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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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Category Archives: CPR
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
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
ECMO at the Louvre, two art forms meet. We first tweeted this photo back in 2014, and now the case report behind the image has just been published. The case report highlights both the possibilities of new frontiers in medicine, … Continue reading
Interesting paper in AJEM. Hypoxic hepatitis (HH), ‘shock liver’, is defined as an increase in serum aminotransferase levels (20 times the upper normal level) after respiratory or circulatory failure. It is commonly seen in critical illness and after cardiac arrest. In … Continue reading
Anesthesia and Analgesia just published a superb review on the current edge of CPR. But everything started with a plunger. Yup! A plunger ! In the late eighties, a son resuscitated his father with the help of a plunger. Poorly … Continue reading
I found two interesting papers in EMJ. Both recently published. If you intubate a fresh frozen cadaver and ventilate you will get a transient capnography trace very similar to a trace from a living patient. I had heard about it before but … Continue reading
Interesting case reports on cardiac arrest patients with refractory VF. One was shocked 7 times – with a change in pad location. No luck. For the 8th shock, they hooked the patient up to a second defibrillator, and shocked him … Continue reading
There are a few magic lo-tech treatments about. There’s the precordial thump, but there’s also the self administered cough CPR. Documented in several case series from the cath labs of the 70s and 80s, coughing every 1-3 seconds was shown … Continue reading
ANYONE can learn CPR
Cochrane does it’s usual thing. Looks at available evidence, then concludes more evidence is needed, and that the use of mechanical CPR isn’t supported by this Cochrane review. The problem is that they’re missing the point of mechanical compression devices.