Author Archives: Thomas D

TO HALVE OR NOT TO HALVE

An interesting study on outcomes for hemicraniectomies after extensive middle-cerebral-artery stroke. Hemicranectomies in cerebral oedema is not new, and has shown improved survival, but at the cost of severe disability. But what do the patients say?

Posted in Emergency Medicine | Leave a comment

LOG ROLL AND A FINGER UP YOUR BUM – THEN YOU’RE DONE

ATLS mythbusting time – again. ATLS provides a great structure for talking and working trauma, but many of their procedures have been rethought the last couple of years as our understanding of trauma improves. Now it’s time for rethinking the … Continue reading

Posted in Emergency Medicine, Trauma | 6 Comments

CERVICAL COLLAR R.I.P.

And so the rigid cervical collar is laid to rest in the Emergency Medical Service (EMS) of Bergen, Norway. Bergen is the second largest city in Norway, and has an active HEMS department at Bergen University Hospital. Particularly, HEMS doc … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 28 Comments

SUSPENDED ANIMATION

Suspended animation, the stuff my childhood sci-fi movies were made of, is coming to a hospital near you – if you live in Pittsburgh. Apparently, this has been tested well enough in pigs to let the docs have a go … Continue reading

Posted in Tech | Leave a comment

COCHRANE + LUCAS = NO LOVE

Cochrane does it’s usual thing. Looks at available evidence, then concludes more evidence is needed, and that the use of mechanical CPR isn’t supported by this Cochrane review. The problem is that they’re missing the point of mechanical compression devices.

Posted in CPR, Uncategorized | 11 Comments

SMACC GOLD – DOWN UNDER IS THE ONLY WAY FORWARD

For those of you that have somehow missed it, the Social Media Critical Care (SMACC) conference is happening 19th-21st of March. This is the conference we’d most want to attend this year. Unforturtunately for us, it all happens on the … Continue reading

Posted in Medical teaching | 5 Comments

QUOTE OF THE MONTH

“We have the most powerful, 3D, high-fidelity simulator in the known universe.” – Cliff Reid on running simulation scenarios in your brain.

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CODE BROWN: EMERGENCY SURGICAL AIRWAY REVISITED

I lost my cric virginity to a man on a beach in Australia. The story told here. After this, I’ve been looking into making crics simpler and safer. Talking to colleagues, reading articles, practicing on cadavers and animals – not … Continue reading

Posted in Anesthesia, Emergency Medicine | 6 Comments

CRITICAL CARE NUTRITION

A short post just highlighting a great site for critical care nutrition. Comprehensive, but easy to navigate, it has guides for calculating nutrition, as well as post going through the latest in critical care nutrition. Examples of posts is going … Continue reading

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HYPOTHERMIC INFECTIONS

Adding to the discussion on therapeutic hypothermia or just avoiding hyperthermia in cardiac arrest patients after ROSC, there’s a new systematic review slash meta-analysis on infection rates in hypothermic vs normothermic patients. Prolonged therapeutic hypothermia shows an increased risk of … Continue reading

Posted in Emergency Medicine, Intensive Care | Leave a comment