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A blog on anaesthesia, intensive care and emergency medicine. In-hospital and outside. Mostly focusing on the critically ill patient. Written by two Scandinavian senior anaesthetic registrars.
This is our way of keeping log of articles and interesting things we come across in our work and on the internet. Should any of you out there stumble across this blog and find it useful then all the better.
Please leave comments or questions if you have any. The best way to keep learning is to keep the conversation going.
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Monthly Archives: November 2011
Whenever my colleagues or nurses ask me what GCS a patient has, I just make something up that sounds about right. Judging by their smirks I know they think that they know I didn’t check properly. The truth is far … Continue reading
We found a site that is pure genius. The authors list the Number-Needed-to-Treat for heaps of various treatments we put our faith in. It is genius, but also severely demotivating at times. Tranexamic acid in trauma? Only one in 67 … Continue reading
Only in a minority of STEMI-patients do we achieve our goal of PCI in less 90 minutes from them entering the ED. Despite the guidelines clearly recommending a door-to-ballon-time (D2B) of less than 90 minutes.
With a Mucosal Atomizing Device (MAD) you can deliver many critical drugs intranasally. All you need is a liquid, concentrated drug that will easily cross the nasal mucosa, and give it via something that will atomize your fluid.
“Cigarette smoking: an underused tool in high-performance endurance training”. This interesting review paper from the Canadian Medical Association Journal (CMAJ) points to scientific evidence that supports cigarette smoking as beneficial for high-performance endurance athletes.
You’ve done an interesting case pre-hospital, in the ED or in the OR or ICU. After the CT/MRI scan, you go to get some images from the radiologist for later reference and teaching.
We received an excellent talk by plastic surgeon O’Hara from the burns unit of Concord Hospital. Here are some key points. She stressed the importance of the Parkland formula as a guide. Both due to individual differences between patients, but also … Continue reading
Maybe it’s time to take proper reversal of neuromuscular blockade more seriously? A study just published in European Journal of Anesthesiology compares patients who have their blockade reversed with patients who are extubated without reversal. A lot of heartbreak can … Continue reading
I read an article in European Emergency medicine Journal. It compares prehospital skillsets of prehospital physicians with ambulance nurses. It is a descriptive study of the Dutch prehospital system but most of it should translate to most western environments.