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A blog on anaesthesia, intensive care and emergency medicine. In-hospital and outside. Mostly focusing on the critically ill patient. Written by two Scandinavian senior anaesthetic registrars turned consultants.
This is our way of keeping log of articles and interesting things we come across in our work and on the internet. Should any of you out there stumble across this blog and find it useful then all the better.
Please leave comments or questions if you have any. The best way to keep learning is to keep the conversation going.
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Author Archives: Thomas D
There’s been a lot of debate and controversy over spinal stabilisation in traume the last couple of years. Per Kristian Hyldmo is a HEMS anaesthetist, has done a PhD focusing on transportation of trauma patients including the lateral trauma position, … Continue reading
It’s hard to know what machine to pick, and hard to find good reviews, especially reviews of the machines in daily clinical use. Luckily a bunch of ultrasound nerds, the #ultrascoundrels, have taken it upon themselves to remedy this. Currently, … Continue reading
The Jim DuCanto experience at The Big Sick. We got our favourite airway big bear over from the states: Jim DuCanto, equal parts mad scientist and airway afficionado. Published paper on CPR, intubation and ventilation under water, or the beeryngoscope … Continue reading
We were fortunate to have Geir Strandenes in Zermatt for The Big Sick conference, TBS18. Dr. Strandenes is medical head of Norwegian Naval Spec Ops forces and one of the founders of the THOR network and heavily into hemorrhagic shock … Continue reading
We’ve written on Prof Tisherman’s Suspended Animation before. We found it very intriguing and were thrilled to be able to have Tisherman over from the Shock Trauma Center in Baltimore to TBS18 in Zermatt, Switzerland to explain the concept and … Continue reading
From our ECMO session at The Big Sick 2018, #TBS18: Lionel Lamhaut on Prehospital ECMO (39:30) Zack Shinar on EDECMO (1:04:30) Håkan Kalzen on the Karolinska experience with ECMO and ECMO transports (1:31:35) Magnus Larsson on ECMO in trauma patients … Continue reading
ECMO is usually applied to the whole body. In VA-ECMO, we often use a smaller side cannula to supply the lower limb with circulation and oxygenated blood, when its femoral artery is partially occluded by the main ECMO cannula.
This experimental study puts most common assumptions about hyperventilation in hemorrhagic shock on its head. Common thinking is that trauma pts breathe faster because of shock and metabolic demands not being met. This study suggests trauma pts are breathing faster … Continue reading
Is systolic blood pressure (SBP) of 90 the magic threshold in traumatic brain injury (TBI)? This observational paper goes through a large prehospital database, and found an association between lower systolic BP and higher mortality. This has created a lot … Continue reading