Author Archives: Thomas D

SONONORWAY, FEBRUARY 9.-12. 2015

The ultrasound experience is finally coming to Norway, and what a faculty! Featuring Vicky Noble, ass.prof at Harvard and director of Massachusetts General Hospital’s emergency ultrasound program. She has an impressive list of publications on ultrasound, and is also a … Continue reading

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I AM THE RESURRECTION

If you make a study on interventions on dead people, you don’t expect much. Well, the Alfred in Melbourne did such a study – and got a resurrection rate of over 50%! Their intervention group was people in refractory cardiac … Continue reading

Posted in Cardiology, ECLS, ECMO, Emergency Medicine, Intensive Care | Leave a comment

THE BOTTOM LINE

While we at ScanCrit were thinking about what a great idea it would be, The Bottom Line just went ahead and did it. And they’re still doing it: Making a library of the key articles and most important trials in … Continue reading

Posted in Intensive Care | Leave a comment

DONUT OF LIFE?

It’s long been an accepted standard to stay and stabilise or go directly to OR with any unstable trauma patient – and never EVER take them to CT first. And it made sense, as radiology has never been a good … Continue reading

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QUOTE OF THE MONTH

@SydneyHEMS defines the #FOAM mantra: @OneArmWonder All operating procedures at http://t.co/yqwRy4wB1v We're happy to share anything with anyone and always keen to learn — SydneyHEMS (@SydneyHEMS) August 6, 2014

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ALL YOUR BAYES ARE BELONG TO US

You’re being tricked – by your own medical mind. Pretest probabilities mean more to your clinical work than you might think. While sensitivity, specificity and P value, the ‘gold standard’ of statistical validity, is not as universally applicable as many … Continue reading

Posted in Statistics | 6 Comments

STEWART’S ACID TRIP

Acid-base calculations. The ones that make my head hurt. Every time I read up on it, I seem to almost grasp it and get a deeper understanding – which slips away slightly after a week or two. And a few … Continue reading

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

BACK BOARDS AND SPINE IMMOBILISATION

Dr. Ryan Jacobsen, director of the Johnson County EMS in the States, explains why his EMS system isn’t transporting patients on the hard back boards for spine immobilisation. And he makes a great case of it, although they still – … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 2 Comments

PROVHILO – IT’S INDIVIDUAL

New RCT on intraoperative ventilation strategies is out: PROVHILO. Low tidal volume ventilation (LTVV) has been settled as the way to go, but what about PEEP and recruitment maneuvers? Wouldn’t high PEEP and regular lung recruitment make sense in patients … Continue reading

Posted in Anesthesia | 2 Comments

FROM RUSSIA WITH – A HEART-LUNG MACHINE

A short weekend dip into obscure history: The Cardiohelp ECMO machine is an impressive piece of equipment, but the origins of the heart-lung machine is equally impressive for its time – even if the experiments are rather animal unfriendly. The … Continue reading

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