As per the rules and guidelines set out by by st-emlyns

I only went back to real work in July, so I’m only gonna choose 5 instead of 10 as I just haven’t had enough patients to try out a full 10!

In no particular order

ONE

Bougie Aided Cricothyroidotomy.

• I had the misfortune/pleasure/browntrouserinducingmoment of doing my first cric this year and there wasn’t even a hesitation as to which method I used. Lots of people have weighed in on this (in particular Scott) in the #FOAMed world but I wouldn’t have done it without them

httpv://youtu.be/wVQFJR7qmrQ

TWO

NIV via the Oxylog.

• To be fair I had used this occasionally in the past but then on request Minh did a whole piece on it for me and now it’s routine. Now of course the Oxylog isn’t exactly an ICU quality ventilator but it’s a little bit more controllable and powerful than the creaky bipap machine in the corner that you have to pipe in an unknonwn FiO2 via a sideport…

[wpvideo WQfvb9zo]

THREE

ultrasound guided FIAB

• I’d been using ultrasound for simple femoral blocks for a while but Gareth Hardy and the Ultrasound podcast have persuaded to look a bit harder with the machine and go under the fascia.

FOUR

Cunningham shoulder technique

• while I’d tried this before, this was the first year I managed to pull it off

httpv://www.youtube.com/watch?v=AQfkf5DtRxM

FIVE

Paraspinal injections for headache

• Al Sachetti brought this to my attention and while it’s not perhaps the most EBM of procedures I’ve tried it a few times now with pretty good success.

httpv://www.youtube.com/watch?v=0jIqzJs5c2g

Happy Christmas to all the wonderful readers. Will be back in the New Year. Vive la FOAM.