Author Archives: K

THE MOTTLING SCORE

Several methods have been developed for identifying and quantifying microcirculatory dysfunction in septic shock. We can measure buccal,  sublingual and subcutaneous microcirculatory CO2-levels. Near infrared spectroscopy (NIRS) measures microcirculatory hemoglobin saturation. Sidestream dark field (SDF) imaging directly visualises the microcirculation. … Continue reading

Posted in Emergency Medicine, Infectious diseases, Intensive Care | Leave a comment

THATS HOW I (WAS) ROLL(ED)

We try to avoid putting personal stuff on this blog, but my personal observations from being a trauma patient fits too well with Thomas D’s righteous rant about logrolls a few days ago. He wrote about how the logroll, as a … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 2 Comments

SEPSIS PROGRESS

The PROCESS and SEPSISPAM studies were serious blows to protocol EGD therapy in sepsis. With all the other dead ends we pursued (activated protein C, colloids, intensive insulin therapy, cortisone and what not) it is tempting to think that little … Continue reading

Posted in Infectious diseases, Intensive Care | Leave a comment

OPEN CHEST COMPRESSIONS IN MEDICAL CARDIAC ARREST

Despite all the thousands of man-hours and gazillions of money going into researching stuff like therapeutic hypothermia and adrenaline in cardiac arrest we really haven’t got the breakthrough we deserve. With the exception of pockets of excellence, ROSC rates have been … Continue reading

Posted in CPR, Emergency Medicine, Prehospital Medicine | 9 Comments

PRESSOR DOSES AND PROGNOSTICS

Just a short post. In fact, I am writing these first two sentences just to make the post somewhat longer. Anyway, a paper in Journal of Critical Care makes vasopressor infusion doses less abstract. The authors correlate adrenaline and noradrenaline … Continue reading

Posted in Intensive Care, Uncategorized | 6 Comments

SCARY STUFF

This video is not really medical and you have probably already seen it by now. Still, it says something about going beyond our comfort zones and the rewards to be had for going there.

Posted in Medical teaching, Uncategorized | 1 Comment

BOOM

Think about this the next time you think you know better than the fire brigade. Watch it to the end.

Posted in Prehospital Medicine, SAR | Leave a comment

UPDATE ON THE ABDOMINAL AORTIC TOURNIQUET

Abdominal aortic tourniquets have been around as an idea for a hundred years but still haven’t been accepted as mainstream trauma care. A small study on volunteers in military medicine tests one of these devices. They seem to work.

Posted in Emergency Medicine, Prehospital Medicine, Uncategorized | 7 Comments

PROGRESS IN PREHOSPITAL SPINAL INJURY MANAGEMENT

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

Posted in Prehospital Medicine, Trauma, Uncategorized | 5 Comments

KANYE INTUBATE THIS GUY FOR ME PLEASE?

The decision to anaesthetise and intubate is not always an easy one. When learning to anaesthetise and intubate we are often told that a GCS of 8 or less is when the patient scores a tube in trauma. Reality is … Continue reading

Posted in Airway management, Emergency Medicine, Neurology, Prehospital Medicine, Trauma | Leave a comment