Author Archives: Thomas D

THE MOST SPECTACULAR HELICOPTER RESCUE

A quick non-medical post, but it involves helicopters! There are loads of good Helicopter Emergency Medical Services (HEMS) around. One of the most famous is Rega, a Swiss based HEMS. And they did a spectacular job back in the 80s. … Continue reading

Posted in Prehospital Medicine | 3 Comments

COUGH CPR

There are a few magic lo-tech treatments about. There’s the precordial thump, but there’s also the self administered cough CPR. Documented in several case series from the cath labs of the 70s and 80s, coughing every 1-3 seconds was shown … Continue reading

Posted in Cardiology, CPR | Leave a comment

WHY MORE PEOPLE LITERALLY WALK AWAY FROM CAR CRASHES

Posted in Prehospital Medicine, Trauma | Leave a comment

EGDT IS DEAD, LONG LIVE EGDT

And so the EGDT trilogy is complete. The results of the ProMISe trial was published, after we’ve recently had the results from the ARISE and ProCESS trials. They all compared EGDT (Early Goal-Directed Therapy) to “standard care”. And they were … Continue reading

Posted in Emergency Medicine, Infectious diseases, Intensive Care | 5 Comments

IMAGING CASE OF THE WEEK

Full post describing the study at gomerblog.com …jokes aside, there is actually a real study on “changes in anal sphincter tone at induction of anaesthesia” – but it was done on the patients, not the anaesthetists…

Posted in Humour | 1 Comment

TEE DURING CARDIAC ARREST

Transesophageal echocardiography (TEE or TOE) used to be the domain of cardiologists. It has lately seeped into other areas of medicine where hemodynamic evaluation is crucial. ICU’s and occasionally OR’s use them even for non-cardiac surgery. But the TEE probe … Continue reading

Posted in AHLR, Emergency Medicine, Ultrasound | 2 Comments

ECMO – MIXING IT UP

ECMO is all the rage, and ScanCrit is a fanatical believer. However, ECMO has its problems and challenges. The challenge we’ll look into here, is choosing between VV or VA ECMO – sometimes the choice is straightforward, other times not. … Continue reading

Posted in ECMO, Intensive Care | 1 Comment

CERVICAL COLLARS SLASHED FROM GUIDELINES

There’s been a big discussion on cervical collars in trauma the recent years. We’ve covered the controversy here. Guidelines are usually slow to adapt, but now both national guidelines from the Netherlands and state guidelines from Queensland in Australia seems … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 15 Comments

QUOTE OF THE MONTH

I had the good fortune to visit the Museum of 1990s Trauma Care over the past two days. It's called #ATLS. Fascinating historic artifacts. — Bill Hinckley (@UCAirCareDoc) December 5, 2014

Posted in Emergency Medicine, Humour | Leave a comment

IMAGING CASE OF THE MONTH

XKCD nails it. Again.

Posted in Uncategorized | Leave a comment