Author Archives: Thomas D

#TBS18 IS COMING – AVAILABLE SPOTS

Posted on January 3, 2018 by Thomas D

The Big Sick conference #TBS18 is coming, and we’re getting fired up for three days of cutting edge critical care conference with top speakers and top delegates. We can’t wait to meet you all to learn and discuss and connect. … Continue reading →

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TBS18, ZERMATT – Feb 7-9 2018

Posted on October 30, 2017 by Thomas D

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

Posted on October 9, 2017 by Thomas D

Oxygen can be a real idiot sometimes… via @medschooladvice

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BIS: RELAX DON’T DO IT?

Posted on October 8, 2017 by Thomas D

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

Posted on September 26, 2017 by Thomas D

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 →

Posted in Emergency Medicine, Medical teaching, Prehospital Medicine, SAR, Trauma | Leave a comment

(UN)MOTTLING CREW

Posted on September 21, 2017 by Thomas D

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

Posted on August 30, 2017 by Thomas D

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

Posted on June 25, 2017 by Thomas D

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

Posted on June 22, 2017 by Thomas D

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 | 4 Comments

CAN PLATELETS TAKE THE HEAT – OR CRACK UNDER PRESSURE?

Posted on June 7, 2017 by Thomas D

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 →

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