Monthly Archives: January 2012

DEATH BY AVALANCHE

This table supplies an overview of some of the most important studies looking at causes of death in people who get avalanched. Asphyxia is the major one followed by trauma. Hypothermia is rare. This is due to the excellent insulating … Continue reading

Posted in Emergency Medicine, Wilderness Medicine | Leave a comment

SEDATED INSOMNIA IN THE ICU

Here’s an interesting article from Anesthesiology Clinics. A review of current understanding of sleep and sedation in ICU patients. I can’t say it’s a subject I know a lot about. But it is clear to me that there are some … Continue reading

Posted in Intensive Care | Leave a comment

SNOTTY CHILDREN AND ANAESTHESIA

This is a challenge every day in ENT surgery anaesthesia: Sorting out which snotty ENT children can go through with surgery, and which ones to cancel. The trend has moved from scrapping all snotty children, to making an individual assessment … Continue reading

Posted in Anesthesia, Paediatrics | Tagged | Leave a comment

IMAGING CASE OF THE MONTH

The Norwegian Air Ambulance EC135 helicopter hovering/landing on the accident scene on a narrow road along a Norwegian fjord This month’s image was provided by Ole Valen of the Norwegian Air Ambulance (Norsk Luftambulanse, NLA).

Posted in Prehospital Medicine | Tagged | Leave a comment

DEXMEDETOMIDINE

Tomorrow, we are expecting a big pharma sales rep at our anaesthetic department. He is pushing the α2-agonist Dexmedetomidine. It has been around for a decade but I have no experience with it myself and as far as I know it is … Continue reading

Posted in Anesthesia, Intensive Care | Leave a comment

IPHONE APP: SCANDINAVIAN TRAUMA MANUAL

Ullevål Trauma Manual. Strictly speaking, it’s Norwegian, but would be suitable for anyone working with trauma prehospital or in-hospital in Scandinavia. It is developed by the dept. of traumatology at Ullevål Hospital in Oslo (now a part of the fusion … Continue reading

Posted in Anesthesia, Prehospital Medicine, Tech, Trauma | Tagged , , | Leave a comment

THE PARADOXICAL EXCITATION RESPONSE

A minority of patients will react abnormally to propofol sedation. Before becoming properly sedated they lose affective control and have abnormal movements. Any anaesthetist could tell you about the occasional patient who, at propofol induction, becomes more and more agitated … Continue reading

Posted in Anesthesia, Intensive Care | Leave a comment

QUOTE OF THE MONTH

“No airway death should occur without paralytic on board and a hole in the neck!” – @rfdsdoc, Minh Le Cong, Royal Flying Doctor Service, Australia

Posted in Airway management | Tagged | Leave a comment

M.O.A.B.

I am aware of case reports of how various balloon catheters have been used to stop arterial bleeds. I didn’t know they have been used to plug the big one, the aorta. Apparently they do. I got this from a … Continue reading

Posted in Emergency Medicine, Intensive Care, Tech, Trauma | 1 Comment

DEATH MATCH: MEDICAL JOURNALS VS THE INTERNET

Publishing research in journals vs. the Internet death match: FIGHT! New York Times had a piece on science journals, articles and publishing in the 21st century – Cracking open the scientific process. The times they are a-changing.

Posted in Tech | Leave a comment