VIDEOS
Our videos aim to inform and share best-practice techniques for critical care clinicians in Anaphylaxis, and Asthma resuscitation for anaphylaxis.
The Complete Lecture Series
Duration: 67 minutes
The rationale behind this algorithm and related concepts are presented by Dr Ben McKenzie in an hour-long lecture presentation.
The lecture can be watched as one video, and is also available in six, 10-minute video episodes for more flexible viewing options.
Section 1
Recognising Anaphylaxis
Duration: 13 minutes
In section 1/6, Ben welcomes you to the lecture series and discusses often missed diagnosis of paediatric anaphylaxis, diagnostic criteria, severity grading system: Acute allergy is a continuum of disease from mild skin symptoms to cardiac arrest.
Section 2
Part 1: Treating Anaphylaxis
Duration: 16 minutes
In section 2/6, Ben tells the tragic story of James Tsindos. James was a talented pianist and otherwise healthy teenager who entered a metropolitan hospital emergency department with anaphylaxis/asthma and normal vital signs. James died 8 weeks before Max because of almost identical problems in care. Ben discusses anaphylaxis treatment from basics to critical care specialist management before arrest.
Section 3
Arrest Algorithms
In section 3/6, Ben discusses key anaphylaxis & asthma resuscitation concepts that are a "special circumstance", including parallels with trauma. In this video, Ben explores:
The difference betweenb VF vs Hypoxic arrest
Why can asthma and anaphylaxis be considered in the same algorithm
Recognising respiratory arrest; and
Overcoming the problem of decentralised teaching.
Section 4
10 Concepts: The First
Duration: 10 minutes
In section 4/6, Ben covers the "Maximum 4 minutes" until hypoxic ischaemic encephalopathy (the first of 10 concepts informing AMAX4, including the topics: "Why 4 minutes?", Martin and Elaine Bromiley, the impact of time critical care, the "Hard deck, Hard limits and an important - and apt - "Top Gun" analogy.
Section 5
10 Concepts - The Other Nine Concepts
Duration: 11 minutes
In section 5/6, Ben details the other 9 of 10 concepts informing AMAX4. These include:
Why muscle relaxant before sedation
Why ETT and not LMA or Mask
Xtreme Obstructive Ventilation
What airway pressures you can expect
What cognitive assistance you need; and
Understanding the expected course.
Section 6
Max
Duration: 10 minutes
In section 6/6, Ben talks about what happened to Max and understand the timeline of Max's care with paramedics and then the Emergency Department.
Information Video
Simulation
Duration: 24 minutes
The video demonstrates how to use the algorithm to improve outcomes in time-critical situations.
Information Video
Drawing up push dose adrenaline
Duration: 3 minutes
Being able to rapidly draw up push dose adrenaline in two different strengths is an essential critical care skill:
100mcg/ml in a 10 ml syringe; OR
10mcg/ml in a 10ml syringe
Ben gives a 3-minute demonstration with three examples, including — most critically — labelling them.
Information Video
Just another routine operation
Duration: 14 minutes
The film 'Just a Routine Operation' has now been in circulation for many years. When a system is designed and introduced with the intention of making a change to clinical practice, it can quickly become just another component of an organisation's architecture and complacency around its use can develop.
Max McKenzie
Meet Max 4 a Minute
Duration: 1 min
Meet Max, and hear his story.