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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 turned consultants.
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: October 2012
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
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
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
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
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
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
CPR teaching videos taken too far?
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
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.