Monthly Archives: July 2012

TENSION PNEUMOTHORAX: NEEDLE VS KNIFE

Posted on July 31, 2012 by Thomas D

In my daily work, the answer is clear. It’s knife. Maybe needle decompression while waiting for the knife. Last week I was attending a conference in Mountain Medicine, and we discussed the issue. One big difference on the mountain or … Continue reading →

Posted in Emergency Medicine, Prehospital Medicine, Wilderness Medicine | 3 Comments

EMERGENCY ECMO

Posted on July 27, 2012 by Thomas D

“If you can put in a central line or a dialysis catheter, you can place a patient on ECMO” – Dr. Zach Shinar We have discussed ECMO-CPR, or ECLS, earlier. Those papers were on in-hospital cardiac arrests. Here’s a real … Continue reading →

Posted in AHLR, Emergency Medicine | 1 Comment

SCANDINAVIAN COURSE IN PREHOSPITAL EMERGENCY MEDICINE 1st-5th OCTOBER

Posted on July 26, 2012 by K

This post is for the Scandinavians following this blog. We need your help in advertising this scandinavian ‘Induction Course in Prehospital Emergency Medicine´. Next time to be held in Gothenburg 1-5th october. Please help us by spreading the word about this … Continue reading →

Posted in Medical teaching, Prehospital Medicine | Leave a comment

CODE BROWN: DYSFUNCTIONAL TEAM AMBUSH

Posted on July 25, 2012 by K

I would love to tell you more about the incident I was involved in a while ago. For obvious reasons I can’t.  Me, a flight nurse and two paramedics were casually moving a perfectly stable and reasonably well patient through … Continue reading →

Posted in Code Brown, Emergency Medicine, Prehospital Medicine | 3 Comments

OF ALL THE TRIADS OF DEATH THE TRIAD OF DEATH IS THE WORST

Posted on July 22, 2012 by K

In trauma patients hypothermia, acidosis and coagulopathy are known as the triad of death. Once established  they form a vicious circle that sends the patients spiralling towards death. An australian study looks at what happens to trauma mortality when patients … Continue reading →

Posted in Emergency Medicine, Trauma | Leave a comment

EXAGGERATED REALITY

Posted on July 20, 2012 by Thomas D

Amplifying tiny details might be big. This video shows the concept of amplifying and exaggerating subtle motion or color change in video material from standard, crude digital point & shoot cameras. To do this, the MIT Computer Science and Artificial … Continue reading →

Posted in Tech | 1 Comment

THROMBOLYSIS FOR STROKE? THE IST-3 TRIAL

Posted on July 18, 2012 by K

I am probably the last person on earth to read the IST-3 trial. In short, the authors’ conclusion of ´strong support for thrombolytics in stroke´ was pisspreik somewhat controversial and generated some discussion. Read this excellent post about the IST-3 trial and thrombolysis … Continue reading →

Posted in Emergency Medicine, Miscellaneous, Neurology | 1 Comment

ULTRASOUNDING DIAPHRAGMAL THICKNESS

Posted on July 16, 2012 by K

A small pilot study in Chest demonstrates how diaphragmal wasting can be measured using a simple ultrasound technique.

Posted in Intensive Care, Uncategorized | Leave a comment

ABSENCE OF TACHYCARDIA USELESS IN ANAESTHETISED BLEEDING PATIENTS

Posted on July 11, 2012 by K

Our teaching and guidelines emphasise using tachycardia as a marker of hypovolemic shock. A paeds study in Anesthesia & Analgesia reminds us how that is far from always the case. The study makes me even more suspicious of the classic … Continue reading →

Posted in Anesthesia, Emergency Medicine, Trauma | 1 Comment

INTRAVENOUS OXYGEN

Posted on July 10, 2012 by Thomas D

Pre-oxygenation – pffft!… Who needs that?! We’ve now got i.v. oxygen to save the patient from critical hypoxemia. Dr. Kheir was involved in an incident with a critically ill 9 month old patient who sustained brain injury after prolonged hypoxemia. … Continue reading →

Posted in Tech | Leave a comment