Author Archives: Thomas D

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

Posted in Miscellaneous | Leave a comment

ATACC!

The British ATACC concept – Anaesthesia Trauma And Critical Care – is as the name implies a course focusing on the anaesthestic (non-surgical) part of trauma and critical care treatment. The course was developed as a more advanced and up-to-date … Continue reading

Posted in Medical teaching, Trauma | 6 Comments

ANYONE CAN LEARN CPR

ANYONE can learn CPR

Posted in CPR, Humour | Leave a comment

QUOTE OF THE MONTH

“The CXR is a dying breed in the acute assessment of trauma.” – Brian Burns, Greater Sydney HEMS.

Posted in Ultrasound | Leave a comment

JUNE 23-26 2015 – SAVE THE DATE!

SMACC GOLD is just over, and the amazing presentations from that conference is starting to get posted. For a taster, watch Haney Mallemat give a SMACC talk on the biggest ICU challenge: The art and science of fluid responsiveness. Also … Continue reading

Posted in Uncategorized | Leave a comment

ELECTROLARYNX – TALK WHILE INTUBATED

For awake, intubated patients a great frustration is the inability to speak. A great little report in NEJM shows a novel use of the electrolarynx – that little device some laryngectomised patients hold to their neck to produce robot sounding … Continue reading

Posted in Intensive Care | Leave a comment

QUOTE OF THE MONTH

“Damage control resus can help avoid damage control surgery” – Karim Brohi, smaccGOLD.

Posted in Anesthesia, Emergency Medicine, Trauma | 1 Comment