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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.
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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Category Archives: AHLR
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
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
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
Transesophageal echocardiography (TEE or TOE) used to be the domain of cardiologists. It has lately seeped into other areas of medicine where hemodynamic evaluation is crucial. ICU’s and occasionally OR’s use them even for non-cardiac surgery. But the TEE probe … Continue reading
Are mechanical chest compression robots better than your average ambo? The LINC trial in JAMA seeks to answer that. LUCAS, probably the most popular mechanical chest compressor, has been tested in a study against man. 2.600 patients randomised to man … Continue reading
Vasopressin has been advocated in and out of the CPR algorithm. Adrenaline is still hanging in there. And now the Greeks want to add steroids?! In this pretty solid multi center trial, they randomised cardiac arrest patients to standard adrenaline … Continue reading
“If you can put in a central line or a dialysis catheter, you can place a patient on ECMO” – Dr. Zach Shinar We have discussed ECMO-CPR, or ECLS, earlier. Those papers were on in-hospital cardiac arrests. Here’s a real … Continue reading
A few medical bits and pieces from around the net. This time on chest drains and intercostal arteries, and on predicting futile resuscitation.
Hjertestans behandles fremdeles med middelaldermetoder, og ikke overraskende med meget lav overlevelse. Det beste vi har å tilby er rytmisk portørknusing av thorax, eventuelt kombinert med noen skvett adrenalin. I det 21. århundrede må det da finnes en bedre metode?
Mun-till-mun-ventilation (MTM) har försvunnit från HLR-algoritmerna för vuxna. Teorin grundade sig på experiment från en man som hette Safar som på 50-talet lyckades bibehålla SaO2 över 90% hos frivilliga patienter i anestesi.