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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.
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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- Airway management
- Code Brown
- Emergency Medicine
- Infectious diseases
- Intensive Care
- Medical teaching
- Prehospital Medicine
- Research and publishing
- Wilderness Medicine
Author Archives: K
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
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.
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
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
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
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
Car accidents with trapped victims can be incredibly frustrating. There is often very little one can do until the rescue services achieve extrication. Sometimes, because of limited patient access, all you can achieve during extrication is some very basic airway management, pain … Continue reading
I always thought ‘thunderstorm asthma’, localised epidemics of asthma associated with thunderstorms, was semi-factoid. Not so. Apparently, thunderstorms do cause asthma spikes in asthma ED attendance. This is elegantly shown in a recent Emerg Med J.
Found an interesting case report in intensive care med. It describes a case where an anaesthetist found a pulsating mass in the lateral wall of the oropharynx. MR revealed the patient’s internal carotid artery was kinked, aberrant and indented way into … Continue reading
We normally visualise the aorta on ultrasound by scanning down the midline. However, we frequently fail to visualise the entire aorta. The view is often obscured by bowel gas. Abdominal pain often makes the examination intolerable. A small proof-of-concept study in … Continue reading