Author Archives: Thomas D

DIRECT LARYNGOSCOPY KILLED THE VIDEO STAR?

Videolarygoscopy (VL). Brave new world. VL makes any intubation easy, and solves airway managment problems. Well, it can be a life-saver, but it also brings its own set of problems. Two new RCTs comparing VL and DL are just out. … Continue reading






Posted in Airway management, Anesthesia, Emergency Medicine, Prehospital Medicine | Leave a comment

ULTRASOUND – FASTING FOR SURGERY

We’ve held on to our strict fasting regimes for decades. Gastric ultrasound is here to help us individualise our fasting rules a bit more. Gastric ultrasound has lots of uses, and lately it’s become fashionable to use it for evaluating … Continue reading






Posted in Anesthesia, Ultrasound | Leave a comment

FLUID RESPONSE – SMACC DEBATE

This was one of my favourite SMACC CHICAGO debates: “Predicting Fluid Responsiveness is a Waste of Time” on fluid management, Rob MacSweeney pokes at the fluid response hero/enfant terrible Paul Marik. Great points by both, and Rob’s cartoon is epic! … Continue reading






Posted in Uncategorized | Leave a comment

PROPOFOL + LIDOCAINE = MAGIC

Propofol is a great anaesthetic – but it can cause pain on injection. This is one of the tricks of the trade: mix in some lidocaine in your propofol syringe, and the patient is pain free. Sounds like magic. Especially … Continue reading






Posted in Anesthesia | 4 Comments

CPR AND AMIODARONE

There’s a new RCT out in NEJM on amiodarone and lidocaine in cardiac arrest. It’s an interesting study we wrote on, but needed a less categorical take. In the unselected study population, amiodarone and lidocaine did little for the patients. … Continue reading






Posted in AHLR, Emergency Medicine, Prehospital Medicine | 4 Comments

NEW CPR GUIDELINES

The Norwegian Resuscitation Council has released revised guidelines for CPR, and presented them at the Scandinavian conference for emergency medicine, SAM 16. These recommendations might differ from international recommendations. Click image or “more” for a quick English translation and run-through … Continue reading






Posted in AHLR, Emergency Medicine, Prehospital Medicine | 4 Comments

ERC CERVICAL COLLAR SCEPTICS

The ERC, the European Resuscitation Council, have issued new guidelines for first aid, section 9 of their guidelines. And it includes an interesting and rather controversial take on cervical collars and spinal immobilisation that’s similar to what we have been … Continue reading






Posted in Emergency Medicine, Trauma | 2 Comments

SMACC DUB 2016 JUNE 13-16

After a fantastic SMACC conference in Chicago this Summer, preparations for next year’s SMACC in Dublin is well under way. As a conference for Social Media And Critical Care, the SMACC conference is not just an update on cutting edge … Continue reading






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FAST THORACOTOMY

Ultrasound is being used for procedures and decision making everywhere. Now, someone’s evaluated it for decision making in penetrating trauma cardiac arrest emergent thoracotomies. Is there a place (and time) for ultrasound in this setting? A new article in Annals … Continue reading






Posted in AHLR, Trauma, Ultrasound | 4 Comments

SOLVING DIFFERENTIAL OXYGENATION IN VA-ECMO

ECMO can fix anything. But, surprisingly, it has some limitations. One of them is differential oxygenation in VA-ECMO, also known as watershed. A recent paper looks into new ECMO set-ups in an experimental animal model that seeks to solve the … Continue reading






Posted in ECMO | 3 Comments