Monthly Archives: December 2012

COMPRESSIONS-ONLY CPR AT LEAST NOT WORSE THAN TRAD CPR

Evidence proving compressions-only CPR is superior to the traditional CPR with rescue breathing is lacking. The studies that exist are inconclusive. Now a study in Circulation┬ámeta-analyses two of the older studies, and says there actually might be improved survival with … Continue reading

Posted in CPR, Emergency Medicine, Prehospital Medicine | 1 Comment

DRIP DROP

You might end up somewhere, sometime when you need to give a patient an infusion without an infusion pump to help you. We doctors don’t know anything about stuff like that. Nurses to the rescue!

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

ULTRASOUND AND PROGNOSIS IN CARDIAC ARREST

Point of care- and portable ultrasound is a silent revolution in emergency care. An article in Academic Emergency Medicine helps me understand what to expect when applying an echo probe in cardiac arrest, and what that means for the patient’s … Continue reading

Posted in Cardiology, Emergency Medicine, Prehospital Medicine | 2 Comments

COMPARING CAPILLARY AND ARTERIAL ABGS

A study in AJEM compares arterial and capillary blood gases obtained from 187 patients. The authors conclude with how it ‘appears to exist a strong correlation between samples collected from the finger tip capillaries with arterial blood samples’. Who would … Continue reading

Posted in Emergency Medicine | 4 Comments

LUNG PROTECTIVE VENTILATION STILL GOOD

Even if you don’t have ARDS or risk factors for ARDS, a lung protective ventilation strategy seems to be good for your patients according to a recent meta-analysis published in JAMA.

Posted in Anesthesia, Intensive Care | 3 Comments

COLLOIDS VS CRYSTALLOIDS

Synthetic colloids have gotten a beating lately. First, the Cochrane group released their meta analysis on evidence supporting colloid use. They found none. Then HES colloids got hit hard by the 6S and CHEST studies. Are there any good indications … Continue reading

Posted in Emergency Medicine, Intensive Care | 3 Comments