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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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Search Results for: cervical collar
The ERC, the European Resuscitation Council, have issued new guidelines for first aid, section 9 of their guidelines. And it includes an interesting and rather controversial take on cervical collars and spinal immobilisation that’s similar to what we have been … Continue reading
There’s been a big discussion on cervical collars in trauma the recent years. We’ve covered the controversy here. Guidelines are usually slow to adapt, but now both national guidelines from the Netherlands and state guidelines from Queensland in Australia seems … Continue reading
And so the rigid cervical collar is laid to rest in the Emergency Medical Service (EMS) of Bergen, Norway. Bergen is the second largest city in Norway, and has an active HEMS department at Bergen University Hospital. Particularly, HEMS doc … Continue reading
For many years, ATLS has dictated cervical collar as part of the A in ABC, and any patient that enters a trauma bay gets a cervical collar slapped on before anyone cares about airways, breathing and circulation. The last couple … Continue reading
There’s been a lot of debate and controversy over spinal stabilisation in traume the last couple of years. Per Kristian Hyldmo is a HEMS anaesthetist, has done a PhD focusing on transportation of trauma patients including the lateral trauma position, … Continue reading
The Norwegian guidelines for spinal immobilisation were recently published in SJTREM. (Open Access) Our involvement with the development of these started back in 2013 and 2014, when we published some posts that were highly critical of the dominating doctrine of extremely liberal … Continue reading
We’ve often critisised ATLS. Part of it because many healthcare workers take the ATLS manual as divine law. And many of them don’t keep up with the changes in the new ATLS editions – so they cling to even older … Continue reading
We all knew or suspected there was something not right with the way we immobilise virtually all prehospital trauma patients for fear of causing spinal injury. Still, for some dogma to finally change it has to be endorsed by the … Continue reading
Another year comes to an end. So here’s a selection of posts from 2013. Not sure if it’s the best of ScanCrit 2013, but these are some of the posts that’s gotten the most clicks and discussion, and some we … Continue reading
Transporting unconscious or obtunded victims supine can be dangerous as it may result in mechanical obstruction of the airway or fluid aspiration unless the airway is secured. Traditionally, EMS have used the recovery position with the victim lying on his/her side , … Continue reading