Monthly Archives: October 2012

CHAMONIX ALPINE HEMS

Recently french TV channel France 3 aired a fascinating documentary about french mountain rescue in Chamonix. The show focuses on the particularly lethal summer climbing season of 2012. World-class HEMS done in a way you have never seen before. Some of … Continue reading

Posted in Prehospital Medicine, SAR, Wilderness Medicine | 4 Comments

US MAGNETIC FIELD NEEDLE GUIDE

At the Norwegian national convention for anaesthesia and intensive care, I saw this very interesting prototype from the Ezono ultrasound company. It uses magnetic field interference to track the position of a standard metal needle. So you get needle guides … Continue reading

Posted in Uncategorized | 2 Comments

WHERE TO SCAN FOR PNEUMOS

I’ve always assumed scanning the chest at the level of the nipples would be best for finding a pneumothorax. Recently, I had a trauma patient where I excluded pneumothorax after a negative ultrasound scan. The CXR was negative as well. … Continue reading

Posted in Emergency Medicine, Trauma | 6 Comments

IT’S ALKALOSIS, NOT ACIDOSIS

A surprisingly common misconception is that metabolic acidosis is the most common acid-base disorder in the ICU.  Metabolic alkalosis is the most common acid-base disorder. True, in the acute phase metabolic acidosis is a lot more common but in the long … Continue reading

Posted in Intensive Care | Leave a comment

ΔK

A study in Anesthesia & Analgesia reminds us of why intubating some intensive care patients with succinylcholine can be a bad idea. It demonstrates how the potentially harmful potassium efflux and transient hyperkalemia we get after administering Succinylcholine increases in … Continue reading

Posted in Airway management, Intensive Care, Uncategorized | Leave a comment

ECMO AS BRIDGE TO LUNG TRANSPLANT

We have looked into this issue before, with several succesful case reports and case series being reported. Fuehner et al who has previously released case series, have now compared 26 awake ECMO bridgings to lung transplant (LTx) to historical controls … Continue reading

Posted in Uncategorized | 3 Comments

TOO MUCH?

CPR teaching videos taken too far?

Posted in CPR, Humour | 1 Comment

MORE OXYGEN TOXICITY

Oxygen toxicity has been getting a lot of attention the last couple of years. The evidence of how high FiO2 is harmful for patients who are critically ill is somewhat solid and has to some extent changed resus guidelines. An article … Continue reading

Posted in Anesthesia | 1 Comment

SGAS HARM IN OHCA?

A secondary study using data from the ROC PRIMED study suggests there could be something to the warnings about using supraglottic airways (LMAs) for airways in out-of-hospital cardiac arrests. Supraglottic airways were associated with increased mortality.

Posted in Airway management, Cardiology, CPR, Emergency Medicine, Prehospital Medicine | 5 Comments