Author Archives: K

THE LATERAL TRAUMA POSITION

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

Posted in Prehospital Medicine, Trauma | Leave a comment

LUNG US AND BNP

A small study in Ann Intensive Care reminds me that lung ultrasound is  good at detecting heart failure and differentiating against other causes of acute dyspnoea.

Posted in Emergency Medicine, Intensive Care, Ultrasound | Leave a comment

HITCHEN´S RAZOR

“What can be asserted without evidence can be dismissed without evidence.”  

Posted in Uncategorized | 3 Comments

TRAUMA IS THE OLD MAN´S DISEASE

Traditional teaching is that trauma is the young male´s disease. Young males are exposed to accidents and violence. Young males also tend to engage in profoundly stupid activities. However, since a decade or so there is a shift. Major trauma in … Continue reading

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OWN THE O.G.

Passing the orogastric tube can be difficult or sometimes impossible. Unfortunately a lot of patients really need their OGs and in a time-critical scenario you don’t want to spend too much time struggling with it. Here is a simple trick a senior … Continue reading

Posted in Airway management, Anesthesia, Emergency Medicine, Intensive Care, Prehospital Medicine, Uncategorized | 6 Comments

ON BEING A JERK

Quickie post about an interesting paper I found. Now there is actual evidence of how being a jerk negatively impacts on team performance. An Israeli paper looks at how being exposed to rudeness affects teams in emergent situations.

Posted in Emergency Medicine, Medical teaching, Paediatrics, Uncategorized | 1 Comment

EWWW!

I found two interesting papers in EMJ. Both recently published. If you intubate a fresh frozen cadaver and ventilate you will get a transient capnography trace very similar to a trace from a living patient. I had heard about it before but … Continue reading

Posted in Airway management, Cardiology, CPR, Emergency Medicine | 1 Comment

ARCHAIC TRAUMA LIFE SUPPORT

There’s an interesting, important, editorial in Anaesthesia. It is a fair criticism of ATLS. It starts with the historical background, details it’s modern weak points and concludes with how ATLS should be regarded as an entry level course for clinicians … Continue reading

Posted in Trauma | 3 Comments

WHAT THE HELL I AM DOING? I AM ENGORGING A VEIN IS WHAT I AM DOING!

I’m not sure where this fits in, in this age of ultrasounding everything, but there is an interesting short report in EMJ. It describes a simple technique to achieve IV access in patients where the periphery is shut down.  A typical scenario … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 4 Comments

HUNGARIAN APNOEIC OXYGENATION

Apnoeic oxygenation in anaesthesia is the concept of providing oxygenation without ventilation. The idea is that even without lung expansion, oxygen will passively be dragged into the alveoli along the oxygen gradient caused by alveolar oxygen being transported away by the bloodstream. … Continue reading

Posted in Airway management, Prehospital Medicine | 7 Comments