Author Archives: Thomas D

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

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IMAGING CASE OF THE WEEK

Oxygen can be a real idiot sometimes… via @medschooladvice

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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

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(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

O2 NOT NEEDED IN MYOCARDIAL INFARCTION

There’s not much left of poor MONA. We’ve written on unnecessary O2 treatment before, ie the AVOID trial. And now, one of the large RCTs on the subject is out. The DETO2X-SWEDEHEART investigators (love the acronym) have published their findings … Continue reading

Posted in Anesthesia, Cardiology, Emergency Medicine, Prehospital Medicine | 3 Comments

INTUBATION IN ARREST – AGAIN

Another study on airway management in cardiac arrest was just published in JAMA. The study was done in Denmark, where all intubations elective and emergency are done by anaesthestetists. It was a retrospective study, where they matched intubated patients with … Continue reading

Posted in Airway management, Anesthesia, CPR, Emergency Medicine, Prehospital Medicine | 8 Comments

USE ULTRASOUND FOR FEMORAL CANNULATION IN ARREST

For vascular access, you still hear the old “We don’t have time for using ultrasound – this is an emergency!”. In many settings, the old landmark techniques are quick and good in experienced hands. But when going for the femoral … Continue reading

Posted in Anesthesia, Cardiology, CPR, ECLS, ECMO, Emergency Medicine, Ultrasound | 2 Comments

CAN PLATELETS TAKE THE HEAT – OR CRACK UNDER PRESSURE?

Old dogma die hard. One of them is not heating platelets when giving transfusions. This breaks up the flow of transfusions and makes the process somewhat erratic. But the platelets are obviously heated when entering the body – the extra … Continue reading

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AVALANCHE

ScanCrit is currently having a mini-symposium in Zermatt, and it includes leisure-time skiing. The conditions have been less than favourable, windy with low cloud cover and bad visibility – but also lots of fresh snow. This creates a high risk … Continue reading

Posted in Emergency Medicine, Prehospital Medicine, Trauma, Wilderness Medicine | Leave a comment