Evidence-Based Practice


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Follow Chris on Twitter @CtPicard Injectable Orange Editorial: In the second installment of Chris Picard’s series of Nurse-oriented, evidence-based assessment skills, he dives into the assessment of cremasteric reflex for testicular injury. While it is not the role of the nurse to diagnose, understanding of assessment techniques and rationale add to […]

Picard’s FOANed Skills – Testicular Emergencies


Respiratory Review and the Principles of Mechanical Ventilation Videos Complex areas of clinical practice, such as developing an understanding of Mechanical Ventilation are challenging to grasp for those new to critical care. Be you a Doctor, a Nurse, or a Respiratory Therapist, skill, knowledge, and mastery of Mechanical Ventilation are […]

Respiratory Review – Principles of Mechanical Ventilation



Follow Chris on Twitter @CtPicard Injectable Orange Editorial: So the call went out on Twitter for eager bloggers to share their words via injectableorange.com. Little did I expect to get a response from someone whose work I am already a devoted (if not somewhat new) fan of. Chris has been putting in some brilliant […]

Picard’s FOANed Skills – Physical Assessment


Bolus: a large dose of a substance given by injection for the purpose of rapidly achieving the needed therapeutic concentration in the bloodstream. (Merriam-Webster Dictionary Online) Consider a case. You are called to see a patient. 68 year old lady. Day one post-operative phase following right total hip replacement. Documented […]

Resuscitative Fluid Therapy – Get it in quick?



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      The evidence around high flow humidified nasal oxygen in adult patients is developing, although the physiological mechanisms remain poorly understood. Instead of replicating information relating to the performance and summary of mechanisms, I’d encourage you to check out this very succinct and thorough overview from the LITFL […]

Poor Man’s “High” Flow Nasal Oxygen