In Emergency Medicine - Introductory Level Resource

Another set of my learning materials developed using storify - a platform that allows me to curate contents (almost always the free ones) by simply drag and drop that content into the story timeline. The good thing about storify is that as all contents belong to their respective owners, I simply do not own them, just linking them here. All copyrights belong to the respective original authors.

This set of story on approach to chest pain in emergency medicine is an introductory level resource developed mainly for undergraduate students.

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