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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: January 2013
We all know the rules for damage control resuscitation. Often the lines are clear. But sometimes it’s hard to make that call. We received a MVA trauma: a young man trapped in a wrecked vehicle for hours in the Norwegian … Continue reading
An article in EMJ confirms a very valuable lesson I once learnt from a veteran paramedic. Fat people are more prone to suffering serious injury or death in car accidents. That’s why it’s very important to have the best motor trade … Continue reading
OK, that’s it! I’m off to Germany! I don’t care if they treat their registrars like shit, as long as I get to drive a Porsche with prehospital ECMO.
AJEM recently published a meta-analysis of the evidence supporting making blood volume assessments in hypovolemic patients based on the ultrasound diameter of the inferior vena cava. Five studies met the authors’ selection criteria.
There is a lot to learn about emergency medicine from movies about sport. Tin Cup, the best sports movie ever made, is a treasure trove of wisdom. The first quote speaks for itself. The second is true too. Anaesthesia is … Continue reading
I didn´t know what a gurney was (I do now), but I did know that performing effective CPR while transporting a patient, through a hospital or in a road ambulance, is hard. I didn´t know it was this bad though. … Continue reading
Prehospital emergent intubations are messy affairs. There are the risks inherent to intubating a critically ill patient where vomit, blood and secretions risk blocking your laryngoscopy view or risk contaminating the patients airway. The fact that you are performing an … Continue reading
It seems ultrasound really can be used for anything. Epidurals in small children are hard to place, and have to be done while the child is anaesthetised. So it’s hard to say if you placed the catheter correctly for subsequent … Continue reading
“The evidence is clear: when an Emergency Surgical Airway is required, it is not the procedure that kills the patients, but delaying or not doing it is what causes harm.” – Dr Cook & Dr MacDougall-Davis, Complications and failure of … Continue reading
A study in Intensive Care Med reminds me of how arterial blood pressure is a crappy substitute for proper invasive monitoring or echo when treating hypovolemic sepsis patients.