Author Archives: Thomas D

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. Selected … Continue reading

Posted in Uncategorized | Leave a comment

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 Uncategorized | 3 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 Uncategorized | 1 Comment

#TBS18 IS COMING – AVAILABLE SPOTS

The Big Sick conference #TBS18 is coming, and we’re getting fired up for three days of cutting edge critical care conference with top speakers and top delegates. We can’t wait to meet you all to learn and discuss and connect. … Continue reading

Posted in Uncategorized | Leave a comment

TBS18, ZERMATT – Feb 7-9 2018

We have worked hard this year on something big that is due to kick off in February next year: TBS18, The Big Sick Conference – a small, social critical care conference with top speakers and deep medical engagement in the amazing alp village … Continue reading

Posted in Uncategorized | Leave a comment

IMAGING CASE OF THE WEEK

Oxygen can be a real idiot sometimes… via @medschooladvice

Posted in Uncategorized | Leave a comment

BIS: RELAX DON’T DO IT?

Recently saw BIS discussion re-surface. NICE recommends it, yet very few use it. We could make a long discussion about this, but the short version is we sometimes use it, despite its shortcomings. Its best use would presumably be in … Continue reading

Posted in Anesthesia | 3 Comments

TACTICAL TRAUMA 17 – October 10-11th 2017

A great Scandinavian conference is coming up October 10-11th 2017! In the small, but beautiful town of Sundsvall, Fredrik Granholm has managed to lure some of the great minds and presenters within tactical trauma and trauma care to gather there. … Continue reading

Posted in Emergency Medicine, Medical teaching, Prehospital Medicine, SAR, Trauma | Leave a comment

(UN)MOTTLING CREW

Iloprost is a powerful vasodilator, but I have never seen it used as an intravenous infusion to improve general microcirculation in septic shock, like in this interesting, albeit very small, case series from Intensive Care Med. In septic shock, one … Continue reading

Posted in Intensive Care | 5 Comments