Author Archives: Thomas D

E-CPR STRIKES AGAIN

ECMO for cardiac arrest, E-CPR, has been shown several times to increase survival more than any other intervention we have available. Here’s yet another retrospective study to support the findings in previous trials (links at end of post). Survival with … Continue reading

Posted in Cardiology, ECMO, Emergency Medicine | 5 Comments

IO DRUGS AS QUICK AS IV

IO needles are always said to be able to deliver any drug, and with the same speed and onset as their IV cousins – also in critical patients. Most of use don’t really trust that fully, I think. The ones … Continue reading

Posted in Anesthesia, Emergency Medicine, Trauma | Leave a comment

PERIPHERAL NORADRENALINE

Peripheral noradrenaline (or norepinephrine), or any peripheral pressor, is shunned in many centers. High doses can cause gangrene. If extravasated, it can cause tissue necrosis. But is this a big risk? Also, weighing against the risks of CVC or delayed … Continue reading

Posted in Anesthesia, Emergency Medicine, Intensive Care | 5 Comments

IMAGING CASE OF THE WEEK

Posted in Uncategorized | Leave a comment

CODE BROWN: COMBATIVE AND BLEEDING

I’ve had combative patients in my ER lots of times. Combative enough to warrant sedation or anaesthesia. And bleeding patients. Serious bleeding. Lots of times. But not the extremes of both at the same time.

Posted in Code Brown, Emergency Medicine, Trauma, Ultrasound | 11 Comments

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