Author Archives: Thomas D

SPINAL STABILISATION, STATE OF THE ART? – TBS18

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

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PORTABLE POCUS REVIEWS

It’s hard to know what machine to pick, and hard to find good reviews, especially reviews of the machines in daily clinical use. Luckily a bunch of ultrasound nerds, the #ultrascoundrels, have taken it upon themselves to remedy this. Currently, … Continue reading

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SALAD, THE DARK SIDE OF AIRWAY MANAGEMENT – TBS18

The Jim DuCanto experience at The Big Sick. We got our favourite airway big bear over from the states: Jim DuCanto, equal parts mad scientist and airway afficionado. Published paper on CPR, intubation and ventilation under water, or the beeryngoscope … Continue reading

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HEMORRHAGIC SHOCK THE THOR WAY – TBS18

We were fortunate to have Geir Strandenes in Zermatt for The Big Sick conference, TBS18. Dr. Strandenes is medical head of Norwegian Naval Spec Ops forces and one of the founders of the THOR network and heavily into hemorrhagic shock … Continue reading

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SUSPENDED ANIMATION – TBS18

We’ve written on Prof Tisherman’s Suspended Animation before. We found it very intriguing and were thrilled to be able to have Tisherman over from the Shock Trauma Center in Baltimore to TBS18 in Zermatt, Switzerland to explain the concept and … Continue reading

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ECMO SESSION – TBS18

From our ECMO session at The Big Sick 2018, #TBS18: Lionel Lamhaut on Prehospital ECMO (39:30) Zack Shinar on EDECMO (1:04:30) HÃ¥kan Kalzen on the Karolinska experience with ECMO and ECMO transports (1:31:35) Magnus Larsson on ECMO in trauma patients … Continue reading

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ECMO OUT ON A LIMB

ECMO is usually applied to the whole body. In VA-ECMO, we often use a smaller side cannula to supply the lower limb with circulation and oxygenated blood, when its femoral artery is partially occluded by the main ECMO cannula.

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WHY DO SHOCK PATIENTS HYPERVENTILATE?

This experimental study puts most common assumptions about hyperventilation in hemorrhagic shock on its head. Common thinking is that trauma pts breathe faster because of shock and metabolic demands not being met. This study suggests trauma pts are breathing faster … Continue reading

Posted in Airway management, Emergency Medicine, Prehospital Medicine, Trauma | 6 Comments

LOW BP CUT-OFF IN BRAIN TRAUMA?

Is systolic blood pressure (SBP) of 90 the magic threshold in traumatic brain injury (TBI)? This observational paper goes through a large prehospital database, and found an association between lower systolic BP and higher mortality. This has created a lot … Continue reading

Posted in Emergency Medicine, Intensive Care, Prehospital Medicine | 2 Comments

THE BIG SICK 18 RECAP

The Big Sick 18 #TBS18 conference is done and we’re catching up on sleep and all the impressions from a great week with learning, discussions and fantastic people, check out our programme on www.bigsick18.org – and here’s an excellent recap … Continue reading

Posted in TBS, TBS18, TheBigSick | 1 Comment